World Malaria Report 2023 Regional Briefing Kit Eng

Regional World
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malaria
World malaria
2023
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data and trends
briefing kit
World malaria
report 2023
30 November 2023
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World malaria report 2023
Regional data and trends Contents African South-East Eastern Region of Western Pacific
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African South-East
11 Region
2 Asia Region 3 Mediterranean
Region
Goals and milestones of the Global
Region Western technical strategy for malaria 2016-2030
4 of the 5 Pacific
Americas Region View
2
1 2 3 4 5
Region
Fig. 3.3.
11 African Region Global trends in distribution of malaria c) cases and d) deaths by country, 2022
Source: WHO estimates.
The WHO African Region continues to shoulder the heaviest c)

Niger, 3.1%
burden of malaria. Globally in 2022, the Region accounted for: United Republic of Tanzania, 3.2% Côte dʼIvoire, 3.0%
Cameroon, 2.6%
Mali, 3.2%
Burkina Faso, 3.2% Ghana, 2.1%
Benin, 2.1%
• 94% of all malaria cases (233 million cases); Angola, 3.4% Ethiopia, 2.1%
Malawi, 1.8%
• 95% of all malaria deaths (580 000 deaths). Mozambique, 4.2% Guinea, 1.8%
Chad, 1.5%
Zambia, 1.5%
Uganda, 5.1%
About 78% of all malaria deaths in the Region were among Madagascar, 1.4%
Kenya, 1.4%
children under the age of five. India, 1.4%
Burundi, 1.4%
Sudan, 1.4%
In 2022, four countries in the Region – Nigeria (26.8%), the South Sudan, 1.1%
Democratic Republic of the Congo (12.3%), Uganda (5.1%) and Democratic Republic
of the Congo, 12.3% Pakistan, 1.1%
Mozambique (4.2%) – accounted for nearly half of all malaria Sierra Leone, 1.1%
Togo, 0.8%
cases globally (Fig. 3.3c). Liberia, 0.7%
Others, 4.8% Central African Republic, 0.7%
Four African countries also accounted for just over half of Nigeria, 26.8%
all malaria deaths globally: Nigeria (31.1%), the Democratic
Republic of the Congo (11.6%), Niger (5.6%) and the United d) Uganda, 2.9%
Angola, 3.2% Burkina Faso, 2.7%
Republic of Tanzania (4.4%) (Fig. 3.3d). Mali, 3.2% Chad, 2.2%
Mozambique, 3.5% Cameroon, 2.1%
Kenya, 1.9%
Ghana, 1.9%
Over the longer term (2000–2022), malaria case incidence United Republic of Tanzania, 4.4%
Côte dʼIvoire, 1.8%
and mortality rates in the African Region have declined: Benin, 1.8%
Niger, 5.6% Ethiopia, 1.7%
Guinea, 1.7%
• case incidence (cases per 1000 population at risk) fell from Madagascar, 1.5%
Zambia, 1.4%
369.3 in 2000 to 222.6 in 2022 (Fig 3.4a); Sierra Leone, 1.3%
Sudan, 1.3%
• the mortality rate (deaths per 100 000 population at risk) Democratic Republic
Malawi, 1.2%
Burundi, 1.2%
fell from 142.6 in 2000 to 55.5 in 2022 (Fig. 3.4b). of the Congo, 11.6% South Sudan, 1.1%
India, 0.9%
Central African Republic, 0.9%
Liberia, 0.6%
Togo, 0.6%
Others, 3.9% Papua New Guinea, 0.6%
Nigeria, 31.1%
3
1 2 3 4 5
Region
Fig. 3.4.
However, since 2015, the rate of progress in both cases and Trends in a) malaria case incidence (cases per 1000 population at risk) and b) mortality rate (deaths
per 100 000 population at risk), 2000–2022; in the WHO African Region, 2022
deaths has stalled in several countries with moderate or high Source: WHO estimates.
transmission; the situation was made worse, especially in sub-
a)
Saharan Africa, by disruptions during the COVID-19 pandemic
369.3
and other humanitarian emergencies.
Malaria cases per 1000 population at risk

375
Between 2019 (pre-pandemic) and 2022, there was a 300

considerable increase in the total estimated number of 243.6
231.5
malaria cases in the African Region, from 218 million to 233 222.6
225
million. Substantial case increases were seen in Nigeria (5.3 225.9
million), Ethiopia (2.4 million), Madagascar (1.5 million), Uganda
(1.3 million), the United Republic of Tanzania (1.3 million), Mali 150
(1.1 million) and Mozambique (1 million).

75
The African Region as a whole is off track for both the malaria
morbidity and mortality GTS 2025 milestones1 by 52% and 50%, 0
respectively (Fig. 8.4):
2021
2022
2000
2005
2010
2015
2020
• Case incidence: there was little change (a less than b)
5% increase or decrease) in case incidence in 2022
150 142.6
compared with 2015 in 10 countries: Benin, Botswana, Malaria deaths per 100 000 population at risk
Chad, the Congo, the Democratic Republic of the Congo,

Gabon, Liberia, Namibia, Nigeria and South Sudan. Case 120
incidence increased by 5% to 25% in Côte d’Ivoire, Guinea-

Bissau and Uganda; by 25% to 55% in Angola, Burundi 90
and Madagascar; and by more than 55% or more in the 63.5 60.9
Comoros, Eritrea and Sao Tome and Principe. 55.5
60
• The mortality rate increased by 25–55% in Angola and 57.3
Madagascar and by 55% or more in the Comoros and 30
Eritrea.
0
1 The Global technical strategy for malaria 2016–2030 (GTS) called for
2021
2022
2000
2005
2010
2015
2020
reductions in malaria case incidence and mortality of at least 75% by 2025
compared to a 2015 baseline.
4
1 2 3 4 5
Region
Fig. 8.4.
The overall regional trend masks progress in individual Comparison of progress in malaria a) case incidence and b) mortality rate in the WHO African Region considering
two scenarios: current trajectory maintained (blue) and GTS targets achieved (green) Source: WHO estimates.
countries.
a) 300
• Between 2019 and 2022, Rwanda saw a steep decline in

malaria cases (3.8 million). 250 243.6
231.5 222.6
• In 2022, Ethiopia, South Africa and Zimbabwe achieved 211.6
a reduction in the mortality rate of 55% or more. And, 200 194.4
although 27 countries2 are off track to meet the GTS

2025 mortality milestone, they achieved mortality rate 150
146.2
reductions of less than 55%.
106.7
• In 2022, Comoros and Sao Tome and Principe reported 100
zero malaria deaths for the first time. And that same year,
Botswana, Eritrea and Eswatini all reported fewer than ■ Current estimates of regional case incidence (WMR 2023)
60.9
10 malaria deaths. 50 ■ ■ GTS milestones (baseline of 2015)

■ ■
Forecasted trend if current trajectory is maintained 24.4
• Cabo Verde has reported zero malaria deaths since 2018
and has requested an official certification of malaria 0
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030
elimination from WHO (decision expected in early 2024).
b) 100
Malaria deaths per 100 000 population at risk 90
80
70
63.5
60.9
60 55.5
51.8
50 46.2
40
38.1
2 Benin, Burkina Faso, Cameroon, Chad, the Congo, the Democratic 27.8
30
Republic of the Congo, Equatorial Guinea, Eswatini, Gabon, the Gambia,
Ghana, Guinea, Malawi, Mali, Mauritania, Mozambique, Namibia, the 20 15.9
Current estimates of regional mortality rate (WMR 2023)
Niger, Nigeria, Rwanda, Senegal, Sierra Leone, South Sudan, Togo,
■
GTS milestones (baseline of 2015)

Uganda, the United Republic of Tanzania and Zambia. 6.7
■ ■
10
■ ■
Forecasted trend if current trajectory is maintained
0
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030
5
1 2 3 4 5
Region
Fig. 3.5.
2 South-East Asia Region Trends in a) malaria case incidence (cases per 1000 population at risk) and b) mortality rate (deaths per
100 000 population at risk), 2000–2022; and c) malaria cases by country in the WHO South-East Asia Region,
2022 Source: WHO estimates.
In 2022, nine countries in the South-East Asia Region a) b)
contributed to about 2% of the burden of the malaria globally 25 5
Malaria deaths per 100 000 population at risk

(5.2 million cases). Most malaria cases in the Region were
20 17.6 4
concentrated in India (66%) and about 94% of deaths were in
India and Indonesia (Fig. 3.5c). 15 3 2.7
Since 2000, the Region has achieved excellent progress in 10 8.4 2

1.5
reducing its malaria burden. Between 2000 and 2022:
5 3.5 1
0.6 0.6
3.4 3.0
• case incidence (cases per 1000 population at risk) fell from 0 0
0.5
17.6 to 3.0 (Fig. 3.5a);
2021
2022
2000
2005
2010
2015
2020
• total malaria cases dropped by 77%, from 22.8 million to c)
4 000
5.2 million;
• the mortality rate (deaths per 100 000 population at risk) 3 000
fell from 2.7 to 0.5 (Fig. 3.5b);
• total malaria deaths declined by 77%, from 35 000 to 2 000
Number of malaria cases (000)
8000.
1 200
However, substantial case increases have been observed in
some countries in recent years, notably in Myanmar:
800
• Between 2019 and 2022, Myanmar saw a seven-fold
increase in cases, from 78 000 to 584 000, fueled by
political and social instability. 400
• The increase in malaria case burden in Myanmar since

2019 has impacted neighbouring Thailand, where cases 0
0 0
more than doubled between 2021 (2426 cases) and 2022 India Indonesia Myanmar Bangladesh Democratic Thailand Nepal Bhutan Timor-Leste
Peopleʼs
(6263 cases). Republic of Korea
6
1 2 3 4 5
Region
Fig. 8.7.
• Case increases were also seen in Bangladesh and Comparison of progress in malaria a) case incidence and b) mortality rate in the WHO South-East Asia Region
considering two scenarios: current trajectory maintained (blue) and GTS targets achieved (green) Source: WHO
Indonesia between 2021 and 2022. estimates.
a) 18
Despite the recent case increases, the South-East Asia
Current estimates of regional case incidence (WMR 2023)
Region remains on track to meet the GTS 2025 and 2030
■
16 ■ ■ GTS milestones (baseline of 2015)

targets (Fig. 8.7 a + b).

■ ■
14
• Case incidence was reduced by 55% or more between 12
2015 and 2022 in seven of the nine endemic countries in 10

the Region: Bangladesh, Bhutan, the Democratic People’s 8.4
Republic of Korea, India, Nepal, Thailand and Timor-Leste. 8
• In 2022, Timor-Leste reported zero malaria cases for 6 5.0
the second consecutive year and Nepal reported zero 4

3.7
indigenous malaria deaths for the first time. 3.4

2.1
2 3.0
1.0
• Bhutan reported zero cases of malaria for the first time in 2.0
0.8
2022. 0
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030
• Sri Lanka was certified malaria free by WHO in 2016 and b)

has maintained this status. Current estimates of regional mortality rate (WMR 2023)
■
2.5
■ ■ GTS milestones (baseline of 2015)
■ ■
2.0
1.5
1.5
0.9
1.0
0.7
0.5 0.6 0.4

0.5 0.2
0.3
0.2
0
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030
7
1 2 3 4 5
Region
Fig. 3.6.
3 Eastern Mediterranean Region Trends in a) malaria case incidence (cases per 1000 population at risk) and b) mortality rate (deaths per
100 000 population at risk), 2000–2022; and c) malaria cases by country in the WHO Eastern Mediterranean
Region, 2022 Source: WHO estimates.
In 2022, the Eastern Mediterranean Region’s seven malaria- a) b)
endemic countries accounted for 3% of global malaria cases.

25 5
Sudan carried the heaviest malaria burden in the Region, 20

20.2
4
4.0
with 41% of cases, followed by Pakistan, Somalia, Yemen, 15.2 2.9

Afghanistan and Djibouti (Fig. 3.6c). 15 3
10 11.5 2 1.7 2.4 2.5

11.2
Beginning in 2000, the Region saw a steep download trend in 9.0
its malaria burden followed by a surge in cases and deaths in 5 1
the period 2015 to 2022: 0 0
2021
2022
2021
2022
2005
2015
2015
2010
2010
2020
2020
2005
2000
2000
• case incidence (cases per 1000 population at risk) fell
from 20.2 in 2000 to 9.0 in 2015 and then increased to c)
15.2 in 2022 (Fig. 3.6a); 3 500
• total malaria cases fell from 6.9 million in 2000 to

3 000
4 million in 2014 before increasing steadily, reaching
Number of malaria cases (000)

8.3 million in 2022; 2 500
• mortality rate (deaths per 100 000 population at risk) fell
2 000
from 4.0 in 2000 to 1.7 in 2015 and then increased to 2.9 in
2022 (Fig. 3.6b); 1 500
• total malaria deaths fell from 13 600 in 2000 to 7500 in
1 000
2014 and then more than doubled, to 15 900, in 2022.
500
Between 2021 and 2022, there was a sharp rise in malaria
0
cases in the Region, from 6.2 million to 8.3 million. This was 0
Sudan Pakistan Somalia Yemen Afghanistan Djibouti Iran Saudi Arabia
due, in large part, to an increase of 2.1 million cases in Pakistan (Islamic Republic of)
following a malaria outbreak triggered by the catastrophic
2022 flooding. Significant increases were also seen in
Afghanistan and the Sudan, with an additional 94 000 and
35 000 cases, respectively.
8
1 2 3 4 5
Region
Fig. 8.6.
Reliable data remains a challenge. Instabilities in Afghanistan, Comparison of progress in malaria a) case incidence and b) mortality rate in the WHO Eastern Mediterranean
Somalia, the Sudan and Yemen have led to the closure of Region considering two scenarios: current trajectory maintained (blue) and GTS targets achieved (green)
health facilities and to other disruptions; as a result, obtaining Source: WHO estimates.
reliable malaria data in these countries has been a challenge, a)
18 17.1
and current estimates should be interpreted with caution. 15.2 15.6
16
In view of recent trends, the Eastern Mediterranean

14
Region is off track towards meeting the 2025 GTS malaria
12 11.2
case incidence and mortality milestones by 75% and 74%,
respectively (Fig. 8.6): 10 9.0
8
• In 2022, malaria case incidence increased by 55% or more
in Djibouti, the Islamic Republic of Iran, Pakistan, the Sudan 6 5.4
and Yemen, compared to a 2015 baseline. Meanwhile, case 4

3.9
incidence in Somalia in 2022 was the same as in 2015.
■
2.2
■ ■ GTS milestones (baseline of 2015)
2 0.9
• Malaria deaths increased by an estimated 55% or more in ■ ■
Djibouti, Pakistan and the Sudan, and by 25–55% in Yemen. 0

2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030
There was no estimated change in mortality in Somalia.
b)
Current estimates of regional mortality rate (WMR 2023)
Despite the overall regional trend, some countries achieved
■
3.5 3.3
Malaria deaths per 100 000 population at risk GTS milestones (baseline of 2015)
notable successes:
■ ■
3.0
■ ■
Forecasted trend if current trajectory is maintained 2.9
3.0
• In 2022, Saudi Arabia reported zero indigenous malaria 2.4

2.5
cases for the second consecutive year and zero indigenous
malaria deaths since 2000. 2.0
1.7
• Iraq, Morocco, Oman and the Syrian Arab Republic last
1.5
reported indigenous malaria cases in 2008, 2004, 2007 and
2004, respectively.
1.0
1.0 0.7
• In 2022, all countries in the Region reported zero malaria 0.4

0.5
deaths, aside from Djibouti, Pakistan, the Sudan and 0.2
Yemen. 0
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030
• Malaria mortality rates fell by an estimated 25–55% in
Afghanistan in 2022 compared with 2015.
9
1 2 3 4 5
Region
Fig. 3.8.
4 Region of the Americas Trends in a) malaria case incidence (cases per 1000 population at risk) and b) mortality rate (deaths per
100 000 population at risk), 2000–2022; and c) malaria cases by country in the WHO Region of the Americas,
In 2022, 15 malaria-endemic countries and one territory in a)
b)
the Region of the Americas accounted for an estimated 0.2% 15

of global malaria cases. Three countries – Brazil, Colombia 13.1 1.0
and the Bolivarian Republic of Venezuela – accounted for an 12

estimated 73% of all cases region-wide (Fig. 3.8c). 0.8 0.7
9 0.6
Between 2000 and 2022, the Region of the Americas made
good progress in reducing its malaria burden: 6 0.4
4.0 4.3
0.3
3.93.6 0.2
• case incidence (cases per 1000 population at risk) fell from 3 0.2 0.3
0.2
13.1 to 3.6 (Fig. 3.8a);
0 0
2021
2022
2015
• total malaria cases declined by 64%, from 1.5 million to
2010
2020
2005
2021
2022
2000
2015
2010
2020
2005
2000
0.55 million;
c)
• the mortality rate (deaths per 100 000 population at risk)
fell from 0.7 to 0.2 (Fig. 3.8b);
140
• total malaria deaths were reduced by 60%, from 850
to 343. Number of malaria cases (000)
105
However, progress in the Region has suffered in recent years
due to an epidemic in the Bolivarian Republic of Venezuela
between 2018 and 2020, as well as increases in several other
70
countries.
• Cases rose from an estimated 35 500 in 2000 to over

35
483 000 in 2017. In 2020, cases reduced by more than
half compared to 2019, and there were further reductions
observed in 2021 and 2022 (205 000 and 154 000 cases, 0 0
0
respectively). Factors contributing to this reduction include
Ecuador
Venezuela
(Bolivarian
Republic of)
Brazil
State of)
Costa Rica
Colombia
Peru
Haiti
Guyana
Nicaragua
Dominican Republic
Bolivia
(Plurinational
Panama
Honduras
Guatemala
Mexico
French Guiana
Suriname
Belize
10
1 2 3 4 5
Region
Fig. 8.5.
restrictions on population movement during the COVID-19 Comparison of progress in malaria a) case incidence and b) mortality rate in the WHO Region of the Americas
pandemic and an increase in the availability and use of estimates.
malaria diagnosis and treatment commodities. a)
• Meanwhile, estimated cases increased in 2022 in Costa Current estimates of regional case incidence (WMR 2023)

Rica (311), the Plurinational State of Bolivia (1333), Guyana 10 GTS milestones (baseline of 2015)
(428), Haiti (17 272), Honduras (3100), Nicaragua (3683) Forecasted trend if current trajectory is maintained
and Panama (4826). GTS milestones (baseline of 2015) – without Venezuela (Bolivarian Republic of)
8 Forecasted trend if current trajectory is maintained – without Venezuela (Bolivarian Republic of)
In view of recent trends, the Region did not achieve the GTS
2025 milestones for reductions in malaria case incidence and 6
mortality; progress towards these targets was off track by 52% 4.3
and 48%, respectively (Fig 8.5 a + b). 4.0
3.6 3.7 3.8
4
2.8 2.6
• In Costa Rica, Ecuador, Nicaragua and Panama, case 3.2
2.4 2.3
incidence increased by 55% or more in 2022 compared 2 1.7

1.0
with 2015. 1.9
1.4 0.4
0.8
• In the Plurinational State of Bolivia and Guyana, estimated 0 0.3
increases were between 25% and 55% and in Colombia, 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030
the estimated increase in case incidence was less than

b)
25%.
0.7
• In the Bolivarian Republic of Venezuela and Haiti, there Current estimates of regional mortality rate (WMR 2023)
was no change in incidence in 2022 compared with 2015. 0.6 GTS milestones (baseline of 2015)
0.5
Progress varied across the Region, and some countries
bucked the overall regional trend: 0.4
• The Dominican Republic, French Guiana, Guatemala, 0.3

0.3
Mexico and Peru all achieved reductions of more than 0.3 0.2
0.2
55% in case incidence between 2015 and 2022 (Fig. 8.5), 0.2 0.2
with Suriname reporting zero indigenous cases for the first

0.1 0.1
0.0
0
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030
11
1 2 3 4 5
Region
time. Over the same period, Honduras was estimated to

have reduced its malaria case incidence by between 25%
and 55%, and Brazil by less than 25%.
• In 2022, three countries saw substantial reductions in the
total number of cases compared to 2019: Brazil (–28 000),
Colombia (–21 000) and Peru (–9000). That same year,
more modest reductions were seen in the Dominican
Republic, Ecuador, French Guiana, Guatemala and Mexico,
and Suriname reported zero indigenous cases for the first
time.
• Four countries – Argentina, Belize, El Salvador and
Paraguay – were certified by WHO as malaria free in 2019,
2023, 2021 and 2018, respectively.
12
1 2 3 4 5
Region
Fig. 3.7.
5 Western Pacific Region Trends in a) malaria case incidence (cases per 1000 population at risk) and b) mortality rate (deaths per
100 000 population at risk), 2000–2022; and c) malaria cases by country in the WHO Western Pacific Region,
a) b)
In 2022, the Region’s eight malaria-endemic countries
accounted for 0.74% of global malaria cases. Papua New 1.0 1.0

5

Guinea accounted for 90% of all cases in the region in 2022, 4.1
4 0.8
followed by Solomon Islands, Cambodia and the Philippines
(Fig. 3.7c). 3 0.6
2.4 0.5
2.2 0.4
The Region achieved an overall downward trend in case 2 0.4
1.9
incidence and mortality rates between 2000 and 2022: 1.7 0.3 0.3
1 0.2
• case incidence (cases per 1000 population at risk) fell from 0 0

4.1 to 2.4 (Fig. 3.7a);
2015
2015
2010
2010
2021
2022
2021
2022
2020
2020
2005
2005
2000
2000
• the mortality rate (deaths per 100 000 population at risk) c)
fell from 1.0 to 0.5 (Fig. 3.7b). 1800
However, a sharp increase in cases and deaths was observed 1400

between 2021 and 2022. After a 48% drop in the total number
of malaria cases between 2000 and 2021, from 2.6 million to Number of malaria cases (000)
1.4 million, the Region saw a 30% increase in cases between 1000
2021 and 2022, to 1.9 million. Malaria deaths fell by 56%

between 2000 and 2021, from about 6300 to 2600, and then
jumped by 37% between 2021 and 2022, to 3600. 180
• These increases in cases and deaths were mainly due 120

to stock-outs of commodities, limited human resource
capacity, management constraints and unstable sources
60
of funding in Papua New Guinea.
• Significant increases in cases were also observed in 0
Solomon Islands and Vanuatu in the period 2020–2022. 0
Papua Solomon Cambodia Philippines Lao People’s Vanuatu Viet Nam Republic Malaysia
New Guinea Islands Democratic of Korea
Republic
13
1 2 3 4 5
Region
Fig. 8.8.
The Western Pacific Region is not on track to reach the GTS Comparison of progress in malaria a) case incidence and b) mortality rate in the WHO Western Pacific Region
2025 milestones for case incidence and mortality; progress is estimates.
off course of 69% and 74%, respectively.
GTS milestones (baseline of 2015)
• This trend is mainly due to increases of more than 55% in a) Forecasted trend if current trajectory is maintained
cases and deaths in Papua New Guinea, which carries 3 GTS milestones (baseline of 2015) – without Papua New Guinea
Forecasted trend if current trajectory is maintained – without Papua New Guinea
90% of the burden of malaria in the region.

2.4
• Increases of 55% or more in case incidence were also 2.3
2.2
observed in Solomon Islands, which accounts for a large 2.2
proportion of cases in the region, and in Vanuatu, for 2

which trends should be interpreted with caution in view of
the low number of cases. 1.7
1.0
Despite the overall regional trend, many countries achieved 1
excellent results. 0.7
0.5
0.4
• China was certified malaria-free by WHO in 2021 and has 0.3 0.3 1
0.2 0.2
maintained this status. 0.2
0.1
0.1 0.0
0
• Five countries in the region reported fewer than 10 000 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030
malaria cases in 2022: Lao People’s Democratic Republic
b)
(3713), the Philippines (8160), the Republic of Korea (382),
Vanuatu (2035) and Viet Nam (412). That same year, 0.6
Cambodia, the Philippines, the Republic of Korea, Vanuatu

0.5
and Viet Nam all reported zero malaria deaths. 0.4
0.4
• Malaysia has achieved zero human cases of malaria for 0.4
0.4
five consecutive years. However, over the past 6 years,

the country has reported an increase in the number 0.3
of zoonotic P. knowlesi malaria cases, with 2500 cases 0.2
reported in 2022. 0.2 0.1
Current estimates of regional mortality rate (WMR 2023) 0.1
GTS milestones (baseline of 2015) 0.0
0
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030
14
Graphs drawn from the World malaria report 2023. For more information
on sources, please see the report.
Regional data and trends briefing kit: World malaria report 2023
WHO/UCN/GMP/2023.08
© World Health Organization 2023. Some rights reserved. This work is
available under the CC BY-NC-SA 3.0 IGO licence.

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Eastern GMP Website

The WHO African Region continues to shoulder the heaviest c)

Malaria cases per 1000 population at risk

Between 2019 (pre-pandemic) and 2022, there was a 300

(1.1 million) and Mozambique (1 million).

Chad, the Congo, the Democratic Republic of the Congo,

incidence increased by 5% to 25% in Côte d’Ivoire, Guinea-

• Between 2019 and 2022, Rwanda saw a steep decline in

Malaria cases per 1000 population at risk

although 27 countries2 are off track to meet the GTS

10 malaria deaths. 50 ■ ■ GTS milestones (baseline of 2015)

Malaria deaths per 100 000 population at risk 90

GTS milestones (baseline of 2015)

contributed to about 2% of the burden of the malaria globally 25 5

Malaria deaths per 100 000 population at risk

Since 2000, the Region has achieved excellent progress in 10 8.4 2

17.6 to 3.0 (Fig. 3.5a);

• The increase in malaria case burden in Myanmar since

16 ■ ■ GTS milestones (baseline of 2015)

Malaria cases per 1000 population at risk

• Case incidence was reduced by 55% or more between 12

2015 and 2022 in seven of the nine endemic countries in 10

Republic of Korea, India, Nepal, Thailand and Timor-Leste. 8

• In 2022, Timor-Leste reported zero malaria cases for 6 5.0

the second consecutive year and Nepal reported zero 4

indigenous malaria deaths for the first time. 3.4

• Sri Lanka was certified malaria free by WHO in 2016 and b)

0.5 0.6 0.4

endemic countries accounted for 3% of global malaria cases.

Malaria deaths per 100 000 population at risk

Sudan carried the heaviest malaria burden in the Region, 20

with 41% of cases, followed by Pakistan, Somalia, Yemen, 15.2 2.9

10 11.5 2 1.7 2.4 2.5

its malaria burden followed by a surge in cases and deaths in 5 1

the period 2015 to 2022: 0 0

• total malaria cases fell from 6.9 million in 2000 to

Number of malaria cases (000)

In view of recent trends, the Eastern Mediterranean

Malaria cases per 1000 population at risk

and Yemen, compared to a 2015 baseline. Meanwhile, case 4

Djibouti, Pakistan and the Sudan, and by 25–55% in Yemen. 0

• In 2022, Saudi Arabia reported zero indigenous malaria 2.4

• In 2022, all countries in the Region reported zero malaria 0.4

Malaria cases per 1000 population at risk

Malaria deaths per 100 000 population at risk

and the Bolivarian Republic of Venezuela – accounted for an 12

• Cases rose from an estimated 35 500 in 2000 to over

Malaria cases per 1000 population at risk

incidence increased by 55% or more in 2022 compared 2 1.7

the estimated increase in case incidence was less than

• The Dominican Republic, French Guiana, Guatemala, 0.3

with Suriname reporting zero indigenous cases for the first

time. Over the same period, Honduras was estimated to

Malaria deaths per 100 000 population at risk

Malaria cases per 1000 population at risk

• case incidence (cases per 1000 population at risk) fell from 0 0

However, a sharp increase in cases and deaths was observed 1400

2021 and 2022, to 1.9 million. Malaria deaths fell by 56%

• These increases in cases and deaths were mainly due 120

Malaria cases per 1000 population at risk

proportion of cases in the region, and in Vanuatu, for 2