Four municipalities in Mpumalanga have registered large number of malaria cases . The Department of Health says cases have been reported in the City of Mbombela, Nkomzai, Bushbukridge and Thaba Chweu municipalities.
Over 619 people have been infected and at least five people have died between April and November this year.
The Department of Health has visited Matsulu to raise awareness as the region marks SADC Malaria Day.