This study, like others before it, does not confirm that Zika is the primary cause of microcephaly cases in Brazil. Many other countries and other regions of Brazil have large numbers of Zika cases but do not have a correspondingly large number of microcephaly cases. Thus, the geographic distribution of microcephaly does not support a conclusion that Zika is the primary cause.
]]>That article confirms the association between congenital Zika virus infection and microcephaly and suggests no association between microcephaly and exposure to pyriproxyfen.
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