Funding for the global battle against malaria - which kills a child every 2 minutes - is broadly flat, the WHO warned, and because of ongoing transmission via mosquitoes, half the world’s population is still at risk of contracting the disease.
It called on donor nations and governments in countries affected by the disease to step up the fight.
“The world has shown that progress can be made,” the WHO’s malaria expert, Pedro Alonso, told reporters. He cited significant reductions in malaria cases and deaths since 2010, when case numbers fell from 239 million to 214 million in 2015, and deaths fell from 607,000 to around 500,000 in 2013.
“But progress has slowed down,” he said. “And we have stabilized at ... an unacceptably high level.”
Cases in 2018 were down slightly - to 228 million from around 231 million in 2017 - and deaths were down to 405,000 from 416,000 in 2017.
The WHO’s report found that pregnant women and children in Africa continue to bear the brunt of the malaria epidemic.
An estimated 11 million pregnant women in sub-Saharan Africa – 29% of all pregnancies – were infected with malaria in 2018, leading to nearly 900,000 children being born with a low birthweight, putting their health further at risk.
More than a third of young children in sub-Saharan Africa in 2018 also were still not sleeping under a mosquito net, which could protect them from malaria infection, the report found.
The RBM Partnership to End Malaria advocacy group said the WHO report showed that global political commitment and investment have been critical to sustaining progress made to date, and urged governments not to lose focus.
“In most parts of the world, a child who gets malaria today has a better chance of survival than at any other point in history. Yet, despite the availability of effective life-saving malaria interventions, too many vulnerable pregnant women and children still face the greatest risk of dying from a mosquito bite,” the group’s chair, Maha Taysir Barakat, said in a statement.