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Plasmodium falciparum
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Plasmodium falciparum

The deadliest human Malaria parasite, transmitted by Anopheles mosquitoes; behind most Malaria deaths worldwide.

Plasmodium falciparum, the deadliest human Malaria parasite, infected eight people at or near Frankfurt Airport who had not travelled to a Malaria country, and three died, ECDC reported on 18 September 2026.

Last refreshed: 4 October 2026 · Appears in 1 active topic

Key Question

Why is the world's deadliest malaria parasite now surging on a French island?

Timeline for Plasmodium falciparum

#14 18 Sept

Infected eight people with no travel history

Pandemics and Biosecurity: Malaria at Frankfurt Airport kills three
#6 5 Jun
View full timeline →

Background

Plasmodium falciparum is the most dangerous of the five Malaria parasites that infect humans and causes most Malaria deaths, according to WHO. It spreads through the bite of infected female Anopheles mosquitoes, not from person to person. It can cause severe disease, including cerebral Malaria and severe anaemia, and can kill within days. WHO lists artemisinin-based combination therapies as the standard treatment.

In 2026 it has turned up where doctors do not expect it. ECDC reported on 18 September that eight people with no travel history caught it at or near Frankfurt Airport: six airport workers who fell ill from early July, and two residents of separate households within 5 km who fell ill in early September. Three died. Europe logged 105 airport Malaria cases from 1969 to 2022, in clusters never larger than six, according to a 2024 review. ECDC thinks infected mosquitoes arriving on aircraft are the likely cause, while Frankfurt has trapped no Anopheles nearby; parasite genotyping is due at the end of October.

On Mayotte, the French Indian Ocean island, P. falciparum caused every one of the 244 confirmed Malaria cases that Santé publique France logged to 21 June 2026, the island's highest count since 2010. Twenty-five were caught locally; most of the rest came from the Comoros. In late April and May, cases ran at 25 a week, about four times the rate a year earlier.

Common Questions
What is Plasmodium falciparum and why is it the most dangerous malaria parasite?
It is the deadliest of five Malaria parasites that infect humans and causes most Malaria deaths. It can cause cerebral Malaria and severe anaemia, and spreads through bites from infected Anopheles mosquitoes.Source: https://www.who.int/news-room/fact-sheets/detail/malaria
Should I take malaria tablets before travelling to Mayotte?
Yes. ECDC advises travellers to Mayotte to consider antimalarial prophylaxis. Mayotte sits within the Indian Ocean transmission zone and recorded 171 P. falciparum cases in the first five months of 2026, including locally acquired infections.Source: ECDC CDTR Week 23
How did people catch malaria at Frankfurt Airport?
ECDC reported eight cases without travel history at or near Frankfurt Airport by 18 September 2026, three fatal. It considers infected mosquitoes arriving on aircraft likely, and genotyping is due at the end of October.Source: ECDC, 18/09/2026
Which malaria parasite is behind Mayotte's 2026 outbreak?
Plasmodium falciparum. Santé publique France found it in all 244 confirmed cases on Mayotte from 1 January to 21 June 2026, the highest count since 2010.Source: https://www.santepubliquefrance.fr/sites/default/files/2026-06/bullreg_paludisme_mayotte_20260626.pdf
Source Material

Written with AI from Lowdown's published reporting. Not individually reviewed by an editor. Updated 4 October 2026. Editorial standards.