Final_Policy_Paper

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An Argument for the Birds: Banning DDT
Sarah Anderson, Dylon Baker, Bethany Benike, Dane Christensen, Katrina Flaig, Tara Greiman,
Adrienne Keep, Antonia Murray, Monica Sweeney, Julie Sweep
Introduction
Dichlorodiphenyltrichloroethane (DDT) was found to be a useful pesticide when it was
discovered in Switzerland by Dr. Paul Mueller in the year 1939 (Turusov 2002). The production
of DDT quickly spread throughout the United States and internationally; this mass production
and use continued up until 1959 when negative impacts such as resistance to DDT, pesticide
alternatives, and public awareness began to take effect (Turusov 2002 and EPA 1975). DDT was
first used in World War II by the Allies to control insect vector diseases: Typhus in Europe and
Malaria in the South Pacific (Dunlap 1981). Because of its efficient elimination of these two
diseases, DDT became known as a “miracle cure.”
Widespread controversy over DDT began with Rachel Carson’s Silent Spring, published
in 1962, which condemned the use of DDT and made known the negative effects that DDT has
contributed to the environment (Greenberg 1963). Silent Spring made the public aware of the
negative effects of DDT and in the 1970s many of the environmental groups began campaigning
against the use of DDT (Tren 2004). In 1957, the United States Department of Agriculture Forest
Service banned the spraying of DDT in protective buffer zones around protected aquatic
resources. In 1958 DDT was no longer used for spraying against the gypsy moth and the spruce
budworm. By 1972 the Environmental Protection Agency (EPA) banned the remaining
agricultural registrations for DDT(EPA 1975); this however did not ban public health and
quarantine uses. In 1970, Sweden became the first country to fully ban the use of DDT. The
USSR in 1981 banned its use for agricultural purposes, and later the Stockholm Convention
(brought into force in 2004) completely banned the production and use of DDT (Turusov 2002;
Tren 2004). Twenty-nine countries have granted exemption from using DDT and only China,
India, and Russia have requested to continue to use and produce the insecticide for public health
purposes (Jensen 2003). DDT is still used for disease vector control using Indoor Residual
Spraying (IRS) even though the U.S. Center for Disease Control classifies DDT as a level 2B
carcinogen (Roberts 1997; CDC 2002).
DDT raises controversial issues because its use is seen as a quick and easy fix to some of
today’s disease and agricultural issues, but it also holds implications of long-term risks
associated with the environment and public health concerns. For these reasons, DDT should be
banned from use: Because not only can public health be equally well protected through
alternative measures, but society should also avoid the risks associated with the use of DDT.
DDT Properties
Toxic Composition
DDT is produced by adding two chlorobenzene molecules for every one chloral hydrate
molecule in a concentrated sulfuric acid solution (U.S. Department of Health and Human
Services 2002, p. 221). In terms of elements that are arranged within DDT, for every one
molecule there are fourteen carbon atoms, nine hydrogen atoms, and five chlorine atoms. This
particular composition makes DDT a halogen organochlorine, meaning that it is extremely
reactive within the environment. To clarify, chlorobenzene has been linked to several other
chemical pesticides, as well as to several types of degreasers (ASTDR 1999). In addition, chloral
hydrate is well known for its sedative and hypnotic drug properties, as well as its effectiveness as
an adhesive and spot remover (ASTDR 2003). What makes DDT so dangerous is its insolubility
in water. This property allows for bioaccumulation within the environment since water cannot
wash away the substance. It can only make the substance seep further into the soil; this has
environmental consequences which will be discussed later.
Cheaper Than Competitors?
Part of the reason DDT originally gained such popularity was its effectiveness as a
contact-killer. Indeed, DDT is one of the only tested pesticides that repels, irritates, and is toxic
to mosquitoes (Grieco et al. 2007). DDT also remains effective within the environment for
longer periods of time relative to many other insecticides, requiring only two sprays for year
round protection (Walker 347). However, findings from the same study reveal that “As a killing
agent, DDT is inferior to modern insecticides which kill mosquitoes more quickly and at much
lower concentrations” (Soderlund 2008, p. 612). The use of DDT is also apt to build vector
resistance, making the chemical less effective. This ineffectiveness can then be true of other
chemicals, as DDT-resistant mosquitoes are often resistant to pyrethroids, another common
group of insecticides.
As previously mentioned, DDT was hailed as a miracle drug for its ability to effectively
control disease-carrying pests at a low cost. DDT is created by condensing chloral hydrate with
chlorobenzene in concentrated sulfuric acid (U.S. Department of Health and Human Services
2002). All of these substances are relatively easy to obtain, making the production process costefficient. In fact, production of the chemical is so easy that some chemists were able to make the
product (illegally) in their own homes (Time Magazine 1945). In 1990, DDT was considered to
be 2 to 23 times cheaper than other leading pesticides on the market. However, by 1998, these
numbers decreased to somewhere between 1.4 and 18.7 times cheaper (Walker 2000). Therefore,
DDT’s cost advantage has been shrinking over the past decade. While current price comparisons
are unavailable, DDT could very well be comparable to other pesticides in cost by 2010.
A Cost-Effective Alternative
However, insecticides are not the only answer to controlling malaria; there is another
competitor quickly gaining favor around the world. Insecticides treated bed-nets (ITNs) have
been shown to efficiently protect human lives, and can have comparable costs of use depending
on the area (Walker 2000). ITN use is a more discriminating means of pesticide control because
it protects individuals directly, without needing to spray the inside of every built surface as must
be done with DDT (Yukich 2007). While ITNs have a comparable cost to DDT based on whole
population protection, the cost of averting death and/or disability adjusted life years (DALYs)
with ITNs is considerably less than with indoor residual spraying, also known as IRS (i.e., DDT
use). Using the highest cost estimate of ITN use and the lowest cost estimate of IRS for death
and DALY aversion, ITNs still cost 25% less to use annually (Yukich 2007). With this
information, it is clear that efficient, cost-effective alternatives to DDT are available.
Environmental Impacts of DDT
Effects on Soil and Water
DDT infiltrates the soil and water by vertical distribution in which rainfall washes DDT
from the surface layer of the soil to lower soil horizons and groundwater stores (Mohapatra et al.
1995). This effect is exacerbated by plowing which mixes contaminated topsoil with lower layers
(Perfect, 1980). DDT is insoluble in water enabling it to travel through water, rivers and lakes
spreading contamination; after water evaporates, DDT is left on the soil where it percolates into
groundwater supplies. By entering the water cycle, DDT molecules can also travel through
rainfall, runoff and spray drifts (Mohapatra et al. 1995).
Due to its effects on soil and water, as well as its effects on wildlife (discussed later),
DDT is hazardous to surrounding natural and man-made environments. This chemical has been
found to reduce decomposition rates of materials in soil, and impact the amount of surface
earthworm activity, which gravely affect soil fertility (Perfect 1980). Plants which are exposed
to DDT or grown in DDT exposed soils can absorb the toxin and transfer it to the stem and
leaves (Perfect 1980). Together, the lower fertility of soils and the absorption of DDT by plants
can lead to a decrease in plant biomass in natural areas and a lower crop yield in agricultural
fields (Perfect 1980). Aside from the economic consequences of these effects, reduced biomass
can have a large impact on habitat composition by disrupting natural systems and cycles (Moore
1967).
Effects on Wildlife
The effects of DDT on wildlife are wide-spread and well documented. Due to its long
persistence bioaccumulation of DDT is common compared to many other pesticides (Williams
1970). Bioaccumulation, or food web accumulation, causes the concentration of a chemical to
increase with each level of the food chain it travels through. Therefore, high order carnivores
feel the effects of DDT most strongly (Williams 1970; Sherburne & Dimond 1969).
DDT can affect all sorts of wildlife, from minnows to moose, in many of the same ways.
For smaller organisms, even those not targeted for eradication or control, DDT can be lethal on
contact (Surber 1946). DDT exposure can lead to health problems, reproductive issues, and
higher susceptibility to disease. For example, there has been evidence of DDT causing cancer
and cysts, primarily in mammals (Heinrichs et al. 1971). It also effects hormone production,
which can lead to various health concerns, including decreased reproductive productivity,
decreased metabolism, and immunosuppression (Williams 1970; Heinrichs et al. 1971; Storelli et
al. 2009). Immunosuppression and the reaction of DDT with other chemicals can also make
organisms more susceptible to infection, disease, and chemical poisoning (Tiedeken & Ramsdell
2009). DDT also affects the nervous systems, which can cause hyperirritability, muscular
tremors, twitches, and spasms, incoordination, and even paralysis (Surber 1946; Michigan DNR
2002). All of these effects make DDT a very strong selective pressure on species (Moore 1967).
Aquatic food chains are very long and complex, meaning bioaccumulation of DDT
happens very quickly and at very high levels, especially in aquatic carnivores and animals which
eat fish, including humans (Williams 1970; Moats and Moats 1970). This means fish, aquatic
mammals, crustaceans, other aquatic organisms, and their predators are among the most heavily
affected by pesticides such as DDT. The most obvious consequence of DDT on aquatic
ecosystems is the poisoning of fish, which causes neurological damage starting with
hyperirritability, muscular incoordination, spasms, and eventual prostration and death (Surber
1946). The presence of DDT in the water can also bring about the death of newly hatched fry
(Moats & Moats 1970).
Probably the most well known effect of DDT is bird egg shell thinning. This causes the
eggs to crack when their parents sit on them and makes eggs more prone to cracking (Williams
1970; Grier 1982; Fry & Toone 1981; Ratcliffe 1970; Moats & Moats 1970). DDT effects the
production of progesterone, which stimulates calcium transfer to the reproductive organs for egg
shell production (Williams 1970). There is a chance that eggs which are not broken will become
addled and fail to hatch, and those chicks that do hatch have a higher mortality rate (Moats &
Moats 1970; Niering 1968). Birds can also experience feminization, in which males develop
female characteristics, ultimately making them unable to breed and creating an imbalanced sex
ratio (Fry & Toone 1981).
Effects on Humans
DDT has been found to cause adverse health effects on humans as well. There are three
ways that a person can be exposed: inhalation, oral, and dermal. The inhalation of DDT is
associated with lung cancer. A study was conducted on workers in five pesticide manufacturing
plants. There was a significant excess of deaths from stroke, in the plant where primary exposure
was DDT (ATSDR 1). Oral exposure to DDT can also alter normal hepatic metabolic enzyme
activity. Neurological tests assessing cognitive, motor, and sensory functions found the dermally
exposed group had overall poorer performance than the control group (ATSDR 2). Further
studies have found that in utero exposure to DDT may be associated negatively with
neurodevelopment of young children (Eskenazi et al. 2006). DDT may also be carcinogenic to
humans (Eskenazi et al. 2009).
The reproductive health of humans is also negatively effected by DDT. De Jager et al.
(2006) found evidence that male reproductive health and fertility potential is influenced by nonoccupational, subchronic DDT exposure. There is also evidence of incomplete DNA
condensation, indications of increased stillbirths, neonatal deaths, congenital defects in children,
post-generational impacts on females, and an increase in incidence of pre-term birth and
underweight babies. There is also evidence for high prevalence of urogenital birth defects due to
DDT exposure. Finally, the breast milk in lactating mothers may be contaminated by DDT
exposure which means that breastfed babies may exceed allowable daily intake levels (IPEN).
Field workers are especially prone to these effects due to their heightened exposure to pesticides
on crops.
Alternatives
Some possible alternatives to DDT for pest control include less hazardous pesticides
which target specific species, as opposed to DDT which is a nonspecific insecticide. One
example of alternatives would be Methoxychlor, which is used to control Dutch Elm disease and
is much less hazardous to wildlife (Niering 1968; Moats & Moats 1970). Pesticides such as
Dieldrin, Endrin, Aldrin, and Lindane were found to be much less persistent than DDT, though
many of them have some of the same detrimental effects and Dieldrin and Endrin are more toxic
(Beyer & Gish 1980; Fleming et al. 1982; ATSDR). Along with those listed, there are many
other available pesticides which all have their positive and negative attributes. Another option
would be the use of natural pest control such as organic pesticides, natural predators, and ITNs.
Because these viable alternatives exist, there is no reason to continue to endanger wildlife and
humans with the long-lasting toxic effects of DDT.
Public Health
Typhus
The main cause of typhus was largely unknown until recent medical advances, and thus,
little was known about preventing or curing the disease. Lice are the main transmission vector
by which humans are infected with typhus, and when an infected louse bites a person, typhus is
transmitted to the host through bacteria in the saliva. After contracting the disease, the human
host will experience a long-term fever, and without proper medical intervention, death. Since
lice prefer hosts with body temperature at or near 98.6 degrees Fahrenheit, an infected louse
quickly moves to a new host after their old one has experienced extreme changes in body
temperature associated with typhus infection (Medline 2009). Consequently, the spread of
typhus is directly linked to dense populations and the ease of the louse finding a new target.
Ever since humans have lived in dense urban environments, typhus has been a public
health concern. Some scholars claim the first major outbreak of typhus can be attributed to the
Athenian Plague of 430 B.C. (Conlon). And since the Dark Ages, every century has experienced
a large typhus outbreak in cities across the world. As Joseph Conlon stated, “in crowded
tenements, prisons, refugee camps, or under conditions or times of war or disaster, when
prisoners, refugees, or troops are unable to change clothes or bath regularly, lice may spread
rapidly through the entire population. This is particularly true during the winter, when bathing is
made more difficult by the cold weather” (Conlon). In most of these situations, people did not
understand what caused typhus and how it was transmitted to other humans. As a result, typhus
is linked to areas with dense urban environments, poor sanitation levels, and little knowledge
about how diseases are transmitted.
The transmission of typhus is now fully understood and can be prevented by washing or
boiling clothes, living in clean and sanitary conditions, having good personal hygiene, and in
some cases, the use of pesticides like DDT (Medline 2009). Since lice serve as the transmission
vector for typhus into human populations, eradication of the louse is the best method to prevent
typhus outbreaks. Poor sanitation on both an individual and societal level helps lice species
grow to large numbers and encourage their spread into human populations. Proper personal
hygiene by bathing regularly and washing or boiling clothes is the best method to remove lice
and prevent their arrival on human bodies. On a societal level, proper removal of waste and
adequate sanitation limits the population of rodent species that may carry infected lice. This is
particularly true for dense urban environments that produce a lot of human waste and garbage.
In 2009, Tajikstan, Central Asia’s poorest country, experienced a typhus outbreak that
numbered over 100 cases. Areas of the world that are experiencing dramatic growth without
adequate city planning are particularly vulnerable to outbreaks of deadly diseases like typhus. In
countries with economies similar to Tajikstan, governments may not be able to afford large-scale
water treatment plants and sewage systems. In these societies, public education initiatives may
prove to be a cheaper alternative in preventing typhus outbreaks than redesigning entire city
sewage systems.
In some civilizations, the access to resources may not be available to discourage the
spread of typhus. Societies with limited or partial access to water sources may not be able to
bathe as often as privileged societies. As Conlon mentioned earlier, some societies may not be
able to bathe as frequently during the winter months because of the cold. However, proper
personal hygiene in the summer months would keep the lice of the body until winter arrived. As
long as humans were not living in crowded tenements with rodents, the typhus-carrying lice
would die off during these winter months.
Educating people about cleanliness and the animals that carry typhus would greatly
reduce the number of world-wide outbreaks. Ultimately, public education about the vectors that
transmit typhus may be the best and least costly preventative measures against a deadly outbreak.
Malaria
As Malaria becomes an increasingly global issue, the scientific and political community
have come together to further develop existing standards for prevention and the successful
diagnosis of this disease. From previous research, we know that Malaria is mainly transmitted
from person to person through the bite of the female Anopheles mosquito; An. culicifacies, An.
funestus, and An. gambiae. Successful malarial prevention has to then incorporate a multilayered
system which includes proper education on both the individual and community responsibilities
for rural, semi-rural, and urban environments. Parallel to prevention is the clinical diagnosis for
malarial infections. In areas where malaria either is, or has been endemic, the problems for
public health workers include the classification of disease severity and ultimately the correct
diagnosis and treatment to patients. Procedural guidelines have been made into official policy by
the National Malarial Control Programme (NMCP), the World Health Organization (WHO) and
individual national health regulations in response to reported confusion between clinics and
laboratories on irregularities between patient analyses. For the purpose of this paper, I will be
focusing the discussion on the past and present forms of public health and the resulting
economics of the situation mainly in India and Sub-Saharan Africa.
The NMCP has created four procedures which are done before an outbreak: (1) indoor
residual spraying with DDT and other insecticides (IRS), (2) insecticide-treated nets (ITN), (3)
larval control and (4) case detection and effective treatmenti. Malaria frequency is mainly
influenced by the practices of both the individual and the community in terms of personal
protection. In richer communities, the majority of which are found in urban environments, the
household would follow the first preventative measure, as listed by NMCP; indoor residual
spraying on their walls and furniture with DDT as the most common insecticide. For many
people in high risk malarial zones, this first procedure would be too expensive. Taking
economics into consideration, state governments and charities have given the poorest
communities free prevention materials; the most common of which would be insecticide-treated
bed netting. The use of nets while sleeping has become increasingly common, due mainly to its
obvious help in deterring mosquito blood meals. The application of DDT to the nets is not a
universal procedure, though it is listed as one by NMCP and, historically, the use of this
insecticide has been the best method for malarial defense. Multiple scientific surveys (Baume
2009; Gu 2009; Rowe 2009; Satoguina 2009) have compared the competence of insecticide and
non-insecticide infused nets in keeping the inhabitants safe. What their research has concluded is
that whether the net is treated is not as important as how the net was being usedii. In most cases,
the use of insecticide did not exhibit an overtly increased ability to hinder malarial infection.
(Sataguina 2009). However, government programs continue to promote the usage of the more
expensive insecticide treated nets. “The proportion of cases and controls using bed nets did not
exceed 25%, in the absence of systematic activities of distribution before the [malarial] outbreak.
The health authorities of Naxalbari [Angola] distributed 5,000 insecticide-treated bed nets among
the affected population in October 2005.” (Rowe 2009; 21)
In reaction to the overuse of insecticides for malarial control in endemic areas, there have
been reports of a possible resistance to DDT by An. culicifacies (Sharma 2005). In the near
future, as more research develops on this possibility, the use of insecticide treated nets becomes
inconsequential. Instead, an increased effort of instruction for the population on malarial
prevention needs to be enacted; both the lay person and to those in the medical field. For rural
and semi-rural communities, the education has focused on controlling their environment so as to
better prevent malaria. As many of these communities are below the poverty line, the best way
for them to protect their household is to trim all vegetation around the house, decrease their
proximity to mosquito habitats and wearing protective clothing (Carme 2009). These simple
steps, if completed properly, would help communities to combat against the disease which is a
major variable of inducing their poverty.
As preventative measures are continuously being debated and enacted on the global and
local levels, the massive case loads for public health officials, clinics, and laboratories continue
to be a major problem for successful diagnosis and treatment of malaria. Rowe et al, (2009),
classifies the disease into two categories. In order to identifying which class the patient belongs,
the doctor must look for signs of fever and/or headaches, joint pain, chills, sweating, anemia,
cough (occurs only in children), anorexia, fatigue, vomiting, or diarrhea. Once the initial
diagnosis has been completed, they can move the patient into one of the two diagnosis categories:
1) Uncomplicated malaria, which is present without signs of severe illness, and 2) Complicated
malaria, where the patient exhibits at least one sign of severe illness.
Since 2000, due to the increasing resistance to chloroquine and other regularly used antimalarial medication, 45 African countries have made Artemisinin-Based Combination Therapy
(ACT) into public health policy, announcing that this is the first course of action when battling
uncomplicated malaria. (Rowe et al. 2009) However, after its execution, there have been
weaknesses in the policy which make it nearly un-usable. Mainly that the public health sector is
lacking both the funds and credible manpower to maintain the policy as it was written. Rowe et
al (2009) defined the standard for assessing the quality of malaria testing, diagnosis, and
treatment as a challenge because: 1) policy and training materials sometimes lacked precision; 2)
the survey protocol did not include testing for all patients who should have been tested; and 3)
the NMCP (National Malarial Control Programme) policy had recently underwent a revision.
The ACT policy included government sponsored training for all public health workers,
however there continues to be confusion based on the specific criterion for correctly diagnosing
malaria. In 2000, when the policy was first initiated, clinics would look to both the policy and the
official documents published from the World Health Organization (WHO) in order to fill in the
gaps left out of ACT. Confusion arouse specifically when a child (5>) or a pregnant woman, was
brought to the clinic presenting mild to severe fever. Since neither were mentioned or given
correct procedural guidelines on how to treat, along with the encouragement of healthcare
workers to reduce patient discomfort, many took this to mean that any cases which fall to either
patient precondition was to be treated with an anti-malarial. As of 2007, health policy underwent
another rewrite in order to better encompass a universal plan of action when health care workers
were faced with children (5>) and pregnant women.
They employed an “analysis algorithm” which was to help workers create a “gold
standard” in determining what the diagnosis and treatment for the various stages (mild or severe)
of malaria. The new standard used the test results of a microscopy and of Rapid Diagnostic Tests
(RDTs) ordered by the clinic (Rowe 2009). What it does not use are laboratory results. By
approaching each case in this new “golden standard” format, it allows for the best adherence to
official guidelines, since it prevents the condemnation of public health workers if the clinical
results do not match laboratory results.
As scientific research continues to combat malaria, the multi-layered system of
prevention and diagnosis is helping the at-large population to be better prepared for possible
endemics. The use of DDT is no longer seen as the only possible gauge for prevention of the
disease. Because of this, communities are looking towards alternatives to harmful insecticides’.
With an increase of malaria education programs in poorer regions, each household has the
responsibility to apply the new lessons in reducing possible mosquito habitats and personal
protection. Though malaria continues to be a modern plague in tropical zones, the combined
efforts made by the scientific and governmental communities have made great leaps in
combating this disease.
DDT Use and Other Approaches
Typhus
DDT has commonly been used in contemporary societies as a pesticide to kill lice and
other insects that transmit diseases. While DDT is a cheap and easily manufactured pesticide
that may be a great deterrent for typhus and malaria outbreaks, there are also some physiological
and environmental side-effects associated with its use. Studies have shown that there is a
correlation between DDT use and asthma among human populations. Additionally, DDT does
not easily dissipate from the soil because of its chemical structure, posing long-term risks to the
environment.
Although DDT has been an effective method to eradicate animals that may be carrying
diseases, there are other ways of preventing these diseases that makes the use of DDT
unnecessary and inherently more risky. Under adequate medical facilities, typhus can be treated
and cured with proper medications. “Today, with good supportive care and early judicious use
of antibiotics such as the tetracyclines, quinilones, chloramphenicol, and paraaminobenzoicacid,
the risk of a fatal issue is greatly reduced” (Conlon). While typhus can be easily treated if
recognized early, the long term effects of DDT exposure are more difficult to diagnose and treat
medically. Given that the use of DDT can possibly cause more problems than it prevents, and
the long-term risks it poses to human populations and the environment at large, it may be more
ethical and beneficial for humanity by treating outbreaks of typhus with antibiotics instead of
using harmful pesticides as a preventative measure.
Malaria
Countries worldwide have implemented various techniques in preventing the outbreaks of
deadly diseases such as malaria. Each strategy must take into account how the virus is
transferred. When the malaria parasite Plasmodium resides within their host, the Anopheles
mosquito, the transmission vector enters human populations by the host’s blood meal. In effect, a
reduction or elimination of mosquito populations would be the best preventative measure against
malarial endemics. Traditionally, DDT and the use of other insecticides have been common
practice for reducing the number of Anopheles mosquitoes. However, due to the toxic
classification of insecticides, safer alternatives could be used to either complement or replace the
overall use of DDT. As malaria endemics have been given worldwide attention during the past
decade, the United Nations Environmental Programme (UNEP) has been at the forefront of
negotiations for the discontinuation of DDT and called for nations throughout the high-risk zones
to ban its use altogether.
Universal education by health authorities to all levels of the society is the safest and most
productive alternative to DDT use. While it is likely that the majority of persons living in and
around malaria zones understand that the disease is transmitted via mosquitoes, they may not
understand how to reduce their chances of getting bit. One of the most important concepts a
community should consider is the mosquito’s habitat and its preference to breed in standing
water (i.e. forgotten well, livestock water basins). By reducing the insect’s habitat, they would
also be reducing their risk of a possible endemic.
As DDT and other Persistent Organic Pollutants have proven to be detrimental to the
surrounding environment, UNEP has created the Integrated Vector Management (IVM) program.
IVM supports the systematic approach to malarial control in high-risk regions whereupon
community participation is a key contributor alongside safe prevention materials. The program
continues to promote the use of bed nets, screens over windows and doors, roof boards (in
regions where that is necessary), and the burning of mosquito coils. Per design specifications,
UNEP has made this program cost-effective. Meaning that even in the poorest areas afflicted
with malaria, there is always the option to undertake IVM, without having to use DDT and other
Persistent Organic Pollutants.
Conclusion
Admittedly, DDT is cheap and efficient for controlling insect vectors and pests.
However, the costs of DDT are so great and the risks so many, that it is impossible to justify the
use of this dangerous chemical when viable alternatives exist. The long persistence and
likelihood of bioaccumulation in animal tissues and the environment make DDT a hazard to
species across the globe from tiny fish fry to the great eagle, and even human beings. Entire
webs of life can be altered by the effects of DDT in water and terrestrial environments.
Malaria and typhus are horrible diseases with widespread effects across the globe.
However, DDT is not the only solution to controlling their spread. Education, screens or ITNs,
and alternative insecticides are all farsighted and effective measures to protecting human health
against disease transmission. From these points, it is apparent that DDT use is an outdated and
dangerous habit that the planet must kick. All of these factors prove that DDT use is most costly
and the environment than alternative measures.
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i
When there is an endemic, the contaminated areas are visited by public health workers bi-weekly, whereupon
they collect the blood samples of each person in the home. As per government procedure, public health workers
also take blood smears if a person only has a fever. (Sharma 2005)
ii
In each survey, scientists talked with multiple households within their perspective community and found that
many were using the nets incorrectly. Either the nets were not installed correctly or the family had been saving the
nets for special situations (i.e. visitors). (Gu 2009; Rowe 2009)
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