In turn, high SEP was associated with lower HBR (highest versus lowest wealth index tertile: Incidence Rate Ratio 0.71, 95 % confidence intervals (CI) 0.54 0.93, P=0.01) and lower odds of malaria infection in children (highest versus lowest wealth index tertile: adjusted Odds Ratio 0.52, 95 % CI 0.35 0.78, P=0.001), but SEP was not associated with clinical malaria incidence. Mediation analysis suggested that part of the total effect of SEP on malaria infection risk was explained by house type (24.9 %, 95 % CI 15.8 58.6 %) and food security (18.6 %, 95 % CI 11.6 48.3 %); however, the assumptions of the mediation analysis may not have been fully met. Improvements and agricultural development interventions to reduce poverty merit further investigation as multisectoral interventions against malaria.

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Their occurrence in different types of archaeological contexts is examined, in particular relationships with metalworking residues. Functional and social use of the tools is discussed. Forty one edge tools and six hearth implements are examined by metallography.

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