Honey bees are attacked by numerous parasites and pathogens toward which they present a variety of individual and group-level defenses. In this review, we briefly introduce the many pathogens and parasites afflicting honey bees, highlighting the biology of specific taxonomic groups mainly as they relate to virulence and possible defenses. Second, we describe physiological, immunological, and behavioral responses of individual bees toward pathogens and parasites. Third, bees also show behavioral mechanisms for reducing the disease risk of their nestmates. Accordingly, we discuss the dynamics of hygienic behavior and other group-level behaviors that can limit disease. Finally, we conclude with several avenues of research that seem especially promising for understanding host–parasite relationships in bees and for developing breeding or management strategies for enhancing honey bee health. We discuss how human efforts to maintain healthy colonies intersect with similar efforts by the bees, and how bee management and breeding protocols can affect disease traits in the short and long term.

The Latin American subcontinent contains some of the world’s major honey producing and exporting countries, but the status of bee health in this part of the world has not been clearly documented. There have been no reports of massive colony losses in Latin America, at least from the symptoms of CCD (colony collapse disorder) or in the proportion and extent of the situations in the US and Europe. We examine possible reasons for the difference, and develop hypotheses that this prevailing good bee health could be due to: (1) the management of generally unselected bees with a certain natural resistance to diseases (tropical regions) or the selection of disease resistant bees (temperate regions); (2) a lower proportion of cropland over the total land area, resulting in more abundant or higher-quality pollen resources for bees; (3) the generally small-scale, low-income and little subsidized agriculture, and concomitant lower use of insecticides compared to industrialized countries. These general parameters may act synergistically, resulting in a large number of configurations across the tremendous ecological, social and economic diversity of Latin America. We suggest that the health of honey bees in Latin America may be ultimately due to the practices of low-income agriculture and beekeeping in the region, leading to more sustainable conditions for the bees. However the increasing trend of land use intensification in some parts of Latin America could lead to declines in honey bee health and population size.