There is a vicious cycle of poverty that prevents poor communities being able to pay for treatment, coupled with endemic malaria that depresses economies in the communities most affected.

这儿存在一个恶性循环即贫困阻止了贫穷地区购买治疗物品的能力，与此相配的是当地的疟疾又最大程度的摧毁了当地的经济。

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Such models have suggested that in a warmer world the area subject to endemic malaria would increase, perhaps quite a lot, though some places would see a reduction due to increased aridity.

这类的模型提出在一个比较温暖的世界里，在很大的幅度上，地方性疟疾的发生范围可能会扩大。尽管有些地方可能因为干旱加重而范围有所缩减。

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Malaria is endemic in many hot countries.

疟疾是许多气候炎热国家的流行病。

《牛津词典》

It says pharmaceutical markets in malaria endemic countries often are unregulated.

VOA: standard.2010.03.09

In malaria endemic countries, this will show that not all fevers are caused by malaria (much less than half) and the appropriate treatment can be given for whatever may be causing the fever.

FORBES: World Malaria Day 2013: We Cannot Afford to Wait

No fewer than 2, 000 people return home with the disease each year as African holiday resorts in malaria endemic areas like Kenya and Gambia grow in popularity.

BBC: The anti-malaria drug dilemma

Many people living in malaria endemic areas suffer from malnutrition so researchers in Burkina Faso experimented with adding vitamin A and zinc supplements to the diets of children aged from six months to six years.

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