At least 78 Zimbabweans have died of malaria this year alone. Half of the Zimbabwean population is at risk of contracting malaria each year whilst transmission is generally seasonal, starting from around November to the end of May. In Zimbabwe malaria accounts for between 30 to 50% of outpatient attendances in the moderate to high transmission districts, especially during the peak transmission period. During a media field visit to Kariba, one of the worst areas affected by El Nino recently, medical experts expressed concern. Simon Muchemwa reports from Harare..