Several new methods of malaria diagnosis have recently been developed, but
these all rely on clinical suspicion and, consequently, an explicit clinica
l request. Although some methods lend themselves to automation (eg. PCR), n
o technique can yet be used for routine clinical automated screening. Detec
tion of birefringent haemozoin has been used to diagnose malaria since the
turn of the 20th century. A new generation of full blood count analysers, u
sed widely in clinical laboratories, have the potential to defect haemozoin
in white blood cells and probably erythrocytes. Thomas Hanscheid, Emilia V
aladas and Martin Grobusch here describe this novel technique for malaria d
iagnosis and discuss its potential applications.