How Wealth Disparities Affect Malarial Rates around the World

What is Malaria?

According to the Center for Disease Control Malaria is a mosquito-borne infectious disease caused by parasites of the genus Plasmodium. It is transmitted to humans through the bite of infected female Anopheles mosquitoes. And according to the World Health Organization, malaria impacts over 200 million people every year, resulting in over half a million deaths a year world wide.

However, studies have increasingly shown that there is an undeniable correlation between wealth and the decreased likelihood of malarial infection. Take this chart from meta data from IHME, Global Burden of Disease (2024), Eurostat, OECD, and the World Bank (2025):

Share of the population with malaria Wealth Population
Country or region 2021 International-$ in 2021 prices People • 2021
Afghanistan 0.60% $2,144 40,000,360
Africa 1,413,750,475
Africa (UN) 1,413,753,005
African Region (WHO) 12.60%
Akrotiri and Dhekelia
Aland Islands
Albania 0.00% $16,354 2,849,591
Algeria 0.00% $14,497 44,761,051
American Samoa 0.00% 49,202
Americas (UN) 1,029,207,205
Americas (WHO) 0.10%
Andorra 0.00% $59,332 78,328
Angola 15.90% $7,408 34,532,382
Anguilla 14,458
Antigua and Barbuda 0.00% $25,733 92,316
Argentina 0.00% $26,300 45,312,226
Armenia 0.00% $15,922 2,870,293
Aruba $35,696 107,524
Asia 4,716,996,761
Asia (UN) 4,718,316,334
Australia 0.00% $57,322 25,956,358
Austria 0.00% $63,576 8,967,006
Austria-Hungary
Azerbaijan 0.00% $20,111 10,234,332
Bahamas 0.00% $29,340 396,326
Bahrain 0.00% $54,955 1,501,708
Bangladesh 0.10% $7,441 167,658,798
Barbados 0.00% $15,684 282,111
Belarus 0.00% $27,611 9,251,315
Belgium 0.00% $61,874 11,570,794
Belize 0.00% $11,677 395,312
Benin 26.40% $3,464 13,413,371
Bermuda 0.00% $92,276 64,622
Bhutan 0.10% $13,459 775,407
Bolivia 0.20% $9,454 11,937,318
Bonaire Sint Eustatius and Saba 27,302
Bosnia and Herzegovina 0.00% $18,544 3,244,869
Botswana 0.00% $17,961 2,401,410
Brazil 0.10% $18,076 209,550,238
British Indian Ocean Territory
British Virgin Islands 37,790
Brunei 0.00% $78,249 451,676
Bulgaria 0.00% $29,537 6,877,173
Burkina Faso 25.10% $2,486 21,995,205
Burundi 19.80% $837 12,965,439
Cambodia 0.40% $6,226 16,974,258
Cameroon 15.40% $4,794 26,915,707
Canada 0.00% $55,782 38,454,011
Cape Verde 0.10% $7,685 516,610
Cayman Islands $74,151 70,080
Central African Republic 22.80% $1,129 5,112,047
Chad 10.40% $1,700 17,828,225
Chile 0.00% $29,105 19,456,275
China 0.00% $20,407 1,426,437,224
Christmas Island
Cocos Islands
Colombia 0.30% $17,700 51,188,120
Comoros 0.50% $3,441 818,133
Congo 16.10% $6,263 5,892,137
Cook Islands 0.00% 15,158
Costa Rica 0.00% $24,140 5,059,939
Cote d'Ivoire 19.30% $6,045 29,639,680
Croatia 0.00% $36,914 3,924,558
Cuba 0.00% 11,122,126
Curacao $25,164 185,279
Cyprus 0.00% $49,930 1,317,269
Czechia 0.00% $49,996 10,530,619
Czechoslovakia
Democratic Republic of Congo 23.70% $1,314 99,148,879
Democratic Republic of Vietnam
Denmark 0.00% $70,342 5,856,724
Djibouti 3.40% $5,948 1,121,203
Dominica 0.00% $15,594 67,176
Dominican Republic 0.00% $21,912 11,123,434
Duchy of Modena and Reggio
Duchy of Parma and Piacenza
East Asia and Pacific (WB) 0.10% $21,175
East Germany
East Timor 0.00% $6,825 1,350,102
Eastern Mediterranean (WHO) 0.60%
Ecuador 0.10% $13,540 17,682,398
Egypt 0.00% $15,579 110,956,950
El Salvador 0.00% $10,810 6,255,737
Equatorial Guinea 16.20% $16,821 1,758,752
Eritrea 0.40% 3,350,142
Estonia 0.00% $45,064 1,331,699
Eswatini 0.00% $9,846 1,206,548
Ethiopia 1.20% $2,588 122,138,537
Ethiopia (former)
Europe 749,946,673
Europe (UN) 748,613,448
Europe and Central Asia (WB) 0.00% $42,726
European Region (WHO) 0.00%
European Union (27) $52,529 447,704,571
Faeroe Islands $67,758
Falkland Islands 3,488
Faroe Islands 53,286
Federal Republic of Central America
Fiji 0.00% $10,685 916,669
Finland 0.00% $57,351 5,541,019
France 0.00% $53,901 66,083,491
French Guiana 292,970
French Polynesia 279,769
Gabon 17.20% $18,524 2,376,684
Gambia 2.00% $2,778 2,575,965
Georgia 0.00% $18,916 3,788,400
Germany 0.00% $62,950 83,697,031
Ghana 9.30% $6,608 32,518,607
Gibraltar 36,824
Grand Duchy of Baden
Grand Duchy of Tuscany
Great Colombia
Greece 0.00% $33,578 10,579,511
Greenland 0.00% $68,086 56,026
Grenada 0.00% $15,298 116,645
Guadeloupe 399,107
Guam 0.00% 163,693
Guatemala 0.00% $11,828 17,598,598
Guernsey 63,398
Guinea 22.20% $3,739 13,710,470
Guinea-Bissau 4.80% $2,451 2,058,795
Guyana 3.40% $22,866 815,445
Haiti 0.30% $3,135 11,374,546
High-income countries 0.00% $55,582 1,404,869,041
Honduras 0.10% $6,203 10,289,829
Hong Kong $65,885 7,484,547
Hungary 0.00% $38,648 9,707,794
Iceland 0.00% $62,032 372,597
India 0.30% $8,050 1,414,203,840
Indonesia 0.40% $12,757 276,758,010
Iran 0.00% $14,952 88,455,443
Iraq 0.00% $12,732 43,071,162
Ireland 0.00% $118,103 5,028,387
Isle of Man 84,072
Israel 0.00% $46,238 8,942,868
Italy 0.00% $50,465 59,729,300
Jamaica 0.00% $9,577 2,837,634
Japan 0.00% $44,549 125,679,288
Jersey 103,293
Jordan 0.00% $9,182 11,066,310
Kazakhstan 0.00% $32,946 19,743,565
Kenya 3.00% $5,339 53,219,122
Kingdom of Bavaria
Kingdom of Sardinia
Kingdom of Saxony
Kingdom of Wurttemberg
Kingdom of the Two Sicilies
Kiribati 0.00% $3,049 128,346
Korea (former)
Kosovo $12,362 1,741,407
Kuwait 0.00% $50,689 4,360,703
Kyrgyzstan 0.00% $5,736 6,820,433
Laos 0.40% $8,080 7,453,143
Latin America and Caribbean (WB) 0.20% $18,734
Latin America and the Caribbean (UN) 650,465,241
Latvia 0.00% $35,605 1,885,546
Lebanon 0.00% $11,600 5,718,083
Lesotho 0.00% $2,545 2,261,496
Liberia 29.20% $1,539 5,259,278
Libya 0.00% $12,642 7,135,138
Liechtenstein 39,018
Lithuania 0.00% $46,576 2,794,443
Low-income countries 10.90% $2,313 698,214,004
Lower-middle-income countries 2.50% $7,650 3,007,016,978
Luxembourg 0.00% $137,947 640,233
Macao $74,178 694,363
Madagascar 4.70% $1,599 29,691,033
Malawi 13.20% $1,688 20,047,218
Malaysia 0.00% $29,823 34,282,367
Maldives 0.00% $19,053 516,123
Mali 16.00% $2,348 22,388,587
Malta 0.00% $58,199 524,335
Marshall Islands 0.00% $6,706 41,346
Martinique 353,243
Mauritania 0.80% $5,837 4,734,824
Mauritius 0.00% $22,738 1,279,587
Mayotte 294,385
Mexico 0.00% $21,032 127,648,107
Micronesia (country) 0.00% $3,922 111,589
Middle East and North Africa (WB) 0.20% $18,013
Moldova 0.00% $15,682 3,023,731
Monaco 0.00% 38,502
Mongolia 0.00% $14,792 3,339,627
Montenegro 0.00% $24,510 603,805
Montserrat 4,472
Morocco 0.00% $8,623 36,954,394
Mozambique 21.00% $1,457 31,707,757
Myanmar 0.70% $5,178 53,387,059
Namibia 0.20% $9,709 2,810,509
Nauru 0.00% $12,197 11,687
Nepal 0.10% $4,546 29,474,963
Netherlands 0.00% $69,323 17,730,519
Netherlands Antilles
New Caledonia 285,177
New Zealand 0.00% $48,194 5,107,644
Nicaragua 0.60% $7,087 6,644,688
Niger 17.80% $1,586 24,502,100
Nigeria 19.90% $5,492 218,529,237
Niue 0.00% 1,799
Norfolk Island
North America 600,874,414
North America (WB) 0.00% $69,718
North Korea 0.10% 26,232,476
North Macedonia 0.00% $22,371 1,851,059
Northern America (UN) 378,741,920
Northern Mariana Islands 0.00% 46,959
Norway 0.00% $89,209 5,408,030
Oceania 44,557,503
Oceania (UN) 44,558,158
Oman 0.00% $38,719 4,500,378
Orange Free State
Pakistan 0.60% $5,367 239,477,758
Pakistan (former)
Palau 0.00% $15,663 17,777
Palestine 0.00% $5,663 5,185,289
Panama 0.30% $30,933 4,345,360
Papua New Guinea 6.70% $3,977 10,012,849
Paraguay 0.00% $15,406 6,684,130
Peru 0.30% $15,282 33,155,845
Philippines 0.00% $8,858 113,100,906
Pitcairn
Poland 0.00% $41,775 38,040,252
Portugal 0.00% $38,862 10,390,906
Puerto Rico 0.00% $40,560 3,253,158
Qatar 0.00% $116,833 2,814,939
Republic of Vietnam
Reunion 868,026
Romania 0.00% $38,071 19,248,115
Russia 0.00% $38,938 145,836,117
Rwanda 1.70% $2,731 13,355,214
Saint Barthelemy 10,749
Saint Helena 5,378
Saint Kitts and Nevis 0.00% $26,897 46,738
Saint Lucia 0.00% $19,101 178,489
Saint Martin (French part) 29,934
Saint Pierre and Miquelon 5,757
Saint Vincent and the Grenadines 0.00% $15,901 102,797
Samoa 0.00% $6,214 213,745
San Marino 0.00% $64,745 34,546
Sao Tome and Principe 0.70% $5,733 221,926
Saudi Arabia 0.00% $55,768 31,328,320
Senegal 1.80% $4,174 17,220,821
Serbia 0.00% $23,669 6,835,386
Serbia and Montenegro
Seychelles 0.00% $29,980 122,951
Sierra Leone 24.60% $2,849 8,094,551
Singapore 0.00% $131,864 5,546,240
Sint Maarten (Dutch part) $40,507 41,546
Slovakia 0.00% $38,437 5,442,712
Slovenia 0.00% $46,274 2,113,450
Solomon Islands 7.80% $2,518 762,546
Somalia 2.90% $1,392 17,271,386
South Africa 0.00% $13,711 61,502,553
South America 428,330,745
South Asia (WB) 0.30% $7,561
South Georgia and the South Sandwich Islands
South Korea 0.00% $48,571 51,848,358
South Sudan 18.70% 10,865,735
South-East Asia (WHO) 0.30%
Spain 0.00% $44,091 47,735,610
Sri Lanka 0.00% $14,316 22,700,326
Sub-Saharan Africa (WB) 12.70% $4,243
Sudan 4.10% $3,249 48,066,876
Sudan (former)
Suriname 0.20% $18,458 617,863
Svalbard and Jan Mayen 2,400
Sweden 0.00% $63,125 10,416,075
Switzerland 0.00% $81,603 8,706,973
Syria 0.00% $4,593 21,628,791
Taiwan 0.00% 23,558,281
Tajikistan 0.00% $3,986 9,966,868
Tanzania 6.30% $3,493 62,830,365
Thailand 0.10% $20,245 71,727,293
Togo 15.10% $2,577 8,878,342
Tokelau 0.00% 2,193
Tonga 0.00% $7,035 105,450
Trinidad and Tobago 0.00% $30,826 1,487,659
Tunisia 0.00% $12,375 12,048,573
Turkey 0.00% $31,638 86,686,206
Turkmenistan 0.00% $16,434 7,091,984
Turks and Caicos Islands $21,192 45,213
Tuvalu 0.00% $5,353 10,167
USSR
Uganda 17.10% $2,685 45,910,886
Ukraine 0.00% $17,846 44,298,591
United Arab Emirates 0.00% $67,401 9,789,001
United Kingdom 0.00% $52,872 67,668,749
United States 0.00% $71,318 340,161,392
United States Virgin Islands 0.00% $46,894 87,184
Upper-middle-income countries 0.10% $19,260 2,841,889,991
Uruguay 0.00% $29,441 3,396,643
Uzbekistan 0.00% $9,248 34,243,658
Vanuatu 0.50% $3,136 305,836
Vatican 515
Venezuela 1.10% 28,237,786
Vietnam 0.00% $12,049 98,935,054
Wallis and Futuna 11,544
West Germany
Western Pacific (WHO) 0.10%
Western Sahara 558,577
World 2.30% $19,703 7,954,448,327
Yemen 2.20% 37,140,180
Yemen Arab Republic
Yemen People's Republic
Yugoslavia
Zambia 10.30% $3,503 19,603,556
Zimbabwe 1.10% $3,185 15,797,165
Wealth
GDP per capita in constant international-$ in 2021 according to the World Bank
Share of Population with Malaria
The percentage of the population in its respective region that is affected with malaria
Malaria prevalence is the share of the population with malaria at any given time. This rate is age-standardized assuming a constant population structure over time and between countries. GDP per capita is adjusted for inflation and for differences in living costs between countries. [Source]

Analysis

Some people may argue that more densely populated countries or countries with higher populations tend to have higher chances of getting malaria. However, even through a quick glance, you would be able to see that as the number of digits in the wealth category decreases, the share of the population with malaria significanlty increases, indicating a strong inverse correlation between wealth and the risk of being infected by malaria. And there seems to be little evidence to support the idea that population statistics are significant markers of malarial infection.

To further confirm this observation, I've compressed the table to the share of the population with malaria that correlates with the minimum, quartiles, median, and maximum quantaties of the population and wealth categories. This way, we would have less information to overwhelm us and we can more concisely see if there is a trend happening with key statistical markers.

Country's GDP vs Malaria Rate

stat country malaria_pct gdp_pc
min Burundi 19.80% $837.00
Q1 (lower quartile) Cote d'Ivoire 19.30% $6,045.00
Median (lower) Saint Vincent and the Grenadines 0.00% $15,901.00
Q3 (upper quartile) Oman 0.00% $38,719.00
max Luxembourg 0.00% $137,947.00

When looking at the table that shows how malaria share correlates with gross domestic product, we can see that at each quarter, malaria percentage goes down signficantly until it reaches the median, from which it stays at 0%.

A side-by-side comparison of countries at different quartiles of population compare to their malaria prevalance.

When analysing how malaria correlates with population numbers, however, the trend appears inconclusive. The malarial rates peaks randomy and appears to look like a normal model. But this could be a sampling fluke..

Country's Population vs Malaria Rate

stat country malaria_pct population
min Tuvalu 0.00% 10,167
Q1 (lower quartile) Belize 0.00% 395,312
Median (lower) Liberia 29.20% 5,259,278
Q3 (upper quartile) Malawi 13.20% 20,047,218
max China 0.00% 1,426,437,224
A side-by-side comparison of countries at different quartiles of population compare to their malaria prevalance.

The following image further demonstrates how strong the correlation between wealth and malarial prevalence. There is a distinct linear line that can be drawn to best represent the trend line between these two factors.

What Does this Mean?

With malaria outbreaks strongly tied to the financial well-being of a country suggests that their financial resources may be able to provide means to minimize malarian infections. This could come in the form of hospice care, proper sanitation, vaccines, and eating a good diet, which can all be supplied with substantial finances. There are some countries like Guatemala that serve as outliers. Guatemala was able to keep their malaria infection rates exceptionally low even if their GDP was considered very average. Delving into some research, it turns out that Guatemala has a designated stratefy to target malaria, according to investigators.