Despite the huge number of malaria cases and deaths annually in Africa, there is huge reason to believe that there is massive underreporting. It is estimated that 80% of malaria deaths go unreported (Shah 2010). “While government officials report declines in malaria, local community members perceive marked increases, and furthermore, connect heightened malaria prevalence to changes in their local environments and social conditions” (Austin 2020). This is partly due to these privatized unregulated pharmacies that are set up on every corner supplying antimalarial drugs. The public health sector is too poor to fund the drugs themselves so they let these shops open because otherwise they would be stripping access to drugs to the majority of the population. These countries are also structurally excluded from making antimalarial drugs, and even when given the ingredients, lab equipment is far too expensive for it to be attainable. People often come to these pharmacy shops because the public health center will be out of drugs, or the distance is much further, and long waiting lines. Due to this, patients are not tested and mishandled, given wrong or short doses, which can further develop resistances in malarial infections in the future. Due to this, young people are dying more often as 82% of people are “treated at home” for malaria. This is extremely emblematic of how malaria manifests in poor areas and how with lack of aid from other countries, Africa struggles to treat and prevent malaria.