Malaria cases in Gauteng rose 38.6% in 2026: Watch out for these symptoms and travel advice

Gauteng, a non-endemic province, witnessed a 38.6% increase in malaria cases and deaths between January and September 2026, according to the provincial health department. The number of cases rose from 554 in 2025 to 768 in 2026, while deaths climbed from six to 17. Health officials issued a warning, urging residents, especially travelers, to be vigilant regarding the disease.

Of the 17 deaths, 15 (88.2%) had visited countries in the SADC region, with Mozambique accounting for about 59%. Dr. Steve Mabona, the spokesperson, emphasized that although Gauteng is not considered endemic, residents remain vulnerable when traveling to malaria-prone areas.

Symptoms of malaria include fever, chills, headache, muscle aches, nausea, and vomiting. Anyone experiencing these symptoms after traveling to or returning from a malaria-endemic region should seek medical attention immediately and inform healthcare workers about their travel history. Malaria is a treatable and preventable disease.

Gauteng health authorities, including environmental health practitioners, conducted investigations to determine the source of infection, classifying cases as imported or odyssean. All malaria-related deaths were audited. The department monitored reported cases daily to spot emerging trends and facilitate timely interventions. They provided ongoing training for healthcare workers, as malaria is not always the first suspicion in a non-endemic province.

The province held a malaria awareness event on November 11 at Holomisa Sports Grounds in Bekkersdal, West Rand, and intensified outreach at taxi ranks and bus stations ahead of the festive season. The department collaborated with municipalities, the National Institute for Communicable Diseases, and the National Department of Health.