Health Security — multi-disease. Live from the CAR health warehouse. Every IDSR notifiable disease gets the same lens: a seasonal calendar, detection against its own baseline, and a real case-fatality read — malaria (monthly confirmed) and the six weekly diseases side by side.
Malaria (monthly confirmed) peaks around Jun. Latest Dec 2025: 238.8K confirmed cases. Case-fatality 0.05% (6.3K deaths / 12345.3K cases historically). 11/35 districts elevated; 3 months above P95 this year.
01
Detection — Malaria
National confirmed cases vs its own seasonal P75 / P95 (month)
0135.2K270.3K405.5K540.7KJanMarMayJulSepNovDecconfirmed cases / month
confirmed casesP75 seasonalP95 thresholdabove P95Dec 2025 · hover for values
02
Malaria seasonal calendar
When it peaks — national intensity + each district's peak month (Jun)
National seasonal intensity — folded to month-of-year
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Darker = higher share of the annual peak · peak Jun
Per-district peak month
each district placed in the month it typically crests — the wave moving across CAR (colour intensity = seasonal amplitude)
Jan
Haut-Mbomou
1
Feb
0
Mar
Kemo
1
Apr
0
May
Gamboula
Mobaye-Zangba
Bambari
Nana-Gribizi
Berberati
5
Jun
Batangafo-Kabo
Bangui Ii
Alindao-Mingala
Bocaranga-Koui
Ouango-Gambo
Carnot-Gadzi
6
Jul
Baboua-Abba
Bamingui-Bangoran
Nanga-Boguila
Sangha-Mbaere
Paoua
5
Aug
Vakaga
Bangui I
Begoua
3
Sep
Kembe-Satema
Haute-Kotto
Bossembele
Bouca
Bangui Iii
Bossangoa
Kouango-Grimari
Bimbo
8
Oct
Mbaiki
Bouar -Baoro
Boda
3
Nov
Bangassou
Ngaoundaye
Bozoum-Bossemptele
3
Dec
0
03
Case-fatality & elevated districts
Malaria's real lethality and where it's flaring now
Burden signature
0.05%
case-fatality ratio (deaths ÷ cases, full history)
12345.3K
total confirmed cases recorded (2021→present)
11/35
districts elevated in the latest reported period
6.3K
total deaths recorded
Top districts — latest reported month
Dec 2025 · confirmed cases (flagged = above seasonal P95)
Bangui Iioutbreak22.2K cases
Bangui Ioutbreak14.8K cases
Bimbooutbreak12.2K cases
Kemooutbreak10.8K cases
Bangassououtbreak7.5K cases
Baboua-Abbaoutbreak6.9K cases
04
Malaria programme intelligence
Testing, severity & commodity signals — these indicators exist only in CAR's malaria programme feed (surfaced honestly, not a privilege)
Age & sex of cases
Age
Under 5 64%5 and older 25%
Sex
Female 11%Male 0%
Severity funnel
Confirmed238.8K
Severe31.7K · 13.3%
Inpatient0
Deaths118 · 0.049%
1101001K10K
cases · log scale (spans deaths → confirmed)
Testing blind-spots
positivity vs how much of fever is actually tested. Top-left = high transmission, under-testing → hidden malaria.
0%44%88%131%175%0%25%50%75%100%BLIND SPOT% of fever tested →test-positivity %
1 districts flagged: Vakaga
Test-positivity trend
national malaria-among-fever — transmission intensity over time.
0%115%230%Jan 22Aug 22Mar 23Oct 23May 24Dec 24Jul 25Dec 25positivity %
RDT stock-out during surge
districts with high cases AND days without RDTs — supply can't meet demand.
Bambari161d12.7K cases
Haute-Kotto112d5.5K cases
Paoua84d10.4K cases
Bouar -Baoro74d8.8K cases
Kembe-Satema62d6.7K cases
Mobaye-Zangba62d4.0K cases
Bangui I61d14.8K cases
Community (CHW) detection feed not yet wired for CAR — shown honestly rather than fabricated.