This paper emphasizes the huge influence that vector-transmitted disease has on humans using plague, epidemic typhus and nagana as examples. The continuing need for vector control in campaigns against insect-transmitted disease is shown by reference to current control programmes mounted against Chagas' disease, onchocerciasis, lymphatic filariasis and nagana. These successful campaigns have not been reliant on new breakthroughs but on the forging of available tools into effective strategies widely and efficiently used by the control authorities, and the long-lasting political commitment to the success of the schemes in question. A brief mention is made of current fashions in vector control research and that great care needs to be taken by policy-makers to achieve a balance between long-term research aiming at the production of fundamentally new control technologies and operational research aiming to forge the often highly effective tools we already have into sound control strategies.