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This chapter highlights the ways in which urban malaria in India continued to be a source of great concern to the government, health planners, and related officials all the way into the early 1990s. It updates the scenarios described and analyzed in the previous chapter up to the year 1997, the latest year of the twentieth century for which urban malaria data were available to the authors. The previous chapter was founded upon a matrix of malaria and health planning history in India up to the year 1995; the present chapter updates the same but also uses the relationship between urban ecology and malaria occurrence as its foundation. It proposes cycles of malaria resistance and regional occurrence as explanatory mechanisms of spatio-temporal patterns of malaria occurrence.