The WHO reports confirmed that most malaria cases in 2018 were in the World Health Organization (WHO) African Region (213 million or 93%), followed by the WHO South-East Asia Region with 3.4% of the cases and the WHO Eastern Mediterranean Region with 2.1%.
"Nineteen countries in sub-Saharan Africa and India carried almost 85% of the global malaria burden. Six countries accounted for more than half of all malaria cases worldwide: Nigeria (25%), the Democratic Republic of the Congo (12%), Uganda (5%), and Côte d’Ivoire, Mozambique and Niger (4% each)."
In 2018, about 11 million pregnancies in moderate and high transmission sub-Saharan African countries would have been exposed to malaria infection.
In 2018, prevalence of exposure to malaria infection in pregnancy was highest in the West African subregion and Central Africa (each with 35%), followed by East and Southern Africa (20%). About 39% of these were in the Democratic Republic of the Congo and Nigeria.
The 11 million pregnant women exposed to malaria infections in 2019 delivered about 872 000 children with low birthweight (16% of all children with low birthweight in these countries), with West Africa having the highest prevalence of low birthweight children due to malaria in pregnancy.
The report also revealed that Nigeria accounted for almost 24 per cent of all global malaria deaths, followed by the Democratic Republic of the Congo (11 per cent), the United Republic of Tanzania (Five per cent), and Angola, Mozambique and Niger (four per cent each).
The report says, “In 2018, prevalence of exposure to malaria infection in pregnancy was highest in the West African subregion and Central Africa (each with 35 per cent), followed by East and Southern Africa (20 per cent). About 39 per cent of these were in the Democratic Republic of the Congo and Nigeria.
“There were about 155 million malaria cases in the 11 high burden to high impact (HBHI) countries in 2018, compared with 177 million in 2010. The Democratic Republic of the Congo and Nigeria accounted for 84 million (54 per cent) of total cases.
“Of the 10 highest burden countries in Africa, Ghana and Nigeria reported the highest absolute increases in cases of malaria in 2018 compared with 2017.
“Malaria deaths reduced from about 400 000 in 2010 to about 260 000 in 2018, the largest reduction being in Nigeria, from almost 153 000 deaths in 2010 to about 95 000 deaths in 2018.”
The report says, “In 2018, prevalence of exposure to malaria infection in pregnancy was highest in the West African subregion and Central Africa (each with 35 per cent), followed by East and Southern Africa (20 per cent). About 39 per cent of these were in the Democratic Republic of the Congo and Nigeria.
“There were about 155 million malaria cases in the 11 high burden to high impact (HBHI) countries in 2018, compared with 177 million in 2010. The Democratic Republic of the Congo and Nigeria accounted for 84 million (54 per cent) of total cases.
“Of the 10 highest burden countries in Africa, Ghana and Nigeria reported the highest absolute increases in cases of malaria in 2018 compared with 2017.
“Malaria deaths reduced from about 400 000 in 2010 to about 260 000 in 2018, the largest reduction being in Nigeria, from almost 153 000 deaths in 2010 to about 95 000 deaths in 2018.”
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