American Journal of Epidemiology Advance Access originally published online on August 24, 2005
American Journal of Epidemiology 2005 162(8):726-728; doi:10.1093/aje/kwi277
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American Journal of Epidemiology Copyright © 2005 by the Johns Hopkins Bloomberg School of Public Health All rights reserved; printed in U.S.A.
ORIGINAL CONTRIBUTIONS |
Invited Commentary: Why DDT Matters Now
From the Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, NC
Correspondence to Matthew P. Longnecker, Epidemiology Branch, National Institute of Environmental Health Sciences, P.O. Box 12233, MD A3-05, Research Triangle Park, NC 27709 (e-mail: longnec1@niehs.nih.gov).
Received for publication June 9, 2005. Accepted for publication June 23, 2005.
Abbreviations: CI, confidence interval; DDE, 1,1-dichloro-2,2-bis(p-chlorophenyl)ethylene; DDT, 1,1,1-trichloro-2,2- bis(4-chlorophenyl)ethane
| The first 10% of the full text of this article appears below. |
The insecticide 1,1,1-trichloro-2,2-bis(4-chlorophenyl)ethane (DDT) has been banned in the United States since 1972, and serum levels in the general population have fallen substantially. Why then would the Journal bother to publish two articles on DDT and health in the present issue (1
, 2)? The authors of the papers allude to the significance of their contributions, but their explanations merit elaboration.
In many countries, policy towards DDT for malaria vector control is being reevaluated or changing. In Uganda, whether to use DDT is now being sharply debated (3, 4). In Madagascar, South Africa, and Zambia, recent reintroduction of DDT has coincided with marked reductions in malaria morbidity and, in all likelihood, mortality (5–7). In accord with an international treaty, other countries have registered as potential users of DDT (8), but few utilize it because other methods are effective in
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