Give
Us DDT
By SAM ZARAMBA
June 12, 2007; Page A16
KAMPALA,
Uganda -- Though Africa's sad experience with colonialism ended in
the 1960s, a lethal vestige remains: malaria. It is the biggest
killer of Ugandan and all African children. Yet it remains
preventable and curable. Last week in Germany, G-8 leaders committed
new resources to the fight against the mosquito-borne disease and
promised to use every available tool.
Now
they must honor this promise by supporting African independence in
the realm of disease control. We must be able to use
Dichloro-Diphenyl-Trichloroethane -- DDT.
The
United States and Europe eradicated malaria by 1960, largely with
the use of DDT. At the time, Uganda tested the pesticide in the
Kanungu district and reduced malaria by 98%. Despite this success,
we lacked the resources to sustain the program. Rather than partner
with us to improve our public health infrastructure, however,
foreign donors blanched. They used Africa's lack of infrastructure
to justify not investing in it.
Today,
every single Ugandan still remains at risk. Over 10 million Ugandans
are infected each year, and up to 100,000 of our mothers and
children die from the disease. Recently Ugandan country music star
Job Paul Kafeero died of the disease, a reminder that no one is
beyond its reach. Yet, many still argue that Africa's poor
infrastructure makes indoor spraying too costly and complex a means
of fighting malaria.
Uganda
is one of a growing number of African countries proving these people
wrong. In 2006, Uganda worked with President George Bush's Malaria
Initiative to train 350 spray operators, supervisors and health
officials. In August 2006 and again in February 2007, we covered
100,000 households in the southern Kabale district with the
insecticide Icon. Nearly everyone welcomed this protection. The
prevalence of the malaria parasite dropped. Today, just 3% of the
local population carries the disease, down from 30%.
This
exercise pays for itself. With 90% fewer people requiring
anti-malarial medication and other public-health resources, more
healthy adults work and more children attend school. When we
repeated the test program in Kabale and neighboring Kanungu district
this year, our spray teams required little new training and were
rapidly mobilized. Our health officials at every level were able to
educate our communities, implement spraying programs and evaluate
operations. With each passing year, it will now be easier and less
expensive to run the programs.
But
DDT lasts longer, costs less and is more effective against
malaria-carrying mosquitoes than Icon. It functions as spatial
repellent to keep mosquitoes out of homes, as an irritant to prevent
them from biting, and as a toxic agent to kill those that land. The
repellency effect works without physical contact. And because we
will never use the chemical in agriculture, DDT also makes
mosquitoes less likely to develop resistance.
The
U.S. banned DDT in 1972, spurred on by environmentalist Rachel
Carson's 1962 book "Silent Spring." Many countries in
Europe and around the world followed suit. But after decades of
exhaustive scientific review, DDT has been shown to not only be safe
for humans and the environment, but also the single most effective
anti-malarial agent ever invented. Nothing else at any price does
everything it can do. That is why the World Health Organization
(WHO) has once again recommended using DDT wherever possible against
malaria, alongside insecticidal nets and effective drugs.
We
are trying to do precisely this. In addition to distributing nearly
three million long-lasting insecticidal nets and 25 million doses of
effective anti-malarial drugs, we will expand our indoor spraying
operations to four more districts this year, where we will protect
tens of thousands of Ugandans from malaria's deadly scourge. We are
committed to storing, transporting and using DDT properly in these
programs, in accord with Stockholm Convention, WHO, European Union
and U.S. Agency for International Development guidelines. We are
working with these organizations and to ensure support from our
communities, and to ensure that our agricultural trade is not
jeopardized.
Although
Uganda's National Environmental Management Authority has approved
DDT for malaria control, Western environmentalists continue to
undermine our efforts and discourage G-8 governments from supporting
us. The EU has acknowledged our right to use DDT, but some consumer
and agricultural groups repeat myths and lies about the chemical.
They should instead help us use it strictly to control malaria.
Environmental
leaders must join the 21st century, acknowledge the mistakes Carson
made, and balance the hypothetical risks of DDT with the real and
devastating consequences of malaria. Uganda has demonstrated that,
with the proper support, we can conduct model indoor spraying
programs and ensure that money is spent wisely, chemicals are
handled properly, our program responds promptly to changing
conditions, and malaria is brought under control.
Africa
is determined to rise above the contemporary colonialism that keeps
us impoverished. We expect strong leadership in G-8 countries to
stop paying lip service to African self-determination and start
supporting solutions that are already working.
Dr.
Zaramba is director general of health services for the Republic of
Uganda.