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This chapter describes the determinants and distribution of P. falciparum infection risk in Sub-Saharan Africa and uses populations at risk to estimate mortality from malaria. It also considers the evidence for consequential and indirect mortality and describes P. falciparum as a risk factor for rather than a cause of pediatric mortality. The chapter concludes with a description of the relationship between poverty and malaria and recent trends in malaria mortality in Sub-Saharan Africa to provide some context for current international efforts to halve the malaria burden by the year 2010 (Nabarro and Taylor 1998).



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