The American Samoa Director of Nursing at the Department of Health Margaret Sesepasara says she believes residents are letting their guards down regarding the Zika virus.
She said this was evident from home visits the Department conducted under its Maternal Child Health programme.
Ms Sesepasara had applauded the cleanliness of some villages but had taken issue with others, where she said piles of trash, overgrown grass, junked vehicles and other unsightly rubbish were common.
The Health Department has been stressing cleanliness in the fight against Zika, especially getting rid of places where mosquitoes can breed.
The latest Zika report from the Department said there had been 982 suspected cases in American Samoa with 57 confirmed with the disease.
24 of those affected were pregnant women.