Tourists over age 65 who visit malaria-infested regions are nearly 10 times more likely to die from the disease than those ages 18 to 35, a new study says. The analysis of 20 years of data from more than 25,000 U.K. patients also found that the malaria death rate is particularly high among people who've traveled to Gambia, West Africa. The risk of dying from malaria, an infection carried by mosquitoes, increased with age, and the death rate for those over age 65 was 4.6 percent. There were no deaths in children younger than age 5, according to the study published online March 28 in the British Medical Journal. The researchers also found that tourists were more than nine times more likely to die from malaria than people of African heritage who traveled to see family or friends — 3 percent vs. 0.32 percent. This decreased death risk among people of African heritage may be due to early exposure to malaria, or to greater awareness of the symptoms and a tendency to seek medical help earlier, the study authors said in a journal news release.