Some of problems and challenges facing Medical/VeterinaryEntomology are presented from my perspective, focusing on the current millennium.

Topics include anthropogenic environmental changes created by population growth, administrative problems hindering science’s response to these changes, and some of the scientific discoveries potentially providing solutions.

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As the title implies, many recent research discoveries have yet to be translated into major changes in control approaches for the major vectorborne public health problems, thereby providing an interesting mix of modern surveillance technology used to track problems and direct historical intervention solutions.