The Department for International Development is committed to tackling malaria, which affected 219 million people in 2010 and led to 660,000 deaths. However, there is concern that spending by DFID on measures to combat the disease, rising each year to £500 million a year by 2015, may not provide good value as the Department does not have good enough infrastructure everywhere to manage the expenditure effectively. About half of the total number of malaria cases worldwide occur in just two countries - Nigeria and the Democratic Republic of Congo - but the Department has been spreading its resources across 17 countries. It now agrees it should do more work in these two countries but has yet to complete an analysis which would ensure well-informed decisions on where to focus resources. Cuts in funding carry their own risks. On the other hand, long-term commitments can create an equally long-term dependence on UK funding. DfID need to plan and support long term sustainable programmes to combat malaria for which developing countries can take responsibility themselves. DfID must ensure their actions do not have unintended consequences. The Department, for example, the mass distribution of free or subsidised bed nets can damage local businesses selling locally produced nets. It is also essential that the Department make the most of quick, cheap and easy diagnostic tests to increase the number of people who can be quickly diagnosed and effectively treated. This could lead to a halving of the current expenditure on drugs.