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Urban Africa Faces Invasive Challenge

Malaria numbers are surging in the Horn of Africa, but not in rural settings.

Djibouti is a small country of around 900,000 inhabitants on the Horn of Africa that rests on the shores of Bab al-Mandab strait, just 20 miles from the coast of Yemen and southwest Asia. Ten years ago, the World Health Organization (WHO) proudly proclaimed that Djibouti was entering the “pre-elimination phase” in its longstanding battle against malaria. Pre-elimination status is reached when a country’s number of confirmed malaria cases approaches zero.