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Background information Malaria in the Western Kenya Highland is characterized by unstable and high transmission variability which results into epidemics during periods of suitable climatic conditions. The sensitivity of a site to malaria epidemics depends on the level of immunity of human population. This study examined how terrain in the highlands affects the exposure and sensitivity of a site to malaria.

Assessing the impact of topography on malaria exposure and malaria epidemic sensitivity in the Western Kenya highlands