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Table 4 Malaria-related indices before interventions (2002–2003) compared to 2015; both districts combined

From: From high to low malaria transmission in Zanzibar—challenges and opportunities to achieve elimination

 

2002/3

2015

Reduction % (X-fold)

Fever patients in health care facilities

 Parasite prevalence by microscopy/RDT

38.2% (95% CI 37.5–39.0)

2.2%, (95% CI 2.0–2.3)

94.2% (17)

Community-based cross-sectional surveys

 Parasite prevalence by microscopy/RDT

10.3% (95% CI 9.3–11.4)

0.43% (95% 0.23–0.73)

95.8% (24)

 Parasite prevalence by PCR

24.8% (95% CI 23.4–26.3)

1.8% (95% CI 1.3–2.3)

92.7% (14)

Parasite densities

 Among microscopy positive or ≥ 50 par/μl—geometrical mean par/μl

1135 (Range 115–149,000)

161(Range 53–770)

85.8% (7)

 Among all—arithmetical mean par/μl

450*

0.34

99.9% (1324)

 Seroconversion rate per year

11% (95% CI 8–13)

0.8% (95% CI 0.6–1.1)

92.1% (14)

 Crude under 5 child mortality per year**

1.01% (95% CI 0.84–1.19)

0.36% (95% CI 0.28–0.48)

64.4% (2.8)

 Human biting rate per person night***

12.44*

0.27

97.8% (46)

 Entomological inoculation rate (infective bites/year)***

136*

0.05

> 99.9% (2720)

  1. *In 2005 before intensified vector control
  2. **North A only
  3. ***Mean of indoors and outdoors