India represents the highest burden of malaria in South East Asia Region. But Kerala is a low endemic area. As there were an increased number of cases recently, a cross sectional study was done to evaluate the epidemiological trend of malaria reported from 2007 to 2012 in a tertiary care centre of Kerala. Secondary data available in the Department of Community Medicine, Government Medical College Thrissur, analysed using SPSS 17. A total of 204 cases were reported during the period. Majority was males (94.1%) and in the productive age group. 26 (12.7%) cases were indigenous over these years. All others were imported. Relapse was present in 14.7% patients. Regarding the parasites, 64.9% (n=133) were of Plasmodium vivax type followed mixed and Plasmodium falciparum. As there are favorable climatic conditions to the transmission of malaria most of the time, the re emergence of malaria should be controlled to prevent massive epidemics.