Highlands malaria: malaria in Enga Province of Papua New Guinea.

Malaria is endemic in valleys below 1600m in Enga Province of the Highlands of Papua New Guinea. However because malaria is unstable in character and levels of transmission fluctuate, endemicity cannot be precisely categorized. Falciparum malaria epidemics are lethal here and malaria is an important disease among the people dwelling below 1600m. Possibly because of this most of the population live above 1600m where malaria transmission is less likely. In some areas however malaria may be transmitted around 1800m.