Apply EPA-registered insect repellent
Wear long clothing treated with permethrin
Keep mosquitoes out
Take preventive medication and get vaccinated when appropriate
The CDC recommends that travelers continue to take personal protective measures for 3 weeks upon their return to avoid getting bit by a mosquito. This helps prevent the spread of viruses to uninfected mosquitoes in the area and reduces the risk of local transmission.9
SWAT can help travelers remember the personal protective measures they can take to prepare for and protect against deadly viruses spread by mosquitoes.
a travel health specialist
long-sleeved shirts and long pants
insect repellent
medication and vaccines if appropriate
Getting travelers to properly adhere to personal protective measures can be a challenge. In fact, a study showed only 2.5% of the participants applied the recommended dose of repellent.10,11
If appropriate, prescribe preventive medication and vaccinate travelers in accordance with CDC recommendations.
Download the SWAT mnemonic
References: 1. Prevent mosquito bites. Mosquitoes. Centers for Disease Control and Prevention. Updated July 11, 2022. Accessed March 13, 2023. https://www.cdc.gov/mosquitoes/mosquito-bites/prevent-mosquito-bites.html 2. How to protect against mosquito bites. Centers for Disease Control and Prevention. Updated March 26, 2020. Accessed March 13, 2023. https://www.cdc.gov/mosquitoes/pdfs/mosquitobitepreventionus_508.pdf 3. Rockefeller University. Scientists investigate how DEET confuses countless critters. ScienceDaily. Published September 26, 2018. Accessed March 13, 2023. https://www.sciencedaily.com/releases/2018/09/180926140832.htm 4. Choosing a drug to prevent malaria. Malaria. Centers for Disease Control and Prevention. Updated July 1, 2022. Accessed March 13, 2023. https://www.cdc.gov/malaria/travelers/drugs.html 5. Dengue vaccine. Centers for Disease Control and Prevention. Last reviewed January 9, 2024. Accessed February 15, 2024. https://www.cdc.gov/dengue/vaccine/ 6. Prevention. Centers for Disease Control and Prevention. Last reviewed December 7, 2020. Accessed February 15, 2024. https://www.cdc.gov/japaneseencephalitis/prevention/index.html 7. Prevention. Centers for Disease Control and Prevention. Last reviewed December 7, 2023. Accessed December 13, 2023. https://www.cdc.gov/chikungunya/prevention/index.html 8. Yellow fever vaccine. Centers for Disease Control and Prevention. Last reviewed April 21, 2021. Accessed February 15, 2024. https://www.cdc.gov/yellowfever/vaccine/index.html 9. Prevent mosquito bites. Division of Vector-Borne Diseases (DVBD). Centers for Disease Control and Prevention. Updated June 1, 2022. Accessed March 13, 2023. https://www.cdc.gov/ncezid/dvbd/media/stopmosquitoes.html 10. Lalani T, Yun H, Tribble D, et al. A comparison of compliance rates with anti-vectorial protective measures during travel to regions with dengue or chikungunya activity, and regions endemic for Plasmodium falciparum malaria. J Travel Med. 2016;23(5):taw043. doi:10.1093/jtm/taw043 11. Hasler T, Fehr J, Held U, Schlagenhauf P. Use of repellents by travellers: a randomised, quantitative analysis of applied dosage and an evaluation of knowledge, attitudes and practices (KAP). Travel Med Infect Dis. 2019;(28):27-33. doi.org/10.1016/j.tmaid.2018.12.007