Page 101 - ANUAL REPORT MOH 2017

There were 415 imported malaria in reported 2017, with the highest number of imported malaria were
Sarawak (52.2 per cent) Selangor (19.5 per cent) and Johor (8.2 per cent).

There were 12 malaria deaths reported in 2017, compared to two (2) deaths in 2016. The case fatality
rate of malaria increased from 0.08 per cent in 2016 to 0.29 per cent in 2017. There were 11 death
cases of malaria involving P. knowlesi infection and one death case involving P. falciparum infection.
Malaria deaths were reported from Sabah (4 cases), Sarawak (3 cases), Selangor (2 cases) and one
(1) case each from Pahang, Perak and Kedah.

Out of the 85 indigenous human malaria reported in 2017, 50 (58.8 per cent) cases occurred in previously
active foci, 3 (3.5 per cent) cases in residual non-active foci and 32 (37.6 per cent) cases in cleared
foci. This gives the current total of 33 active foci, 28 residual non-active foci and 42,272 cleared foci.

Figure 15
Distribution of Human Malaria (Indigenous & Imported), Zoonotic Malaria (P. Knowlesi) and
Malaria Death, 2000 to 2017

Source: Disease Control Division, MoH

• Lymphatic Filariasis Elimination Programme (LFEP)
There are 127 endemic Implementation Unit (IU) or Red IU with microfilaria positivity rate greater than
one (1) per cent involving eight (8) states Kedah, Perak, Johor, Pahang, Terengganu, Kelantan, Sabah
and Sarawak. This involved total population of 1,117,733 people in endemic areas after mapping done
in 2002. In the 2nd phase of elimination, mass drug administration (MDA) was given to the entire
population in endemic areas, using combination of two drugs which are Diethylcarbamazine (DEC) and
Albendazole. Target for coverage of MDA was set at 65 per cent of total population in the targeted IU.

Until 2017, there are 122 (96 per cent) Red IUs have achieved prevalence of antibody less than two
(2) per cent with remaining 5 IUs in Sabah and Sarawak still having prevalence >2 per cent. Three
states in Peninsular Malaysia (Kedah, Kelantan and Terengganu) have completed all three stages of
Transmission Assessment Survey in 2017. A total of 308 filariasis cases were reported in 2017, an
increase of 13.6 per cent as compared to the previous year. There were 139 cases (45 per cent) among
immigrants and 169 cases (55 per cent) were locals.

100 ANNUAL REPORT 2017 MINISTRY OF HEALTH MALAYSIA