The decentralization of TB control actions to PHC in countries whose health systems have not been consolidated yet demands caution, as it can result in diluted responsibilities, lack of commitment, low quality or lack of laboratory support, fragmentation of treatment regimens and programs, difficulties to accomplish DOT and flaws in information systems capable of providing reliable reports [ 32].
Partners many firms are partnerships, often of thousands—have their say through complex networks of committees.The danger, say Messrs Lorsch and Tierney, who finished their book while Andersen was still a respected name, is that participation can dilute responsibility.
The episode came at a time of strongly swirling winds in this region, with North Korea feeling aggrieved over the Bush administration's plans to suspend negotiations with the North and with Japan being criticized for nationalists' efforts to revise textbooks to dilute responsibility for atrocities in World War II.
To Chancellor Angela Merkel, whose frugal caution is lauded at home as embodying the virtues of a "Swabian housewife," the key to the euro's survival is to enforce the rules of budget discipline strictly and make Europe more competitive through economic overhauls, not to dilute responsibility by sharing debt.
Removing or diluting responsibility of the state by the formation of contractual relations allows the state to produce a 'truth' of events without compromising its positioning in the global human rights agenda.
Lawyers often find it tempting to dilute responsibility if natural forces have contributed to the destruction or if BP and it confederates took all appropriate steps to create the harm.
However, their influence and incorporation in global health decision-making structures has raised concerns about overlapping and competing mandates between public and private actors, as well as risks involved with diluting responsibility across a widening set of actors [ 26, 30, 31].
But some countries are strongly opposed to any move that dilutes national responsibility and accountability for emissions cuts.
"One problem that happens in this town, is the super-abundance of consultancies and sub-consultancies that dilute the responsibility of the designer," he said, "to the point that you just don't know where you are any more".
