Unexpectedly high levels of HIV infection are being found in adults seeking treatment for malaria in Uganda.
More than 30% of adults presenting at district health centres with uncomplicated falciparum malaria were co-infected with HIV. Clinical treatment for malaria was three times more likely in adults with HIV. The findings are in line with a growing body of evidence from elsewhere in sub-Saharan Africa that malaria tends to occur with increased frequency and severity in HIV-infected adults. This underlines the need for new strategies of HIV testing and counselling for adults with uncomplicated falciparum malaria.