• 1 Jabatan Kesihatan Negeri Terengganu
  • 2 Kemaman District Health Office


An investigation was undertaken 0f a malaria outbreak in Felda Neram 1 in the district of Kemaman,
Terengganu. Thirty-eight malaria cases of Plasmodium falciparum with one death were reported from that locality. The outbreak peaked between the epidemiological week of 42 and 44. A total of 2300 persons were surveyed with population coverage of 90%. Overall Slide Positive Rate was 1.5%. Out of 38 cases, 19 were Malays and the rest were Indonesian workers. Seventy-nine percent (30/38) had a history of fever within nine weeks prior to the survey. Thirty persons were found to be febrile on of the survey of which 42% (14/30) were smears positive. Blood smears showed 65.7% (25/38) had an asexual parasitemia and 34.2% (13/38) cases were gametocytaemic. The males0”emales ratio was 1:7. Younger age groups were more ajfected. All patients were given radical malaria treatment. F orty-three percent (16/38) had a second course of radical treatment. The outbreak was caused by the re-entry of an Indonesian worker with malaria to the locality. Factors such as delayed detection and notyication and inadequate surveillance were instrumental for the outbreak.