Can someone answer this

economic impact of malaria is estimated to cost africa $12 billion every year. this figure factors in costs of health care, absenteeism, days lost in education, decreased productivity due to brain damage from cerebral malaria, and loss of investment and tourism.

true, i don't really know what you're asking but from the info you provided im guessing the answer is true.

substitution is the answer in this case

thrombocytopenia, which is a deficiency in blood platelets, can cause bleeding and bruising in the dermis similar to senile purpura. other possible causes include: exposure to ultraviolet rays and aging skin are common causes of senile purpura. senile purpura may also be a sign of collagen loss in the skin and bones.