This is consistent with studies conducted in Addis Ababa, Ethiopia at Zewditu memorial hospital and All African Leprosy and Rehabilitation Centre (ALERT hospital), showed that severe wasting, severe immunodeficiency (absolute CD4) and low hemoglobin value and, lower age and immunosuppression (low CD4 count) were associated with mortality [31,32]. This evidence concerns the gene CD4 and immune system disorder.