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Table 2 The prevalence of malaria parasitaemia by microscopy among children six to 59 months living in large African cities versus rural comparison communities

From: Malaria indicator surveys demonstrate a markedly lower prevalence of malaria in large cities of sub-Saharan Africa

Large city, country (2010 population in millionsi)

Prevalence by microscopy (95% CI)

Relative risk = A/B (95% CI)

Large city = A

Rural communities within 150 kmii, iii= B

Luanda, Angola (4.8)

1.4% (0.1%-2.5%)

21.4% (1.1%-41.7%)

0.07 (0.02-0.22)

Ouagadougou, Burkina Faso (1.9)

17.9% (7.5%-28.3%)

70.9% (67.8%-74.1%)

0.25 (0.14-0.45)

Accra, Ghana (2.5)

3.3% (0.5%-6.1%)

24.3% (16.2%-32.3%)ii

0.14 (0.06-0.34)

Kumasi, Ghana (1.9)

5.3% (1.1%-9.4)

34.7% (29.5%-40.0%)ii

0.15 (0.07-0.34)

Mombasa, Kenya (0.9)

0.6% (0%-2.0%)

4.7% (1.2%-8.2%)ii

0.12 (0.01-1.52)

Nairobi, Kenya (3.2)

0%

4.0% (0.8%-7.3%)ii, iii

0

Monrovia, Liberia (1.0)

7.4% (3.8%-11.0%)

31.5% (27.2%-35.8%)

0.24 (0.14-0.39)

Antananarivo, Madagascar (1.9)

0%

0%iii

--

Lilongwe, Malawi (0.7)

5.5% (1.8%-9.2%)

45.9% (37.1%-54.8%)iii

0.12 (0.06-0.24)

Blantyre, Malawi (0.7)

4.6% (1.5%-7.8%)

39.7% (20.2%-59.1%)iii

0.12 (0.05-0.27)

Bamako, Mali (1.9)

2.4% (0%-7.3%)

53.3% (39.6%-67.1%)

0.05 (0.01-0.34)

Maputo, Mozambique (1.1)

2.2% (0.1%-4.1%)

12.3% (5.7%-18.9%)

0.18 (0.06-0.50)

Matola, Mozambique (0.8)

4.9% (1.4%-8.4%)

12.3% (5.6%-19.0%)

0.40 (0.16-0.97)

Kano, Nigeria (3.3)

5.9% (0%-13.7%)

48.8% (35.7%-62.0%)

0.12 (0.03-0.47)

Lagos, Nigeria (10.8)

1.5% (0%-4.2%)

50.0% (25.6%-74.4%)

0.03 (0.01-0.20)

Kigali, Rwanda (1.0)

0.5% (0%-1.4%)

2.8% (1.6%-4.0%)iii

0.18 (0.03-1.20)

Dakar, Senegal (2.9)

0.4% (0%-1.3%)

4.5% (0.8%-8.3%)

0.10 (0.01-0.80)

Dar es Salaam, Tanzania (3.4)

0.3% (0%-1.0%)

3.9% (0.7%-7.1%)

0.09 (0.01-0.77)

Kampala, Uganda (1.6)

4.9% (1.0%-8.8%)

50.0% (40.9%-59.1%)iii

0.10 (0.04-0.22)

Lusaka, Zambia (1.7)

0%

10.8% (5.7%-16.0%)iii

--

  1. iUnited Nations, Department of Economic and Social Affairs, Population Division (2012).
  2. iiFor Accra, Kumasi, Nairobi and Mombasa, the comparison group consists of clusters in rural communities in the same zone of malaria endemicity regardless of distance from the city.
  3. iiiFor Antananarivo, Blantyre, Kampala, Kigali, Lilongwe and Nairobi, the comparison group was restricted to rural communities at an altitude matching that of the large city and within 150 km or, for Antananarivo and Nairobi, in the same zone of malaria endemicity. For Lusaka, the comparison group included all rural communities within 300 km with a matching altitude.