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Sustainable Alternatives to DDT for Malaria Vector control in Mexico and Central America

Background
 

DDT was extensively used for malaria vector control in Mexico and Central America during the 60s and 70s, but the sprayings were gradually discontinued during the 80s and 90s. The remaining stockpiles of DDT still present in the countries represent a permanent threat for the human health and the environment due to its persistence in the environment.

Successful experiences of integrated malaria vector control without the use of DDT have been developed in Mexico and several countries of Central America. The effectiveness of alternative strategies that promote community participation and collaboration between governmental institutions, NGOs, and civil groups that work at local level has been demonstrated specially in Mexico.

In the light of this situation the Pan American Health Organization - PAHO, together with the Commission for Environmental Cooperation of North America - CEC and the ministries of health of Belize, Costa Rica, El Salvador, Guatemala, Honduras, Mexico, Nicaragua, and Panama designed this project in two phases: the first one, called PDF-B Phase, was developed between 2000-2002 with the objective of gathering actual information on the use of DDT as well as the malaria control strategies present in the sub-region, as well as preparing a project proposal to be submitted to the GEF; the second phase started in September 2003 with the agreement signed between UNEP and PAHO implementing the GEF funded project during the period of 3 years.

Objectives
  To prevent the reintroduction of DDT for malaria control through the demonstration and evaluation of alternative and integrated methods of vector control that are cost effective, replicable, and sustainable.
Components
  The project has 4 components: (1) Demonstration Projects of integrated malaria vector control without DDT in each participating country, in areas under different environmental and socioeconomic conditions; (2) Strengthening of the national institutional capacities to control malaria without the use of DDT; (3) Elimination of obsolete DDT stockpiles in the 8 participating countries, (4) Coordination, management, and evaluation of the activities and results of the project.
Expected Results
  Set of techniques for integrated malaria vector control without the use of DDT evaluated in relation to their costs and their effectiveness, which are replicable in other parts of the world under environmental or socioeconomic similar conditions.
Beneficiaries
  Rural populations affected by malaria, public institutions that have to face the problem of malaria control, populations affected by the use of the DDT in the past, workers of vector control who have been exposed to DDT, women, and children who live in unhealthy settings close to vector breeding sites.
Institutions and Participating Governments
  Global Environment Facility - GEF
United Nations Environment Programme – UNEP
Pan American Health Organization – PAHO
Commission for Environmental Cooperation of North America - CEC
Ministry of Health - Belize
Ministerio de Salud de Costa Rica
Ministerio de Salud Pública y Asistencia Social de El Salvador
Ministerio de Salud Pública y Asistencia Social de Guatemala
Secretaría de Salud de Honduras
Secretaría de Salud de México
Ministerio de Salud de Nicaragua
Ministerio de Salud de Panamá

Diagnostic situation