The Blue Nile rises in Lake Tana in the Ethiopian highlands, the White Nile in Lake Victoria in Uganda (into which flow rivers from Rwanda and Tanzania).

Although the kilt is typically regarded as being Highland dress, more kilts are now worn in the Lowland cities than in the Highlands.

Climate change has raised average temperatures in the Central Highlands region of Kenya, allowing the disease to creep into higher altitude areas where the population has little or no immunity.