Faced with problems that are specific to the health sector and ones associated with issues of sustainability, programmes for the control of vector-borne diseases are increasingly resorting to environmental management measures to reduce populations of disease vectors as pan of an integrated control approach. The broader problems on the interface between environment and development that need to be addressed in the context of vector control include accelerated development of natural resources, demographic changes in rural populations and rapid urbanization. Disease vectors need to be recognized as biological risk factors to human health in the environment, and for a sustainable implementation of vector control measures, these should be made an integral pan of the development process. This requires modifications in the policy framework, expansion of our knowledge base, development of operational methods and techniques and a shift in emphasis in training and education.