Full list of author information is available at the end of the articleBackground The annual parasite incidence of malaria in Sri Lanka has remained below 0.01 (total number of positive cases per 1000 risk population) since 2008 [1], with approxi-mately 70 % of malaria cases being reported from the Northern and Eastern provinces of Sri Lanka. In 2008, the National Anti-Malaria Campaign (AMC), with financial assistance from the Global Fund to fight AIDS, Tubercu-losis and Malaria (GFATM) embarked on phased elimin-ation of malaria from Sri Lanka through intensification of both parasitological and entomological surveillance [2]. The 27-year-old armed conflict in Sri Lanka resulted in a general breakdown of civil administration leading to hardsh...