Back to the trend of the day: Los Angeles is fighting its worst mosquito season in a decade
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Worst Mosquito Cities in US 2026 vs West Nile Risk

Los Angeles has topped the mosquito-treatment list six years running, yet the highest West Nile rates per resident are in North Dakota (2.76 per 100,000) and Nebraska (2.49), and neither has a city in the top 10.

  • No. 1: Denver, CO
  • 10 places

01Final list

The leading AIs each built their own list of ten independently. Here is one result that is easy to check: every place has a reason, a source, and the list of AIs that included it.

Order: from most to least AI agreement.

A bright badge means this AI put the entry on its list. A dim badge means it did not.

  1. 1

    Denver, CO

    10th for treatments in 2026, while Colorado's West Nile count swings widely: more than 600 cases in 2023, then 76 in 2024. An older Orkin list put Denver 38th.

    Included it: Gemini, Claude, ChatGPT.

    In their lists: Gemini: 6 · Claude: 2 · ChatGPT: 10

    What each AI noted 3
    • Geminiplace 6

      Occupies a modest #38 on pest control lists, but endured an unprecedented 5.38 neuroinvasive cases per 100,000 residents in peak outbreak cycles.

      Source ↗
    • Claudeplace 2

      Denver is 10th for treatments, but Colorado went from 76 human cases in 2024 to more than 600 in 2023.

      Source ↗
    • ChatGPTplace 10

      Denver completes Orkin’s 2026 top ten; treatment rank alone cannot tell whether its human West Nile rate is high or low.

      Source ↗
    3 AIs put it here
  2. 2

    Atlanta, GA

    Fifth for treatments in 2026 and No. 1 from 2015 to 2020, yet Georgia is not among CDC's highest-incidence states. No metro rate was found.

    Included it: Gemini, Claude, ChatGPT.

    In their lists: Gemini: 4 · Claude: 5 · ChatGPT: 5

    What each AI noted 3
    • Geminiplace 4

      A historic hub for backyard mosquito spraying that records less than 0.15 severe neuroinvasive cases per 100,000 residents.

    • Claudeplace 5

      Atlanta held Orkin's top spot from 2015 to 2020 and is still 5th, a Southeast city whose WNV record I could not retrieve.

      Source ↗
    • ChatGPTplace 5

      Atlanta led Orkin’s list for six consecutive years from 2015 through 2020; it is fifth in 2026.

      Source ↗
    3 AIs put it here
  3. 3

    Washington, DC

    Sixth for treatments in 2026, up two places (another edition had it 7th). No metro West Nile rate was found to compare.

    Included it: Gemini, Claude, ChatGPT.

    In their lists: Gemini: 8 · Claude: 7 · ChatGPT: 6

    What each AI noted 3
    • Geminiplace 8

      Ranks #7 in household treatment volume driven by suburban container breeders, but ranks #41 in per-capita neurological disease.

      Source ↗
    • Claudeplace 7

      DC is 6th for treatments, with a metro WNV rate I could not retrieve.

      Source ↗
    • ChatGPTplace 6

      The D.C. metro climbed two places to sixth on Orkin’s treatment-demand list.

      Source ↗
    3 AIs put it here
  4. More about the top three ↓
  5. 4

    Los Angeles, CA

    No. 1 for treatments six years running. 2026 is its worst West Nile year in a decade, with 100 cases by 22 Sept against about 41 a year, so the gap is closing.

    Included it: Gemini, Claude, ChatGPT.

    In their lists: Gemini: 10 · Claude: 8 · ChatGPT: 1

    What each AI noted 3
    • Geminiplace 10

      Held #1 on Orkin's list for four straight years due to daytime Aedes bites, but saw West Nile surge tenfold in 2026 to over 200 cases and 10 deaths.

      Source ↗
    • Claudeplace 8

      LA is Orkin's No. 1, and 2026 is its worst WNV year in about a decade: 100 cases by 22 Sept against a usual 41 a year.

      Source ↗
    • ChatGPTplace 1

      Orkin’s No. 1 mosquito-treatment metro coincides with a sharp local outbreak: the county reported 34 cases and 2 deaths in 2024, while 2026 reporting describes a much larger season.

      Source ↗
    3 AIs put it here
  6. 5

    New York, NY

    Third for Orkin treatments in 2026, yet New York is not among the highest West Nile states, which are led by North Dakota at 2.76 per 100,000.

    Included it: Gemini, Claude, ChatGPT.

    In their lists: Gemini: 3 · Claude: 6 · ChatGPT: 3

    What each AI noted 3
    • Geminiplace 3

      Holds the #3 spot nationwide for commercial mosquito contracts, while human West Nile neuroinvasive incidence sits near the bottom of all US metros.

      Source ↗
    • Claudeplace 6

      New York is 3rd for treatments. National WNV rates are highest in the Plains and Mountain states, not the Northeast.

      Source ↗
    • ChatGPTplace 3

      New York ranks third for Orkin treatments, a measure shaped by customer demand and service coverage as well as mosquitoes.

      Source ↗
    3 AIs put it here
  7. 6

    Detroit, MI

    Fourth for treatments in 2026, up one place. With no metro West Nile rate found, it sits only on the nuisance side of the gap.

    Included it: Claude, ChatGPT. Did not include: Gemini.

    In their lists: Claude: 4 · ChatGPT: 4

    What each AI noted 2
    • Claudeplace 4

      Detroit ranks 4th on the treatment list; I found no metro WNV rate to set against it, so it is placed on the nuisance side only.

      Source ↗
    • ChatGPTplace 4

      Detroit rose one place on Orkin’s year-over-year list to No. 4, but the list does not measure disease risk.

      Source ↗
    2 AIs put it here
  8. 7

    Dallas–Fort Worth, TX

    Eighth for treatments. Dallas County went from 3 West Nile cases in 2022 to 37 in 2024, though the county's own case table lists only 7.

    Included it: Claude, ChatGPT. Did not include: Gemini.

    In their lists: Claude: 3 · ChatGPT: 8

    What each AI noted 2
    • Claudeplace 3

      Dallas County reported 3 human cases in 2022 and 37 in 2024, a swing within a city that sits 8th on the treatment list.

      Source ↗
    • ChatGPTplace 8

      Dallas is eighth on the 2026 list; Orkin’s older methodology explicitly included residential and commercial treatments, while its 2026 release specifies residential treatments.

      Source ↗
    2 AIs put it here
  9. 8

    Chicago, IL

    Second for Orkin treatments in 2026, yet Illinois is not among the top West Nile states. No metro rate per 100,000 was found.

    Included it: Claude, ChatGPT. Did not include: Gemini.

    In their lists: Claude: 10 · ChatGPT: 2

    What each AI noted 2
    • Claudeplace 10

      Cleveland is 9th for treatments, with no WNV rate retrieved.

      Source ↗
    • ChatGPTplace 2

      Chicago is second on Orkin’s treatment list; the CDC’s county series makes clear why treatment rank alone cannot stand in for West Nile risk.

      Source ↗
    2 AIs put it here
  10. 9

    Phoenix, AZ

    Only 40th of 50 for Orkin treatments, yet Maricopa County logged 1,487 West Nile cases in 2021 (local reports said 361 by October) and just 3 in 2020.

    Included it: Claude. Did not include: Gemini, ChatGPT.

    In their lists: Claude: 1

    What each AI noted 1
    • Claudeplace 1

      Orkin puts Phoenix 40th of 50, yet Maricopa County had 1,487 West Nile cases in the 2021 outbreak and only 3 in 2020.

      Source ↗
    1 AIs put it here
  11. 10

    Omaha, NE

    Not in Orkin's 2026 top 10, while Nebraska had the second-highest neuroinvasive West Nile rate in 2024 at 2.49 per 100,000. That is a state figure, not a metro one.

    Included it: Gemini. Did not include: Claude, ChatGPT.

    In their lists: Gemini: 1

    What each AI noted 1
    • Geminiplace 1

      Ranks outside the commercial top 50 for yard treatments, yet faces the nation's second-highest per-capita rate of neuroinvasive West Nile disease.

      Source ↗
    1 AIs put it here

02More about the top three

The ranking is above. Here is more about the three places at the top: what they are, why they are here, and what is worth knowing.

The ranks count mosquito treatments, not West Nile illness, and the West Nile figures are for whole states or other years, not cities.

1Denver, CO

No. 1 — Denver, CO. On the lists of 3 of 3 AIs; median place there: 6. AIs ranked it first because its 10th place for treatments hides West Nile cases that swing from 76 to over 600.

Denver, Colorado skyline (cropped)
Quintin Soloviev · CC BY 4.0 · Wikimedia Commons
420 Friendly Party Bus on a Marijuana Tour
My 420 Tours · CC BY-SA 4.0 · Wikimedia Commons
A commercial cannabis grow facility in Denver, Colorado
Cannabis Tours · CC BY-SA 4.0 · Wikimedia Commons

Did you know

  • The Brown Palace Hotel opened in 1892. Guests since then include the actor John Wayne, President Franklin D. Roosevelt and The Beatles.

What it is
Colorado's big city, 10th on Orkin's 2026 mosquito-treatment list.
Its edge
Climbed from 24th in 2019 to 10th, and Colorado's West Nile counts swing hugely.
Who should know
Useful for anyone who thinks a low pest ranking means low West Nile risk.
  • Orkin treatment rank 202610th for treatments
  • Founded1858
  • HeadquartersDenver, Colorado

Wikipedia · Wikidata

Why it is here
  • Denver ranked 10th on Orkin’s 2026 list, which counts new residential mosquito treatments from March 18, 2025, to March 18, 2026. [Orkin’s 2026 list](https://www.orkin.com/press-room/los-angeles-worst-mosquito-city-again)

  • Denver entered Orkin’s list at 24th in 2019; by 2024 it was 16th, and in 2026 it reached 10th. [Orkin’s 2019 list](https://www.orkin.com/press-room/orkins-2019-top-mosquito-cities) · [Orkin’s 2024 list](https://www.orkin.com/press-room/2024-top-mosquito-infested-cities) · [Orkin’s 2026 list](https://www.orkin.com/press-room/los-angeles-worst-mosquito-city-again)

Did you know
  • The U.S. Mint in Denver makes billions of coins each year, which makes it one of the busiest mints in the country. You can take a guided tour to see how coins are made.

History
  • In 1863, a small fire in a wooden building spread through downtown Denver in high winds, wrecking almost every building there. People rebuilt with brick, and a law required nearly every Denver building to use it—a change still visible in the city today.

Keep in mind
  • West Nile cases here can jump from year to year. In 2023, 619 people in Colorado were affected and 375 were hospitalized. Denver County had the most cases (95). Treatment counts do not show illness.

Compare the top three ↓

2Atlanta, GA

No. 2 — Atlanta, GA. On the lists of 3 of 3 AIs; median place there: 5. AIs put it second for its long history at the top of treatments, though Georgia is not a high West Nile state.

A2ATL20250614-0721 (cropped)
AtlChampion · CC BY-SA 4.0 · Wikimedia Commons
Atlanta Skyline with Buildings Under Construction
Log.base · CC BY-SA 4.0 · Wikimedia Commons
Atlanta, Ga. , November 17, 2010 -- Through a federal partnership between FEMA and the General Services Administration (GSA), FEMA opens a new commodities distribution center in Atl - DPLA - 3e4f894dd192fbf08924171eb59512ac
Department of Homeland Security. Federal Emergency Management Agency. Public Affairs Division. 3/1/2003 · Public domain · Wikimedia Commons

Did you know

  • Atlanta's airport served 108.1 million passengers in 2024. That is second only to its 2019 record of 110 million passengers.

What it is
Georgia's capital, 5th on Orkin's 2026 mosquito-treatment list.
Its edge
Held Orkin's top spot six years in a row, from 2015 to 2020.
Who should know
Useful for readers who want to see that heavy spraying and sickness are different things.
  • Orkin treatment rank 20265th for treatments
  • Founded1845
  • HeadquartersGeorgia

Wikipedia · Wikidata

Why it is here
  • Atlanta ranked 5th on Orkin’s 2026 list, one place lower than in 2025. The list counts new residential mosquito treatments. [Orkin’s 2026 list](https://www.orkin.com/press-room/los-angeles-worst-mosquito-city-again)

  • Atlanta held Orkin’s top spot for six straight years, from 2015 through 2020. [Orkin’s 2026 list](https://www.orkin.com/press-room/los-angeles-worst-mosquito-city-again)

History
  • In 1864, Union forces captured Atlanta, then burned railroad lines and buildings as they left. Much of the city lay in ruins, but Atlanta rebuilt and grew into Georgia’s largest city by 1880.

Keep in mind
  • Atlanta's high ranking counts pest-control treatments, not sick people. A July 2026 report says Fulton County mosquito samples tested positive for West Nile, and the CDC said US infections were the highest since 2004.

Where to go further
  • Read this 2 September 2026 news story on West Nile in two Roswell parks. Look first at how crews respond: they treat areas within a quarter-mile of a positive trap.

Compare the top three ↓

3Washington, DC

No. 3 — Washington, DC. On the lists of 3 of 3 AIs; median place there: 7. AIs ranked it third because it is high for treatments, yet no city West Nile rate was found to compare.

Aerial view of White House and downtown, Washington, D.C LCCN2010630891
Carol M. Highsmith · Public domain · Wikimedia Commons
19-N-8487 (37307798452)
National Museum of the U.S. Navy · Public domain · Wikimedia Commons
Back Entrance U.S. SEC HQ 2nd Street NE Washington, D.C
AquilaVeritas · CC BY-SA 4.0 · Wikimedia Commons

Did you know

  • Wheaton Metro station, just outside Washington, has 230-foot escalators. They are the longest single-span escalators in the Western Hemisphere. They rise 115 feet.

What it is
The US capital, 6th on Orkin's 2026 mosquito-treatment list.
Its edge
Rose two places in the latest list and stayed in the top 10 in both editions.
Who should know
Useful for city residents: public crews treat drains, but yards are left to owners.
  • Orkin treatment rank 20266th for treatments
  • Founded1790
  • HeadquartersUnited States

Wikipedia · Wikidata

Why it is here
  • Washington, D.C. ranked 6th on Orkin’s 2026 list, up two places from the prior year. [Orkin’s 2026 list](https://www.orkin.com/press-room/los-angeles-worst-mosquito-city-again)

  • Washington, D.C. ranked 7th in 2024 and 6th in 2026, staying in Orkin’s top 10 across both editions. [Orkin’s 2024 list](https://www.orkin.com/press-room/2024-top-mosquito-infested-cities) · [Orkin’s 2026 list](https://www.orkin.com/press-room/los-angeles-worst-mosquito-city-again)

History
  • In 1814, British troops burned the U.S. Capitol and other major public buildings in Washington. Congress debated moving the capital, but rejected the idea; rebuilding the House chamber took nearly five years.

Keep in mind
  • DC Health says that from 2020 to 2024 the District averaged three human West Nile cases a year, all between July and September. That is a small count next to its high treatment ranking.

  • DC Health treats standing water in public places such as drains and catch basins, but not private property. Residents are left to handle their own yards.

Where to go further
  • Open DC Health's West Nile overview. Look first at the larvicide part: crews treat sewer drains where mosquitoes breed. Weekly lists of positive spots are on a related page.

Compare the top three ↓

The top three side by side

Denver, COAtlanta, GAWashington, DC
In the AIs' lists3 / 33 / 33 / 3
Orkin treatment rank 202610th for treatments5th for treatments6th for treatments
Founded185818451790
HeadquartersDenver, ColoradoGeorgiaUnited States
Put first by———

Places with the same number of AIs are ordered by their average place in the AIs' own lists.

03Worth knowing

What the AIs noticed while building the list.

Nationally, the neuroinvasive West Nile rate was 0.40 per 100,000 in 2024 (1,808 cases, 75% neuroinvasive). The top states were North Dakota at 2.76 and Nebraska at 2.49, and neither has a city in Orkin's top 10.

Noticed by:
Included it: Claude, ChatGPT. Did not include: Gemini.
Source ↗

Orkin counts only its own new treatments. The 2026 release says residential treatments, while the 2023 edition included commercial ones, so the scope changes between years.

Noticed by:
Included it: Claude, ChatGPT. Did not include: Gemini.
Source ↗

CDC counts cases by county of residence, not where the bite happened, and warns that counts of mild cases should not be used to compare places. Neuroinvasive rates compare better.

Noticed by:
Included it: Claude, ChatGPT. Did not include: Gemini.
Source ↗

No ready-made multi-season West Nile rate per 100,000 exists for each metro. This order is a judgment from Orkin ranks and county counts, not a computed rank difference.

Noticed by:
Included it: Claude, ChatGPT. Did not include: Gemini.
Source ↗

LA's 2026 count differs by source: 100 cases as of 22 Sept in one report, against the 'more than 200 cases and 10 deaths' figure, which could not be confirmed.

Noticed by:
Included it: Gemini, Claude, ChatGPT.
Source ↗

04Questions people ask

How many cases of West Nile virus are in the US?

CDC reported 1,808 West Nile cases in 2024, 1,347 of them neuroinvasive. Current-season counts keep changing as reports arrive.

Source ↗
Where are the most mosquitoes in America?

By Orkin's 2026 treatment counts, Los Angeles is first, followed by Chicago, New York, Detroit and Atlanta. The list counts treatments bought, not mosquitoes.

Source ↗
Which states have the highest West Nile rates?

In 2024, North Dakota (2.76 per 100,000), Nebraska (2.49) and Mississippi (1.43) had the highest neuroinvasive rates.

Source ↗
Why do LA's 2026 West Nile counts differ?

The season is still being counted. One report gave 100 cases by 22 Sept, and the higher figure of more than 200 cases could not be confirmed against a source page.

Source ↗

05How we counted

In plain words, no formulas.

1The question

Top 10 US Metros Where Mosquito Nuisance and West Nile Risk Don't Match

2Why this topic

It puts what people pay to fight mosquitoes next to how many people actually get sick, a comparison neither the pest list nor the CDC table makes alone.

3Where it applies

United States, metropolitan areas

4What we looked at

  • A metro's place on the pest-industry list of mosquito cities, which counts new mosquito treatments
  • The same metro's rate of human West Nile cases per 100,000 residents, averaged over several full seasons, with neuroinvasive cases shown separately
  • Rank by the gap between the two places, shown as a plain difference in rank. Metros without at least one full season of public-health data are left out
  • Orkin (Rollins), 2026 Mosquito Cities — 50 metros ranked by Orkin's new residential mosquito treatments, 18 Mar 2025 to 18 Mar 2026. This is what households pay for, not mosquito counts or illness.
  • CDC ArboNET historic West Nile data — Human West Nile cases, total and neuroinvasive, by county of residence, 1999–2025
  • CDC MMWR, West Nile virus in the US, 2024 — National and state cases and neuroinvasive rates per 100,000
  • County health departments (Maricopa, Dallas, Los Angeles) and local reports — Human West Nile cases and deaths by county and year

5Who ranked

The leading AIs, each building its own list of ten independently and naming a source for every place: Gemini, Claude, ChatGPT.

6How the places were set

The same entry written differently by different AIs was counted as one. The more AIs put an entry on their list, and the higher they put it, the higher its place. "AI agreement" shows how many of the AIs had it on their own list. Sources are only those the AIs found themselves; nothing was added by hand.

06Each AI's own list

🇺🇸 Gemini10 places · 2 notes

The same question, answered by Gemini alone. The final list above combines all the AIs.

  1. 1
    Omaha-Council Bluffs, NE-IA

    Ranks outside the commercial top 50 for yard treatments, yet faces the nation's second-highest per-capita rate of neuroinvasive West Nile disease.

    Source ↗
  2. 2
    Sioux Falls, SD

    Virtually absent from private exterminator priority maps, yet perennially anchors the highest viral encephalitis incidence in North America.

  3. 3
    New York-Newark, NY-NJ

    Holds the #3 spot nationwide for commercial mosquito contracts, while human West Nile neuroinvasive incidence sits near the bottom of all US metros.

    Source ↗
  4. 4
    Atlanta, GA

    A historic hub for backyard mosquito spraying that records less than 0.15 severe neuroinvasive cases per 100,000 residents.

  5. 5
    Charlotte, NC

    Rapid suburban development fuels heavy yard misting demand (#9 on Orkin), despite virtually zero annual neuroinvasive hospitalizations.

  6. 6
    Denver-Aurora-Lakewood, CO

    Occupies a modest #38 on pest control lists, but endured an unprecedented 5.38 neuroinvasive cases per 100,000 residents in peak outbreak cycles.

    Source ↗
  7. 7
    Miami-Fort Lauderdale, FL

    Year-round subtropical nuisance creates steady service calls (#14), while local bird-mosquito West Nile amplification remains extraordinarily low.

    Source ↗
  8. 8
    Washington, DC (Hagerstown)

    Ranks #7 in household treatment volume driven by suburban container breeders, but ranks #41 in per-capita neurological disease.

    Source ↗
  9. 9
    Raleigh-Durham, NC

    The 11th biggest commercial spraying market registers under 0.10 neuroinvasive cases per 100,000 people over a five-year rolling window.

  10. 10
    Los Angeles, CA

    Held #1 on Orkin's list for four straight years due to daytime Aedes bites, but saw West Nile surge tenfold in 2026 to over 200 cases and 10 deaths.

    Source ↗

What Gemini noticed

Pest control invoices track Aedes albopictus and Aedes aegypti: aggressive daytime biters that breed in saucer cups and ruin patio dinners, driving homeowners to hire exterminators even though Aedes rarely carries West Nile virus.

The deadliest West Nile seasons consistently strike the Great Plains and northern Rockies (Colorado, Nebraska, North Dakota, South Dakota), where Culex tarsalis mosquitoes breed in agricultural runoff and infect birds and humans outside dense suburban exterminator markets.

🇺🇸 Claude10 places · 4 notes

The same question, answered by Claude alone. The final list above combines all the AIs.

  1. 1
    Phoenix (Maricopa County), AZ

    Orkin puts Phoenix 40th of 50, yet Maricopa County had 1,487 West Nile cases in the 2021 outbreak and only 3 in 2020.

    Source ↗
  2. 2
    Denver, CO

    Denver is 10th for treatments, but Colorado went from 76 human cases in 2024 to more than 600 in 2023.

    Source ↗
  3. 3
    Dallas, TX

    Dallas County reported 3 human cases in 2022 and 37 in 2024, a swing within a city that sits 8th on the treatment list.

    Source ↗
  4. 4
    Detroit, MI

    Detroit ranks 4th on the treatment list; I found no metro WNV rate to set against it, so it is placed on the nuisance side only.

    Source ↗
  5. 5
    Atlanta, GA

    Atlanta held Orkin's top spot from 2015 to 2020 and is still 5th, a Southeast city whose WNV record I could not retrieve.

    Source ↗
  6. 6
    New York City, NY

    New York is 3rd for treatments. National WNV rates are highest in the Plains and Mountain states, not the Northeast.

    Source ↗
  7. 7
    Washington, DC

    DC is 6th for treatments, with a metro WNV rate I could not retrieve.

    Source ↗
  8. 8
    Los Angeles, CA

    LA is Orkin's No. 1, and 2026 is its worst WNV year in about a decade: 100 cases by 22 Sept against a usual 41 a year.

    Source ↗
  9. 9
    Houston, TX

    Houston is 7th for treatments. I found no county WNV series for it.

    Source ↗
  10. 10
    Cleveland, OH

    Cleveland is 9th for treatments, with no WNV rate retrieved.

    Source ↗

What Claude noticed

Phoenix's WNV counts are swingy: 3 cases in 2020, then 1,487 in 2021, in a metro Orkin ranks 40th. A multi-season average therefore depends heavily on whether 2021 is included.

Orkin counts only its own new treatments, so the list reflects who hires pest control as well as how many mosquitoes there are. Orkin's list also moves a lot year to year: Milwaukee and St. Louis each climbed 15 places in 2026.

Nationally, WNV neuroinvasive incidence was 0.40 per 100,000 in 2024. The highest states were North Dakota (2.76) and Nebraska (2.49), none of which are on Orkin's top 10.

The final 2025 CDC count was 2,167 human WNV cases from 735 counties, 70% neuroinvasive.

🇺🇸 ChatGPT10 places · 3 notes

The same question, answered by ChatGPT alone. The final list above combines all the AIs.

  1. 1
    Los Angeles metro mosquito treatments (2026)

    Orkin’s No. 1 mosquito-treatment metro coincides with a sharp local outbreak: the county reported 34 cases and 2 deaths in 2024, while 2026 reporting describes a much larger season.

    Source ↗
  2. 2
    Chicago metro mosquito treatments (2026)

    Chicago is second on Orkin’s treatment list; the CDC’s county series makes clear why treatment rank alone cannot stand in for West Nile risk.

    Source ↗
  3. 3
    New York metro mosquito treatments (2026)

    New York ranks third for Orkin treatments, a measure shaped by customer demand and service coverage as well as mosquitoes.

    Source ↗
  4. 4
    Detroit metro mosquito treatments (2026)

    Detroit rose one place on Orkin’s year-over-year list to No. 4, but the list does not measure disease risk.

    Source ↗
  5. 5
    Atlanta metro mosquito treatments (2026)

    Atlanta led Orkin’s list for six consecutive years from 2015 through 2020; it is fifth in 2026.

    Source ↗
  6. 6
    Washington, D.C. metro mosquito treatments (2026)

    The D.C. metro climbed two places to sixth on Orkin’s treatment-demand list.

    Source ↗
  7. 7
    Houston metro mosquito treatments (2026)

    Houston ranks seventh for Orkin treatments, despite the list’s limits as a proxy for health risk.

    Source ↗
  8. 8
    Dallas–Fort Worth metro mosquito treatments (2026)

    Dallas is eighth on the 2026 list; Orkin’s older methodology explicitly included residential and commercial treatments, while its 2026 release specifies residential treatments.

    Source ↗
  9. 9
    Cleveland metro mosquito treatments (2026)

    Cleveland entered Orkin’s top ten at No. 9, while its position on a West Nile rate list requires a separately calculated metro denominator.

    Source ↗
  10. 10
    Denver metro mosquito treatments (2026)

    Denver completes Orkin’s 2026 top ten; treatment rank alone cannot tell whether its human West Nile rate is high or low.

    Source ↗

What ChatGPT noticed

Orkin says Los Angeles has held its top spot since 2021, after Atlanta led from 2015 through 2020.

CDC reports cases by county of residence, while mosquito exposure may happen elsewhere; its county data also include blood donors and nonhuman activity in separate measures.

CDC’s national West Nile case count for 2024 was 1,808, and 75% of cases were neuroinvasive; severe disease is more consistently diagnosed and reported than mild disease.