Skip to content

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.

Malaria’s Long Tail

The impacts of severe malaria cases on children are well documented, but the effects of mild infections on child development are less understood. The statistics …