When evaluating patients with an undiagnosed infectious disease, physicians in general (and infectious disease specialists in particular) are trained to obtain a history of factors such as recent travel, location of residence, country of birth, occupation, and contact with animals. These factors are taken into account when generating a ranked differential diagnosis. For example, a history of work as a professional landscaper in the setting of a compatible clinical presentation would likely trigger specific diagnostic testing and presumptive treatment of tularemia. 1 Unfortunately, physicians generally lack the expertise to identify factors such as specific ecotones associated with risk of zoonotic infections. On the other hand, infectious disease ecologists and epidemiologists consider the role of the environment to be critical in vector-borne and zoonotic disease transmission, 2–4 and they are increasingly aware of the need to consider the effective range of transmission overlap of several pathogens, model the potential benefits of integrated control, and define the environmentally appropriate level for control efforts. 5,6 In this issue, Eisen and others 7 report the development of a fine-scale model to predict the risk of plague and hantavirus infection in humans in northwestern New Mexico and northeastern Arizona. The environmental risk of plague was related to precipitation and distance to pinon-juniper ecotones, whereas the risk of hantavirus infection was related to precipitation and elevation; half the area had risk for both zoonotic infections. The authors suggest that fine-scale identification of areas of increased disease risk would be useful for targeting education activities, resulting in improved disease prevention and management. Targeting disease prevention activities for these significant, rodent-borne infections should at a minimum lead to more efficient use of public health funding, which in turn could lead to more effective prevention activities. Education of healthcare providers also might lead to some improvement in disease management, but it is not clear whether targeted education with training on fine-scale identification of areas of increased disease risk or targeting training in areas of increased risk would be more effective than general, regional educational activities without this training. Early initiation of appropriate antibiotic therapy for plague reduces mortality; management by an experienced critical care team in a tertiary care center, including extracorporeal membrane oxygenation (ECMO) in some centers, reduces mortality in severe hantavirus cardiopulmonary syndrome (HCPS), also known as hantavirus pulmonary syndrome. 8–10