The key words here are "locally acquired".

'In the last two months, at least five people, four in Florida and one in Texas, have been infected with malaria in the United States, the Centers for Disease Control and Prevention said in a health advisory on Monday. These are the first known cases of locally acquired malaria in the country since 2003.'
#Malaria #InfectiousDisease #publichealth

https://www.nytimes.com/2023/06/27/health/us-malaria-mosquitoes.html?action=click&module=Well&pgtype=Homepage&section=Health