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WHO World Malaria Report 2019 states that an estimated 228 million cases of

malaria occurred worldwide in 2018, and reports steadily decreasing the number
of cases since 2010. In 2018, nineteen sub-Saharan African countries and India
carried approximately 85% of the global malaria burden. The most prevalent and
pathogenic malaria parasite, most commonly associated with severe illness and
death, especially in the WHO African region, accounting for 99.7% malaria cases, is
P. falciparum.[8] P. falciparum is also highly prevalent in South-East Asia, Eastern
Mediterranean, and Western Pacific regions. The most vulnerable groups affected
by malaria in high-transmission areas are children younger than 5 years old, their
deaths accounting for 67% of global malaria deaths, and primigravidae. In low
transmission areas, all ages are at risk due to low immunity.[2]

The United States


Most malaria cases diagnosed in the United States of America are imported from
endemic countries.[9] The risk of infection depends on the length of exposure and
the intensity of malaria transmission in the geographical region.[10] During 2015
CDC received 1517 reports of confirmed malaria in the United States of America,
one of the cases was classified as congenital, 1485 were imported from endemic
countries, and 31 reports had an incomple

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