Yes, malaria is still a plague; it’s not Rachel Carson’s fault, and your saying so probably kills kids

May 30, 2014

May 27’s Google Doodle honoring Rachel Carson brought out a lot of those people who have been duped by the anti-Rachel Carson hoaxers, people who are just sure their own biased views of science and the politics of medical care in the third world are right, and Carson, and the people who study those issues, are not.

So comes “The Federalist,” what appears to me to be a reactionary site, which yesterday got great readership for a story from Bethany Mandel.  Mandel tells a story of a child in Cambodia suffering from malaria.  The suffering is horrible and the child most likely died.  It’s a tragic story of poverty and lack of medical care in the third world.

Erroneously, Mandel up front blames the suffering all on Rachel Carson, in a carp about the Google Doodle.

Here was my quick response between bouts in the dentist’s chair yesterday [links added here]:

[Bethany Mandel wrote:] Using faulty science, Carson’s book argued that DDT could be deadly for birds and, thus, should be banned. Incredibly and tragically, her recommendations were taken at face value and soon the cheap and effective chemical was discontinued, not only in the United States but also abroad. Environmentalists were able to pressure USAID, foreign governments, and companies into using less effective means for their anti-malaria efforts. And so the world saw a rise in malaria deaths.

Don’t be evil?

Start by not telling false tales.

1.  Carson presented a plethora of evidence that DDT kills birds.  This science was solid, and still is.

2.  Carson did not argue DDT should be banned.  She said it was necessary to fight disease, and consequently uses in the wild, requiring broadcast spraying, should be halted immediately.

3.  Scientific evidence against DDT mounted up quickly; under US law, two federal courts determined DDT was illegal under the Federal Insecticide, Fungicide, and Rodenticide Act; they stayed orders to ban the chemical pending hearings under a new procedure at the new Environmental Protection Agency.

EPA held hearings, adversary proceedings, for nine months. More than 30 DDT manufacturers were party to the hearings, presenting evidence totaling nearly 10,000 pages.  EPA’s administrative law judge ruled that, though DDT was deadly to insects, arachnids, fish, amphibians, reptiles, birds and mammals, the labeled uses proposed in a new label (substituted at the last moment) were legal under FIFRA — indoor use only, and only where public health was concerned.  This labeling would allow DDT to remain on sale, over the counter, with few penalties for anyone who did not follow the label.  EPA took the label requirements, and issued them as a regulation, which would prevent sales for any off-label uses.  Understanding that this would be a severe blow to U.S. DDT makers, EPA ordered U.S. manufacture could continue, for the export markets — fighting mosquitoes and malaria being the largest export use.

This ruling was appealed to federal courts twice; in both cases the courts ruled EPA had ample scientific evidence for its rule.  Under U.S. law, federal agencies may not set rules without supporting evidence.

4.  DDT was banned ONLY for agriculture use in the U.S.  It was banned in a few European nations.  [Addition, December 30, 2014: In fact, the U.S. action against DDT by EPA specifically called for DDT use in any fight against a vector borne disease, like malaria.]

5.  DDT has never been banned in Africa or Asia.

6.  USAID’s policy encouraged other nations to use U.S.-made DDT, consistent with federal policy to allow manufacture for export, for the benefit of U.S. business.

7.  U.S. exports flooded markets with DDT, generally decreasing the price.

Fred Soper, super malaria fighter, whose ambitious campaign to erase malaria from the Earth had to be halted in 1965, before completion, when DDT abuse bred mosquitoes resistant and immune to DDT.

Fred Soper, super malaria fighter, whose ambitious campaign to erase malaria from the Earth had to be halted in 1965, before completion, when DDT abuse bred mosquitoes resistant and immune to DDT.

8.  Although WHO had been forced to end its malaria eradication operation in 1965, because DDT abuse had bred mosquitoes resistant to and immune to DDT, and though national and international campaigns against malaria largely languished without adequate government funding, malaria incidence and malaria deaths declined.  Especially after 1972, malaria continued a year-over-year decline with few exceptions.

Note that the WHO campaign ended in 1965 (officially abandoned by WHO officials in 1969), years before the U.S. ban on DDT.

Every statement about DDT in that paragraph of [Mandel’s] article, is wrong.

Most important, to the purpose of this essay, malaria did not increase.  Malaria infections decreased, and malaria deaths decreased.

I’m sure there are other parts of the story that are not false in every particular.  But this article tries to make a case against science, against environmental care — and the premise of the case is exactly wrong.  A good conclusion is unlikely to follow.

Mandel was hammered by the full force of the anti-Rachel Carson hoaxers.  I wonder how many children will die because people thought, “Hey, all we have to do is kill Rachel Carson to fix malaria,” and so went off searching for a gun and a bullet?

You are not among them, are you?

Update: This guy, a worshipper of the Breitbart, seems to be among those who’d rather rail against a good scientist than lift a finger to save a kid from malaria. If you go there, Dear Reader, be alert that he uses the Joe Stalin method of comment moderation:  Whatever you say, he won’t allow it to be posted.  Feel free to leave comments here, where we practice First Amendment-style ethics on discussion.


World Malaria Day 2014 – How can you help beat the disease?

April 25, 2014

Poster from BioMed Central:

Poster from BioMed Central for World Malaria Day 2014

Poster from BioMed Central for World Malaria Day 2014

Time for a big push to smash the disease’s hold on humanity, maybe eradicate it.  Are you in?

No, DDT is not the answer, not even much of AN answer.

How can you help, right now?

  1. Send $10 to Nothing But Nets. Bednets are dramatically more effective than just insecticides, in preventing malaria infections and saving lives.  Your $10 donation will save at least one life.
  2. Write to your Congressional delegation, and urge them to increase funding to the President’s Malaria Initiative. Malaria does well when people in non-malaria regions turn their backs on the problem.  Malaria declines with constant attention to nation-wide and continent-wide programs to prevent the disease, by diminishing habitat for mosquitoes, curing the disease in humans so mosquitoes have no well of disease to draw from, and preventing mosquitoes from biting humans, with window screens, education on when to stay indoors, and bednets.

More:


Nothing But Nets invites you to join in the fight against malaria, for World Malaria Day

April 3, 2014

I get e-mail from Nothing But Nets, in preparation for World Malaria Day, April 25, 2014:

Compete to Beat Malaria Header with credit

Dear Ed,

As you know, World Malaria Day is April 25, and supporters will be taking action throughout April to help us send 25,000 bed nets to families in Africa.

Are you in?

Our champions are holding basketball tournaments, soccer games, and running in 5K races to get their friends, families, and communities involved in the fight against malaria.Megan Walter Jumpology

Megan Walter, our supporter from Richmond, Virginia, organized a unique event in her hometown. She partnered with her local trampoline park to jump for nets – and they raised $10 for every jumper who participated. The event was a huge success, raising more than $2,000 to send 200 bed nets to families in Africa. What made it even better is that Megan had fun doing it!

There are lots of ways to raise money and send nets while doing what you love. Every $10 you raise helps us purchase and distribute life-saving bed nets with our UN partners.

What sports challenge will you do this April?

Join us in sending nets and saving lives for World Malaria Day! Together, we can defeat malaria.

Sincerely,

Liz Wing
Senior Grassroots Officer, Nothing But Nets

P.S. Whether you run, swim, or play basketball, you can help raise critical funds and save lives. Take a challenge.

 

Compete to Beat Malaria Footer

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© Copyright 2014 United Nations Foundation
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You noted, of course:  No call for more DDT.  No slamming of science, scientists, medicine, medical workers, or Rachel Carson and environmental organizations.

This comes from people who fight malaria for a (meager) living, on non-profit basis, without political bias.  In short, these people need help, and consequently have no use for the pro-DDT, anti-Rachel Carson, anti-WHO, anti-science hoaxes.

Please give.  Every $10 can save a life.


World malaria report 2013 shows major progress in fight against malaria, calls for sustained financing (but not DDT)

March 21, 2014

News release from the World Health Organization:

World malaria report 2013 shows major progress in fight against malaria, calls for sustained financing

News release

Cover of World Malaria Report 2013

Cover of World Malaria Report 2013

11 December 2013 | Geneva/Washington DC – Global efforts to control and eliminate malaria have saved an estimated 3.3 million lives since 2000, reducing malaria mortality rates by 45% globally and by 49% in Africa, according to the “World malaria report 2013” published by WHO.

An expansion of prevention and control measures has been mirrored by a consistent decline in malaria deaths and illness, despite an increase in the global population at risk of malaria between 2000 and 2012. Increased political commitment and expanded funding have helped to reduce incidence of malaria by 29% globally, and by 31% in Africa.

The large majority of the 3.3 million lives saved between 2000 and 2012 were in the 10 countries with the highest malaria burden, and among children aged less than 5 years – the group most affected by the disease. Over the same period, malaria mortality rates in children in Africa were reduced by an estimated 54%.

But more needs to be done.

“This remarkable progress is no cause for complacency: absolute numbers of malaria cases and deaths are not going down as fast as they could,” says Dr Margaret Chan, WHO Director-General. “The fact that so many people are infected and dying from mosquito bites is one of the greatest tragedies of the 21st century.”

In 2012, there were an estimated 207 million cases of malaria (uncertainty interval: 135 – 287 million), which caused approximately 627 000 malaria deaths (uncertainty interval 473 000 – 789 000). An estimated 3.4 billion people continue to be at risk of malaria, mostly in Africa and south-east Asia. Around 80% of malaria cases occur in Africa.

Long way from universal access to prevention and treatment

Malaria prevention suffered a setback after its strong build-up between 2005 and 2010. The new WHO report notes a slowdown in the expansion of interventions to control mosquitoes for the second successive year, particularly in providing access to insecticide-treated bed nets. This has been primarily due to lack of funds to procure bed nets in countries that have ongoing malaria transmission.

In sub-Saharan Africa, the proportion of the population with access to an insecticide-treated bed net remained well under 50% in 2013. Only 70 million new bed nets were delivered to malaria-endemic countries in 2012, below the 150 million minimum needed every year to ensure everyone at risk is protected. However, in 2013, about 136 million nets were delivered, and the pipeline for 2014 looks even stronger (approximately 200 million), suggesting that there is real chance for a turnaround.

There was no such setback for malaria diagnostic testing, which has continued to expand in recent years. Between 2010 and 2012, the proportion of people with suspected malaria who received a diagnostic test in the public sector increased from 44% to 64% globally.

Access to WHO-recommended artemisinin-based combination therapies (ACTs) has also increased, with the number of treatment courses delivered to countries rising from 76 million in 2006 to 331 million in 2012.

Despite this progress, millions of people continue to lack access to diagnosis and quality-assured treatment, particularly in countries with weak health systems. The roll-out of preventive therapies – recommended for infants, children under 5 and pregnant women – has also been slow in recent years.

“To win the fight against malaria we must get the means to prevent and treat the disease to every family who needs it,” says Raymond G Chambers, the United Nations Secretary General’s Special Envoy for Financing the Health MDGs and for Malaria. “Our collective efforts are not only ending the needless suffering of millions, but are helping families thrive and adding billions of dollars to economies that nations can use in other ways.”

Global funding gap

International funding for malaria control increased from less than US$ 100 million in 2000 to almost US$ 2 billion in 2012. Domestic funding stood at around US$ 0.5 billion in the same year, bringing the total international and domestic funding committed to malaria control to US$ 2.5 billion in 2012 – less than half the US$ 5.1 billion needed each year to achieve universal access to interventions.

Without adequate and predictable funding, the progress against malaria is also threatened by emerging parasite resistance to artemisinin, the core component of ACTs, and mosquito resistance to insecticides. Artemisinin resistance has been detected in four countries in south-east Asia, and insecticide resistance has been found in at least 64 countries.

“The remarkable gains against malaria are still fragile,” says Dr Robert Newman, Director of the WHO Global Malaria Programme. “In the next 10-15 years, the world will need innovative tools and technologies, as well as new strategic approaches to sustain and accelerate progress.”

WHO is currently developing a global technical strategy for malaria control and elimination for the 2016-2025 period, as well as a global plan to control and eliminate Plasmodium vivax malaria. Prevalent primarily in Asia and South America, P. vivax malaria is less likely than P. falciparum to result in severe malaria or death, but it generally responds more slowly to control efforts. Globally, about 9% of the estimated malaria cases are due to P. vivax, although the proportion outside the African continent is 50%.

“The vote of confidence shown by donors last week at the replenishment conference for the Global Fund to Fight AIDS, Tuberculosis and Malaria is testimony to the success of global partnership. But we must fill the annual gap of US$ 2.6 billion to achieve universal coverage and prevent malaria deaths,” said Fatoumata Nafo-Traoré, Executive Director of the Roll Back Malaria Partnership. “This is our historic opportunity to defeat malaria.”

Notes for editors:

The “World malaria report 2013” summarizes information received from 102 countries that had on-going malaria transmission during the 2000-2012 period, and other sources, and updates the analyses presented in 2012.

The report contains revised estimates of the number of malaria cases and deaths, which integrate new and updated under-5 mortality estimates produced by the United Nations Inter-agency Group for Child Mortality Estimation, as well as new data from the Child Health Epidemiology Reference Group.


Ugandan court turned back challenge to DDT use

March 19, 2014

One more news story that demonstrates, first, there is no worldwide ban on DDT (not even with the POPs Treaty); and second, environmentalists probably couldn’t stop DDT use if they tried, in nations where malaria still poses a problem.

Uganda's location in Africa; WorldAtlas.com map

Uganda’s location in Africa; WorldAtlas.com map

Not that the DDT-crazy anti-environmentalist critics of Rachel Carson and WHO will notice, but here’s the news, anyway.

From All Africa, from The Observer in Kampala:

Uganda: DDT Petition Dismissed

By Derrick Kiyonga, 18 March 2014

A petition against the use of DDT to control malaria has been dismissed by the Constitutional court.

Judges said the 2009 petition by the Uganda Network on Toxic-Free Malaria Control (UNETMAC) did not raise any matter for interpretation under article 137 of the Constitution. UNETMAC had argued that indoor residual spraying (IRS) and the continued use of the insecticide was hazardous to Uganda’s agricultural exports.

The ministry of Health had earlier approved IRS in Apac and Oyam districts. The judgment by the five-judge panel was delivered by Justice Kenneth Kakuru.

Uganda’s lack of anti-malaria campaigns due to political unrest through much of the last 40 years appears to have contributed to rather severe problems in some provinces today.  At various points over the past decade, Indoor Residual Spraying (IRS) won court fights from business groups, trade groups, farmers, affected citizens and odd environmental organizations.  In each case, courts ruled in favor of DDT use.

IRS involves spraying the walls of a home where mosquitoes rest after biting a victim.  Hypothetically, the mosquito then gets a fatal does of insecticide, and will not live long enough to develop the next cycle of malaria parasites to pass back to human victims (the life cycle of the malaria parasite takes about 14 days in a mosquito’s gut before the bug becomes infectious).  DDT is not approved for outdoor use, but only for fighting disease, and only inside dwellings.

DDT and about a dozen other insecticides are used for IRS, in rotation, to avoid pushing the mosquitoes to evolve resistance to any one poison.  Even so, DDT grows less effective, and health workers increasingly avoid using it at all, in favor of other insecticides.

Despite a few hotspots of malaria in Africa, across the continent malaria infections and deaths continue to decline, a decline steady since the early 1970s, accelerated since 2000.

More:

Uganda. AfricaDiscovery.com

Uganda. AfricaDiscovery.com


Querying the Rachel Carson Critics (who turned out the light?)

June 19, 2013

Another question of mine that will probably never see the light of day.  This group has no answer, so why would they allow the question?

I stumbled across a blog-looking page from the American Council on Science and Health, an industry apologist propaganda site, on World Malaria Day, which was April 25.  You may recognize the name of the group as one of the industry-funded sites that constantly attacks Rachel Carson, and often the World Health Organization, with the unscientific and false claims that environmentalists bannned DDT and thereby condemned millions of Africans to die from malaria — which, ASCH claims, could have easily been eradicated with more DDT poisoning of Africa.

On World Malaria Day, ASCH took note, flirted with the facts (that DDT doesn’t work as it once was thought to work), but then backed away from the facts — that the ban on DDT in the U.S. came years AFTER WHO suspended the malaria eradication campaign in Africa when it was discovered DDT couldn’t kill DDT-adapted mosquitoes, already subject to years of abuse of DDT by agriculture and other industries.  ASCH said:

DDT kills mosquitoes, although not as well as it did 60 years ago. But it also irritates them and repels them, so the small amount sprayed inside homes effectively reduces the transmission of the malarial microbe substantially. The banning of DDT, based upon political anti-chemical bureaucrats and “environmentalists” inspired by Carson’s “Silent Spring” who ran our EPA in 1972, helped to impede the malaria control program led by the UN’s WHO.

Impede?  Impossible for a 1972 ban to have been responsible for the earlier suspension of the WHO campaign, not to mention EPA’s ban ended at the U.S. borders.  So I asked:

Screen capture of query to ACSH on how EPA's ban "impeded" WHO's campaign against malaria, ended years earlier.

Screen capture of query to ACSH on how EPA’s ban “impeded” WHO’s campaign against malaria, ended years earlier.

Ed Darrell Reply

June 19, 2013 at 5:16 am

Your comment is awaiting moderation.

I would be very interested in just how the 1972 ban on DDT in the U.S. “impeded” the UN’s antimalaria campaign, which stopped using DDT heavily seven years earlier, and was suspended in 1969.

After the ban on U.S. use of DDT, all of U.S. manufacture was dedicated to export to Africa and Asia, which greatly increased DDT supplies available there.

How did this impede?

Want to wager a guess as to whether they’ll ever allow the comment to see the light of day at their site, let alone answer it?

More:

Wall of Shame – Sites that continue to spread the pro-DDT hoax as fact:

DDT is good for me advertisement

“DDT is good for me advertisement” from circa 1955.  Photo image from the Crossett Library Bennington College.  This ad today is thought to be emblematic of the propaganda overkill that led to environmental disasters in much of the U.S. and the world.  DDT cleanups through the Superfund continue to cost American taxpayers millions of dollars annually.


Why it’s important to have accurate history and science on the internet: Don’t lie to kids about DDT

June 6, 2013

Great accomplishment by this kid from Hudson, Massachusetts — but troubling, too.  He’s winning a persuasive speech competition, persuading people against history, law and science, calling for a return of DDT.

Andrew Brandt of Hudson MA, persuasive speaking champion

Andrew Brandt of Hudson holds his winning certificate at the regional speech and debate tournament in New Hampshire in April. He was one of seven to advance to the national competition. (Photo/submitted)

Hudson – Andrew Barndt, 13, from Hudson will be traveling to Tulsa, Okla., in June to join more than 500 students competing in a National Speech and Debate Tournament.

Andrew has qualified to compete in the Persuasive Speech category with the National Christian Forensics and Communications Association (NCFCA). Home-schooled students aged 12 to 18 compete at local and regional tournaments around the country in the winter and spring, culminating in the national tournament in June.

In April, at the regional tournament in Concord, N.H., 27 students competed in the Persuasive Speech category. Andrew’s speech, “DDT: What You Think You Know May Not Be So,” was one of seven chosen to move on the national competition.

According to the NCFCA, “a persuasive speech is an original platform speech that attempts to persuade the audience to adopt a particular point of view or course of action.”

A competitor will give a speech three times in front of different three-judge panels. Judges can be other parents, members of the community or former competitors. The judges rank them on 17 criteria, including: using outside evidence, relating a clear thesis, demonstrating a logical flow of ideas, incorporating proper vocal technique, having good energy level and making eye contact. The top candidates advance to a final round and the winners are decided. Winners receive a trophy and recognition on the NCFCA website.

Andrew will present his winning speech at the national competition held at Oral Roberts University June 18-22. His speech has three parts: debunking the myth of birds’ eggs being harmed due to DDT, disproving the claim that DDT causes cancer in humans, and pointing out that DDT has saved hundred of millions of lives by reducing mosquitoes that carry malaria. He concludes by urging his listeners to repeal the ban on DDT.

“I’m an avid birdwatcher,” Andrew said. “which is how I became familiar with DDT in the first place.”

According to his mother, Ann Barndt, Andrew also competes in debate. “This year he and his brother, Jonathan, 16, partnered together as a team,” she said. “However, their record was not high enough to advance.”

She said the brothers did enjoy preparing for the tournaments, researching various aspects of the this year’s topic, the United Nations. They plan to partner together again next year.

“As for my future, I’m still thinking about how to merge [bird watching] with a sustainable livelihood,” Andrew said.

For more information about the tournament, visit www.ncfca.org.

At the site of the Hudson Community Advocate, I offered what I hope is gentle but persuasive advice to the kid, from one old debater to another:

I commend the young man on his speaking prowess — but he needs a lot of help with his research chops.

1. Birds eggs are harmed by DDT; worse, that’s just one of four ways DDT kills birds. It also poisons chicks outright, in the eggs, poisons the adults (especially migratory birds), and it disrupts the nervous systems of chicks so that, even when they do hatch, they don’t survive.

2. Although it’s a weaker carcinogen, DDT is listed as a “suspected human carcinogen” by the American Cancer Society, CDC and WHO. DDT’s carcinogenic qualities were evidenced long after EPA banned its use because it kills wildlife systems.

3. While DDT played a role in defeating malaria in some countries, it was overused, and it ceased to be so effective as it was. However, malaria rates of infection and total deaths from malaria now are much, much lower than they ever were with DDT. Since malaria deaths are reduced by more than 75%, it’s incorrect math to claim millions died without DDT, wholly apart from the history.

3.1 DDT has never been banned for use against malaria, anywhere. The U.S. ban on DDT, in fact, allowed manufacturing to continue in the U.S., with all DDT dedicated to export. So the U.S. ban, which saved the bald eagle, osprey, peregrine falcon and brown pelican, among others, also multiplied the amount of DDT available to fight malaria in Africa and Asia.

Andrew must be very, very persuasive, to persuade people that DDT, a deadly and mostly useless pollutant, should be revived. Good luck to him in his tournament, and good luck finding better sources next year.

Mr. Brandt must be excused, partly, for his error.  There remains a dedicated and well-funded disinformation assault on the reputation of Rachel Carson, author of Silent Spring, on the World Health Organization, on malaria fighters, on scientists and “environmentalists,” and this assault largely succeeds in ruthlessly elbowing aside the facts in internet searches, and elsewhere.  Fox News still employs serial-prevaricator Steven Milloy whose assault hoaxes on Carson and science of DDT should be more legendary than they are.  So-called Christian organizations join the political fray, while Christians like the Methodists actually fight malaria with the Nothing But Nets campaign — the workers are too busy to crow, the crowers are too busy to fight malaria.  (One may wonder about this Christian debate group — it caters to the small band of home schoolers.  Their evidence standards aside — standards which would disqualify most of the claims against Rachel Carson and for DDT — one wonders how a speaker would fare in this competition,  who praised Rachel Carson and the EPA for banning DDT, and for keeping the ban.  Accuracy of information is not among the criteria to be used in judging.)

The problem with lying to kids is they often believe the lies.  This isn’t a case of scientific disputes, or conflicting studies or information.  Not a jot nor tittle of Rachel Carson’s research citations has ever been questioned.  What she wrote about DDT in 1962 remains valid today, supported by more than a thousand follow-up studies and contradicted by none.  The destructive nature of DDT on bird populations is not questioned by scientists nor experienced bird watchers.  Where did this well-intentioned kid get led so far astray?

Science communicators?  What’s the solution to this problem?

More:


Resources for World Malaria Day 2013

April 25, 2013

Not a word about condemning Rachel Carson.  No plea to use DDT to try to poison Africa or Asia to health.  That’s a great start.

More:

Mother and son under a protective bednet, the most efficient method to prevent malaria.  Columbia University MVSim image

Mother and son under a protective bednet, the most efficient method to prevent malaria. Columbia University MVSim image


April 25 is World Malaria Day — right, Bill?

April 24, 2013

He’s absolutely right.

English: World Malaria Day Button (english)

English: World Malaria Day Button (english) (Photo credit: Wikipedia)

What are you doing to fight malaria today?

More:


Swearing-in stew: Inauguration week olla podrida – Where are the dung beetles when you need them?

January 25, 2013

In no particular order, nor in any particular ardor, stuff of interest and consequence we should be talking about instead of soaking in Millard Fillmore’s bathtub and admiring the plumbing:

More:


Passing the 200 post mark on Rachel Carson, DDT and Malaria

January 13, 2013

I’m running behind in listing some of the articles, but since Utah Rep. Rob Bishop first alerted me to the stupidity raging on Rachel Carson‘s reputation, DDT‘s dangers and malaria, Millard Fillmore’s Bathtub hosted more than 200 articles on the topics.

Palau's stamp honoring Rachel Carson

Postage stamp honoring Rachel Carson, part of the “20th century environmental heroes” set from the South Pacific nation of Palau, PlanetPatriot image

Overwhelmingly, the evidence is that Rachel Carson was right, DDT is still dangerous and needs to be banned, but malaria still declines, even with declining DDT use.

You can look at the list of 200 articles, in reverse chronological order, here.

More:


World Malaria Report 2012: Malaria still declining, but more resources needed fast

January 4, 2013

Significant gains against malaria could be lost because funding for insecticide-treated bednets has dropped, and malaria parasites appear to be developing resistance to the pharmaceuticals used to clear the disease from humans, while insects that transmit the parasites develop resistance to insecticides used to hold their populations down.

Malaria room

African bedroom equipped with LLINs (insecticidal bednets) Photo: YoHandy/Flickr

UN’s World Health Organization (WHO) published its annual report on the fight against malaria last month, December 2012.  Accompanying the many page World Malaria Report 2012  were a press release and a FAQ; the fact-sheet appears unedited below.

Insecticidal bednets have proven to be a major, effective tool in reducing malaria infections.  Careful studies of several different projects produced a consensus that distributing the nets for free works best; people in malaria-infected areas simply cannot afford to pay even for life-saving devices, but they use the devices wisely when they get them.  Nets often get abbreviated in official documents to “LLINs,” an acronym for “long-lasting insecticidal nets.”

Generally, the report is good news.

Dramatic facts emerge from the report:  The “million-a-year” death toll from malaria has been whacked to fewer than 700,000, the lowest level in recorded human history.  More people may die, and soon, if aid does not come to replace worn bednets, distribute new ones, and if the drugs that cure the disease in humans, lose effectiveness.  Many nations where the disease is endemic cannot afford to wage the fight on their own.

Links in the Fact Sheet were added here, and do not come from the original report — except for the link to the WHO site itself.

Logo for World Health Organization

17 December 2012

World Malaria Report 2012

FACT SHEET

Malaria is a preventable and treatable mosquito-borne disease, whose main victims are children under five years of age in Africa.

The World Malaria Report 2012 summarizes data received from 104 malaria-endemic countries and territories for 2011. Ninety-nine of these countries had on-going malaria transmission.

According to the latest WHO estimates, there were about 219 million cases of malaria in 2010 and an estimated 660,000 deaths. Africa is the most affected continent: about 90% of all malaria deaths occur there.

Between 2000 and 2010, malaria mortality rates fell by 26% around the world. In the WHO African Region the decrease was 33%. During this period, an estimated 1.1 million malaria deaths were averted globally, primarily as a result of a scale-up of interventions.

Funding situation

International disbursements for malaria control rose steeply during the past eight years and were estimated to be US$ 1.66 billion in 2011 and US$ 1.84 billion in 2012. National government funding for malaria programmes has also been increasing in recent years, and stood at an estimated US$ 625 million in 2011.

However, the currently available funding for malaria prevention and control is far below the resources required to reach global malaria targets. An estimated US$ 5.1 billion is needed every year between 2011 and 2020 to achieve universal access to malaria interventions. In 2011, only US$ 2.3 billion was available, less than half of what is needed.

Disease burden

Malaria remains inextricably linked with poverty. The highest malaria mortality rates are being seen in countries that have the highest rates of extreme poverty (proportion of population living on less than US$1.25 per day).

International targets for reducing malaria cases and deaths will not be attained unless considerable progress can be made in the 17 most affected countries, which account for an estimated 80% of malaria cases.

  • The six highest burden countries in the WHO African region (in order of estimated number of cases) are: Nigeria, Democratic Republic of the Congo, United Republic of Tanzania, Uganda, Mozambique and Cote d’Ivoire. These six countries account for an estimated 103 million (or 47%) of malaria cases.
  • In South East Asia, the second most affected region in the world, India has the highest malaria burden (with an estimated 24 million cases per year), followed by Indonesia and Myanmar.  50 countries are on track to reduce their malaria case incidence rates by 75%, in line with World Health Assembly and Roll Back Malaria targets for 2015. These 50 countries only account for 3% (7 million) of the total estimated malaria cases.

At present, malaria surveillance systems detect only around 10% of the estimated global number of cases.  In 41 countries around the world, it is not possible to make a reliable assessment of malaria trends due to incompleteness or inconsistency of reporting over time.

This year, the World Malaria Report 2012 publishes country-based malaria case and mortality estimates (see Annex 6A). The next update on global and regional burden estimates will be issued in December 2013.

Malaria interventions

To achieve universal access to long-lasting insecticidal nets (LLINs), 780 million people at risk would need to have access to LLINs in sub-Saharan Africa, and approximately 150 million bed nets would need to be delivered each year.

The number of LLINs delivered to endemic countries in sub-Saharan Africa dropped from a peak of 145 million in 2010 to an estimated 66 million in 2012. This will not be enough to fully replace the LLINs delivered 3 years earlier, indicating that total bed net coverage will decrease unless there is a massive scale-up in 2013. A decrease in LLIN coverage is likely to lead to major resurgences in the disease.

In 2011, 153 million people were protected by indoor residual spraying (IRS) around the world, or 5% of the total global population at risk. In the WHO African Region, 77 million people, or 11% of the population at risk were protected through IRS in 2011.

The number of rapid diagnostic tests delivered to endemic countries increased dramatically from 88 million in 2010 to 155 million in 2011. This was complemented by a significant improvement in the quality of tests over time.

In 2011, 278 million courses of artemisinin-based combination therapies (ACTs) were procured by the public and private sectors in endemic countries – up from 182 million in 2010, and just 11 million in 2005. ACTs are recommended as the first-line treatment for malaria caused by Plasmodium falciparum, the most deadly Plasmodium species that infects humans. This increase was largely driven by the scale-up of subsidized ACTs in the private sector through the AMFm initiative, managed by the Global Fund to Fight AIDS, Tuberculosis and Malaria.

Drug and insecticide resistance

Antimalarial drug resistance is a major concern for the global effort to control malaria. P. falciparum resistance to artemisinins has been detected in four countries in South East Asia: in Cambodia, Myanmar, Thailand and Viet Nam. There is an urgent need to expand containment efforts in affected countries. For now, ACTs remain highly effective in almost all settings, so long as the partner drug in the combination is locally effective.

Mosquito resistance to at least one insecticide used for malaria control has been identified in 64 countries around the world. In May 2012, WHO and the Roll Back Malaria Partnership released the Global Plan for Insecticide Resistance Management in malaria vectors, a five-pillar strategy for managing the threat of insecticide resistance.

www.who.int/malaria

You were perceptive.  You noted there is no call from malaria fighters for more DDT, nor for any change in DDT policy.  This is a report from medical personnel, from public health experts, the real malaria fighters.  It’s not a political screed.

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Split in environmental movement? No. Facts still matter

December 21, 2012

Rachel Carson was right in her claims against DDT in Silent Spring, of course, as all subsequent research shows. Drawing by New York Magazine's immortal David Levine.

Rachel Carson was right in her claims against DDT in Silent Spring, of course, as all subsequent research shows. Drawing by New York Magazine‘s immortal David Levine.

Chris Clarke took on Keith Kloor at Pharyngula.  Kloor fell victim to the idea that there is a great split between old “tree-hugger” environmentalists and a newer breed of greens who are willing to work with business and industry to get actual solutions.  Kloor seems to be cheering those he calls “modernists.”

It’s not a new idea, nor is a particularly useful one.  There has long been a minor rift between people who believe it’s impossible to cut deals with polluters, and those who get into the trenches to hammer out or shoot out deals that result in practical legislation.  The group who called for a legislated end to personal automobiles, for example, are still around — but they applaud those who forged the Clean Air Act that drove the invention and development of catalytic converters and cleaned up urban air, even though it left America awash in cars.

Clarke wrote:

Kloor summarizes the better, smarter, more stylish and less embarrassing side’s position thusly:

Modernist greens don’t dispute the ecological tumult associated with the Anthropocene. But this is the world as it is, they say, so we might as well reconcile the needs of people with the needs of nature. To this end, [controversial environmentalist Peter] Kareiva advises conservationists to craft “a new vision of a planet in which nature—forests, wetlands, diverse species, and other ancient ecosystems—exists amid a wide variety of modern, human landscapes.”

That doesn’t seem all that unreasonable on its face, if for no other reason that that it’s currently the best case scenario. You would be extremely hard-pressed to find even the most wilderness-worshipping enviro who disagreed.

In fact, were I to have to rebut Kloor’s whole piece in one sentence, it would be this:  the U.S. non-profit The Wilderness Society, founded by the authors of the Wilderness Act of 1964, is aggressively pushing for industrial development of solar and wind energy generating capacity on intact habitat on the public lands of the American west.

President Lyndon B. Johnson signing the Wilder...

President Lyndon B. Johnson signing the Wilderness Act in 1964 (Photo credit: Wikipedia)

I replied at Pharyngula, noting that the rift Kloor talks about could be exemplified by Rachel Carson and DDT and “modernists” who don’t object to the use of DDT in Indoor Residual Spraying (IRS) to fight malaria — except, those are the same people, working on the same issue.  In short, I sorta agree with Clarke.  There’s no rift, only a lot of misunderstanding.

Heck, if I’m going to that trouble, I may as well capture it here for my indexing purposes.  Here’s my response — I may add links in the body that don’t appear at Pharyngula.

Interesting view of a bit of an inside-baseball (environmental protection politics) issue, but not particularly incisive. Other than its being published at Slate, should we worry about Kloor’s views much?

The piece completely ignores that the views of those he labels “modernists” and “pragmatists” come wholly out of the research demanded by those he ignores in the old movement, whom he unfairly ridicules as hippies.

For example: It’s politically correct (in some circles) today to say (1) Rachel Carson was too strident, and (2) probably wrong about DDT “since it’s (3) not carcinogenic, we now know.” Malaria fighters around the world (4) now have DDT in their arsenal again, this view holds, because (5) pragmatists in the environmental movement finally listened. “(6) Sorry about those ‘unnecessary’ malaria deaths,” some claim the pragmatists would say.

But that view is founded on, grown in, and spreads, historical, legal and scientific error. And the progress made was based on understanding the science, history and law accurately. It’s not that pragmatists finally succeeded where the tree-huggers failed. It’s that the tree-huggers hung in there for 50 years and the world has come around to recognizing good effects, even if it can’t or won’t acknowledge the true heroes who got the work done.

Carson was dead right about DDT. She urged the use of Integrated Vector (Pest) Management (IVM, or IPM) in place of DDT, but she forecasted (in 1962!) that unless DDT use were severely curtailed, it would cease to be useful to fight malaria and other diseases (because, as Carson understood, evolution works, and the bugs evolve defenses to DDT). By 1965, WHO had to end its ambitious campaign to eradicate malaria because, as Carson predicted, mosquitoes in Africa turned up resistant and immune to DDT because of abuse and overuse of the stuff in other applications. Notice, 1965 was seven years BEFORE the U.S. banned DDT use on agricultural crops, and 19 years before the last U.S. DDT manufacturer scurrilously fled to bankruptcy protection to avoid penalties under Al Gore’s SuperFund cleanup bill.

Carson did not claim DDT causes cancer. So the basis of the argument that DDT is “safe for human use” because it doesn’t cause cancer, is an historical non-starter. Research since Carson’s death shows that DDT does indeed cause cancer, though we think its a weak carcinogen in humans. DDT was banned because it’s a deadly poison (else it wouldn’t work!), and it kills for a long time, and it is nonspecific — so it will kill an entire ecosystem before it can eradicate some insect pests. It was in 1971, and it still is.

Photo taken at Rachel Carson's 100th Birthday ...

Photo taken at Rachel Carson’s 100th Birthday celebration at Rachel Carson Homestead in Springdale, Pennsylvania (Photo credit: Wikipedia)

Carson did note that DDT kills birds, in vitro, by incapacitating chicks to thrive, by outright poisoning insect-eating and predatory birds (or anything near the top of the trophic levels) and through a then-mysterious scrambling of reproductive abilities. About ten years after her death, it was discovered DDT also rendered female fowl unable to make competent eggshells, and that provided a fifth path for death for birds.

Much of the research Carson cited formed the foundation for the science-based regulation EPA came up with in late 1971 that ended in the ban on DDT in the U.S. None of those studies has ever been seriously challenged by any later research. In fact, when Discover Magazine looked at the issue of DDT and birds and malaria in 2007, they found more than a thousand peer-review follow-up studies on DDT confirming Carson’s writings.

Over the past decade we’ve seen a few bird species come off of the Endangered Species List. Recovery of at least four top predators should be credited squarely to the ban on crop use of DDT in the U.S, brown pelicans, peregrine falcons, osprey, and bald eagles. 40 years of non-use, coupled with habitat protection and captive breeding programs, brought these birds back. (Five years ago I sat on the lawn of Mt. Vernon and watched a bald eagle cross the Potomac to a snag 100 yards from George Washington’s porch; the director told me they’d been watching several eagles there for a couple of years. 15 years earlier, one nesting pair existed in the whole Potomac region, at a secret site; now tourists are told where to go see them. A friend wrote today he saw a bald eagle in Ft. Worth, Texas. The gains from the DDT ban are real.)

Meanwhile, in Africa and Asia, the war on malaria continued. After the DDT advocates screwed up the malaria eradication program of WHO in the 1960s, progress against malaria continued, but slowed; in the late 1980s malaria flared up in some regions where the malaria parasites themselves had developed resistance to the most commonly-used pharmaceuticals (as Darwin would have predicted, as Carson would have predicted). After struggling to keep malaria from exploding, about 1999 malaria fighters latched on to Integrated Pest Management (IPM), which couples occasional spraying of homes and other residences, even with DDT (which was never banned in Africa or Asia) — but calls for spraying only when it is very effective, and requires that no one pesticide be used to the point that it drives mosquitoes to evolve resistance, and pushes all other means to prevent disease-spreading bug bites.

Largely without DDT (though DDT is not banned), malaria infections fell from peak DDT-use years of 1959 and 1960, from 500 million infections per year, to fewer than 250 million infections today — that’s a decrease of 50%. Phenomenal when we consider the population of the world has doubled in the same time. Deaths dropped from 4 million annually in those peak-DDT-use years to fewer than 800,000 per year today — a decrease of more than 75%. Progress continues, with IPM; bednets now do better, and more cheaply, what DDT used to do but largely cannot anymore — stop the bites. Better medicines, and better educated health care workers, clean up the disease among humans so mosquitoes can’t find a well of infection to draw from.

Notice that at no point was progress made contrary to the “tree-hugger” model, but instead was made at every point because of the tree-hugger model. No compromises enabled the recovery of the bald eagle, but strict enforcement of the environmental laws. No compromises with Rachel Carson’s Silent Spring helped beat malaria, but finally applying what Rachel Carson actually wrote.

Now along comes Kloor to say that Carson and her de facto acolytes block progress, and people who argue for compromise instead have the lighted path to the future?

Let’s review:

  1. Carson was not too strident; in fact the President’s Science Advisory Committee’s report, “Use of Pesticides,” in 1963 called for more immediate and more draconian action than Carson did.
  2. Carson was not wrong about DDT; it is still a deadly poison, and it still kills ecosystems; however, as Carson urged, careful use can provide benefits in a few cases.
  3. Human carcinogenicity was not an issue in DDT’s being banned in the U.S. in 1972, and it’s being only a weak carcinogen now does not rescue DDT from the scientifically-justified ban; we now know DDT is even more insidious, since it acts as an endocrine disruptor in nature, scrambling reproductive organs of fish, amphibians, reptiles and mammals, and probably birds, too.
  4. Malaria fighters always had DDT in their arsenal; no reason to use DDT where it won’t work, nor where it’s harms outweigh its benefits (as the National Academy of Sciences said, in 1970, in a call to get rid of the stuff).
  5. If there were any pragmatists in this story, they abandoned malaria-affected areas of the world years ago and have not returned; they did nothing to help save the birds; to claim they listened is to suggest they did something and can do more. Not sure that’s a case that can be made.
  6. There were not deaths to malaria “unnecessary” due to a ban on DDT which never occurred in Africa or Asia, while DDT was plentiful and cheap to anyone who wanted to use it (still pretty much the case today). Let’s repeat that:  DDT has never been banned in Africa or Asia.  We can’t claim great disease exacerbation when the disease actually was abated so greatly over the period of time in discussion — can’t make that claim and also claim to be honest.

It was the hard-core, wilderness-loving, science-following environmentalists who were responsible for every lick of progress on that issue.

Is DDT unique as an issue? I don’t think so. And I think a fair history of the environmental movement from 1975 to today would point out that it was hard-core, save-the-planet-because-it’s-the-only-home-humans-have types who pulled things out. Do we have great canyons to hike in Colorado and Utah? Yeah, but keeping Exxon from digging up huge portions of those states for a now-failed oil-shale extraction scheme should get some of the credit. Is there wildlife in cities? Sure, but only because we had wilderness areas to protect those species in their darkest hours, and we may need those places again. Do we have other needs for wilderness? Only if we need clean air, clean water, huge sinks for CO2 emissions, and places to dream about so we stay sane and focused, and American (Frederick Jackson Turner was correct enough — Americans are more noble, more creative, wiser and more productive, if we have a frontier and a wild).

Isn’t it required that we compromise on standards to get energy independence, and economic prosperity? Don’t look now, but oil and natural gas production, and exploration, are at highs, under our “tough environmental laws.” If we look around the world, we see that future prosperity is best protected by such laws, even if they sometimes seem to slow some industrial process or other.

New generation of conservationist? Possible only because of the old generation, the Pinchots, Roosevelts (esp. the two presidents), the Lincolns and Grants, the Muirs, the Leopolds, the Bob Marshalls, the Udalls, the Morans, the Douglases (Marjory Stoneman and Justice William, both), the Rockefellers, the Nelsons, the Muskies, the Gores, the Powells, and thousands of others who were then ridiculed for being unpragmatic, and whose methods often required that they not “compromise.” We can’t talk about protecting wilderness today unless the Sierra Club was there to actually do it, earlier. We can’t talk about private efforts, or public-private partnerships, without standing on the ground already protected by the Nature Conservancy. We can’t talk about saving the birds without relying on the history of the Audubon Society. We can’t talk sensibly about protecting humans from cancer or poisons without touching every rhetorical string Rachel Carson plucked.

Get the science right. Keep your history accurate. Read the fine print on the law, and on the pesticide label. Conservation isn’t for the birds, bees, bears, trout and flowers — it’s for humans. That’s news to Kloor? Maybe that’s why his view is skewed.

Progress is made by unreasonable and stubborn people, sometimes? No, Martin Luther King, Jr., said — those are the only people who make progress.

We aren’t going to build a future conservation movement by giving away what has been conserved to now.

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Still no ban on DDT: Treaty monitors allow DDT use to continue

December 16, 2012

Real news on a topic like DDT takes a while to filter into the public sphere, especially with interest groups, lobbyists and Astro-Turf groups working hard to fuzz up the messages.

News from the DDT Expert Group of the Conference of the Parties to the Stockholm Convention was posted recently at the Stockholm Convention website — the meeting was held in early December in Geneva, Switzerland.

Stockholm Convention on Persistent Organic Pol...

Logo of the Stockholm Convention on Persistent Organic Pollutants (POPs Treaty) Wikipedia image

In the stuffy talk of international relations, the Stockholm Convention in this case refers to a treaty put into effect in 2001, sometimes known as the Persistent Organic Pollutants Treaty (POPs).  Now with more than 152 signatory nations and 178 entities offering some sort of ratification (not the U.S., sadly), the treaty urges control of chemicals that do not quickly break down once released into the environment, and which often end up as pollutants.  In setting up the agreement, there was a list of a dozen particularly nasty chemicals branded the “Dirty Dozen” particularly targeted for control due to their perniciousness — DDT was one of that group.

DDT can still play a role in fighting some insect-carried diseases, like malaria.  Since the treaty was worked out through the UN’s health arm, the World Health Organization (WHO), it holds a special reservation for DDT, keeping DDT available for use to fight disease.   Six years ago WHO developed a group to monitor DDT specifically, looking at whether it is still needed or whether its special provisions should be dropped.  The DDT Expert Group meets every two years.

Here’s the press release on the most recent meeting:

Stockholm Convention continues to allow DDT use for disease vector control

Fourth meeting of the DDT Expert Group assesses continued need for DDT, 3–5 December 2012, Geneva

Mosqutio larvae, image from WHO

Mosqutio larvae, WHO image

The Conference of the Parties to the Stockholm Convention, under the guidance of the World Health Organization (WHO), allows the use of the insecticide DDT in disease vector control to protect public health.

Mosquito larvae

The Stockholm Convention lists dichlorodiphenyltrichloroethane, better known at DDT, in its Annex B to restrict its production and use except for Parties that have notified the Secretariat of their intention to produce and /or use it for disease vector control. With the goal of reducing and ultimately eliminating the use of DDT, the Convention requires that the Conference of the Parties shall encourage each Party using DDT to develop and implement an action plan as part of the implementation plan of its obligation of the Convention.

At its fifth meeting held in April 2011, the Conference of the Parties to the Convention concluded that “countries that are relying on DDT for disease vector control may need to continue such use until locally appropriate and cost-effective alternatives are available for a sustainable transition away from DDT.” It also decided to evaluate the continued need for DDT for disease vector control at the sixth meeting of the Conference of the Parties “with the objective of accelerating the identification and development of locally appropriate cost-effective and safe alternatives.”

The DDT Expert Group was established in 2006 by the Conference of the Parties. The Group is mandated to assess, every two years, in consultation with the World Health Organization, the available scientific, technical, environmental and economic information related to production and use of DDT for consideration by the Conference of the Parties to the Stockholm Convention in its evaluation of continued need for DDT for disease vector control.

The fourth meeting of the DDT Expert Group reviewed as part of this ongoing assessment:

  1. Insecticide resistance (DDT and alternatives)
  2. New alternative products, including the work of the Persistent Organic Pollutants Review Committee
  3. Transition from DDT in disease vector control
  4. Decision support tool for vector control.

The DDT expert group recognized that there is a continued need for DDT in specific settings for disease vector control where effective or safer alternatives are still lacking. It recommended that the use of DDT in Indoor Residual Spray should be limited only to the most appropriate situations based on operational feasibility, epidemiological impact of disease transmission, entomological data and insecticide resistance management. It also recommended that countries should undertake further research and implementation of non-chemical methods and strategies for disease vector control to supplement reduced reliance on DDT.

The findings of the DDT Expert Group’s will be presented at the sixth meeting of the Conference of the Parties, being held back-to-back with the meetings of the conferences of the parties to the Rotterdam and Basel conventions, from 28 April to 11 May 2013, in Geneva.

Nothing too exciting.  Environmentalists should note DDT is still available for use, where need is great.  Use should be carefully controlled.  Pro-DDT propagandists should note, but won’t, that there is no ban on DDT yet, and that DDT is still available to fight malaria, wherever health workers make a determination it can work.  If anyone is really paying attention, this is one more complete and total refutation of the DDT Ban Hoax.

Rachel Carson’s ghost expresses concern that there is not yet a safe substitute for DDT to fight malaria, but is gratified that disease fighters and serious scientists now follow the concepts of safe chemical use she urged in 1962.

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Rachel Carson biography, On a Farther Shore, one of best books of 2012

December 4, 2012

Kirkus Reviews listed as one of 2012’s top 25 books William Souder’s biography of Rachel Carson, On a Farther Shore.

William Souder, author of On a Farther Shore. MPR  image

William Souder, author of On a Farther Shore. Minnesota Public Radio image

Rachel Carson often gets credit for starting the modern environmental movement.  In highly cynical political times, Carson is under cruel smear attack from people who wish the environmental movement did not exist, and who appear to think that we could poison Africa to prosperity if only we’d use enough DDT, contrary to all scientific work and medical opinion.

Souder’s book, issued on the 50th anniversary of the publication of Carson’s best-known book, Silent Spring, lays out the facts.

Nice to see that book lovers like Souder’s work, too.  Carson’s work was painstakingly accurate as science, but also a wonderful read.  Silent Spring has a larger following among lovers of literature than science, a tribute to her writing ability.  Souder’s book plows both veins, science and writing.

Cover of On a Farther Shore, by William Souder

Cover of On a Farther Shore, by William Souder

In circles serious about science, the environment, human health, and literature, Souder’s book is the book of the 50th anniversary of Silent Spring.  There is irony there.  Pesticide manufacturers mounted a campaign against Silent Spring and Rachel Carson calculated to have cost $500,000 in 1962, when that book was published.  Souder’s book fights propaganda from Astro-turf™ organizations like Africa Fighting Malaria, a pro-DDT group that collects money from chemical manufacturers and anti-environmental political sources for a propaganda campaign that costs well over $500,000/year.  Despite all the paid-shill shouting against Rachel Carson and her work, it is the voice of On a Farther Shore that stands out.

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