It says a lot about me that I don't even consider this to be a difficult question: I would burn every forest, pave every wetland, and dance over every eggshell to save one African kid I have never met.

That said, it is a false choice. Look at the CDC graphs: we've already annihilated malaria on two continents. North America and Europe strike me as pretty livable. I'm quite willing to do that everywhere.

That sounds a bit silly though - as you said, a false choice. Surely you wouldn't want to pave over the whole continent. There are other ways to save the children than to destroy everything. It's also a question if humans have to expand everywhere.

If it all is such a no-brainer for you, I wonder what other choices you make in your life to save lives in 3rd world countries? For example CO2 consumption? To be honest, I don't buy your no-brainer attitude.

I have to consider whether killing mosquitos creates a world where I'll eventually have to teach my kids to painlessly kill themselves, a la The Road, but apart from that for my own family it's an absolute no brainer.