“…The most common of these disease sequelae, severe malarial anemia (SMA), is responsible for the majority of the malariaassociated mortality in western Kenya (7,32,54). Based on historical presence of the disease, malaria has exerted a large impact on the human genome such that potentially harmful variants are preserved, largely because of the advantage offered in heterozygous individuals that are often protected from severe, complicated, and fatal malaria (14,19,21). Studies in our laboratory focused on variations in key cytokine genes have demonstrated associations between polymorphisms and SMA (4,37,38).…”