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As zoonotic malaria caused by <jats:italic>Plasmodium knowlesi<\/jats:italic> remains a major public health problem in Sarawak, the threat of imported malaria must be addressed as it can cause human malaria reintroduction, sustain transmission, and lead to complications. The objectives of this study were to investigate the epidemiological characteristics of imported malaria cases reported in Sarawak and to underline the challenge posed by imported malaria towards malaria elimination efforts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Imported malaria cases reported in Sarawak from 2011 to 2019 were collected from Sarawak State Health Department and analysed in this longitudinal retrospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 2058 imported malaria cases were registered in all districts in Sarawak. Highest number of cases were reported in Kapit (<jats:italic>n<\/jats:italic>\u2009=\u2009559; 27.16%), followed by Sibu (<jats:italic>n<\/jats:italic>\u2009=\u2009424; 20.6%), and Miri (<jats:italic>n<\/jats:italic>\u2009=\u2009166; 8.07%). Based on the demographic profile, most of the patients constituted of either male sex (98.49%), age group of 40\u201349\u2009years (39.6%), Iban ethnic (57.92%), worked in logging industry (88.58%), Malaysian nationals (91.84%), contracted malaria in Papua New Guinea (46.11%), uncomplicated disease (77.89%), or hospitalised cases (97.86%). The most prominent <jats:italic>Plasmodium<\/jats:italic> species diagnosed were <jats:italic>P. vivax<\/jats:italic> (52.67%) and <jats:italic>P. falciparum<\/jats:italic> (35.81%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Surveillance, disease detection, and medical follow\u2010up must be carried out thoroughly for individuals who returned from malaria\u2010endemic countries. It is also necessary to promote pre\u2010travel preventive education as well as chemoprophylaxis to travellers heading to endemic areas.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13875","type":"journal-article","created":{"date-parts":[[2023,4,12]],"date-time":"2023-04-12T08:54:41Z","timestamp":1681289681000},"page":"486-500","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Profiling the imported human malaria in Sarawak, Malaysia in 2011\u20132019"],"prefix":"10.1111","volume":"28","author":[{"given":"Choo Huck","family":"Ooi","sequence":"first","affiliation":[{"name":"Sarawak Health Department Ministry of Health Malaysia  Sarawak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei Kit","family":"Phang","sequence":"additional","affiliation":[{"name":"Department of Parasitology, Faculty of Medicine Universiti Malaya  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan Wee Kent","family":"Liew","sequence":"additional","affiliation":[{"name":"Department of Parasitology, Faculty of Medicine Universiti Malaya  Kuala Lumpur Malaysia"},{"name":"Environmental Health Institute National Environment Agency  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wahib M.","family":"Atroosh","sequence":"additional","affiliation":[{"name":"Department of Parasitology, Faculty of Medicine Universiti Malaya  Kuala Lumpur Malaysia"},{"name":"Department of Microbiology and Parasitology, Faculty of Medicine and Health Sciences University of Aden  Aden Yemen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yee Ling","family":"Lau","sequence":"additional","affiliation":[{"name":"Department of Parasitology, Faculty of Medicine Universiti Malaya  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,12]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"World malaria report 2022","author":"World Health Organization","year":"2022"},{"key":"e_1_2_7_3_1","volume-title":"Guidelines for malaria vector control in Malaysia","author":"Ministry of Health Malaysia","year":"2022"},{"key":"e_1_2_7_4_1","volume-title":"Pelan pengurusan wabak malaria 2016","author":"Ministry of Health Malaysia","year":"2016"},{"key":"e_1_2_7_5_1","volume-title":"WHO malaria terminology","author":"World Health Organization","year":"2019"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2875-12-61"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/363417"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0808859"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.actatropica.2017.07.027"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.13788"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13071-020-04345-2"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-86107-3"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2875-7-52"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.trstmh.2006.02.006"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0085-56262005000500001"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/bs.apar.2021.08.005"},{"key":"e_1_2_7_17_1","first-page":"254","article-title":"Studies on the biology of Anopheles letifer Sandosham (Diptera, Culicidae) and its response to residual spraying, carried out in Sarawak, Malaysia","volume":"34","author":"Thevasagayam ES","year":"1980","journal-title":"Med J Malaysia"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0082553"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.1995.tb09992.x"},{"key":"e_1_2_7_20_1","first-page":"6","article-title":"Imported malaria: a retrospective study in University Hospital, Kuala Lumpur, a ten\u2010year experience","volume":"53","author":"Jamaiah I","year":"1998","journal-title":"Med J Malaysia"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/tropicalmed6040177"},{"key":"e_1_2_7_22_1","volume-title":"The geography of Sarawak","author":"Sarawak Government","year":"2020"},{"key":"e_1_2_7_23_1","unstructured":"Malaysia @ a Glance 2020 Department of Statistics Malaysia"},{"key":"e_1_2_7_24_1","unstructured":"Malaysia airports holdings berhad. 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