Background: During the first quarter of 2017, there was an unusual increase in the number of laboratory confirmed malaria cases seen at Moi Teaching and Referral Hospital (MTRH), Eldoret – Kenya. This coincided with the onset of the long term rains in western Kenya that was preceded by a prolonged drought. MTRH is located in a region in the country that is not endemic to malaria. Methods: We carried out a retrospective record review of confirmed malaria cases from January 2012 to September 2017. Cases were defined as patients who had been seen at MTRH between March and May 2017 and malaria diagnosis confirmed by blood slide microscopy. Cases were line listed then descriptive statistics a
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