Summary – A malaria case was confirmed in East Pierce County from a patient without recent travel history, prompting a public health response.,
Article –
A rare malaria case has emerged in East Pierce County, Washington, causing concern among public health officials. A local woman, with no recent travel history outside of Washington or the United States, tested positive for malaria, a disease typically associated with mosquitoes in tropical regions.
Details of the Incident
The woman experienced symptoms such as fever, chills, and fatigue, which led her to seek medical attention. Laboratory testing confirmed the presence of the Plasmodium parasite, the causative agent of malaria. This unexpected discovery prompted an active investigation to determine how the infection was acquired.
Investigation and Response
Health officials are exploring several hypotheses, including the possibility of local mosquito-borne transmission (autochthonous transmission) or other unusual infection routes. While Anopheles mosquitoes—the primary malaria vectors—are not widespread or known to be infected in the Pacific Northwest, isolated transmissions under rare circumstances cannot be ruled out.
Involved Parties
- Tacoma-Pierce County Health Department – leading the investigation
- Washington State Department of Health – collaborating on the response
- Centers for Disease Control and Prevention (CDC) – providing federal guidance and expertise
Medical providers have been notified to remain vigilant for any additional cases, especially those occurring without travel history.
Public Health Guidance
Residents of Pierce County are advised to take these precautions against mosquito bites:
- Use insect repellent
- Wear protective clothing
- Eliminate standing water where mosquitoes breed
Next Steps
Ongoing efforts include:
- Surveillance of local mosquito populations for malaria parasites
- Environmental assessments to identify potential mosquito breeding sites
- Maintaining awareness among healthcare providers for early detection
The patient has received appropriate antimalarial treatment, and public health messaging is being enhanced to inform the community about this uncommon but serious disease.
This case highlights the importance of continual infectious disease monitoring, even in areas where diseases like malaria are uncommon. State and federal health agencies will update guidance as needed based on investigation findings.

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