Malaria is a big problem in the Lake Zone, when standing water provides the perfect breeding ground for mosquitoes. Enoch and Dotto were hospitalised recently for 3 and 4 day periods. The treatment for severe infections is the old standby of quinine, administered as a drip. Both boys have made a full recovery but the picture nationally is alarming. Over 90% of the population is at risk, resulting in 11 million clinically diagnosed malaria cases a year, with 60 to 80,000 deaths. Most of the deaths are in pregnant women and the under fives. John discussed malaria infection with Sister Anastasia Salla of Bukumbi Hospital, who said that although most people sleep under mosquito nets there is inevitably exposure in the evening and morning. John and Christine take prophylactics but this is not possible for people permanently resident in Tanzania. Local people build up an immunity but despite this succumb regularly to malaria infections. Busega Scotland provides medical insurance for the children at Mayega Children’s Centre, and for the students in the Moving-on Project, to ensure prompt treatment. Life is hard in Tanzania and the risk of malaria is but one hazard of everyday life.