Thirty-four strains of Aedes aegypti larvae from 17 Caribbean countries were bioassayed for sensitivity to temephos, malathion, fenitrothion, fenthion, and chlorpyrifos. There were fairly high levels of resistance in Tortola (10-12-fold resistance) and Antigua (6-9-fold resistance) strains to temephos and to fenthion (Tortola, 7-10-fold; Antigua, 6-10-fold resistance). Most other strains showed some resistance to malathion, fenitrothion, and chlorpyrifos, but only moderate levels. Adult populations of Ae. aegypti--Aruba, Jamaica, Trinidad, Puerto Rico, St. Lucia, and Antigua strains--also showed moderate resistance to malathion. Mosquito control field data supported the laboratory findings. Doubling the diagnostic dosage of temephos for larval Ae. aegypti was only partially effective against a more resistant strain, and even so, the chemical lost its limited efficacy over a short period of time. Integrated strategies for Ae. aegypti control to mitigate the negative effects of insecticide resistance in the Caribbean strains are suggested.