Conflicts, civil unrest, emergence of drug-resistant strains of parasites and insecticide-resistant vectors, mass population movements worsened by the refugee situation, and disintegration of health services, is exacerbating the malaria situation in sub-Saharan Africa. A one week workshop held in Nairobi between July 30 and August 4, bringing together regional heads of malaria control in sub-Saharan Africa, concluded that malaria is still "an unfinished agenda in sub-Saharan African countries, and needs more attention than it has so far received".