Experience within the oil and gas industry suggests that health is one of the key issues for both the project workforce and the host country. Health impacts can potentially occur within defined project geographical boundaries and across surrounding communities. The possibility of impacts is particularly true for an issue like malaria that involves a complex interaction between biological and environmental variables and social and behavioural practices. The oil and gas industry operates across a myriad of countries and cultures that form part of this interaction. Typically, the focus on malaria impacts is centred on Sub Saharan Africa (SSA), however, malaria transmission occurs globally. Regardless of geographical location, the industry operates in an atmosphere of heightened expectations, particularly related to health, social and environmental practices.