(Beyond Pesticides, January 14, 2020) Scientists have found a new method to reduce the sources of Lyme disease, but it is uncertain whether the finding will ultimately translate into fewer cases of human infections. Research published in the journal Experimental and Applied Acarology finds that incorporating Lyme vaccines into pelletized mouse food had the effect of reducing levels of Borrelia burgdorferi, the bacterium that causes Lyme disease, in both mice and ticks in a certain location. “So, the idea here is to vaccinate the mice,” study author Kirby Stafford, PhD told WBUR. “What we’ve done is incorporate a Lyme disease vaccine in an oral bait that would immunize them. That would prevent ticks feeding on those animals from becoming infected and then ultimately turn around and infect you.” To test their approach, researchers enrolled 32 homes in Redding, CT, an area where Lyme disease in endemic and several human cases are reported each year. Vaccine-incorporated mouse baiting stations were placed around 21 homes, while 11 acted as a control. Four times throughout the two year study period, mice and the ticks attached to them were trapped and tested for the disease. While there were no significant differences between the experimental […]

(Beyond Pesticides, January 10, 2020) A new study by researchers out of the University of Iowa College of Public Health, published in JAMA (the Journal of the American Medical Association) Internal Medicine, demonstrates that greater exposure to pyrethroid insecticides is associated with higher risks of death from all causes and from cardiovascular disease. These compounds can be inhaled, ingested, or absorbed through the skin; they are highly neurotoxic, and have also been linked to certain cancers, endocrine disruption, and suppression of the immune system, as well as respiratory and reproductive impacts. The researchers gathered data, for 2,116 adults aged 20 or older, from the National Health and Nutrition Examination Survey. Each of those subjects had contributed a urine sample at some point between 1999 and 2002. Urine samples reflect levels of a pyrethroid metabolite (3-phenoxybenzoic acid) present, which in turn offer information about pyrethroid exposure. The researchers followed the participants until 2015; the research analysis was performed in the summer of 2019. Data were adjusted to accommodate multiple factors (age, sex, ethnicity, socioeconomic status, diet and lifestyle, smoking status, body mass index, and urinary creatinine levels). The co-authors report that subjects with the highest levels of metabolites had a 56% […]

(Beyond Pesticides, January 9, 2020) United States military veterans suffering from bladder cancer, hypothyroidism, hypertension and Parkinson’s-like symptoms after their exposure to Agent Orange will remain unprotected and uncompensated until at least late 2020, a letter sent by Veterans Affairs (VA) Secretary Robert Wilkie to U.S. Senator Jon Tester (D-MT) indicates. Congress included a provision in the must-pass December federal spending bill requiring VA to provide legislators “a detailed explanation” for the now multi-year delay in determining whether to list the diseases. This is seen by advocates for veterans as a serious lack of support and compensation just at a time when the current administration mobilizes the military. According to Military Times, 83,000 veterans suffer from bladder cancer, Parkinson’s-like symptoms or hypothyroidism, and an untold number have high blood pressure. The paper interviewed Army Sgt. Maj. John Mennitto, who explained, “Since we first spoke in 2016, I have been diagnosed with bladder cancer. . . I also have hypothyroidism. My greatest concern for me and my fellow veterans who have debilitating diseases caused by exposure to Agent Orange is that our family members will be left with nothing.” A robust 2014 review by the National Academy of Medicine recommended including […]

(Beyond Pesticides, December 17, 2019) South Asian immigrants to the U.S. may be at increased risk of diabetes due to prior exposure to high levels of DDT, research published by the University of California Davis earlier this month indicates. The study highlights a blind spot for health care in the U.S., researchers say. “Our findings evoke a new interpretation of Rachel Carson’s famous book Silent Spring, in that the high DDT exposures of South Asian immigrants in the U.S. currently fall on deaf ears in the U.S.,” said lead author Michele La Merrill, PhD an associate professor in the UC Davis Department of Environmental Toxicology. “Although DDT remains in use in other nations and migration globalizes these exposures, people in the U.S. often mistakenly regard DDT exposure as no longer relevant to our society due to its ban in this country nearly 50 years ago.” When compared to other race and ethnic groups, South Asian immigrants (individuals from India, Pakistan, Bangladesh, Nepal, Sri Lanka, and Bhutan), are at greater risk of developing diabetes, even when adjusting for potential confounders such as age and obesity. Authors of the study hypothesized that this was a result of past exposure to high levels […]

(Beyond Pesticides, November 7, 2018) A former employee of the Minneapolis Park and Recreation Board claims that other staff members misused and disposed of pesticides in protected areas next to Lake Harriet. The controversy comes at a pivotal moment for Minneapolis, as Minneapolis Public School District and the Park and Recreation Board are beginning a demonstration organic land management project on a number of properties. Advocates are pushing for organic land management as an alternative to chemical-intensive practices. Minneapolis gardener Angee Ohmah Siegal says she was at the Lyndale Park Peace Garden when she saw parks staff spraying herbicides on a windy day. According to Russ Henry, a local advocate who she told her story to, Siegal had to head to the hospital due to “uncontrollable vomiting.” What more, Siegal claims that the same employees would dump unused or leftover pesticides into a pond beside the Roberts Bird Sanctuary. Mr. Henry and Ms. Siegal issued their complaint with Park Board commissioners on October 2, carrying a large poster of a mutated frog with six legs that Ms. Siegal says she had photographed near the area. Commissioners are investigating further into the allegations but say they need more specific evidence. Volunteers […]

(Beyond Pesticides, November 5, 2019) Herbicide use is associated with an increased risk of developing cutaneous melanoma, a skin cancer, according to a meta-analysis published last month in the Journal of the European Academy of Dermatology and Venereology. For those working on farms and in other occupations with frequent exposure to herbicides, the risk is another in a long list of pesticide-induced diseases. Ultimately, researchers suggest, “A precautionary public health safety policy that includes preventive individual counselling and surveillance to workers exposed to pesticides may be advisable.” Authors of the study conducted a systematic review of the peer-reviewed literature on pesticide exposure and skin cancer, finding nine acceptable studies for analysis. These studies represent nearly 185,000 individuals, and included enough data to make a risk estimate and determine 95% confidence intervals. Although pesticides and insecticides in general were not associated with increased risk of skin cancer, general use of herbicides was (relative risk 1.85; 95% confidence interval, 1.01-3.36). Spouses whose partners work as pesticide applicators are also found to be at higher risk of developing cutaneous melanoma. As skin cancer has increased significantly over the past 50 years, many appropriately point to the link between sun exposure and development of […]

(Beyond Pesticides, October 17, 2019) The U.S. Environmental Protection Agency (EPA) is downplaying the connection between exposure to the herbicide paraquat and the development of Parkinson’s disease, per registration review documents released by the agency this week. Although unsurprising given the current administration’s track record of defending some of the most heinous chemicals still on the market, the review nonetheless marks a low point for scientific integrity within EPA’s Office of Pesticide Programs, according to advocates. Health and environmental advocates have already discounted EPA’s industry-biased review, and are instead pushing hard for Congressional action – namely HR 3817, the Protect Against Paraquat Act, introduced by Congresswoman Nydia Velazquez (D-NY). Under federal law, pesticides are required to undergo reevaluation every 15 years. Paraquat is a potent restricted use herbicide, not available to be applied by residential users, but permitted for use on multiple agriculture crops. Over the last decade, independent peer-reviewed scientific studies have repeatedly found strong associations between paraquat to the development of Parkinson’s disease. Many of these studies have been covered in Beyond Pesticides’ Daily News or are recorded in the Pesticide-Induced Diseases Database. In response to this growing body of literature, EPA conducted an epidemiological evaluation of published […]

(Beyond Pesticides, October 9, 2019) Pesticide industry propaganda promoting the safety of glyphosate-based herbicides took another hit last month, as a study published by an international team of researchers found the chemical had the potential to induce breast cancer when combined with other risk factors. The study, Glyphosate Primes Mammary Cells for Tumorigenesis by Reprogramming the Epigenome in a TET3-Dependent Manner, led by scientists from Indiana’s Purdue University and the Institut National de la Santé et de la Recherche Médicale (INSERM)/Institut de Cancérologie de L’Ouest (ICO) in Nantes, France, provides an important new lens through which to view pesticide-induced cancer development. “This is a major result and nobody has ever shown this before,” says Sophie Lelièvre, PhD, a professor of cancer pharmacology in Purdue’s College of Veterinary Medicine and co-leader of IBCN. “Showing that glyphosate can trigger tumor growth, when combined with another frequently observed risk, is an important missing link when it comes to determining what causes cancer.” To make their determination, scientists exposed human breast cells low levels of glyphosate every three to four days over the course of 21 days. A control group was also dosed with a known cancer-promoting peptide. Glyphosate caused the same changes to exposed cells as […]

(Beyond Pesticides, September 24, 2019) In 2016, Canadians and Americans residing in Havana reported symptoms of headaches, dizziness, nausea. They described hearing strange buzzing and high-pitched sounds – some woke in the middle of the night fumbling for alarm clocks that were not going off. Media used the term “Havana syndrome” to describe the illness. Diplomats, scared by symptoms that seemed to only hit them in their hotel rooms or at home, speculated that a sonic weapon was being used against them. The Trump administration accused Cuban leaders of misconduct and removed all but essential employees. Later, some suspected that the diplomats could have experienced “mass hysteria.” A new Canadian study provides a more likely explanation to this mysterious illness that impacted diplomats in Havana: neurotoxic pesticide exposure. Researchers conducted testing on 14 individuals who had resided in Havana and a control group of 12 that had never lived there. Some of the experimental group had been recently exposed while others, tested 19 months after their return, were classified as “remotely exposed.” Tests included brain imaging and self-reported symptom questionnaires. They analyzed blood samples for routine biochemistry, kidney, liver, and metabolic functions. Individuals that showed symptoms of brain injury went […]

(Beyond Pesticides, September 11, 2019) Germany is the latest entity to take action on getting glyphosate-based pesticides out of the marketplace. Chancellor Angela Merkel has announced that, beginning in 2020, the country will phase out herbicides that contain glyphosate by the end of 2023. The phase-out will occur through a series of scheduled reductions in amounts allowed for use, with a goal of a 75% reduction over the next four years. The announcement comes after “nation-wide protests and demands from [Merkel’s] junior coalition partner, the Social Democrats, for more decisive action on environmental issues.” This action stands in telling contrast to the U.S. Environmental Protection Agency’s (EPA’s) repeated failures to protect people, ecosystems, and our food supply, from this toxic compound. The German government also plans to oppose any European Union (EU) request for renewal of licensing of these herbicides, according to the environment ministry. Bayer AG, maker of glyphosate-based herbicides and owner of original manufacturer Monsanto, has pushed back, saying that the government is “getting ahead of itself” by banning glyphosate-based herbicides prior to any decision by the relevant EU authority, and that EU laws disallow unilateral decisions by member states. (Pesticide licensing decisions lie with EU governance in Brussels, […]

(Beyond Pesticides, September 4, 2019) Sixteen organizations representing health, environmental, farmer, and farmworker communities joined together yesterday to call on EPA to remove glyphosate from the marketplace. The groups cite a combination of high-profile lawsuits, environmental impacts, increasing reports of weed resistance, and growing public concern over the health effects of glyphosate in their comments on EPA’s interim reregistration review decision for the chemical. The comments warn that EPA is at risk of damaging the public’s trust in the agency’s review process for toxic pesticides. “EPA’s myopic review and response to the dangers posed by glyphosate does a disservice to American farmers, farmworkers, and commercial landscapers wishing to use least-toxic products that do not put them at risk of health impacts, and consumers aiming to make the safest choice in regards to what to feed their family and how to manage their yards,” the comments read. The document likewise replies to EPA’s attacks against the World Health Organization’s International Agency for Research on Cancer (IARC), which determined glyphosate to be a probable carcinogen based on sufficient evidence of carcinogenicity in experimental organisms. EPA has indicated that its process for evaluating glyphosate, “…is more transparent than IARC’s process” and that IARC’s […]

(Beyond Pesticides, August 30, 2019) The indictment of organophosphate pesticides gained more traction with the publication, in the Proceedings of the National Academy of Sciences, of a new research study out of the University of California, Berkeley. The research, among the first to use advanced brain imaging to assess cortical activation, shows altered brain activity, during tasks that call on executive function, in teenagers from California’s Salinas Valley (the site of significant organophosphate use) whose mothers were exposed prenatally. The UC Berkeley study underscores the slow-motion calamity of the Trump administration Environmental Protection Agency’s (EPA’s) failure to ban the use of this class of pesticides, and of chlorpyrifos in particular, which compounds carry extreme risks for children. The effects of this prenatal exposure continue to unfold during children’s critical developmental periods. Researchers used fNIRS (functional near-infrared spectroscopy) imaging to monitor blood flow in the brains of the teens, 15–17, born and raised in the Salinas Valley. They used data from the California Pesticide Use Reporting program (which documents locations and times of pesticide spraying) to estimate the subjects’ mothers’ proximity to organophosphate (OP) applications during pregnancy. The subject adolescents — estimated to have relatively high levels of prenatal exposure to organophosphates — […]

(Beyond Pesticides, August 21, 2019) A birth cohort study in Canada found elevated levels of fluoride exposure during pregnancy are associated with lower IQ scores in 3 to 4-year-old children. This new research, published in the journal JAMA Pediatrics, builds on previous analyses that suggest high fluoride exposure is related to adverse effects to children’s neurodevelopment. Researchers recommend that pregnant mothers should reduce fluoride intake during pregnancy. Noting the controversy of the study, JAMA Pediatrics editor Dr. Dimitri Christakis said it was subjected to “additional scrutiny for its methods and the presentation of its findings.” The Maternal-Infant Research on Environmental Chemicals (MIREC) program recruited pregnant mothers to participate in the study from 2008-2011. A total of 601 mother-child pairs from 6 major cities participated; 41% of them lived in cities with fluoridated municipal water. Exposure was measured through urine samples as well as self-reported maternal daily intake. Children were between ages 3 and 4 when tested for IQ. A 1mg/L increase in maternal urinary fluoride is associated with a 3.7-point decrease in IQ. These findings echo a previous study in Mexico that found a 6-point lower IQ score in school-age children associated with a 1mg/L in maternal urinary fluoride. Women who […]

(Beyond Pesticides, August 13, 2019) The U.S. Environmental Protection Agency (EPA) is refusing to approve product labels that disclose that the herbicide glyphosate may cause cancer, according to a press release published last week. The move comes after the state of California listed glyphosate on its Prop 65 list of chemicals known to cause cancer, birth defects or other reproductive harm. Health advocates are condemning the decision as the latest in a long string of EPA actions aimed at benefiting industry at the expense of consumer and public health. Many are concerned that the incessant stream of industry-friendly decisions is eroding public trust in the agency and its ability to act as an independent regulator. While a state judge gave the Prop 65 warning labels the go-ahead, a prior ruling from U.S. District Court Judge William Shubb in Sacramento placed a preliminary injunction on the California requirement that remains in place today. The state added glyphosate to its Prop 65 list after the International Agency for Research on Cancer (IARC) designated the chemical as a group 2A carcinogen.  Under Prop 65, California regulators are required to provide “clear and reasonable” warning labels when any one of four requirements in the […]

(Beyond Pesticides, July 29, 2019) A research study, published in March in Scientific Reports, uncovers a pesticide effect on a sugar-metabolizing enzyme common to all cells that has broad health ramifications ignored by the U.S. Environmental Protection Agency’s (EPA) safety testing protocol. This finding raises a larger question regarding the need for EPA to test for the synergistic effects of pesticides, whereby pesticides and chemicals in combination have an even greater effect than they do by themselves. The research, by T. Tristan Brandhorst, PhD, Iain Kean, PhD, and others in the lab of Bruce Klein, PhD, of the University of Wisconsin–Madison and UW School ofMedicine and Public Health, specifically sheds light on the mode of action of the fungicide fludioxonil. Fludioxonil, a phenylpyrrole fungicide, was developed to treat seeds during storage, and has come to be used commonly on grains, vegetables, fruits, and ornamental plants during cultivation, and produce after harvest to extend “shelf life.” As reported by the American Association for the Advancement of Science publication, EurekAlert, “The ability of [the fungicide] fludioxonil to act on a sugar-metabolizing enzyme common to all cells, and to produce the damaging compound methylglyoxal, may mean that the pesticide has more potential to harm non-fungal cells than previously […]

(Beyond Pesticides, July 23, 2019) Last week, U.S. Representative Nydia M. Velazquez introduced legislation to cancel all uses of the pesticide paraquat, which is acutely toxic and strongly linked to Parkinson’s disease. The move is supported by the Unified Parkinson’s Advocacy Council – a group led by The Michael J. Fox Foundation for Parkinson’s Research – as well as other health and environmental groups such as Beyond Pesticides. Paraquat, which is a dangerous, fast-acting nonselective herbicide that kills by burning living tissues, is also unnecessary. Organic agriculture provides an alternative that does not depend on toxic chemicals like paraquat. Tell your U.S. Representative to support H.R. 3817 to cancel the use of paraquat. According to the EPA, “one small sip [of paraquat] can be fatal, and there is no antidote.” Advocates are pushing for its elimination from the American agriculture system for many reasons, including acute toxicity and organ failure by inhalation, oral intake and dermal absorption; chronic toxicity affecting the eyes, lungs, liver, kidneys and endocrine system; and a higher incidence of various cancers after exposure. The EPA characterizes paraquat as “extremely biologically active and toxic to plants and animals.” The agency has previously determined that exposure to this herbicide […]

(Beyond Pesticides, July 22, 2019) The U.S. Environmental Protection Agency (EPA) will permit the continued use of a known neurotoxic insecticide on the food the Americans eat, the agency announced yesterday in response to a lawsuit filed by public health groups. Health advocates say the move to continue chlorpyrifos use is the latest example of the agency working to protect the profits of industry over the health of Americans. “By allowing chlorpyrifos to stay in our fruits and vegetables, Trump’s EPA is breaking the law and neglecting the overwhelming scientific evidence that this pesticide harms children’s brains,” said Patti Goldman, an attorney for Earthjustice. “It is a tragedy that this administration sides with corporations instead of children’s health.” Under a lawsuit filed in the 9th Circuit US Court of Appeals, EPA had 90 days to provide a justification for why the pesticide should remain on the market. EPA denied the petition yesterday, and rather than providing positive justification for continued use of the chemical, attacked the sound science claimants urged the agency to consider as “not…valid, complete, and reliable.” In the absence of EPA action, several states are leading in the protection of their residents by rejecting the agency’s determination regarding […]

(Beyond Pesticides, July 11, 2019) Pregnant mothers with higher concentrations of pesticide metabolites (breakdown products) in their urine are more likely to have children who develop symptoms of Attention Deficit/Hyperactivity Disorder (ADHD), according to research conducted by the University of Southern Denmark and Odense University Hospital. The results of this study are consistent with past findings from Rutgers University and Cincinnati Children’s Medical Center, indicating a need for researchers to determine causality, and pesticide regulators to rein in toxic insecticide use. The pesticides investigated by researchers were breakdown products of the organophosphate chlorpyrifos, and the synthetic pyrethroid class of insecticides. The residue of these chemicals are frequently detected on conventional, industrially farmed food products. Although chlorpyrifos is banned from residential use in the U.S., most household bug sprays such as RAID contain high amounts of synthetic pyrethroids. Among the 948 pregnant Danish women tested, 90% had some level of chlorpyrifos metabolites (3,5,6-trichloro-2-pyridinol) detected in their urine, and 94% were positive for the generic pyrethroid metabolite (3-phenoxybenzoic acid). Scientists continued to follow up with pregnant women’s children through the first five years of life. A child behavioral check list was completed to determine the relative level of ADHD symptoms. Concentrations of […]

(Beyond Pesticides, July 3, 2019) A disturbing association between urinary triclosan concentrations and osteoporosis has been identified in an epidemiological study. Drawing from the National Health and Nutrition Examination Survey (NHANES) results for 1,848 U.S. adult women, the authors conclude that higher concentrations of urinary triclosan are associated with lower bone mass density and higher prevalence of osteoporosis among U.S. adult women. The study, published in the Journal of Clinical Endocrinology and Metabolism, adds weight to previous laboratory results, which showed that endocrine-disrupting chemicals such as triclosan can interfere with bone metabolism. Triclosan and its byproducts are known endocrine disruptors and have been shown in laboratory studies to interfere with collagen and bone structure. Taken together with previous findings, the new epidemiological results demonstrate that the ubiquitous endocrine disruptor triclosan “could lead to lower BMD [benchmark dose] and increased prevalence of osteoporosis in U.S. adult women.” Triclosan is used as an antimicrobial agent in products regulated by both the Environmental Protection Agency (EPA) and the Food and Drug Administration (FDA), and cumulative exposure to triclosan registered by both agencies pose unacceptable risks to human health and the environment. Triclosan exposure has become so common that it has shown up in […]

(Beyond Pesticides, July 1, 2019) France made a decision in May to ban a widely-used fungicide because it damages the endocrine system. In contrast, there has been a stark failure to protect health in the U.S. Despite a Congressional mandate, EPA is not acting on endocrine disruptors linked to infertility and other reproductive disorders, diabetes, cardiovascular disease, obesity, and early puberty, as well as attention deficit hyperactivity disorder (ADHD), Parkinson’s, Alzheimer’s, and childhood and adult cancers. This is a tragedy. Ask your elected members of Congress to demand that EPA tests and acts on regulatory endocrine disruptors as required by law. In 1998, following a mandate in the Food Quality Protection Act (FQPA) of 1996, EPA established a program to screen and test pesticides and other widespread chemical substances for endocrine disrupting effects. Despite operating for 21 years, the Endocrine Disruptor Screening Program (EDSP) has made little progress in reviewing and regulating endocrine-disrupting pesticides.  As of 2019, the program has stalled entirely. To ensure appropriate follow-through, Congress gave EPA a timeline to: develop a peer-reviewed screening and testing plan with public input not later than two years after enactment (August 1998); implement screening and testing not later than three years after […]

(Beyond Pesticides, June 7, 2019) Fruit orchards and vineyards endure some of the most intensive chemical management in all of agriculture. What has not been investigated — until now — is how pesticide drift from such agricultural sites may be affecting nearby public spaces. A recent, first-of-its-kind study out of northern Italy tested 71 public playgrounds near to apple orchards and vineyards in four valleys of the North Tyrol, and finds that 45% are contaminated with a single pesticide, and 24% by more than one. Study authors note that the playground contamination will likely grow worse over the course of the growing season. This would likely amplify the impacts of such chemical trespass on nearby public spaces, never mind the varieties of harm to the sites themselves and the food produced on them. Organic agriculture, of course, remedies all these concerns. The study randomly chose 71 public playgrounds in the four South Tyrolean regions, and analyzed grass samples for potential contamination by 315 different pesticides. Because pesticides applied to agricultural fields, orchards, and vineyards are easily volatized, carried aloft by wind, and/or washed by rain off of the target site, the study also evaluated the impacts of those (and other) factors […]

(Beyond Pesticides, June 4, 2019) A class-action lawsuit is accusing Starbucks stores in New York of misusing a highly toxic, carcinogenic pesticide near food, putting the health of customers and employees at risk.  “Stores throughout Manhattan have for many years been permeated with a toxic pesticide called Dichlorvos [DDVP], which is highly poisonous and completely unfit for use in proximity to food, beverages and people,” the suit reads. According to the lawsuit, Hot Shot brand No Pest Strips were placed in food areas in violation of labels that prohibit the pesticide’s use in “the food/feed areas of food/feed processing or food/feed manufacturing or food/feed service establishments.” A pest control operator found the illegally placed products on a number of separate occasions, hidden under bagels or in pastry display cases, during a five year period from 2013 to 2018. This was not at only one location, but appeared to be a common occurrence at nearly every one of the 100+ stores serviced by the pest control operator. The case brings to light a number of issues with the use of synthetic pesticides. The unsanitary conditions permitted to persist within Starbucks stores, per the pictures provided in the suit (see page 14), […]

(Beyond Pesticides, May 23, 2019) Glyphosate weed killers may be contributing to the growing worldwide epidemic f non-alcoholic fatty liver disease (NAFLD), a condition that causes swelling of the liver, and can eventually lead to cirrhosis, cancer, or liver failure. Researchers at the University of California (UC) San Diego found that higher levels of glyphosate detected in urine corresponded significantly with individuals that have also been diagnosed with NAFLD. Advocates are urging lawmakers at every level to respond to the accumulating science on the danger of glyphosate herbicides, ban their use, and adopt policy changes that put into place organic land management practices. “There have been a handful of studies, all of which we cited in our paper, where animals either were or weren’t fed Roundup or glyphosate directly, and they all point to the same thing: the development of liver pathology,” said Paul J. Mills, PhD, professor and chief in the Department of Family Medicine and Public Health at UC San Diego School of Medicine in a press release. “So I naturally thought: ‘Well, could it be exposure to this same herbicide that is driving liver disease in the U.S.?’” Dr. Mills and his team received urine samples from […]