Malaria parasites and immune responses in an infected human interact on a dynamic landscape, in which a population of replicating parasites depletes a population of replenishing red blood cells (RBCs). These underlying dynamics receive relatively little attention, but they offer unique insights into the processes that control most malaria infections. Here, we focus on the observation that three of the four malaria-parasite species that infect humans are restricted to particular age classes of RBC. We explicitly incorporate this observation in models of infection dynamics to distinguish common from species-specific pressures on host immune responses, and we find that age structuring has profound effects on the course of infection. For all four species conditions exist under which the parasites may persist at low densities, or may clear, even in the absence of an immune response. Catastrophic anemia can occur even with the two species that attack only the youngest RBCs, although only a small fraction of cells are parasitized at any point. Furthermore, with these two, compensatory erythropoetic responses in the host accelerate parasite population growth. A ''basic reproduction rate'' characterizes these differences in outcomes.M alaria in a human begins with an inoculum of Plasmodium parasites from an Anopheles mosquito. The parasites penetrate liver cells, multiply, then enter the bloodstream, and invade red blood cells (RBCs), where they again multiply and burst the cells, each releasing 8-32 ''merozoites'' that invade more RBCs and continue the cycle. Almost all malaria pathology is associated with this blood stage replication cycle; it leads to geometric growth in the parasite population and to fevers, anemia, and sometimes death in the host (1).Parasite population growth is usually constrained by host immune responses. Accordingly, most mathematical models of within-host dynamics have taken the general form of predatorprey models, with the predator a population of immune agents and the prey a population of Plasmodium (2). A few Plasmodium falciparum models attempt to relate the dynamics of the parasite population to those of its prey, the population of RBCs, but none incorporate RBC aging or age-structured susceptibility (3-7).RBC age appears to be a strong constraint on malaria parasites, however: susceptibility to Plasmodium vivax or Plasmodium ovale invasion is said to be restricted to the very youngest circulating age class of RBCs, the ''reticulocytes,'' and Plasmodium malariae invasion to the very oldest (8, 9). P. falciparum, the species responsible for almost all the 1-3 million deaths attributed to malaria each year, seems promiscuous with respect to its RBC targets (10). It is widely assumed that these age constraints explain why counts of parasitized RBCs rarely exceed 25,000 per l with P. vivax, P. ovale, or P. malariae, but may reach 500,000 and beyond with P. falciparum, and thus, in turn, why fatal anemia occurs only in P. falciparum infections (11).Most malaria infections are not fatal, but the...