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Zinc supplementation has no effect on falciparum malaria in children in
rural West Africa. However, it is effective in reducing morbidity from
diarrhoea and may help to reduce mortality from all causes. Müller and
colleagues (p 1567) conducted a double blind, placebo controlled
efficacy trial in 85 children in 18 villages in rural north western
Burkina Faso. The intervention group received 12.5 mg of zinc sulphate
daily for six days a week for six months but there was no
difference in the incidence of falciparum malaria, mean
temperature, or mean parasitic densities. However, the intervention
group had less diarrhoeal episodes (0.87) and all cause mortality was
non-significantly reduced.