Malaria remains a public health problem in many parts of the world. It is a disease that can endanger human life if left untreated, especially among young children and pregnant women. In Malaysia, the number of malaria cases has decreased significantly since the introduction of the Malaria Elimination Program in 1961 in Malaysia Borneo, and in 1967 in Peninsular Malaysia. Since 1988, malaria has been on the notifiable disease list under the Communicable Diseases Act of Malaysia that mandates notification within 7 days. The significant progress towards the national elimination programme and effective disease notification on malaria has resulted in zero indigenous human malaria cases in 2018[1]. However, the emergence of zoonotic malaria in recent years has less been tractable to conventional malaria control and elimination programme in the country.