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The Economic Burden of Malaria

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Author Info
John Luke Gallup
Jeffrey D. Sachs
Abstract

Malaria and poverty are intimately connected. Controlling for factors such as tropical location, colonial history, and geographical isolation, countries with intensive malaria had income levels in 1995 only 33% of countries without malaria, whether or not the countries were in Africa.

The high levels of malaria in poor countries are not mainly a consequence of poverty. Malaria is very geographically specific. The ecological conditions that support the more efficient malaria mosquito vectors primarily determine the distribution and intensity of the disease. Intensive efforts to eliminate malaria in the most severely affected countries in the tropics have been largely ineffective. Countries that have eliminated malaria in the past half century have all been either subtropical or islands. These countries’ economic growth in the five years after eliminating malaria has usually been substantially higher than growth in the neighboring countries.

Regressions using cross-country data for the 1965-90 period confirm the relationship between malaria and economic growth. Taking into account initial poverty, economic policy, tropical location, and life expectancy among other factors, countries with intensive malaria grew 1.3% less per person per year, and a 10% reduction in malaria was associated with 0.3% higher growth. Controlling for many other tropical diseases does not change the correlation of malaria with economic growth, and these diseases are not themselves significantly negatively correlated with economic growth. A second independent measure of malaria has a slightly higher correlation with economic growth in the 1980-1996 period.

The paper concludes with speculation about the mechanisms that could cause malaria to have such a large impact on the economy, such as foreign investment and economic networks within the country.

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Paper provided by Center for International Development at Harvard University in its series CID Working Papers with number 52.

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Date of creation: Jul 2000
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Handle: RePEc:wop:cidhav:52

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Related research
Keywords: malaria; economic cost of disease; economic growth; burden of disease; tropical disease;

Find related papers by JEL classification:
I12 - Health, Education, and Welfare - - Health - - - Health Production
O11 - Economic Development, Technological Change, and Growth - - Economic Development - - - Macroeconomic Analyses of Economic Development
O40 - Economic Development, Technological Change, and Growth - - Economic Growth and Aggregate Productivity - - - General

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    Other versions:
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    Other versions:
  3. Hausman, Jerry A, 1978. "Specification Tests in Econometrics," Econometrica, Econometric Society, vol. 46(6), pages 1251-71, November. [Downloadable!] (restricted)
  4. Cropper, Mauren L. & Haile, Mitiku & Lampieti, Julian A. & Poulos, Christine & Whittington, Dale, 2000. "The value of preventing malaria in Tembien, Ethiopia," Policy Research Working Paper Series 2273, The World Bank. [Downloadable!]
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  1. Stan du Plessis & Ronelle Burger, 2006. "Examining the Robustness of Competing Explanations of Slow Growth in African Countries," Working Papers 03/2006, Stellenbosch University, Department of Economics. [Downloadable!]
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  2. Naudé, Wim & Saayman, Andrea, 2005. "Determinants of tourist arrivals in Africa: a panel data regression analysis," MPRA Paper 16479, University Library of Munich, Germany. [Downloadable!]
  3. Filmer, Deon, 2002. "Fever and its treatment among the more and less poor in Sub-Saharan Africa," Policy Research Working Paper Series 2798, The World Bank. [Downloadable!]
  4. Ana Fernandes & Krishna B. Kumar, 2003. "Inappropriate Technology," Development and Comp Systems 0304003, EconWPA. [Downloadable!]
  5. Andres Rosas & Juan Mendoza, 2004. "The economic effects of geography Colombia as a case study," DOCUMENTOS DE ECONOMÍA 003584, UNIVERSIDAD JAVERIANA - BOGOTÁ. [Downloadable!]
  6. Serkan Arslanalp & Peter Blair Henry, 2004. "Helping the Poor to Help Themselves: Debt Relief or Aid," NBER Working Papers 10230, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  7. Oded Galor & David Mayer-Foulkes, 2004. "Food for Thought: Basic Needs and Persistent Educational Inequality," GE, Growth, Math methods 0410002, EconWPA. [Downloadable!]
  8. Arslanalp, Serkan & Henry, Peter B., 2003. "The World's Poorest Countries: Debt Relief or Aid?," Research Papers 1809, Stanford University, Graduate School of Business. [Downloadable!]
  9. Rafael Dobado González, 2004. "Geografía y desigualdad económica y demográfica de las provincias españolas, siglos XIX y XX," Documentos de trabajo de la Facultad de Ciencias Económicas y Empresariales 04-20, Universidad Complutense de Madrid, Facultad de Ciencias Económicas y Empresariales. [Downloadable!]
  10. Chris Papageorgiou & Shankha Chakraborty & Fidel Perez-Sebastian, . "Diseases and Development," Departmental Working Papers 2005-12, Department of Economics, Louisiana State University. [Downloadable!]
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  11. W. A. Naudé, 2004. "The effects of policy, institutions and geography on economic growth in Africa: an econometric study based on cross-section and panel data," Journal of International Development, John Wiley & Sons, Ltd., vol. 16(6), pages 821-849. [Downloadable!]
  12. Chris Papageorgiou & Petia Stoytcheva, . "What Do We Know About the Impact of AIDS on Cross-Country Income So Far?," Departmental Working Papers 2005-01, Department of Economics, Louisiana State University. [Downloadable!]
  13. Henry Overman & Stephen Redding & Anthony J. Venables, 2001. "The Economic Geography of Trade, Production, and Income: A Survey of Empirics," CEP Discussion Papers dp0508, Centre for Economic Performance, LSE. [Downloadable!]
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  14. You, Jong-Sung & Khagram, Sanjeev, 2004. "Inequality and Corruption," Working Paper Series rwp04-001, Harvard University, John F. Kennedy School of Government. [Downloadable!]
  15. Eric Neumayer & Matthew A. Cole, 2003. "The Impact of Poor Health on Total Factor Productivity," HEW 0312001, EconWPA, revised 02 Nov 2004. [Downloadable!]
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