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Imported malaria follow-up — DTM&H MCQ

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EasyMalariaImported malaria follow-upDTM&H

A UK hospital confirms Plasmodium falciparum malaria in a traveller returning from Nigeria. The clinician has started treatment and wants to support surveillance and prevention advice. What is the most important public health measure?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Notify the local health protection team

Notify the local health protection team is the single best answer because malaria is notifiable in the UK through public health systems for surveillance and prevention messaging. Arrange household praziquantel is plausible in a related presentation, but it is less appropriate because it does not fit the key discriminator in this vignette. The teaching point is that person-to-person spread does not occur without a competent mosquito vector or blood exposure.

Reference: WHO Guidelines for malaria, 2025; UKHSA Malaria prevention guidelines for travellers from the UK, 2025; CDC Yellow Book 2026