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Updated: Jan 31, 2026

Perspectives on Neuroscience
Published on: July 31, 2007
Zika in Puerto Rico, 2016-2017: I Perspectives on the Social Crisis and Health Care Concerns
1Academia Puertorriqueña de la Historia, San Juan, PR; Assistant Professor, ad honorem, University of Puerto Rico Schools of Public Health and Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR.
Abstract:
The social reaction to the Zika epidemic in Puerto Rico reached a confrontational climax regarding aerial fumigation with an organophosphate insecticide. The public drama has obscured multiple simultaneous controversies. This and a companion paper, based mostly on print and digital news reports, provide a context and description of the major controversies and examine the outcomes and their lessons for the protection of the public's health. Part I describes the social and sanitary environment, the first three months of the epidemic, and the debates related to religious, demographic, economic, political, and health care concerns.
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