Mazingira and the malady of malaria: Perceptions of malaria as an environmental disease in contemporary Zanzibar.

This paper addresses how contemporary Zanzibaris perceive the relationship between the mazingira (roughly translated as "environment") and the malady of malaria. More broadly, this article presents data exploring Zanzibari conceptions of the mazingira, the relationship between the mazingira and malaria, and who Zanzibaris believe are responsible for acting on, or for, the mazingira in regards to malaria. We use the biomedical disease malaria-and the local syncretic understanding of it, which we recognize by referring to it as the "malady of malaria"-as a lens to investigate Zanzibari conceptions of the mazingira. We highlight the need to integrate local forms of knowledge, which we refer to as vernacular knowledge. 50 interviews show that Zanzibaris believe the mazingira can be modified in positive ways to cleaner, safer spaces that will also reduce malaria levels. People expressed widespread agreement that there is a clear relationship between the mazingira and the malady of malaria, though they differed in what exactly the relationship was.

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Declaration of competing interest None to declare.