(Beyond Pesticides, December 11, 2017) Tell the Natural Resources Conservation Service (NRCS) to substantially increase the amount of funding spent on the conservation of monarch butterflies and the restoration of their habitat, and to ensure that restored habitat is not poisoned with hazardous pesticides. Although the agency has taken some steps to protect monarchs –including the implementation of the Monarch Butterfly Habitat Development Project and support for the Monarch Butterfly Conservation Fund— last year’s NRCS expenditure of $4 million was insufficient to prevent the monarchs’ decline, and could not even begin stemming the loss of milkweed habitat. Restoring the monarch butterfly and its habitat will require a substantial contribution from the agricultural sector and strong leadership from the NRCS. Agricultural lands encompass 77% of all prospective monarch habitat, and thus are indispensable to reaching these goals. Monarch populations have fallen more than 80 percent over the last 20 years, and it is estimated that there is a 60 percent chance the multigenerational migration of these butterflies would completely collapse in the next 20 years. Milkweed, the only forage for monarch caterpillars, has decreased by 21 percent, especially in the Midwest, where agricultural fields and pesticide use have expanded. Scientists estimate […]

(Beyond Pesticides, December 6, 2017) Last week over 100 conservation and environmental groups urged the federal government to increase funding to protect and conserve monarch butterflies. These iconic butterflies, native to North America, have seen drastic declines in their populations. Surveys report over 80 percent reductions in populations over the last 20 years. Pesticide use, habitat loss, and climate change have all been identified as stressors to these butterflies. The groups, led by the Center for Biological Diversity, Defenders of Wildlife, and the Humane Society, sent a letter to the U.S. Department of Agriculture (USDA) to do more to help the imperiled butterfly. The letter requests the agency increase the allotment of conservation funds from $4 million- spent last year- to $100 million. The increase in funds is needed for efforts to increase milkweed habitat. In contrast, the government spent over $500 million on sage grouse initiatives to prevent that animal’s listing under the Endangered Species Act (ESA), even though the Trump Administration is seeking to overturn these initiatives. Currently, the agency has taken some steps to protect monarchs. These include the implementation of the Monarch Butterfly Habitat Development Project and support of the Monarch Butterfly Conservation Fund. But, according […]

(Beyond Pesticides, December 4, 2017) You told the Arkansas Plant Board to exercise its authority to protect farmers, consumers, and the environment from use of the herbicide dicamba on genetically engineered (GE) soybeans, and the board listened. Now, we need to ask the board to stop the use of 2,4-D on GE cotton. The action of states is critical as the federal government ignores basic safety concerns. Action in Arkansas will influence other states. Tell the Arkansas Plant Board to adopt the proposed rule and to prohibit use of 2,4-D on cotton! The decision concerning 2,4-D use on herbicide-tolerant cotton goes to the Arkansas Plant Board on December 12. The choice has many similarities to the decision to allow — and then prohibit — the use of dicamba on herbicide-tolerant soybean varieties. Both 2,4-D and dicamba are phenoxy herbicides — 2,4-D being the infamous ingredient (along with 2,4,5-T) of Agent Orange. Our voices were heard when the Arkansas Plant Board considered dicamba, so please weigh in on 2,4-D. At this December 12 meeting, the Arkansas Plant Board is holding a hearing on a proposed regulation that would allow the Board to request more information from pesticide registrants, which could support restrictions based on conditions within Arkansas. The […]

(Beyond Pesticides, November 30, 2017)  A French court suspended the license of two pesticide products citing their toxicity to bees. The products, Closer and Transform, both contain the active ingredient, sulfoxaflor, which is highly toxic to bees. The ruling overturned the decision by France’s health and environment agency, ANSES, to allow the use of the sulfoxaflor products. Sulfoxaflor use was also challenged in the U.S. by beekeepers concerned about its impact on already declining bee populations. Sulfoxaflor is a relatively new active ingredient whose mode of action is similar to that of neonicotinoid pesticides. Even though it has not been classified as a neonicotinoid, it elicits similar neurological responses in honey bees, with many believing that sulfoxaflor is a new generation of neonicotinoid. Its initial 2013  U.S. registration was challenged by beekeepers and subsequently vacated by the Ninth Circuit Court of Appeals due to overwhelming risks to bees and the U.S. Environmental Protection Agency’s (EPA) inadequate review of the data. The court concluded that EPA violated federal law when it approved sulfoxaflor without reliable studies regarding the impact that the insecticide may have on honey bee colonies. By vacating EPA’s unconditional registration of the chemical, sulfoxaflor could not be used […]

(Beyond Pesticides, November 16, 2017) With a petition signed by over one million people, farming, consumer, and environmental groups called on the U.S. Department of Justice (DOJ) this week to block the proposed merger of Bayer (BAYN) and Monsanto (MON). The signatures were delivered as two new reports reveal devastating impacts that will be caused by the merger on consumers and farmers, including higher food prices, less innovation, limited seed choices, and escalating dependency of toxic chemical inputs in food production.  On Tuesday November 14, 2017, Friends of the Earth, SumOfUs and the Open Markets Institute released an analysis, “Bayer-Monsanto Merger: Big Data, Big Agriculture, Big Problems,” which  explores the implications of a combined biotechnology, chemical, and seed platform owned by Bayer and Monsanto and how it may impact competition and farmer choice. The release of the analysis coincided with a hearing on technology in agriculture and data-driven farming in the U.S. Senate Committee on Commerce, Science, & Transportation. Consumer Federation of America also released a report, “Mega-Mergers in the U.S. Seed and Agrochemical Sector the Political Economy of Tight Oligopolies on Steroids and the Squeeze on Farmers and Consumers.” The report uses the concept of a “tight oligopoly on […]

(Beyond Pesticides, November 13, 2017) Proposed Bayer-Monsanto merger is bad for farmers, bad for consumers. Tell the Department of Justice and the Federal Trade Commission to Block This Dangerous Merger! In late 2016, Monsanto and Bayer announced a $66 billion merger. The Department of Justice is in the midst of reviewing it, and a decision is expected in late 2017. Should this merger go through, only four companies in the world will control all seed and agricultural chemical business: Bayer-Monsanto, Dow-DuPont, ChemChina-Syngenta, and BASF. Tell the Department of Justice and the Federal Trade Commission to stop the Bayer-Monsanto merger, which would have severe repercussions for farmers and consumers. Should Bayer and Monsanto merge, the entity will become: the world’s largest vegetable seed company, with a virtual lock on broccoli, carrots, and onions the world’s largest cotton seed company, responsible for the seed for about 70% of all the cotton grown in the U.S. along with another company (Dow-DuPont), in control of 77% of all the seed corn in the U.S. the world’s largest manufacturer and seller of herbicides the world’s largest owner of the intellectual property/patents for herbicide-tolerance seed traits: 69% of all herbicide tolerance traits approved for use in the U.S. for alfalfa, canola, cotton, corn, soybean, and wheat. (An […]

(Beyond Pesticides, November 10, 2017) On the heels of Beyond Pesticides’ campaign to ban the herbicide dicamba –with thousands of people urging the state to act in the of massive crop damage, the Arkansas State Plant Board (ASPB) voted earlier this week to prohibit the use of the weedkiller in agriculture during the next growing season. If officially approved by a subcommittee of the state legislature, the new regulations will make dicamba applications between April 16 and October 31, 2018, illegal for Arkansas farmers. The move by the State Plant Board is a huge blow to multinational agrichemical companies Monsanto and BASF, both of which have developed genetically engineered (GE) soybean crops tolerant of dicamba herbicides. Dicamba has been linked to damage of the kidney and liver, neurotoxicity, and developmental impacts. The chemical has a strong propensity to volatilize small particles of the herbicide into the air and drift far off-site. Sensitive crop species can be damaged by dicamba at levels in the parts per million. According to ASPB, during the public comment period over 29,000 individuals provided input, with the overwhelming majority in strong support of the state’s plan to restrict the herbicide. Perhaps in anticipation of the action, […]

(Beyond Pesticides, November, 8, 2017) Farmers who purchased and handled Monsanto’s new treated seed product, NemaStrike, for nematode or roundworm control (nematicide) have been reporting skin irritation, including rashes that occurred after use. Now the seed giant is pausing a full rollout of the product, while blaming farmers for not using gloves and other protective equipment to handle the treated seeds. This is another blunder from Monsanto and the latest incident highlighting the deficiencies in the U.S. Environmental Protection Agency’s (EPA) pesticide registration process in light of the millions of acres of crop damage from Monsanto products green-lighted by EPA. While touting that NemaStrike went through three years of extensive field trials and “extensive evaluations” by EPA, Monsanto stated in a bulletin to its customers on its website that it will pause commercialization of the product in light of reports of skin irritation from users. These adverse reactions to the product are being blamed on the failure of users to wear gloves and other protective equipment when handling the treated seeds. This is not the first time that Monsanto has tried to shift responsibility for the toxic effect of its products to users. Last year, Monsanto blamed farmers for drift […]

(Beyond Pesticides, October 30, 2017) Tell the Arkansas State Plant Board to stand up to Monsanto, and protect farmers by banning dicamba’s use in Arkansas agriculture. Comment period closes today, Monday, October 30, 2017, at 4:30pm (Eastern Time). Your comments are needed to stop the disaster in Arkansas being created by Monsanto’s new genetically engineered (GE) cropping system, which relies on the toxic pesticide dicamba. If Arkansas bans dicamba, other states should and will follow —given the chemical industry’s takeover of the U.S. Environmental Protection Agency (EPA), which is allowing this extremely hazardous pesticide use. This is a problem that has regional and national implications, given the breakdown of the EPA and its pesticide program. We cannot let this failure of protection stand in Arkansas or anywhere in the country. Promoted by Monsanto as a way to address rampant Roundup (glyphosate) resistance, Monsanto’s new GE soybeans are now able to withstand both glyphosate and dicamba, an older herbicide with a range of documented health effects —from neurotoxicity to reproductive problems. Dicamba is also highly volatile and, as a result, has drifted across crop fields throughout the region, damaging high value fruit tree and organic operations. The Arkansas State Plant Board is […]

(Beyond Pesticides, October 20, 2017) Last week, the U.S. Environmental Protection Agency (EPA) announced that label changes to the herbicide dicamba would be made to try to minimize drift that has left thousands of acres of crops already damaged this season. The label changes include making dicamba “restricted use,” which allows only certified applicators to apply the chemical. Dicamba drift has been damaging farmers’ crops for at least two years due to the approval of new dicamba-tolerant genetically engineered (GE) crops. Advocates says that the new changes do not ensure that drift will be eliminated. According to EPA, the agency reached an agreement with the makers of dicamba, (Monsanto, BASF and DuPont) to restrict its application. This comes after hundreds of official complaints of crop damage related to dicamba across 17 states this year alone, leading to questions about the new formulation of the chemical used in genetically engineered (GE) crop productioon. New GE crops developed by Monsanto must be paired with specific formulations of dicamba, and thus led to a vast increase in dicamba use over the past couple growing seasons. Dicamba-based herbicide use has climbed dramatically as farmers have adopted, especially, Monsanto’s GE soybean seeds; in the 2017 season, 20 […]

(Beyond Pesticides, September 13, 2017) According to a study published in the journal Biological Conservation, Monarch butterfly populations from western North America have declined far more dramatically than was previously known and face a greater risk of extinction – 86 percent in the next 50 years. The researchers do not know the exact cause but identify habitat loss and widespread pesticide use as likely culprits. Migratory monarchs in the west could disappear in the next few decades if steps are not taken to recover the population, the study’s lead author, Cheryl Schultz, PhD, an associate professor at Washington State University Vancouver states. “Western monarchs are faring worse than their eastern counterparts. In the 1980s, 10 million monarchs spent the winter in coastal California. Today there are barely 300,000,” she said. Western monarchs (Danaus plexippus) have a spectacular migration. They overwinter in forested groves along coastal California, then lay their eggs on milkweed and drink nectar from flowers in the spring in Arizona, California, Nevada, Oregon, Washington, Idaho and Utah. They then return to their coastal overwintering sites in the fall. Eastern monarch, whose numbers are also in decline, travel instead across the border into Mexico to wait out the winter. The researchers from […]

(Beyond Pesticides, August 25, 2017) While organic agriculture still represents only a fraction of the world’s food production, organic food sales have enjoyed remarkable growth over the past couple of decades, which is captured in a recent article, Building a global platform for organic farming research, innovation and technology transfer, published by Springer online. This growth of organic is propelled by consumers and farmers who recognize significant environmental and health advantages of organic, compared to chemical-intensive agriculture. In this context, studies conclude that organic agriculture may be the best way to meet the world’s food security and environmental needs. A bit of history for some context on this issue: for millennia, of course, all agricultural was “organic.” Even the Industrial Revolution — which brought the combustion engine that enabled machines that made tilling, planting, and harvesting less animal-bound and human-labor intensive — had minimal impact on other aspects of how food was planted, raised, and harvested. In the 1960s, the so-called “Green Revolution” took hold, powered in part by the post-WWII technological and industrial boom in scientific and technical discoveries and applications, and in part by a rapidly growing global population that shared inequitably in the world’s food production. This […]

(Beyond Pesticides, August 8, 2017) More than 1,400 official complaints of crop damage related to the herbicide dicamba have been recorded across 17 states this year, leading some to question a new formulation of the chemical used in genetically engineered (GE) fields. Dicamba, a toxic pesticide prone to drift off the target site, has been used in agriculture for decades. However, new GE crops developed by Monsanto must be paired with specific formulations of dicamba, and until now many believed these drift incidents were the result of illegal formulations of dicamba being applied to fields. But the extent of damage now being observed, covering over 2.5 million acres, is casting doubt on this theory, and raising more questions as to whether the new dicamba formulation is actually the cause of the widespread drift damage. Fruits and vegetables, as well as other crops that are not genetically engineered to tolerate dicamba are often left cupped and distorted when exposed to the chemical. Monsanto, DuPont Co. and BASF SE sell new formulations of the herbicide for use on dicamba-tolerant soybeans and cotton, and state enforcement officials and farmers have attributed last year’s damage incidents to off-label uses of older dicamba products. Initial reports began to surface […]

(Beyond Pesticides, July 31, 2017)  At a time when the U.S. market demands more organic corn and soybeans than are supplied by domestic organic growers, those same growers are threatened by the flooding of the market with cheaper fraudulent grains. The resulting impacts of eliminating market opportunities while at the same time threatening the value of the organic label hurt organic farmers in this country. The National Organic Program (NOP) must take action to protect the organic label. According to the Organic Farmers’ Agency for Relationship Marketing (OFARM), the U.S. currently produces only about 60% of the organic corn and 10-30% of the organic soybeans the market demands, while demand is increasing by about 14% per year. Meanwhile, the U.S. market is being flooded with fraudulent “organic” corn and soybeans. In May, the Washington Post documented three large shipments –totaling 7 percent of annual organic corn imports and 4 percent of organic soybean imports— originating from questionable overseas certification and fraud. >>>Act now to tell NOP Deputy Administrator Miles McEvoy, Secretary of Agriculture Sonny Perdue, and your Congressional delegation to protect the organic label for the sake of farmers and consumers! OFARM says, “For over two years, organic grain producers […]

(Beyond Pesticides, July 20, 2017) In its recently released 2017 Preliminary Aquatic Risk Assessment for Imidacloprid, the U.S. Environmental Protection Agency (EPA) found that this neonicotinoid insecticide is not only toxic to bees but also, is destroying life in the nation’s streams, rivers, and lakes. This assessment finds that aquatic invertebrates, especially aquatic insects basic to aquatic food chains, are sensitive to imidacloprid, and that current imidacloprid levels detected in streams, rivers, lakes, and drainage canals exceed acute and chronic toxicity endpoints. Impacts occur at low concentrations, and can result in decreased species abundance, altered predator-prey relationships, and reduced nutrient cycling. Impacts to other wildlife that depend on these species raise serious cause for concern. Comment by July 24 and tell EPA to cancel these neonicotinoids to protect sensitive species and ecosystems. See sample comment language, below. Clothianidin, thiamethoxam, and dinotefuran are too toxic for honey bees and native bees EPA also finds that the other neonicotinoids –clothianidin, thiamethoxam, and dinotefuran– pose risks to bees both on and around treated fields, but the agency has not evaluated risks from soil, surface water, or contaminated seed dust, which underestimates exposure risks and continues to put our native bees at risk. Clothianidin and thiamethoxam are […]

(Beyond Pesticides, July 13, 2017) Over the past week, both Arkansas and Missouri issued bans on the sale and use of the weedkiller dicamba by farmers because of crop damage associated with the pesticide’s drift off treated fields. On Friday, July 7, the Arkansas Agriculture Department announced this emergency 120-day ban, which raised civil penalties for misuse of the toxic herbicide from $1,000 to a maximum of $25,000. The same day, the Missouri Department of Agriculture announced a temporary “Stop Sale, Use or Removal Order” on all dicamba products in the state labeled for agricultural use. Dicamba has been linked to damage of the kidney and liver, neurotoxicity, and developmental impacts. The chemical has a strong propensity to volatilize small particles of the herbicide into the air and drift far off-site. Sensitive crop species can be damaged by dicamba at levels in the parts per million. As of July 7, nearly 600 complaints of dicamba danage have been filed by Arkansas farmers in 23 different counties. In Missouri, as of July 3, there are 123 cases of dicamba injury complaints under investigation and according to the Missouri Soybean Association, “more than 200,000 Missouri soybean acres currently show signs of suspected dicamba […]

(Beyond Pesticides, June 20, 2017) As Pollinator Week 2017 kicks off, the Arkansas State Plant Board’s (ASPB) Pesticide Committee coincidentally voted unanimously to recommend a ban on the use and sale of the habitat-eliminating herbicide dicamba in the state. Motivated by the crop damage caused by dicamba drift on to neighboring cropland, the full ASPB is expected to issue its recommendation today, which, if passed, will be sent to Governor Asa Hutchinson (R) for final approval. The move is the latest in a series of crises that began when multinational chemical company Monsanto began selling soybeans genetically engineered (GE) to tolerate dicamba without its accompanying herbicide, leading to off-label uses of older dicamba products. The growth of herbicide use in genetically engineered herbicide-tolerant crops is contributing to a loss of habitat for pollinators. Of particular note is the loss of milkweed habitat caused by herbicide drift. According to the U.S. Environmental Protection Agency’s Risk Management Approach to Identifying Options for Protecting the Monarch Butterfly (June 24, 2015), “Numerous publications have highlighted the importance of the common milkweed (Asclepias syriaca L.) as a critical food resource for monarch butterfly larvae (Danaus plexippus L.), and have emphasized the importance of conservation of milkweed to […]

(Beyond Pesticides, June 12, 2017) Once again, there are reports that soybean and cotton fields are being damaged by off-site drift of the toxic herbicide dicamba. Last summer, farmers in Missouri, Arkansas, and Tennessee reported widespread crop damage from dicamba drift, which led to reduced yields. The U.S. Environmental Protection Agency (EPA) launched a criminal investigation at several Missouri locations into what they said was the illegal spraying of dicamba in October 2016. This year, reports of dicamba drift and damage are already being reported in Arkansas, and 25 formal complaints have already been filed, according to the state Plant Board. In summer 2016, illegal applications of dicamba damaged thousands of acres of soybeans, cotton, ornamental trees and fruits and vegetables. After numerous complaints, EPA launched a criminal investigation into the illegal spraying of dicamba, an investigation that is still ongoing. Many suspect that farmers who planted Roundup Ready 2 Xtend® and XTENDFLEX® Cotton, the new dicamba-tolerant genetically engineered (GE) seeds in the region, when faced with a proliferation of pigweed, illegally sprayed dicamba across their fields leading to drift and off-site crop damage to other farmers. This year, although it is too early to say how many acres have been affected or what specific […]

(Beyond Pesticides, May 31, 2017) Neonicotinoid-treated corn seeds produce lethal and sub-lethal exposure risks to honey bees and do not increase yields for farmers, according to a recent study by researchers at Purdue University. The study, published in the Journal of Applied Ecology, Planting of neonicotinoid-treated maize poses risks for honey bees and other non-target organisms over a wide area without consistent crop yield benefit, examines neonicotinoid (neonic) dust drift during corn planting in Indiana and the likelihood of honey bee exposure during foraging. The study results and subsequent analysis using public data of apiary locations indicate that over 94% of honey bee foragers in Indiana are at risk of exposure to varied levels of neonics, including lethal levels, during corn sowing. Researchers also performed a three-year field assessment of the purported benefits from neonic seed coatings for pest management, finding that there is no evidence of increased corn yields compared to sites with no neonic seed treatments. According to the lead author of the study, Christian Krupke, Ph.D., in an interview with Purdue Extension, “There was a misconception that any bees not living near corn were likely to be fine. But that’s not true, and it’s clear that these […]

(Beyond Pesticides, May 17, 2017 Fraud among producers portraying products of chemical intensive agriculture as organic –including those recently identified by the U.S. Department of Agriculture (USDA) Agricultural Marketing Service (AMS) National Organic Program (NOP)— is costly to organic producers and consumers. Imported grains –corn and soybeans that are largely fed to livestock whose products are sold as “organic”— are the focus of claims that USDA is not doing enough to protect the integrity of the organic label. The fraudulent documents that are the subject of the USDA alert are typically produced with the intent to circumvent U.S. organic regulations and are often forged along the supply chain with the goal of increasing the value of agricultural commodities imported to the United States. The arrival of soy and corn crops labeled as organic but later testing positive for residues of pesticides prohibited in organic production, has been well documented in recent years. USDA encourages certifying agents and organic operators to remain vigilant when purchasing organic products from suppliers, and warns of fines for up to $11,000 for anyone found in violation of selling products fraudulently labeled as organic. Additionally, the agency encourages anyone suspecting a violation has been committed to […]

(Beyond Pesticides, May 11, 2017) On Monday, a federal judge in California ruled that the U.S. Environmental Protection Agency (EPA) violated the Endangered Species Act (ESA) when it issued 59 neonicotinoid insecticide registrations between 2007 and 2012 for pesticide products containing clothianidin and thiamethoxam. The original lawsuit against EPA, Ellis v. Housenger, was filed in March 2013, by beekeeper Steve Ellis and a coalition of other beekeepers and environmental groups, including Beyond Pesticides. The 2013 lawsuit focused on the EPA’s failure to protect pollinators from dangerous pesticides and challenged EPA’s oversight of the bee-killing pesticides, clothianidin and thiamethoxam, as well as the agency’s practice of “conditional registration” and labeling deficiencies. According to George Kimbrell, Center for Food Safety’s legal director and the lead plaintiffs’ counsel, “This is a vital victory. Science shows these toxic pesticides harm bees, endangered species and the broader environment. More than fifty years ago, Rachel Carson warned us to avoid such toxic chemicals, and the court’s ruling may bring us one step closer to preventing another Silent Spring.” The judge presiding over the case rejected claims by pesticide producers and their supporters that the plaintiffs failed to establish a causal link between the pesticides and the […]

(Beyond Pesticides, May 3, 2017) Last week, researchers at the University of California San Diego revealed the first ever link between the use of neonicotinoid pesticides and the ability of bees to fly. Published in Scientific Reports, the study, “A common neonicotinoid pesticide, thiamethoxam, impairs honey bee flight ability,” builds on previous findings that neonicotinoid use interferes with bees’ ability to navigate, and concludes that exposure to thiamethoxam affects honey bee flight patterns as well as their physical ability to fly in ways that may be detrimental to their survival. The study is the latest in a growing body of science linking pesticide use to honey bee declines, raising concerns about overall honey bee health and longevity in the face of continued neonicotinoid use. According to the study, both acute and chronic exposure to thiamethoxam revealed significant alterations of the ability of bees to fly -affecting flight distances, duration of flights, and flight velocity. Researchers noted significant differences in bee behavior based on short versus long term exposure, which they summarized as having an “excitatory short-term effect and a depressive longer-term effect” on the bees’ ability to fly. This means that when bees were exposed to thiamethoxam for a short, […]

(Beyond Pesticides, April 11, 2017) New data presented last week at a children’s health conference show that glyphosate, the active ingredient in the popular Roundup weed killer, is detected in pregnant women and could lead to adverse pregnancy outcomes, including shorter gestation times and lower birth weights. The researchers here are calling for more biomonitoring of the presence of glyphosate in the public, in spite of industry and government efforts to undermine the science surrounding the human health impacts of the herbicide. Researchers tested and tracked 69 expectant mothers and found that the presence of glyphosate levels in their bodily fluids correlated with unfavorable birth outcomes. The research is still in preliminary stages and is a project of the Children’s Environmental Health Network (CEHN), which is studying the reproductive and children’s health impacts of rising herbicide use in the Midwest. The preliminary results were presented at CEHN’s conference last Thursday in Washington DC. Learn more about the project here. This is a huge issue,” said Paul Winchester, M.D., member of the research team involved with this study, medical director of the neonatal intensive care unit at the Franciscan St. Francis Health system and professor of clinical pediatrics at Riley Hospital for […]