Malaria

Malaria is a potentially serious parasitic infection transmitted through the bite of an infected mosquito. In humans the disease is caused by five different species of the Plasmodium parasite. Malaria is widely distributed throughout tropical regions of the world including in parts of Africa, Asia, Central and South America, the Caribbean, the Middle East and Oceania. Malaria is preventable and curable if diagnosed and treated promptly.

Around 1,500 cases of malaria are reported annually in travellers returning to or arriving in the UK, with eight or less deaths reported each year since 2006. The risk of malaria varies according to season, geographic location, activities, type of accommodation, and the use of malaria prevention tablets and bite avoidance measures. UK Health Security Agency Guidelines for malaria prevention in travellers from the UK are updated annually and provide country-specific malaria risk information. This information is also available in our Country Information pages. Climate change may have an impact on regions where mosquitoes and malaria parasites are found. As this could alter risk areas, malaria advice in our Country Information pages is regularly reviewed.

All travellers visiting areas where malaria occurs are at risk of acquiring the disease, particularly migrants to the UK who were born in malaria risk areas and return to visit friends and relatives in their country of birth. Any immunity travellers may have acquired in their country of origin wanes rapidly on migration to a country with no risk of malaria; their UK-born children will have no protection from the disease. Certain travellers are at increased risk of severe disease such as: pregnant women, those with an absent or poorly functioning spleen, children and older travellers.

Symptoms of malaria vary, but typically include fever, headache, tiredness, and muscle aches. Cough and diarrhoea may also occur. Malaria from all species can be disabling however malaria caused by the species Plasmodium falciparum can progress rapidly and cause life-threatening complications if prompt treatment is not given.

Prevention

Prevention of malaria involves several steps. These steps can be remembered as the 'ABCD' of malaria prevention:

  • Awareness of the risk
  • Bite prevention
  • Chemoprophylaxis (use of appropriate malaria prevention tablets)
  • Diagnosis (prompt diagnosis and treatment)

No regimen is 100% effective, but a combination of preventive measures will give significant protection against the potentially severe consequences of malaria.

Choice of malaria prevention tablets depends on the malaria species common in the area to be visited and whether there is resistance to any of the available drugs. Certain drugs may not be suitable for certain individuals due to existing medical problems or interactions with their regular medication.

Our Country Information pages provide country-specific information on malaria prevention medication. There is no malaria vaccine available for travellers.

Travellers should follow insect bite avoidance advice, including covering up with loosely fitting clothes, ideally long sleeves, long trousers and socks if out of doors. This helps to reduce biting mosquitoes' access to skin.

All travellers should be aware of the signs and symptoms of malaria and should be advised to seek immediate medical attention if these occur either whilst abroad or up to a year after their return.

Resources

First published : 22 November 2018 Last updated : 19 January 2024

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Recent News on Malaria

Malaria-free certification: Cape Verde (Cabo Verde)

The World Health Organization has granted certification of malaria elimination

Updated: 17 January 2024

Updated guidelines for malaria prevention in travellers from the UK

UK Health Security Agency Advisory Committee on Malaria Prevention publish updated malaria guidelines

Updated: 16 January 2024

Malaria: a reminder for travellers over the winter holiday season

Advice for travellers and health professionals about malaria

Updated: 21 December 2023

Malaria country recommendations review and update

The Advisory Committee on Malaria Prevention (ACMP) have agreed some updates to their country recommendations

Updated: 27 June 2023


Recent Malaria Outbreaks

15 January 2024

Malaria in Cape Verde

As of 12 January 2024, the World Health Organization has certified Cape Verde as a malaria-free country.

Take usual precautions

05 October 2023

Malaria in USA

As of 4 October 2023, a case of locally acquired malaria has been reported in Saline County, Arkansas. This is the only known locally acquired case of malaria in Arkansas. To date in 2023, seven cases of locally acquired malaria have been identified in Florida, one case in Texas, and one case in Maryland.

Take usual precautions

24 August 2023

Malaria in USA

On 22 August 2023, the US authorities advised that the case of locally acquired malaria reported in Maryland on 18 August 2023 has been confirmed as P. falciparum malaria.

1
Take usual precautions

27 July 2023

Malaria in Australia

As of 26th July 2023, three cases of malaria have been reported on Saibai Island. Earlier in July a case was also reported on Boigu Island. Both islands are in the Torres Staight, close to Papua New Guinea. These are the first cases of malaria detected in the Torres Strait since 2013. Local health authorities are warning residents of all Torres Strait islands to be on alert for symptoms of malaria and take measures to prevent being bitten by mosquitoes.

Take usual precautions