In the Lozi threw off their Kololo masters and re-established their dominance over the Subiya and the Tokaleya in the vicinity of the Falls, which became the south-eastern margin of the greater Barotseland kingdom. Proximity to mosquito breeding areas caused deaths from malaria , so after the Europeans moved to higher ground known as Constitution Hill or Sandbelt Post Office, and as that area grew into a town it was named Livingstone in honour of the explorer.

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Wikivoyage has a travel guide for Livingstone. A hydroelectric plant was built taking water from the Eastern Cataract of the Falls.