Honey Bee Health
Staying healthy starts with the basics, and honey bees have a lot in common with the rest of us. They need a good home that keeps out the rain and helps them stay warm, nourishing food, a reliable water source, and surroundings where they can live and forage without harmful pesticide exposure.
For bees, a healthy diet begins with flowers. Pollen supplies protein and other essential nutrients, and gathering it from a variety of plants helps a colony meet its nutritional needs. Nectar provides carbohydrates, mainly simple sugars, that fuel everything from flying to keeping the colony warm. Bees turn nectar into honey to store food for times when flowers are scarce. Water matters too, both for their everyday needs and for cooling the hive in hot weather.
Providing those basics is an important part of caring for bees, but even a well-cared-for colony can get sick. Like people, honey bees can be affected by a number of viruses, as well as bacterial and fungal diseases. They also face parasites such as Varroa mites, which pierce the bees' exoskeletons and can transmit viruses. Those viruses may spread within and between colonies.
Getting to know these problems is part of getting to know your bees. Regular inspections and monitoring help you notice changes and respond thoughtfully. The guide below introduces common honey bee diseases and parasites, what to look for, and ways to support a healthier colony.
Read the NSW honey bee nutrition guide Read the USDA honey bee health overview
Before You Choose a Treatment
A parasite lives on or in another animal; a pathogen is something that can cause disease, such as a virus, bacterium, or fungus. Different problems can produce similar signs in a hive. Use this guide to understand what you are seeing, then get experienced help with diagnosis and treatment decisions.
Treatment instructions depend on the exact product, colony, and conditions. Follow the current label and any veterinary directions. A short summary here does not replace those instructions.
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Parasitic Mites
Varroa Mite
Varroa destructor
Widespread in managed U.S. honey bee colonies, including western states. National surveys have found Varroa in both migratory and stationary apiaries, with higher mite levels associated with several bee viruses. Read the survey
Signs
When Varroa mite populations get out of hand, the effects ripple through your whole colony in ways that aren't always obvious at first glance. You might notice your bees seem weaker than usual, shorter-lived, and smaller in body size — that's the mites feeding directly on developing bees' fat body tissue, the organ that drives immune function, energy storage, and winter survival. As mite numbers climb, you'll often start seeing newly emerged bees with crumpled, shriveled, or missing wings and bloated, shortened abdomens — this is deformed wing virus being amplified and injected by the mites during development. Colonies with high mite loads also show general decline: fewer bees going into winter, poor foraging, and a population that just can't keep up. In heavy infestations, you may actually spot reddish-brown mites on adult bees or on white pupae when you open capped brood cells.
Treatment
Managing Varroa is an ongoing part of caring for a colony. Monitor regularly before choosing a treatment, and check again afterward to find out whether it worked.
An alcohol wash measures mites relative to the number of adult bees sampled. For example, six mites in a sample of 300 bees is a 2% infestation. A sticky board measures mites that fall over a period of time, usually expressed as mites per day. Its result is not an adult-bee infestation percentage, so the two numbers cannot be compared directly. Read the USDA alcohol-wash guide Read the USDA sticky-board guide
An action threshold is a monitoring result that calls for treatment. It depends on the sampling method, season, and colony conditions. Use current regional guidance rather than treating the example above as a universal treatment threshold. Oregon State University's Honey Bee Lab is a local resource for interpreting your results.
U.S. treatment options include oxalic acid, formic acid, thymol, amitraz, and hop-derived products. Choose a product registered for your state and follow its exact label, including temperature, colony-size, protective-equipment, and honey-super restrictions. Brood breaks and appropriate bee stock may also form part of a management plan.
Varroa feeds primarily on the fat body of honey bees — not hemolymph, as was believed for decades. Fat body tissue is the organ that drives immune function, pesticide detoxification, protein synthesis, and overwinter survival. This discovery, published in 2019 in the Proceedings of the National Academy of Sciences, better explains the wide-ranging damage Varroa causes beyond virus transmission alone, and has opened new avenues for targeted treatment research.
How Varroa made the jump to honey bees
Varroa destructor originally parasitized the Asian honey bee, Apis cerana. Their long evolutionary relationship includes defenses such as grooming and the removal of infested brood that help limit the mite's impact.
Moving Western honey bees (Apis mellifera) into Asia brought the two honey bee species into close contact. By the middle of the 20th century, Varroa destructor had switched to Western honey bees, whose colonies generally do not control the parasite as effectively. The movement of bees then helped the mite spread widely. Read the honey bee and Varroa history study
Australia detected Varroa in New South Wales in June 2022. On September 19, 2023, national authorities determined that eradication was no longer feasible and began a transition to management. Its distribution continues to change; check current Australian biosecurity guidance for regional details. Read Australia's transition-to-management announcement
Miticide Treatments
These summaries highlight key precautions. Before treating, read the full label supplied with your exact product, including protective equipment, first aid, storage, and disposal instructions. Check that the product is registered for use in your state. Keep treatments away from children, pets, food, and water.
Oxalic Acid
Api-BioxalOxalic acid dihydrate
Oxalic acid controls mites on adult bees but does not reach mites inside capped brood. Its precise mechanism of action is not fully understood. Treatment works best when little or no capped brood is present.
Use Api-Bioxal when monitoring shows treatment is needed, preferably during a natural or managed broodless period. Other oxalic acid formulations have their own timing and application directions; they are not interchangeable with Api-Bioxal powder.
Api-Bioxal powder is labeled for a sugar-water dribble, vaporization, and a separate procedure for spraying package bees. Use the directions and dose on your product's label. Homemade extended-release strips or sponges are not an Api-Bioxal application method.
Oxalic acid can cause serious eye, skin, and inhalation injuries. Wear the label-specified chemical-resistant gloves, protective eyewear, long sleeves, long pants, shoes, and socks. Respiratory protection is required for both solution handling and vaporization; vaporization requires at least a NIOSH-approved elastomeric half-mask respirator with acid-gas cartridges and combination particulate filters. A bee veil is not respiratory protection.
Vaporize only in outdoor colonies and prevent exposure to escaping fumes. Follow all label precautions for the selected method. Read the Api-Bioxal label (PDF)
Formic Acid
Formic Pro, MAQS (Mite Away Quick Strips)Formic acid
Formic acid is released as vapor from treatment strips. It can kill mites on adult bees and mites under brood cappings, making it useful while colonies are raising brood.
Treat when mite monitoring indicates a need and the weather and colony meet the product's requirements. Formic Pro and MAQS specify daytime highs of 50-85 degrees F on the application day. Check the forecast too: high temperatures in the first three days can increase bee, brood, and queen losses.
Place the strips on brood-frame top bars as directed, leaving their paper wraps intact. Formic Pro offers 14-day and 20-day treatment options; MAQS offers 7-day and 21-day options. Follow one complete schedule from the exact product label. Both allow honey supers to remain on the hive.
Formic acid is corrosive and can burn skin and permanently damage eyes. Use acid-resistant gloves, protective eyewear, and coveralls over long sleeves and long pants, with shoes and socks. Open and handle the product outdoors, standing upwind; avoid breathing the vapors and have water available for emergency rinsing.
Meet the minimum colony-size requirement and keep the bottom entrance fully open as directed. Do not feed inside the hive or use another miticide at the same time. Follow the label's instructions about leaving the colony undisturbed during treatment. Read the Formic Pro label (PDF) Read the MAQS label (PDF)
Amitraz
Apivar, Apivar 2.0Amitraz
Amitraz affects the mite's nervous system. Bees contact the strips and distribute the active ingredient through the colony. The extended treatment period exposes successive groups of mites as they emerge from brood; it does not mean the strips kill mites through brood cappings.
Use when mite counts warrant treatment and honey supers are off. Original Apivar uses a 42-day course, with a label-directed extension up to 56 days when needed. Apivar 2.0 has a different schedule: 42 days without brood, or 70 days with brood. Check which formulation you have before planning treatment.
Hang strips in the brood area where bees can contact both sides, using the label's frames-of-bees table to determine the number needed. Follow placement and repositioning directions, remove strips on schedule, and never reuse them. Original Apivar requires a 14-day wait after strip removal before adding honey supers; Apivar 2.0 allows supers immediately after removal.
Avoid contact with skin, eyes, and clothing. Wear chemical-resistant gloves and all clothing required by your formulation's label; original Apivar requires coveralls. Avoid inhaling vapors when opening original Apivar packets, and wash thoroughly after handling. Keep used strips and packaging out of waterways.
Neither formulation may be used with honey supers present. Apivar 2.0 also prohibits simultaneous use of other Varroa treatments. Read the Apivar label (PDF) Read the Apivar 2.0 label (PDF)
Repeated reliance on amitraz can select for resistant mites. Rotate treatment classes as part of an integrated management plan, and check mite levels after treatment to confirm control. If counts remain high, seek help from an extension specialist to assess application problems, reinfestation, or resistance. Do not assume that a short break from amitraz will restore its effectiveness.
Thymol
Apiguard, ApiLife VARThymol (thyme essential oil derivative)
Thymol is released from a gel or tablet and acts against Varroa mites. Warmth and colony activity affect its distribution and effectiveness. These treatments work best with reduced brood; do not count on them to kill mites protected inside capped cells.
Often used after the honey harvest, when brood is declining and temperatures suit the product. Apiguard and ApiLife VAR have different temperature limits: Apiguard's upper limit must not be used as the limit for ApiLife VAR. Check the exact label and forecast before starting, and do not treat during a honey flow.
Apiguard gel is placed above the brood frames with the clearance its label requires; its schedule depends on package size and temperature. ApiLife VAR uses a course of three tablets, broken into pieces and placed around the brood nest, with replacements and final removal on the label's schedule. The two products do not share a single two-application routine.
Wear chemical-resistant gloves, protective eyewear, long sleeves, long pants, shoes, and socks. ApiLife VAR also requires the NIOSH-approved filtering respirator specified on its label when handling tablets. Avoid breathing vapors and getting either product on your skin or in your eyes; plant-derived ingredients still require careful handling.
Remove honey supers before treatment. ApiLife VAR must be removed at least 30 days before harvesting honey. Apiguard specifies a 48-hour restricted-entry interval. Follow product-specific temperature, storage, and placement directions to protect bees and brood, and keep these products away from heat and flames. Read the Apiguard label (PDF) Read the ApiLife VAR label (PDF)
Hop Beta Acids
HopGuard 3Beta acids derived from hops (Humulus lupulus)
HopGuard 3 uses hop-derived beta acids to control mites on adult bees. It is most effective when little brood is present, because mites protected inside capped cells can escape treatment.
Use when mite monitoring indicates a need and temperatures are above 55 degrees F and below 100 degrees F. Honey supers may remain on the hive. Follow the label's repeat-treatment schedule if needed, with no more than four applications per year.
Hang one strip per five frames covered with bees in the brood chamber, following the label's placement table and maximum of two strips per brood chamber. Do not lay strips flat on the top bars. Leave strips for 14 days and remove them no later than 30 days.
HopGuard 3 is corrosive and can permanently damage eyes. Wear protective eyewear, waterproof gloves, long sleeves, long pants, shoes, and socks, and wash after handling. Follow the ventilation directions in hot, humid conditions. Place strips only in brood chambers, never in honey supers; harvest honey and wax only from the supers, not treated brood chambers. Read the HopGuard 3 label (PDF)
Viruses
Deformed Wing Virus
DWV-A / DWV-B (Iflavirus aladeformis)
Widely detected in the Pacific Northwest. A summer 2020 survey found DWV at 47 of 86 sites in Washington and nearby parts of Oregon and Idaho; its occurrence was associated with mite presence. Read the regional study
Signs
Deformed wing virus is one of those pathogens where you often won't see obvious signs until a colony's Varroa problem has been building for a while. The most striking symptom is what gives the virus its name: newly emerged adult bees with wings that are crumpled, shriveled, or twisted instead of unfolding normally. These bees may also have bloated, shortened abdomens and look discolored compared to healthy workers. Because they can't fly, you may spot them crawling on the bottom board or in front of the hive. Beyond the obvious wing deformities, infected bees that look normal on the outside still suffer — their lifespan is shortened, their ability to learn floral routes is impaired, and they make poor foragers. A colony with escalating DWV pressure often shows a population that quietly collapses going into winter, even if things looked okay just a few months earlier.
Treatment
Varroa management is an important part of reducing DWV pressure because mites transmit the virus while feeding on bees. Use regular mite monitoring and the exact directions for any treatment you choose. A fall in the mite count does not, by itself, confirm that an affected colony has recovered. Work with an experienced bee-health adviser on the colony's condition and management rather than assuming that replacing the queen will reset a viral infection.
DWV-A and DWV-B are two widely studied genotypes of deformed wing virus. A 2019 experiment that inoculated honey bee pupae found similar pupal mortality and wing deformities with both genotypes. Findings about developing bees should not be treated as a universal ranking of which genotype is more damaging at every life stage or under every condition. Read the DWV genotype comparison
Black Queen Cell Virus
BQCV
One of the more frequently detected viruses in a summer 2020 Pacific Northwest survey, found at 52 of 86 sampling sites. This is a detection rate for that study, not a measure of symptomatic disease in all colonies. Read the regional study
Signs
Black queen cell virus is tricky to spot because it largely hides in your worker bees without causing outward signs — but it reveals itself dramatically when it comes to queen rearing. If you're raising queens and find larvae or pupae that have turned yellow and then progressed to a dark brown or black color inside their cells, BQCV is the likely culprit. The blackening and decay of the queen cell wall itself is the classic field sign that gives the virus its name. In adult worker bees, the virus usually circulates without obvious symptoms. Some research has noted an association with K-wing, in which a bee's fore and hind wings are disjointed and held at a perpendicular angle, but this sign alone isn't definitive. For most colonies, BQCV is a background infection that only becomes a real problem when other stressors, particularly Nosema co-infection or heavy Varroa pressure, push viral activity into higher gear.
Treatment
There's no targeted antiviral treatment for BQCV, so the most effective approach is managing the conditions that allow it to escalate. Keeping your Varroa loads in check is foundational, since mite pressure weakens immune defenses across the board and Varroa-mediated co-infections amplify how damaging BQCV can become. Pay attention to Nosema as well — Nosema infections damage the gut lining in ways that allow BQCV to cross into the bloodstream and cause more widespread harm. Good sanitation practices, regular comb rotation, and requeening colonies that seem persistently unhealthy are all practical steps. If you're actively rearing queens and seeing high queen losses tied to BQCV, look carefully at your starter and cell-builder colonies for underlying health issues before assuming the problem is isolated to your queens.
Sacbrood Virus
SBV (Iflavirus sacbroodi)
Detected at 36 of 86 sites in a summer 2020 Pacific Northwest survey. It was more frequently detected in commercial apiaries in that study, but occurrence varies among locations and surveys. Read the regional study
Signs
Sacbrood shows up in your brood frames as an uneven, spotty pattern — the kind that makes you stop and look closer. Affected larvae die right around the time they would normally be capped, so you'll often find them in uncapped cells looking watery, discolored, or slumped out of the normal C-shape position. If you gently remove an infected larva, you'll notice it has a sac-like quality — the skin has toughened into a little pouch filled with fluid rather than completing its molt normally. Over time, these larvae dry down into a distinctive flattened shape that beekeepers often describe as resembling a canoe or gondola lying in the bottom of the cell. The color progresses from white through yellow to brown and eventually nearly black as the larva dries. One useful diagnostic detail: sacbrood-affected brood doesn't have the foul smell associated with bacterial foulbroods, which helps distinguish it in the field. The encouraging news is that sacbrood is one of the milder brood diseases — colonies with good hygienic genetics often clear it on their own.
Treatment
Sacbrood doesn't have a dedicated treatment, but most colonies with reasonable genetics will deal with it on their own over the course of a season. Your main job is to reduce the stress that's allowing it to persist. Check that your bees have access to adequate pollen and aren't dealing with a heavy Varroa load — both poor nutrition and high mite pressure compromise the immune responses bees use to detect and remove infected larvae. If sacbrood keeps coming back in the same colony across multiple seasons, that's a good signal to requeen with stock that has stronger hygienic behavior, since those bees will do a much better job of removing infected larvae before the virus can cycle further. Replacing old, heavily used comb can also help if reinfection seems to be a recurring pattern.
Lake Sinai Virus 2
LSV2
Among the most frequently detected pathogens in a 2013-2014 study of 54 Montana-based commercial colonies involved in California almond pollination. That finding describes a particular group of migratory colonies, rather than a prevalence rate for all western apiaries. Read the almond-pollination study
Signs
Lake Sinai Virus 2 is not a disease you'll diagnose by looking at your bees. There are no reliable visible field signs — no distinctive symptoms in the brood, no characteristic adult bee behavior, and no obvious decline you can attribute directly to this pathogen on its own. What research does show is that high viral loads have been associated with reduced colony performance and poorer overall health metrics. For practical beekeeping purposes, LSV2 is something you're more likely to encounter in the context of survey results and colony health research than something you'll identify in your own apiary without lab testing.
Treatment
Because LSV2 has no reliable field sign and no approved antiviral, management comes down to keeping your colonies as strong and stress-free as possible. The foundation of that is solid Varroa control, diverse and adequate nutrition, and avoiding management choices that unnecessarily weaken your bees. Colonies that are healthy and well-nourished are better equipped to carry viral loads without tipping into the kind of decline that threatens colony survival. If you participate in monitoring programs or have access to PCR testing through your state extension service, LSV2 screening can provide useful context when you're trying to understand unexpected colony losses.
Chronic Bee Paralysis Virus
CBPV
Detected at 12 of 86 sites in a summer 2020 Pacific Northwest survey. It was more frequent in hobbyist than commercial apiaries in that study; this should not be treated as a universal pattern. Read the regional study
Signs
Chronic bee paralysis virus produces some of the most striking and unusual-looking bees you'll encounter on an inspection. Affected bees show up in one of two ways: in the most visually dramatic presentation, adult bees look black, shiny, and hairless — almost like they've been rubbed smooth — and they tremble or shiver in a way that's distinctly abnormal. These bees often can't fly properly and you'll find them crawling on the ground outside the hive or clustered near the entrance. In a second, less common form, bees look bloated, hold their wings out at odd angles, and show similar trembling behavior. Both types tend to be rejected and bitten at the entrance by healthy hive-mates, so you may notice piles of these bees accumulating on the landing board or in the grass in front of the hive. Crowded colonies and those under stress seem more susceptible, which may help explain why it's seen more often in hobbyist yards than in commercial operations with more systematic management.
Treatment
Get help confirming the diagnosis and making a management plan for the affected colony. Other problems may be present at the same time and need their own diagnosis and care.
A 2020 report described two colonies with confirmed CBPV and additional health problems. One recovered after several management measures, including queen replacement and Varroa control; the other was lost after queen loss and weakening. This small case report cannot establish that requeening alone is the best treatment or predict a recovery deadline. Discuss the options with an experienced bee-health adviser rather than assuming the colony will recover within a set number of weeks. Read the CBPV case report
Gut Pathogens
Nosema / Nosemosis
Vairimorpha ceranae (formerly Nosema ceranae)
Frequently detected in U.S. surveys and in western commercial colonies studied around almond pollination. Infection levels vary with season and beekeeping operation; the evidence does not establish uniformly high levels throughout the West. Read the survey Read the western colony study
Signs
Nosema is one of the sneakiest pathogens in the hive because it rarely announces itself dramatically. Instead of obvious, easy-to-spot signs, you'll tend to notice your colonies quietly underperforming — they're not building up in spring the way you'd expect, queens are getting superseded more frequently than normal, and the overall population just seems to drag without a clear reason why. Individual infected bees live shorter lives and transition to foraging earlier than they should, which sounds subtle but adds up to significant productivity losses when you multiply it across thousands of workers. In more noticeable cases, you may see bees that appear disoriented or are wandering away from the hive unable to return. Because these symptoms overlap with many other conditions, a definitive Nosema diagnosis requires microscopic examination of bee guts to count spores, or PCR testing — it's worth sending a sample to a diagnostic lab or your state apiary inspector if you suspect it.
Treatment
Before treating for Nosema, confirm it with lab testing if at all possible — spore counts or PCR will tell you whether you're actually dealing with it and how severe the infection is. The most reliable thing you can do to reduce Nosema's impact is focus on the conditions that favor it. Keeping diverse, high-quality pollen sources available to your bees strengthens the midgut lining and overall immune response. Replacing old, dark comb removes a significant reservoir of Nosema spores that can reinfect bees season after season — this is one of the highest-return management steps for a Nosema-prone apiary. Maintaining young, vigorous queens keeps the colony's age structure young and resilient. Fumagillin has historically been the labeled U.S. treatment for Nosema, but its availability has been inconsistent in recent years and the research on its effectiveness specifically against Vairimorpha ceranae — the now-dominant species in western U.S. colonies — is mixed. Lean on the management practices above as your primary strategy, and treat medically only when you have a confirmed diagnosis and a legally available product in your state.
Brood Diseases
European Foulbrood
Melissococcus plutonius
Documented in Oregon, including colonies used for blueberry pollination. OSU reports that European foulbrood can increase during blueberry pollination; this does not establish how common it is across all western colonies. Read OSU's blueberry pollination guidance
Signs
European foulbrood most often affects larvae before their cells are capped. Larvae may turn yellow, gray, or brown and lie twisted or slumped instead of forming a healthy, pearly-white C shape. The brood pattern may become patchy, and a sour smell can be present.
Capped brood can also be affected, sometimes with sunken or perforated cappings. These signs overlap with other brood problems, so open-cell damage or smell alone cannot confirm EFB or rule out American foulbrood. Ask for experienced help and confirmation before choosing treatment. Read OSU's European foulbrood interview
Treatment
Start with a confirmed diagnosis and advice from a veterinarian experienced with bees. In the United States, approved medically important bee antibiotics, including oxytetracycline, require veterinary oversight: a prescription or veterinary feed directive, depending on the product and how it is administered. Follow the veterinarian's directions, the exact product label, and any additional state requirements. Read the FDA's bee-antibiotic requirements
Colony nutrition, population, and management also matter. EFB can flare during stressful periods, including some pollination settings. Work with your veterinarian or extension adviser on a plan suited to the colony rather than assuming medication alone will resolve it.
American Foulbrood
Paenibacillus larvae
Occurs in U.S. honey bee colonies and is a serious, contagious brood disease. Contaminated honey and equipment can spread infection between colonies, and an outbreak can severely weaken or kill a hive. Read the USDA disease overview
Signs
Look for an irregular brood pattern, sunken or perforated cappings, brown larval remains with a ropy consistency, and dark scales adhering to the cell walls. An unpleasant smell may be present. A patchy brood pattern alone does not diagnose American foulbrood, and other brood problems can share some of these signs. Seek diagnostic help promptly rather than relying on appearance or smell alone.
Treatment
If you suspect American foulbrood, stop handling the affected colony and avoid transferring bees, honey, comb, or equipment to other hives. Arrange prompt diagnostic advice from a veterinarian experienced with bees and an appropriate bee-health adviser. Check the reporting and management requirements for your state before treating or disposing of material.
AFB spores can remain infectious for decades in contaminated material. Antibiotics may suppress active bacteria, but they do not kill the spores or make contaminated comb safe to reuse. A management plan may require destroying infected material or professionally decontaminating equipment; do not improvise a disposal or sterilization method. Read the FDA's American foulbrood overview
U.S. use of approved medically important bee antibiotics requires a licensed veterinarian's prescription or veterinary feed directive. Treatment must follow the exact product label and the veterinarian's directions. Read the FDA's veterinary requirements
For Oregon beekeepers, OSU's Honey Bee Lab is a local starting point for bee-health guidance. ODA's current guidance states that it does not have regulatory authority over domestic hives. Requirements elsewhere may differ. Read Oregon's apiary guidance
Chalkbrood
Ascosphaera apis
Documented in Oregon honey bees. An OSU diagnostic study from the 2018-2020 funding period detected chalkbrood in four of 50 field samples from selected Oregon apiaries; that small sample does not establish statewide or western U.S. prevalence. Read the OSU research report (PDF)
Signs
Chalkbrood turns infected larvae into hard, chalk-like mummies. They may be visible in brood cells, on the bottom board, or at the entrance after workers remove them. Mummies can be white, gray, or black; dark coloration is associated with the fungus producing reproductive structures. Cool, damp conditions and colony stress can favor outbreaks, but the presence of chalkbrood does not identify a single cause.
Treatment
Management focuses on reducing conditions that favor the fungus and limiting its spread. Keep the colony well nourished, address excess moisture, and avoid transferring comb from an affected hive to another colony. Replacing old brood comb and considering a queen from resistant stock are management options; neither is a guaranteed cure. Hygienic behavior means workers quickly detect and remove affected brood. Ask an experienced bee-health adviser which steps fit your colony. Read the University of Florida chalkbrood guide