Table 2 The top 10 countries with the highest ASR of malaria.

From: Global burden of malaria before and after the COVID-19 pandemic based on the global burden of disease study 2021

Locations

ASR (per 100,000, 95% UI)

EAPC (95% CI)

2010

2019

2021

1990–2019

2019–2021

Incidence

 Liberia

24247.76 (18784.55–30027.25)

29757.84 (21085.25–38544.69)

27702.66 (14565.45–38887.49)

3.54 (2.27 to 4.82)

−3.51 (−4.14 to −2.89)

 Benin

27973.74 (21553.03–35841.92)

28325.13 (21494.69–35326.53)

27371.07 (18769.46–35280.94)

1.17 (0.12 to 2.23)

−1.7 (−5.42 to 2.17)

 Burkina Faso

38271.89 (31079.18–47225.74)

25327.52 (16427.13–33217.72)

26759.08 (17858.4–37140.73)

−5.34 (−6.16 to −4.51)

2.79 (−0.27 to 5.94)

 Solomon Islands

18586.93 (16957–20236.35)

20710.84 (18468.96–23238.89)

26543.37 (23807.76–29509.52)

3.84 (−4.00 to 12.33)

13.21 (3.18 to 24.21)

 Sierra Leone

33187.77 (24506.47–44344.35)

26735.74 (18788.55–36029.59)

25205.74 (14430.05–36137.61)

−2.41 (−2.68 to −2.14)

−2.9 (−3.75 to −2.05)

 Guinea

29532.45 (24500.27–37311.63)

24731.75 (17346.42–34082.63)

24017.74 (13371.39–33220.04)

−2.43 (−2.99 to −1.88)

−1.45 (−2.33 to −0.57)

 Central African Republic

28727.89 (20203.39–38006.12)

23879.54 (12452.44–37676.48)

23265.69 (13120–36698.67)

−2.22 (−2.46 to −1.98)

−1.29 (−2.97 to 0.41)

 Mozambique

25874.36 (22008.5–31032.55)

22182.14 (17161.89–28293.19)

23058.48 (16692.98–29781.02)

−1.75 (−2.06 to −1.45)

1.96 (0.32 to 3.62)

 Nigeria

26652.51 (21587.94–32743.74)

22417.30 (17326.33–27779.01)

22958.33 (16489.5–29576.99)

−1.69 (−2.83 to −0.53)

1.20 (−1.63 to 4.11)

 Democratic Republic of the Congo

26997.27 (22554.65–33258.60)

24194.96 (19208.33–30773.87)

22588.96 (17024.31–28769.42)

−0.98 (−2.44 to 0.51)

−3.38 (−6.11 to −0.56)

Deaths

 Burkina Faso

249.21 (135.47–381.96)

166.71 (78.07–294.30)

173.13 (75.38–318.49)

−5.25 (−6.36 to −4.14)

1.91 (−13.45 to 19.99)

 Sierra Leone

215.68 (113.59–362.71)

146.68 (57.16–272.86)

169.73 (53.58–334.2)

−3.7 (−4.57 to −2.82)

7.57 (−8.31 to 26.20)

 Niger

160.11 (71.85–274.85)

129.92 (44.35–253.33)

140.04 (44.76–273.23)

−3 (−3.74 to −2.25)

3.82 (3.26 to 4.39)

 Liberia

132.04 (62.37–221.63)

127.88 (54.88–229.00)

136.29 (43.99–281.05)

0.98 (−1.41 to 3.44)

3.23 (−15.09 to 25.50)

 Benin

137.57 (59.27–239.83)

121.62 (48.01–231.54)

131.39 (56.33–255.11)

−0.43 (−1.6 to 0.74)

3.94 (−0.09 to 8.13)

 Cote d’Ivoire

211.93 (113.32–331.24)

122.99 (57.24–228.26)

122.67 (47.8–243.31)

−7.25 (−10.21 to −4.2)

−0.13 (−5.32 to 5.35)

 Cameroon

124.07 (53.32–213.56)

103.18 (45.47–193.23)

116.42 (44.55–244.7)

−1.73 (−2.6 to −0.85)

6.22 (−10.95 to 26.7)

 Mozambique

123.05 (59.07–211.19)

90.5 (35.32–184.93)

115.01 (34.02–264.05)

−3.61 (−4.13 to −3.09)

12.73 (−9.65 to 40.65)

 Nigeria

142.31 (74.05–243.27)

110.25 (34.96–228.17)

112.16 (36.44–242.74)

−2.88 (−4.28 to −1.47)

0.87 (−5.17 to 7.29)

 Central African Republic

108.92 (51.12–206.92)

98.94 (33.55–221.39)

98.33 (33.48–233.93)

−0.57 (−1.09 to −0.05)

−0.31 (−0.99 to 0.39)

DALYs

 Sierra Leone

11947.46 (6686.57–19708.38)

7566.46 (3345.61–13358.59)

8940.31 (3029.75–17358.47)

−4.47 (−5.3 to −3.63)

8.70 (−9.08 to 29.95)

 Burkina Faso

13787.03 (7704.69–21259.73)

8671.02 (4326.03–14473.15)

8938.18 (4195.32–15779.33)

−5.91 (−6.93 to −4.87)

1.53 (−15.24 to 21.62)

 Niger

9172.06 (4548.98–15351.13)

6842.5 (2611.86–12643.74)

7344.92 (2624.86–13447.18)

−3.91 (−4.84 to −2.96)

3.61 (1.93 to 5.31)

 Benin

7855.34 (3732.6–13140.36)

6347.48 (2798.79–11118.81)

6891.46 (3261.99–12411.94)

−1.48 (−2.5 to −0.46)

4.20 (0.97 to 7.52)

 Liberia

7041.88 (3424.61–11442.27)

6514.74 (3009.18–11117.85)

6836.60 (2425.73–13296.02)

0.12 (−1.94 to 2.23)

2.44 (−15.65 to 24.41)

 Cote d’Ivoire

11320.08 (6440.72–17060.63)

6150.75 (3090.31–10665.30)

6120.71 (2558.2–11294.53)

−7.91 (−10.78 to −4.94)

−0.24 (−5.6 to 5.41)

 Nigeria

8099.33 (4579.05–13506.80)

5908.82 (2086.18–11975.53)

6016.99 (2146.43–12367.83)

−3.59 (−4.73 to −2.44)

0.91 (−5.11 to 7.32)

 Uganda

6013.96 (3451.95–9684.44)

2996.12 (1102.00–5597.64)

6008.63 (2044.84–11064.79)

−7.12 (−8.90 to −5.30)

41.61 (40.21 to 43.04)

 Burundi

4405.26 (1986.58–7379.90)

5063.94 (2443.72–8553.41)

5978.63 (2755.33–11435.02)

2.47 (0.66 to 4.31)

8.66 (−0.46 to 18.61)

 Cameroon

6734.98 (3047.75–11299.99)

5090.10 (2340.6–8930.83)

5668.07 (2298.15–11312.99)

−2.80 (−3.53 to −2.08)

5.52 (−11.94 to 26.46)

  1. DALYs disability-adjusted life years, ASR age-standardized rates, EAPC estimated annual percentage change, UI uncertain interval, CI confidence interval.