Table 1.

Malaria mortality trend and environmental factors in Rufiji and Ifakara HDSS

Year	Rufiji HDSS
	Under-five			All age			Environmental factors
	Person-years (py)	Malaria deaths	U5MMR/1000	Person-years (py)	Malaria deaths	AMMR/1000	Annual mean rainfall	Annual mean temperature	Annual mean NDVI
1999	10,637.4	119	11. 2	65,171.04	229	3.5	1032.2	312.1	0.58
2000	13,211.3	132	10	79,039.43	268	3.4	1020.8	314.3	0.55
2001	13,846.9	97	7	82,200.12	229	2.8	806.5	316.9	0.55
2002	14,472.9	120	8. 3	84,396.51	282	3.3	1210.0	319. 0	0.54
2003	14,997. 9	55	3. 7	85,425.96	167	2	664. 8	328. 4	0.46
2004	14,812.8	102	6.9	85,600.83	218	2.5	1171.1	321.1	0.43
2005	14,603.8	85	5.8	86,047.84	173	2	547.6	318.7	0.60
2006	14,950.7	74	4.9	86,943.32	220	2.5	935.3	315.4	0.61
2007	14,839.9	58	3.9	87,561.88	183	2.1	732.5	319.4	0.54
2008	14,264.6	78	5.5	86,687.00	151	1.7	898.5	315.4	0.51
2009	13,631.7	98	7.2	85,229.04	185	2.2	730.5	321.9	0.47
2010	13,065.5	72	5.5	81,454.82	205	2.5	601.7	323.1	0.54
2011	12,947.8	69	5.3	85,374.06	189	2.2	652.6	324.8	0.54
Ifakara HDSS
2002	12,095.8	53	4.4	71,744.7	74	1.0	2033.7	244.9	0.49
2003	12,309.4	50	4.1	72,269.4	92	1.3	1194.4	256.0	0.47
2004	12,773.2	47	3.7	765,422.0	97	1.3	1826.9	253.3	0.47
2005	13,027.4	66	5.1	78,772.8	104	1.3	1378.1	258.1	0.58
2006	13,953.0	88	6.3	84,497.7	136	1.6	1862.7	253.9	0.49
2007	14,938.3	89	6.0	88,827.5	166	1.9	1580.1	256.2	0.56
2008	16,219.5	107	6.6	95,463.7	221	2.3	1721.5	251.7	0.55
2009	16,912.0	117	6.9	101,121.7	200	2.0	1519.5	258.7	0.52
2010	19,119.8	104	5.4	114,664.3	184	1.6	1565.7	245.4	0.59
2011	19,777.0	91	4.6	120,382.7	173	1.4	1842.8	256.6	0.58
2012	19,814.1	80	4.0	123,806.0	149	1.2	1217.0	253.6	0.50

U5MMR malaria mortality rate for under-five; AMMR malaria mortality rate for all age