(Beyond Pesticides, December 21, 2019) A study at the University of Maine (UMaine) finds that adding blackberry leaf litter in stormwater catch basins creates an “ecological trap,” enticing mosquito females to lay eggs in sites unsuitable for larvae survival. Employing this new and incredibly viable “attract-and-kill’ tool for mosquito control shows potential for preventing the breeding of mosquitoes that may carry insect-borne diseases, especially in urban environments. Stormwater catch basins regularly accumulate leaf litter, which serve as habitat for the mosquito species Culex pipiens (Cx. Pipiens) that may carry West Nile virus. Previous University of Maine research discovered decomposing leaf litter from Amur honeysuckle (Lonicera maackii) and common blackberry (Rubus allegheniensis) produces chemical compounds that attracts and stimulates Cx. Pipiens female to oviposit, or lay eggs. Investigating the attractiveness and lethality of varying catch basin conditions to mosquitoes, researchers hypothesized that blackberry leaf litter could be shown to be lethal to developing mosquito larvae, and, therefore, act as a natural ecological trap for Cx. Pipiens. Five varying treatments were applied to a total 50 catch basins. Treatments included (1) all debris dredged weekly throughout the duration of the study, (2) no change to debris naturally occurring in catch basins, (3) […]

(Beyond Pesticides, November 29, 2018) The British Cayman Islands will no longer fund the release of genetically engineered (GE) mosquitoes, as reports indicate that the program failed to achieve its intended goals.  The government is formally terminating its contract with the UK-based company Oxitec, which marketed GE mosquitoes as a sort of silver bullet for the management of diseases such as Zika, yellow fever, malaria, and dengue. Advocates opposed to the GE mosquito program are continuing to encourage a focus on education and source reduction as the best method to address mosquito-borne diseases. Oxitec first began introducing its line of GE mosquitoes earlier in the decade, at a variety of locations including India, Brazil, Malaysia, and the Florida Keys. Public opposition to the release has been consistently strong. In the Florida Keys, over 230,000 people signed a change.org petition opposing the release. In the Cayman Islands, residents launched a number of lawsuits. In each instance the company was granted free reign to initiate its program. GE mosquitoes aim to ‘gene drive’ mosquito populations out of existence, a process intended to propagate a particular set of genes in a species. The company developed GE mosquitoes in a laboratory, injecting a gene […]

(Beyond Pesticides, November 21, 2018) A study published last month in the Journal of Apicultural Research finds significant numbers of U.S. honey bees at risk after exposure to hazardous synthetic pesticides intended to control mosquitoes. With many beekeepers rarely given warning of insecticide spraying, researchers say the risk of losing colonies could increase. Advocates say fear of Zika and other mosquito-borne illnesses could result in counterproductive and reactionary insecticide spraying that will add further stress to managed and native pollinators already undergoing significant declines. Researchers aimed to determine whether neighboring honey bee colonies could be similarly affected by aerial insecticide spraying. To calculate the percentage of colonies that could be affected, density of honey bee colonies by county was compared with projections of conditions thought to be prone to regional Zika virus outbreaks. Researchers found 13 percent of U.S. beekeepers at risk of losing colonies from Zika spraying. In addition, it was determined that many regions of the U.S. best suited for beekeeping are also those with favorable conditions for Zika-prone mosquitoes to proliferate. These regions include the southeast, the Gulf Coast, and California’s Central Valley. “[Considering] all the threats facing bees,” says study lead author Lewis Bartlett of the […]

(Beyond Pesticides, September 10 2019) Does your community spray toxic pesticides for mosquitoes? In a well-intentioned but ill-informed attempt to prevent mosquito-borne illness such as West Nile virus, many communities spray insecticides (adulticides) designed to kill flying mosquitoes. If your community is one of these, then your public officials need to know that there is a better, more-effective, way to prevent mosquito breeding. Tell your public officials to stop spraying pesticides and adopt a mosquito management plan that protects public health and the environment. The problem with mosquito pesticides. Two classes of insecticides are favored by mosquito spray programs –organophosphates and synthetic pyrethroids. In order to better target flying mosquitoes, adulticides are generally applied as ultra-low-volume (ULV) formulations that will float in the air longer than usual. Organophosphates, which include malathion (Fyfanon), naled (Dibrom), and chlorpyrifos (Mosquitomist), are highly toxic pesticides that affect the central nervous, cardiovascular, and respiratory systems. Symptoms of poisoning in humans include: numbness, tingling sensations, headache, dizziness, tremors, nausea, abdominal cramps, sweating, incoordination, blurred vision, difficulty breathing, slow heartbeat, loss of consciousness, incontinence, convulsions, and death. Some organophosphates have been linked to birth defects and cancer. Breakdown times range from a few days to several months, depending […]

(Beyond Pesticides, July 5, 2018) With mosquito season in full swing throughout the U.S., land managers and abatement districts can be well served by employing biological controls in the form of fathead minnows (Pimephales promelas), according to research published earlier this year by scientists at the University of Waterloo in Ontario, Canada. In all but the most extreme conditions, these small fish, native throughout most of the continental United States, can provide effective control of mosquito larvae breeding in standing water. Beyond Pesticides encourages states and localities to focus primarily on larval control and public education as the best means to manage nuisance and disease-carrying mosquitoes, in contrast to adulticiding, the least effective means which allows 99.9% of a pesticide applied to contaminate the environment. At the close of Pollinator Week 2018, join us in urging Governors and state legislatures to ban the use of mosquito misters. To test the efficacy of fathead minnows to control mosquito populations, researchers stocked the fish in 10 water catchment basins in the central U.S. Over the course of three years, larval mosquito populations were monitored in these basins, as well as in six control basins that did not receive an influx of minnows. […]

(Beyond Pesticides, May 31, 2018) Deforestation in tropical regions helps spread malaria, concludes a recent research study of the Amazon Rainforest. Published in Nature’s open-access journal, Scientific Reports, the study details researchers’ work, from 2009–2015, comparing patterns of deforestation to rates of malaria in nine states in the Brazilian rainforest. Investigators found that the highest malaria incidence concentrated in impacted patches of forest — areas deforested or otherwise degraded from an unmanaged or more-natural state. These medium-sized patches (from .1 to 5 sq. km. in size) seem to be the “sweet spots” at which wood extraction activity (logging, charcoal production, et al.) correlate most strongly with malarial infection rates. The researchers suggest that the finding is perhaps related to the habitat preferences of the primary malaria vector in the region, Anopheles (Nyssorhynchus) darlingi, which breed most happily in shady, watery, edges of forest habitat. Sixty of the 380 mosquitoes in the genus Anopheles can transmit the malaria parasites. Deforestation fragments the forest landscape, creating more forest “edges,” which means more places for mosquitoes to breed. This fragmentation may also help malaria-carrying mosquitoes spread to other areas as adults: “The new [fragmented] landscape delineated by the pattern of deforestation and soil occupation may favor […]

(Beyond Pesticides, May 23, 2018) Earlier this month, the Connecticut state legislature voted to ban the use of residential pesticide misting systems. (These are devices that are typically placed outdoors and spray insecticides –mostly in an attempt to control mosquitoes.) This is the latest move from a state legislature that has also recently banned the use of bee-toxic neonicotinoids and stopped the use of hazardous lawn care pesticides on public playgrounds. The vote was unanimous in the state Senate, and won by a count of 132-17 in the state House. The bill is set to become law on May 24, unless Governor Malloy vetoes the legislation, which is not expected. Pesticide misters are machines primarily used to spray mosquito adulticides. Many health advocates have expressed concern that these products, able to spray toxic pesticides on a timer at regular intervals, pose a significant risk to pets and children who can be directly in the path of a mister’s spray. The chemicals employed in these machines are often synthetic pyrethroids, which have been linked to a range of human health effects, from early puberty in boys, to behavioral disorders, learning problems, ADHD, and certain cancers. Neighbors who do not want to be […]

(Beyond Pesticides, May 10, 2018) Rodenticides like bromadiolone, used to kill vole populations on farms, act like “super-predators” that imperil ecosystem health, according to preliminary results published by researchers working for the European Union. “Controlling voles with bromadiolone reduces the amount of food available to predators and increases their risk of secondary poisoning when they eat the contaminated rodents,” project researcher Javier Fernandez de Simon, PhD, said in a press release. The study provides a model that may alleviate the impact of rodenticide use and provide a balance between on-farm pest management and sustainability. There are several types of rodenticides available on the market, including acute poisons like strychnine, fumigants like phosphine gas, and anti-coagulants such as warfarin and bromadiolone. Anti-coagulants, the focus of the present study, work by blocking the ability of the body to form blood clots. Animals exposed to bromodialone and other anti-coagulants experience ruptured blood vessels, hair loss and skin damage, nosebleeds, and bleeding gums prior to death. These pesticides are generally applied through secured bait boxes that only allow rodent pests to feed, however secondary poisoning is a common occurrence, leading researchers to dub these rodenticides, in effect, as “super-predators.” Rodents that ingest anti-coagulant pesticides […]

(Beyond Pesticides, July 11, 2017) South Florida resident Michael Hall, M.D., filed an emergency request in federal court last week to block Miami-Dade County’s continued use of the organophosphate insecticide naled to control mosquito populations. There have been two rounds of aerial naled applications in Miami-Dade this year. Widespread use of the chemical in efforts to control the transmission of Zika last year prompted protests from residents complaining of health effects from the spraying, and calls to focus on less toxic, alternative methods of mosquito breeding prevention and control. The present use of naled in Miami-Dade is not focused on Zika control, but addressing the native salt marsh mosquito, which does not transmit human diseases, but can be a significant nuisance in shoreline areas. According to WLRN, officials are no longer using naled for Zika control as the mosquito species that carries it, Aedes aegypti, usually stays well hidden under vegetation and shrubbery. A study released last year confirmed that the county’s use of naled did little to reduce mosquito populations. “Naled, a potent organophosphate adulticide applied aerially, produced a transitory suppression in Wynwood but lost efficacy after two or three applications. In Miami Beach, aerial application of naled produced […]

(Beyond Pesticides, June 15, 2017) Communities exposed to frequent aerial spraying for mosquito control experience elevated rates of autism diagnoses, according to new research. The study identifies the frequent use of synthetic pyrethroid insecticides, which are linked to neurocognitive and behavioral impacts, among other health effects. Pediatric researchers at Penn State University and the University of California examined communities in eight zip codes in Onondaga County, New York with frequent aerial spray programs for mosquito control, and contrasted these findings with communities in 16 zip codes that do not employ similar pesticide use programs. According to the study, between 2007 and 2009, the average yearly pesticide burden across the eight aerial exposed zip codes was approximately 11,000 kilograms, compared to approximately 4,000 kilograms of pesticide exposure across the 16 control zip codes. The study finds that the zip codes with frequent aerial pyrethroid exposure are 37% more likely to have higher rates of childhood developmental delays and autism spectrum disorder. The researchers acknowledge that the study establishes a correlational, not a causal, link between pyrethroid exposure and autism/developmental disorders, it adds to a growing body of research demonstrating an exposure-effect relationship between the two. Other studies have similarly linked developmental disorders and autism […]

(Beyond Pesticides, June 13, 2017) Prenatal exposure to commonly used mosquito and agricultural insecticides is associated with decreased motor function in infants, according to a study published in Environment International by a team of Chinese and U.S. researchers. The results of the study should give pause to insecticide-heavy efforts to control mosquitoes as the season ramps up this summer and fall. Frequent spraying as part of efforts to control Zika in Southern Florida last year resulted in large protests and calls for a preventive management approach not dependent on toxic chemicals. For the current study, over 350 pregnant Chinese mothers were tested for the presence of organophosphate pesticides in their umbilical cord blood. Researchers looked at exposure to the insecticides naled, methamidophos, trichlorfon, chlorpyrifos, and phorate. After giving birth, their children’s motor function was tested at both six and nine months of age. Tests included an analysis of the infant’s reflexes, locomotion, grasping, stationary and visual-motor integration abilities. Scores were categorized based on gross, fine, and total motor skills, and standardized quotients were created for each of the categories. Of the over 300 mothers, roughly 240 had detectable levels of one of the insecticides in their samples. Although no differences […]

(Beyond Pesticides, May 1, 2017) The Florida Keys Mosquito Control District released 20,000 male mosquitoes infected with Wolbachia bacteria near Key West, as a trial strategy to manage mosquitoes that carry Zika and other viruses. The district and others have been exploring new ways to suppress infected Aedes aegypti mosquito populations, which thrive in urban environments and can spread Zika, dengue fever, and chikungunya. It is unclear what impacts, if any, these infected mosquitoes will have on non-target organisms or public health. The trial is the second U.S. test conducted with the naturally occurring Wolbachia bacteria in Aedes aegypti mosquitoes, developed by the Kentucky-based company MosquitoMate. The first test occurred in Clovis, California, last year. In September 2016, the U.S. Environmental Protection Agency (EPA), which registers mosquito control products, approved and expanded an experimental use permit (EUP) for Wolbachia pipientis-infected Aedes aegypti mosquitoes (not to be confused with genetically engineered (GE) mosquitoes).  According to the agency, Wolbachia are naturally occurring bacteria commonly found in most insect species, but not in the Aedes aegypti. This strain of Wolbachia is extracted from Aedes albopictus embryos and microinjected into Aedes aegypti embryos. Male Aedes aegypti mosquitoes are shipped to testing sites where they are released and mate with wild-type Aedes aegypti females that do not carry Wolbachia. After mating, the […]

(Beyond Pesticides, March 7, 2017) Another study, published by a team of French scientists in the journal Occupational and Environmental Medicine, links childhood behavioral problems to pyrethroid insecticide exposure. Synthetic pyrethroids are a class of insecticides that have increased in use over the past decade due to assumptions that they pose fewer risks to human health than older pesticide chemistries, such as organophosphates. However, this latest study is part of a growing body of research showing that pyrethroids share similar neurocognitive health concerns as these older pesticides. .   In this research, scientists investigate the interplay between pyrethroid exposure and behavioral problems through a longitudinal cohort study, which tracks levels of pyrethroid metabolites, or breakdown products, in the urine of mothers beginning between six and 19 gestational weeks and then in their children up through six years of age. Children’s behavior is measured through a screening questionnaire known as the Strengths and Difficulties Questionnaire (SDQ). SDQ measures how social a child is (altruism), whether the child has difficulty sharing problems or asking for help (internalizing disorders), as well as how defiant or disruptive a child is (externalizing disorders). The study controlled for a number of confounding factors, such as weight, education, location (rural or […]

(Beyond Pesticides, February 27, 2017)  Texas has been dealing with a feral hog issue for many years, however recently Texas Agriculture Commissioner Sid Miller approved the use of a toxic rodenticide in an effort to control feral hog populations, a decision hunters and trappers oppose because the pesticide will poison prey and wreak havoc on ecosystems where the hogs live. The estimated population of the feral hog population is about 1.5 million in the state of Texas, where they can cause extensive damage to property, crops, and native wildlife. Wild hogs have been considered to be one of the most destructive invasive species in the U.S. The feral hog population, close to six million, span 39 states and four Canadian provinces. Commissioner Miller, in announcing the widespread use of toxic pesticide referred to the problem as the “feral hog apocalypse.” Damage caused by wild hogs has been estimated to reach well into the millions. Smithsonian Magazine has reported the annual damage caused by feral hog populations to be around $400 million. The Texas Parks and Wildlife website states that hogs are opportunistic omnivores.  Feral hogs enjoy eating domestic agricultural crops, such as corn, soybeans, peanuts, potatoes, watermelons and cantaloupe. They can cause […]

(Beyond Pesticides, February 7, 2017) After years of legal battle, the Colorado Court of Appeals last week affirmed a ruling that Colorado rancher, James Hopper, must serve two days in jail and pay a $7,500 fine for spraying pesticides that drifted unto his neighbor’s farm in violation of a 2012 court order protecting his neighbors. In 2012, organic farmers Rosemary Bilchak and her husband Gordon MacAlpine, were granted a permanent injunction prohibiting pesticide applications within 150 feet of the property line in order to reduce pesticide drift. Last week’s decision bolsters a legal precedent that wafting pesticides can constitute a trespass against which adjacent landowners and people with health sensitivities are protected. The legal battle began in 2011 when Mr. Hopper obtained his Colorado pesticide applicator’s license and applied the adulticide Fyfanon, which contains the organophosphate insecticide malathion, to kill mosquitoes on his property. However, the pesticide drifted onto Ms. Bilchak and Mr. MacAlpine’s organic vegetable farm. In 2012, a District Court Judge ruled that they have a right not to have their property invaded by other people or things, and prohibited Mr. Hopper from fogging for mosquitoes within 150 feet of his neighbor’s property or allowing the pesticides to drift, […]

(Beyond Pesticides, February 1, 2017) Last week in North Miami, the City Council took a significant step that could reduce pesticide use in the community. The Council adopted an Integrated Pest Management (IPM) policy modeled after a plan developed by San Francisco in the mid-90’s. The plan does not ban pesticides and herbicides, but instead aims to reeducate citizens and county workers on least-toxic pest management strategies with the goal of eliminating toxic pesticide use on city property.  The IPM plan does not address pesticide use on private property, due to state preemption of local authority. With the passage of the North Miami’s resolution, city operatives will now be asked to give preference to available, safe and effective non-pesticide alternatives and cultural practices. As stated in the resolution’s Integrated Pesticide Management Program Guidelines, the goal of the policy is “to eliminate the application of all Toxicity Category I and Category II pesticide products by January 2018.” On top of eliminating certain pesticide categories, the resolution also calls for staff training and expert consultants, both of which have the potential to help ease the transition in pursuit of the 2018 goal, and priority will be given to efforts to reduce or eliminate pesticide use near […]

(Beyond Pesticides, January 6, 2017) When it comes to pollination, bees tend to get all of the buzz. While they are crucial to pollinating many crops, it is important to note that bees aren’t the only pollinators working hard to provide the ecosystem services we rely on to support our food system. In fact, one out of every three bites of food we take is made possible by pollinators. In order to raise awareness for the unsung pollinator heroes all around us, Beyond Pesticides created the Polli-NATION Campaign, which highlights the important work of a relatively unknown pollinator each month. With it, we will raise public awareness about these pollinators, their contribution to plant health and productivity and the preservation of natural resources, and the threats they face in their daily lives, including toxic pesticides and habitat loss. Polli-NATION members include species like butterflies, wasps, flies, beetles, birds, bats, and more. By taking the time to read about our featured Polli-NATION pollinator, you will not only learn about the many diverse species we call pollinators, but also discover what you can do in your daily life to help ensure their survival. Our pollinator of the month is the bee fly! […]

(Beyond Pesticides, January 4, 2017) The New Year saw its first pesticide-related tragedy yesterday when four children, ranging in age from 7-17, died from a toxic pesticide treatment on their house in Amarillo, Texas. The pesticide at issue, aluminum phosphide, was illegally applied under a mobile home where at least ten people were living. The chemical, classified by the U.S. Environmental Protection Agency (EPA) as a restricted use pesticide (RUP), is restricted for use by certified applicators (and those under their supervision) and it is a violation to use it within 100 feet of residential structures. CNN reports that a family member used water to try and wash away the pesticide after it was applied, and the combination of water and aluminum phosphide increased the release of toxic phosphine gas. The incident demonstrates the deficiency of managing risks of highly toxic chemicals by labeling them “restricted use.” It has been Beyond Pesticides’ position that chemicals with aluminum phosphide’s level of toxicity should not be available on the market, even with restrictions. In making regulatory determinations on pesticide allowances, advocates have urged EPA to calculate the reality of misuse and accidents, instead of assuming 100% compliance with product label instructions. With this approach, the agency would […]

(Beyond Pesticides, September 2, 2016) Last Sunday, beekeepers in Dorchester County, South Carolina emerged from their homes to find their yards and  farms, once full of busy buzzing, littered with the honey bees. The cause was no mystery — a massive bee-kill had occurred due to aerial spraying of Naled, a highly toxic  insecticide used primarily to control adult mosquitoes. The county announced plans to spray two days before the incident, when four travel-related cases of Zika virus were confirmed in the area by the state Department of Health and Environmental Control. The spraying occurred between 6:30 and 8:30am. Naled is an organophosphate insecticide with the highest acute toxicity of any mosquitocide. According to the Environmental Protection Agency (EPA), Naled can cause cholinesterase (an enzyme necessary to the transmission of nerve impulses) inhibition in humans, meaning that it can overstimulate the nervous system causing nausea, dizziness, confusion, and, at very high exposures (e.g., accidents or major spills), respiratory paralysis and death. Naled is highly toxic to honey bees. In Dorchester County, beekeepers say that the spray announcements did not come soon enough. Flowertown Bee Farm and Supply lost more than 2.3 million insects from 46 hives, according to co-owner Juanita […]

(Beyond Pesticides, September 1, 2016) With the apparent mosquito transmission of the  Zika virus in Florida, local officials around the United States have been feeling pressure to step-up preemptive mosquito spraying, prior to the virus actually emerging  locally in infected mosquitoes. The Zika virus has been contributing to public anxiety in the U.S. for several months and, because of this, the state of Maryland has started spraying with hazardous insecticides. The state has made targeting mosquitoes its  number one priority, while many argue that the state’s spraying  puts the well-being of residents at risks. As of August 24, there are 77 travel-associated cases of Zika in the state of Maryland. Without a finding of infected mosquitoes in the state, the Maryland Department of Agriculture’s (MDA) Mosquito Control Program is focusing its  control actions on female (the ones that bite) aedes albopictus, commonly known as Asian tiger mosquitoes, the most common type of mosquito in Maryland that studies indicate “has the potential” to transmit the Zika virus. MDA’s Mosquito Control Program implements the state’s mosquito management, which is conducted in accordance with an undefined  Integrated Pest Management (IPM)  program; basing the  approach broadly on prevention, monitoring, and control of mosquitoes. As […]

(Beyond Pesticides, August 25, 2016) The County of Miami-Dade announced Tuesday that it will no longer conduct aerial sprayings on weekdays, to avoid exposing children and teachers. In an effort to control the spread of Zika, the county is consulting with the Centers for Disease Control and Prevention (CDC) and the Florida Department of Health (FDOH), to spray a neighborhood in the county, Wynwood, with Bacillus thuringiensis israelensis (Bti) and Naled. Mosquito officials were conducting the spraying during the early hours of the morning, when fewer people were around, the first day of the school year in Miami-Dade started this week, putting teachers and students at risk of exposure at bus stops. The county’s move is encouraging, because as research has continuously shown, children and pesticides don’t mix.  Studies show children’s developing organs create “early windows of great vulnerability” during which exposure to pesticides can cause great damage. Childhood pesticide exposure has been linked to a range of adverse health endpoints, including cancer, asthma, impaired sexual development, ADHD and other learning disabilities. “We have adjusted our spraying schedule to avoid any inconvenience to our local school system, and the children, families, and teachers in our community,” the office of Mayor […]

(Beyond Pesticides, August 22, 2016) An invasive whitefly that is resistant to pesticides has been found outdoors in the U.S. for the first time, prompting a public discussion hosted by the University of Florida Extension Miami-Dade in Homestead, Florida on July 29. And while the fears amongst fruit and vegetable growers over crop devastation are valid, little attention has been paid to the viability and effectiveness of organic and cultural management practices in preventing and managing  whiteflies. Meanwhile, chemical intensive agriculture, which is dependent on insecticides to control whiteflies, is harming the same beneficial insects that act as natural predators to the whitefly. The pest, a Q-biotype of the sweet potato whitefly, Bemisia tabaci, has been present in greenhouses around the U.S. since 2004, when it was first found in Arizona. According to Florida Agriculture Commissioner Adam Putnam, this pest “poses a serious risk to Florida’s $120 billion agriculture industry and the more than two million jobs it supports.” Whiteflies are tiny, fluid-sucking insects that thrive in warm weather and become abundant in ornamental and vegetable plantings. This particular species breed year round and large colonies often develop on the undersides of leaves. Whiteflies draw fluid of out a plant […]

(Beyond Pesticides, August 5, 2016) Concerned health officials in Miami, Florida are investigating suspicions that Zika-spreading mosquitoes have become resistant to the pesticides commonly used synthetic pyrethroid insecticides used in mosquito control. As the region works to contain a Zika outbreak in northern Miami, officials are beginning to recognize that broadcast pesticide applications are not effective at controlling populations, and are looking into cases in the U.S.  and in other parts of the world of mosquitoes developing resistance to chemical controls, or whether other factors are at work. At the same, the broadcasting of the pesticides by truck and plane and the resulting exposure to people and the environment also raise serious health issues. The Aedes aegypti mosquito, which has the ability to live indoors and reproduce even in tiny pools of water, is the primary way the Zika virus is spread, although there are reports that the disease can also be transmitted through sexual contact. Zika virus has been linked to cases of microcephaly, in which babies are born with underdeveloped brains. The virus has been detected in several Latin American countries, including Brazil where the outbreak was first observed and linked to increased cases of microcephaly. However, locally […]