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[quote=Anonymous][quote=Anonymous]Mosquitos are everywhere in DC, MD, VA. And Dengue has been detected in several states. Why are you singling out Puerto Rico as being a concern? Just book your trip and enjoy.[/quote]

The CDC indicates dengue is “common” in PR but not any of the continental states.
https://www.cdc.gov/dengue/outbreaks/2024/index.html#:~:text=Dengue%20is%20common%20in%20six,and%20the%20Republic%20of%20Palau.

Anyway, I agree with PPs to use bug spray and permithicen your clothes (especially any for hiking in interior or touring San Juan— not necessary for beach clothes).  It’s not a bad idea to have lightweight clothes that covers arms/legs in addition—eg light linen or similar.  That’s what I tend to wear whenever I’m in a place where I’m worried about mosquitos or ticks.  Unfortunately with climate change the insect borne illnesses get more prevalent.  
The permithicen on clothes and shoes is really effective — my son camps in places that are totally mosquito infested and I’m sure he never remembers to use bug spray but never gets bitten because I treat all his stuff (don’t forget things like socks and hats).  It lasts through several washes.  [/quote]

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