Genetic polymorphisms within the IFNL3/IFNL4 genomic region encoding type III interferons have been strongly associated with impaired clearance of hepatitis C virus (HCV) infection. We hypothesized that this association might extend to the immune response to other pathogens as well. In a cohort of 914 Malian children enrolled at birth, we analyzed episodes of malaria, gastrointestinal and respiratory infections in relation to two genetic polymorphisms functionally affecting type III interferons -rs368234815 (IFN-λ4) and rs4803217 (IFN-λ3), using information for 30,626 clinic visits from birth through 1-5 years of follow-up. Compared to children with the rs368234815-TT/TT genotype (IFN-λ4-Null), each copy of the rs368234815-dG allele was associated with an earlier first episode of a gastrointestinal infection (p=0.004), malaria (p=0.044) or respiratory infection (p=0.045).The risk of ever experiencing an infection during the follow-up was also significantly increased with each copy of the rs368234815-dG allele -for gastrointestinal infections (OR=1.5, 95%CI (1.11-2.03), p=0.0079) and malaria (OR=1.32, 95%CI (1.04-1.68, p=0.022), but not respiratory infections (p=0.58). IFNL4-rs368234815 and IFNL3-rs4803217 were in moderate linkage disequilibrium in this population (r 2 =0.78). All the associations for rs4803217 were weaker and lost significance after adjusting for rs368234815, implicating IFN-λ4 and not IFN-λ3 as the primary cause of these associations.Thus, our results suggest the role of IFN-λ4 in several infections in young children.Recently, a genetic association was reported for IFNL4-rs12979860-T and rs368234815-dG alleles with impaired clearance of respiratory RNA viruses in nasal swabs of children from Rwanda (11). The observed effect was in the same direction as for clearance of HCV reported in many studies, suggesting that the negative impact of IFN-λ4 on clearance of RNA viruses is not limited by HCV but extends to respiratory RNA viruses. In our study, we observed an earlier occurrence of RI in children with rs368234815-dG allele, but the association with increased susceptibility to RI in these children did not reach statistical significance. This could be because respiratory symptoms recorded during clinic visits in our study were very common (were experienced by 97.7% of children during follow-up),