Export agriculture is feeding malaria: a cross-national examination of the environmental and social causes of malaria prevalence

Malaria rates remain high across many less-developed regions, including Southeast Asia, Sub-Saharan Africa, and parts of Latin America. Although case studies find elevated malaria rates in locales with increased levels of environmental degradation, the current body of comparative environmental research lacks investigation of infectious disease trends. This study draws upon world-system theorizing to consider agricultural export flows and resulting alterations to the natural environment in poor nations as key causes of malaria prevalence. Additionally, relationships among world-system position, economic development, and socio-health characteristics are examined alongside the environmental predictors using structural equation modeling for data on 99 less-developed nations. The findings emphasize that deforestation and biodiversity loss associated with primary sector export flows are key drivers of malaria rates, alongside notable influences of basic health and social services. The results suggest that environmental and social conditions greatly shape malaria transmission in poor societies.