The Zika virus outbreak is another event in a series of communicable diseases that has highlighted the threat of a potentially dangerous combination: vector borne diseases and generation of waste. A city the size of Mumbai alone generates between six and nine thousand metric tonnes of waste every day. While the civic administration and the state do a terrific job of this disposing this waste, the accumulation of waste cannot be the sole responsibility of the authorities and cognisance should be taken by individuals, society and community leaders. This waste, consisting of just every part of industrial end products, perishable and non perishable products is a breeding ground for not only scavengers like rodents, cockroaches and flies, but also vectors that transmit, amongst other conditions, diseases such as dengue, malaria, encephalitis, and Zika. And so, to break this cycle it is critical that breeding grounds be disposed, sanitised and kept sterile. This of course is easier said than done but it has to start with good intent, social responsibility, and tangible results. Public health in our country will dominate all aspects of Infectious Diseases starting from preventive medicine to burden of clinical disease either of ambulatory patients or hospitalised ones. It therefore makes a great difference in investing in preventing an infection than treating one.