THE TREND of imported malaria cases in Italy from 1960 to 1988 is discussed. Comparative analysis of malaria incidence in the last three years is also presented. Since 1985, a rapid increase was recorded with 191 cases in a 1986, 287 in 1987 and 350 in 1988. In 1986-1988 Plasmodium falciparum was responsible for 74% cases of the total number, followed by P. vivax (21%), P. malariae (2.2%) and P. ovale (1%). 86% of the imported cases was acquired in African countries, 8% in Asia and 3% in South America. As far as travellers categories are concerned, workers represented 46% of the total population, tourists 37%, seamen and aircrew 2% and strangers coming from endemic malaria areas and travelling to Italy 16%. In 1986, 1987 and 1988 three, four and two deaths respectively, due to malaria, were reported.