Global trends in the production and use of DDT for control of malaria and other vector-borne diseases.

BACKGROUND: DDT was among the initial persistent organic pollutants listed under the Stockholm Convention and continues to be used for control of malaria and other vector-borne diseases in accordance with its provisions on acceptable purposes. Trends in the production and use of DDT were evaluated over the period 2001-2014. RESULTS: Available data on global production of DDT showed a 32% decline over the reporting period, from 5144 to 3491 metric tons of active ingredient p.a. Similarly, global use of DDT, for control of malaria and leishmaniasis, showed a 30% decline over the period 2001-2014, from 5388 metric tons p.a. to 3772 metric tons p.a. India has been by far the largest producer and user of DDT. In some countries, DDT is used in response to the development of resistance in malaria vectors against pyrethroid and carbamate insecticides. Some other countries have stopped using DDT, in compliance to the Convention, or in response to DDT resistance in malaria vectors. Progress has been made in establishing or amending national legal measures on DDT, with the majority of countries reportedly having measures in place that prohibit, or restrict, the production, import, export and use of DDT. Limitations in achieving the objectives of the Stockholm Convention with regard to DDT include major shortcomings in periodic reporting by Parties to the Stockholm Convention, and deficiencies in reporting to the DDT Register. CONCLUSION: Global production and global use of DDT have shown a modest decline since the adoption of the Stockholm Convention.

Local organochlorine pesticide concentrations in soil put into a global perspective.

In this work, agricultural and background soil concentrations of p,p'-DDT, p,p'-DDE, HCB, α-, ß- and γ-HCH from 1993 to 2012 were collected from 73 peer-reviewed publications, and analysed statistically. For the period 2003-2012 and for all chemicals, the mean concentration in agricultural soil is significantly higher than the concentration in background soil. In addition to the statistical analysis, concentrations of p,p'-DDT and α-HCH in soils were calculated with a global environmental fate and transport model. A decrease in the mean soil concentration from the first decade to the second was observed with the model, but this decrease is not visible in the measured concentrations, which could result from ongoing use of p,p'-DDT and α-HCH Furthermore, modelled background soil concentrations are generally lower than measurements. This implies that background soil may have received p,p'-DDT and α-HCH through additional routes not described by the model such as spray drift.

DDT and personal violence (suicide and homicide).

For 12 industrialized nations in 1965, suicide and homicide rates were not associated with the per capita use of DDT.

Cooperative actions to achieve malaria control without the use of DDT.

The success of regional networks to provide incentives and mechanisms for sharing information is illustrated through the North American Regional Action Plan on DDT (NARAP). This NARAP was designed to reduce human and environmental exposure to DDT and its metabolites in North America through cooperative efforts. The increasing role of environmental concerns in the planning and design of Mexico's DDT phase-out program motivated the Mexican Ministry of Health to undertake an alternative program for malaria control maximizing community participation without negatively affecting human and ecosystem health. This program relies on: 1) elimination of parasites in people, 2) improvement of personal and household hygiene, and 3) use of environmental management practices to eliminate mosquito breeding sites. This new strategy resulted in the elimination of DDT for malaria control in Mexico in the year 2000. While malaria and its corresponding vectors show considerable variability within a single country and certainly around the globe, the case example of Mexico provides a methodology for developing alternatives to DDT.

Malaria resurgence in India: a critical study.

In 1953, the Indian National Malaria Control Programme (NMCP) was started. Encouraged by the results, and the fact that insecticide resistance in vector species may evolve and become an obstacle, in 1958 a control programme was converted to the National Malaria Eradication Programme (NMEP). By 1964, malaria was eradicated from 88% of the area and it was in the advanced stage of spraying in the remaining parts. At that time, focal outbreaks that occurred in 1965 and increased in later years, could not be contained due to the shortages of DDT. As a result, large areas in consolidation and maintenance phases were reverted to the attack phase. Besides, the infrastructure in general health services was not adequate and mature enough to take up surveillance and vigilance. This produced a large number of secondary cases due to the re-introduction and relapse of malaria. Added to this was the problem of urban malaria, the control of which was the responsibility of local bodies. Malaria cases increased in towns, and started diffusing to the rural areas, due to inadequate staff and the shortages of malarial larvicidal oil (MLO). Later, it turned out, that while it was technically feasible to eradicate malaria from 91% of the population, the strategy of indoor spraying of DDT to interrupt transmission did not succeed in 9.0% of the population, despite more than 12-14 years of regular spraying. During the years of resurgence, there was no research support to the programme, so that technical problems were not properly appreciated, understood and tackled. The reservoir of parasites that were present throughout the country started multiplying and spreading to newer areas due to the presence of vectors in high densities. Thus malaria resurged and re-established itself even in areas that were at one time freed from the disease. The analysis of the pattern of malaria resurgence revealed that malaria outbreaks preceded the true problem of insecticide resistance. It is noteworthy to mention that malaria resurgence occurred in towns where the control measures were non-insecticidal and in regions which were not under the influence of insecticide-resistant vectors. The study also revealed that resurgence occurred before the introduction of high-yielding varieties programme in the country, and had no relationship to either the cotton or rice growing or intensive agriculture.

DDT in the biosphere: where does it go?

The worldwide pattern of movement of DDT residues appears to be from the land through the atmosphere into the oceans and into the oceanic abyss. Calculations based on the fragmentary data available on. rates of movement and sizes of various pools of DDT residues lead to the conclusion that concentrations in the atmosphere and in the mixed layer of the oceans lag by only a few years behind the amounts of DDT used annually throughout the world. A model suggests that maximum concentrations of DDT residues occurred in air in 1966 and will occur in the mixed layer of the oceans in 1971. The biota probably contains in total less than 1/30 of 1 year's production of DDT during the mid-1960's, a very small amount in proportion to the total potentially available. The reason for the biota's failure to absorb larger quantities and to be affected much more severely is unclear. The analysis suggests that mere good fortune has protected man and the rest of the biota from much higher concentrations, thus emphasizing the need to determine the details of the movement of DDT residues and other toxins through the biosphere and to move swiftly to bring world use of such toxins under rational control based on firm knowledge of local and worldwide cycles and hazards.