Among 481 (24%) of children presenting with any underlying condition as defined by severe malnutrition (WFH z-score <-3 regardless of age, or MUAC <115 mm for children ≥ 6 months, or pedal edema on admission, or admission diagnosis of Kwashiorkor), or HIV exposure, or prematurity and less than 6 months of age, or a diagnosis at admission of: heart disease, including congenital heart conditions; developmental delays, including cerebral palsy; congenital abnormalities (e.g. Trisomy 21, G6PD), 50 (9.4%) died. The gene discussed is G6PD; the disease is nutritional deficiency disease.