Human modification of the natural environment continues to create habitats in which mosquitoes, vectors of a wide variety of human and animal pathogens, thrive if unabated with an enormous potential to negatively affect public health. Historic examples of these modifications include of impoundments, dams, and irrigation systems that create havens for the mosquitoes that transmit malaria, dengue, and filariasis. Additionally, contemporary deforestation appears to be associated with the expansion of mosquito distributions and the increase in mosquito-borne disease transmission. These observations are not unique to the developing world, as urban sprawl also contributes significantly to mosquito habitats and offers a sanctuary to some vector populations. With foresight and planning, most of these systems can be appropriately managed to control vector populations and pathogen transmission. The key to disease control is developing an understanding of the contribution of human landscape modification to vector-borne pathogen transmission and how a balance may be achieved between human development, public health, and responsible land use.