Malaria is the leading cause of death in Niger. This year, MSF teams have seen an increase of more than 100% in malaria cases across all MSF projects. This increase could be explained both by the high rainfall recorded in the past weeks, leading to severe flooding that have displaced entire communities, living in very precarious conditions, and vulnerable to malaria and the by the consequences of restriction measures taken to address the covid-19 pandemic, with consequences on preventive campaigns or access to healthcare. These are some of the factors actually exacerbating underlying conditions that we yearly witness in MSF projects.