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them. These observations include the relationship between star formation rate and gas surface density in 20 local dwarf Irregulars, which are gas dominated, thick, and very stable according to the Toomre condition, evidence for cosmic accretion in the form of locally low metallicities in the starburst regions of extremely metal poor galaxies, and two-sided accretion at a rate sufficient to sustain star formation in the local dwarf starburst IC 10. I also discuss CO observations with ALMA of the lowest metallicity molecular clouds in the local dwarf irregular WLM.