Malaria Site: Malaria In Asia

Country

Malaria Risk

Species

Afghanistan

Risk in all areas at altitudes lower than 2000 meters from April to December

P. vivax and P. falciparum

Bahrain

No malaria

Bangladesh

All areas except city of Dhaka

P. vivax and P. falciparum

Bhutan

Risk in the southern belt of five districts: Chirang, Samchi, Samdrupjongkhar, Sarpang, and Shemgang.

P. vivax and P. falciparum

Brunei Darussalam

No risk

Burma (Myanmar)

Rural only. No risk in cities of Yangon and Mandalay (Throughout the year in Karen State; March to December in Chin, Kachin, Kayah, Mon, Rakhine and Shan states, Pegu Division, and Hlegu, Hmawbi, and Taikkyi townships of Yangon Division; April to December in the rural areas of Tenasserim Division; May to December in Irrawaddy Division and the rural areas of Mandalay Division; June to November in the rural areas of Magwe Division, and in Sagaing Division)

Predominantly due to P. falciparum; also P. vivax

Cambodia

All areas including Angkor Wat temple complex; no risk in Phnom Penh and around Lake Tonle Sap

Predominantly due to P. falciparum; also P. vivax

China

Risk in rural areas of Hainan, Yunnan, Fuijan, Guangdong, Guangxi, Guizhou, Sichuan, Tibet (in the Zangbo River Valley only), Anhui, Hubei, Hunan, Jiangsu, Jiangxi, Shandong, Shanghai and Zhejiang provinces. Transmission during warm weather (North of 33° N: July to November; between 33° N to 25° N: May to December; south of 25° N: year-round); No malaria risk in urban areas nor in the densely populated plain areas.
For a map, visit: http://www.actmalaria.org/downloads/pdf/info/2004/China.pdf

P. falciparum as well as P. vivax

China - Hong Kong

No risk in urban areas; limited risk in extremely rural areas

P. falciparum as well as P. vivax

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Country

Malaria Risk

Species

China - Macao

No risk

Cyprus

No risk

East Timor

All areas

Predominantly P. falciparum

India

All areas lower than 2,000 meters (that excludes some parts of the states of Himachal Pradesh, Jammu, Kashmir, and Sikkim)

P. vivax (80%); P. falciparum (20%)

Indonesia

All areas including Irian Jaya, temple complex of Borobudur on Java and rural areas of remainder of the islands. No risk in Jakarta Municipality, big cities and resorts in Java, Sumatra and Bali

P. falciparum and P. vivax

Iran

P. vivax in some areas north of the Zagros mountains and in western and south-western regions during the summer months; P. falciparum in rural areas of Sistan-Baluchestan, Kerman (southern tropical part) and Hormozgan Provinces during March to November

P. falciparum and P. vivax

Iraq

Areas in the north below 1500 m - Provinces of Duhok, Erbil, Ninawa, Sulaimaniya, Támim, and Basrah

Only P. vivax

Israel

Free from malaria

Japan

No risk

Jordan

No risk

Korea, DPR (North)

Limited risk in some southern areas

Only P. vivax

Country

Malaria Risk

Species

Korea, Republic (South)

Risk limited to Demilitarized Zone and to rural areas in the northern parts of Kyonggi Do and Gangwon Do Provinces

Only P. vivax

Kuwait

No risk

Lao People's Democratic Republic (Laos)

All areas except the city of Vientiane

Mostly P. falciparum

Lebanon

No risk

Malaysia

Risk limited to rural areas; no risk in urban and coastal areas

P. falciparum; some cases of P. knowlesi

Maldives

No risk

Mongolia

No risk

Nepal

Rural areas in the Terai and Hill Districts of Bara, Dhanukha, Kapilvastu, Mahotari, Parsa, Rautahat, Rupendehi and Sarlahi, and especially along the Indian border; at altitudes lower than 1,200 meters; no risk in Kathmandu and typical Himalayan treks

Predominantly due to P. vivax, also P. falciparum

Oman

Limited risk in remote areas of Musandam Province; no cases since 2001

P. falciparum

Pakistan

All areas, including the cities, at altitudes lower than 2,000 meters

P. falciparum (~60%), P. vivax (~40%)

Philippines

Throughout the year in areas below 600 m, rural areas and Subic Bay; no risk in the provinces of Aklan, Bilaran, Bohol, Capiz Catanduanes, Cebu, Guimaras, Iloilo, Leyte, Masbate, northern Samar, Sequijor and metropolitan Manila as well as urban areas or in the plains

Predominantly P. falciparum; Also P. vivax

Qatar

No risk

Saudi Arabia

Throughout the year in most of the Southern Region - Jizan province (except in the high-altitude areas of Asir Province) and in certain rural areas of the Western Region; no risk in cities of Jeddah, Mecca, Medina and Taif.

Predominantly P. falciparum

Singapore

No risk

Sri Lanka

Risk in all areas except the districts of Colombo, Galle Kalutara, and Nuwara Eliya

P. vivax (87%), P. falciparum (13%)

Syrian Arab Republic

Limited risk from May to October in foci along the northern border, especially in the north-eastern part of the country (in El Hassaka province)

Only P. vivax

Country

Malaria Risk

Species

Taiwan

No risk

Thailand

Limited risk throughout the year in rural, especially forested and hilly areas of the whole country, mainly towards the international borders with Cambodia, Laos, and Burma. No risk in cities and major tourist resorts like Bangkok, Chiangmai, Pattaya, Phuket, Samui

P. vivax and P. falciparum; some cases of P. knowlesi

Turkey

Risk from May to October in the south-eastern parts and in Amikova and Çukurova Plain. No risk in the main tourist areas in the west and south-west of the country

Only P. vivax

United Arab Emirates

No risk

Vietnam

All areas except urban centres, the Red River delta, and the coastal plain areas of central Viet Nam. High-risk areas are the provinces of Dak Lak, Gia Lai and Kon Tum, Ca Mau, Bac Lieu, and Tay Ninh; no risk in Hanoi, Ho Chi Minh City, Da Nang, Nha Trang, Qui Nhon and Haiphong

Predominantly P. falciparum; some cases of P. knowlesi

Yemen

All areas at altitudes lower than 2,000 meters; no risk in Sana'a

Predominantly P. falciparum

South and South eastern Asia (SEA region) harbours most cases of malaria in the Asian continent. An estimated 1,216 million people or 70% of the total population of SEA Region are at risk of malaria. Out of which around 29% population at moderate to high risk of malaria, 71% are at low risk of malaria where as remaining 30% of population free from malaria (See Table). About 96% of the population of moderate to high risk of malaria in SEA Region are living in Bangladesh, India, Indonesia, Myanmar and Thailand and contributing more than 95% of confirmed malaria cases and deaths. During 2000-2009, in SEA Region, malaria confirmed cases of malaria ranged between 2.16 -2.83 millions and malaria deaths between 3188 - 6978. The proportion of P. falciparum was between 44 – 60%. During 2009 total 2.7 million confirmed malaria cases (Microscopically and RDT) and 3188 malaria deaths were reported in the Region where as estimated malaria cases were around 26 -36 million and malaria deaths between 42300 – 77300. The P. faciparum proportion remained around 60.5% (including RDT positives). The highest number laboratory confirmed cases were reported from India (1,563,344) followed by Indonesia (544,470) and Myanmar (414,008) where as the lowest number of cases was reported from Sri Lanka (558) followed by Bhutan(972) and Nepal(3,335). Among the population living in malarious areas, infants, young children and pregnant women have been identified as higher malaria risk group. Other group of people which constitute higher malaria risk are mobile population particularly those engaged in forest-related economy, gem-mining, fishing, industrial and road construction work. In some countries, ethnic minorities, refugees, displaced persons tourists and pilgrims also constitute high risk group.[4]