Geographical distribution and dramatic increases in incidences of malaria: consequences of the resettlement scheme in Gambela, SW Ethiopia.

The spatial distribution of malaria results from the interaction between vector, parasite, host, physical and human environments. This basic geographical approach provides an illustration of the geographical distribution of malaria in the world, particularly in the tropical regions. Due to the global climate change and population movements, it is predicted that malaria could have a greater impact on the non-immune or unprepared populations in the Northern Hemisphere in the coming decades. Presently, Sub-Saharan Africa (SSA) is the most adversely affected region in the world. Like any other SSA country, Ethiopia suffers from both epidemic (unstable) and endemic (stable) malaria in the high and lowland regions, respectively. Gambela is one of the areas with stable malaria in the humid tropical region of the country. This study is based on observations, unpublished data, interviews and discussions with settlers and officials in Gambela. It is found that a degree of diverse malaria prevalence is associated with altitudinal, temperature and rainfall variations. Owing to the settlement and land-use changes, unexpected rainfall patterns, temperature increase, unstable political system and poverty, malaria has gone beyond its geographical limits. As a result, the number of malaria affected people has increased in the last 12 years. It is suggested that proper physical and social planning, understanding the geography, entomology, epidemiology, behaviour and life-cycle of malaria parasite, cooperation between the policy-makers, malaria specialists, neighbouring countries and international communities are urgent, if malaria has to be controlled and eradicated.