The evidence is that a trickle down effect does not occur and dedicated action is required to ensure that access issues are addressed.

The process of globalization had not created a level playing field or generated the expected trickle down benefits for improving the standards of living of all people, and its benefits had not been evenly spread between developed and developing countries.

3.3 Efficacy of DDT and related resistance management practices

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In recent years a number of countries have successfully curtailed the use of DDT.

The efficacy of DDT and its alternatives is important information for deciding the actual need for DDT for disease vector control in any local area.

First, it relied once again on trickle down economics somehow, throwing enough money at Wall Street would trickle down to Main Street, helping ordinary workers and homeowners. Trickle down economics almost never works, and it is no more likely to work this time.

Effective regulation and control of DDT as recommended by WHO (Section 6) will require a conducive policy and institutional framework that enable intersectoral action to prevent the diversion of DDT for non recommended use and improve accountability.

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(b) The availability, suitability and implementation of the alternatives to DDT and

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Immediate actions to optimize the implementation efficiency and impact of current DDT use, while minimizing human and environmental exposure and Diversification of intervention options to incorporate alternatives.

In considering whether or not to use DDT, governments should take into account the following additional factors

Your stomach? Yeah, my stomach's bad, too.

(i) DDT

Ticktock. Ticktock.

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In order to ensure that the use of DDT is restricted to disease vector control, there is a need to support countries still using DDT to urgently review and improve their management practices, especially the regulatory and enforcement mechanisms.

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Couldn't you use DDT?

According to the DDT register, three countries have notified use of DDT in disease vector control and one country notified the intention to use DDT if necessary.

3.4 Current Management of DDT

This befits us better. We always have to fight to the last drop of our blood

It will be necessary for countries that are currently using DDT to continue such use until locally appropriate and cost effective alternatives are available for sustainable transition away from DDT. There is an immediate need to improve the capacity of national malaria vector control programmes to determine where and when DDT is needed and how much of it is needed.

And you put a drop, in this case, of urine at the bottom.

If you put one drop, one drop of something, in that water, it'll change it forever.

Countries will move away faster from DDT if there is a real substitute for indoor residual application, which while providing long lasting activity and comparative cost effectiveness, also addresses the environmental impact concerns.

Drop by drop, the water can conglomerate into a lake.

One tear for you. One for me.

But DDT sprayed on local homes, there's nothing better to eliminate malaria, besides insect DDT impregnated mosquito nets.

If you were a nice guy, you'd cry a little bit with me.

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Okay, we could talk about Rachel Carson and DDT, but we know it wasn't good for you and me.

Resistance to DDT is also widespread.

Evaluation and reporting mechanisms relating to DDT

Where non specific resistance develops, it is likely that both DDT and all other pyrethroids could become ineffective for malaria control.

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Raindrops

Lady!

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Pigeon?

Is that a fact?