Appendix B: Malaria Molecular Testing

For Public Health

At a glance

CDC has developed a laboratory method to conduct molecular testing for P. falciparum and P. vivax. This testing can help identify markers of resistance, strain relatedness, and geographic origin.

A technician uses a real-time PCR machine in a laboratory.

Malaria molecular testing

State public health laboratories are welcome to submit any malaria specimens to CDC for molecular testing; however, there are some specific circumstances where CDC is particularly interested in conducting this testing.

Cases where malaria molecular testing may be particularly useful

  • Any concern of drug resistance or recrudescent illness:
    • If the case-patient was on any type of chemoprophylaxis and developed malaria
    • If the case-patient continued to have positive blood smears after completing treatment
    • If the case-patient continued to have symptoms after completing treatment (if parasite clearance is not documented)
    • Please contact malaria@cdc.gov and malarialab@cdc.gov.
  • Any unusual cases under enhanced investigation
    • No history of recent travel or other risk factors
    • Concern for transfusion transmitted malaria or other blood-borne transmission
  • Please contact CDC Malaria hotline (770-488-7788 or malaria@cdc.gov) if you would like to submit a specimen for a case with concern of drug resistance or under enhanced investigation.

Preferred sample type is refrigerated whole blood, treated with EDTA:

  • If whole blood is not available we may be able to accept other specimens, please reach out to malarialab@cdc.gov to discuss options.
  • For detailed instructions on how to send, please reach out to the malaria laboratory (malarialab@cdc.gov).
Content Source
National Center for Emerging and Zoonotic Infectious Diseases (NCEZID)
About This Page
Published: June 4, 2024
Updated: June 4, 2024

This page was last updated on this date. Updates may include minor edits, image changes, or other modifications to page content.

Reviewed: June 4, 2024

The information on this page was last reviewed by subject matter experts to ensure accuracy.