Colonial states in Africa began implementing measures to stop malaria in the late
nineteenth century. Malaria had spread widely during the process of colonial conquest
and occupation in these countries, accelerated by the extension of the colonial economy,
the introduction of transport infrastructures, and urbanization. Colonial states initiated
measures to curb malaria mainly in order to safeguard the welfare of the European
colonial populations, but fear of the effect the disease could have on the available pool of
African labour was another strong motivation for white administrators, settlers and
medical officers to combat its spread. This paper examines the colonial government’s
responses to malaria in urban Zanzibar between 1913 and 1945. In Zanzibar, like in many
British colonies in Africa, the malaria control programmes focused more on sanitary and
environmental engineering due to the lack of persistent insecticide until after 1945 with
the adoption of DDT. The colonial government in Zanzibar initiated preventive measures
which focused on the distribution of medicines and the elimination and killing of malaria
mosquitoes. The urban planning programmes and sanitation measures were
simultaneously introduced in that period. My main emphasis here is the role played by
the Colonial Office (CO) in London in these campaigns.