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‘The only thing left’: One woman’s journey from MAID critic to MAID widow

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Victor Enns - Michelle Hewitt MAID widow story
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Michelle Hewitt has spent years raising concerns about medical assistance in dying (MAID).

So she never expected to become a widow because of it.

Hewitt has lived with multiple sclerosis for nearly two decades. As board chair of the advocacy organization Disability Without Poverty, she hears regularly from people with disabilities who consider MAID because of poverty, insufficient medical care or social support. 

But when Hewitt’s husband, Victor Enns, wanted to die by MAID, she set her objections aside and chose to support him. 

“That’s one of the hardest decisions I’ve ever made,” she said in February.

Hewitt, who lost her husband to MAID in December, says that supporting Enns was the right choice. 

“I still believe it’s the right decision.” 

But the process by which he was approved for MAID has reinforced — and increased — her concerns.

“It was easier for Victor to get MAID than it was for him to get anything else,” she said. “I just don’t believe that that’s how it should be.”  

Whirlwind romance

Enns and Hewitt always knew death would enter their marriage sooner rather than later. 

When they met in January 2021, she was 53, he was 65. She was recently widowed for the second time and he divorced for the third. Neither wanted to waste time. 

And they didn’t. Enns’ four-word introduction on a disability-focused social networking site — “I like your hair” — quickly led to lengthy emails then video calls. 

He was in Gimli, Man., she was in Kelowna, B.C. They shared meals over video calls timed around medication schedules.

In April 2021, Enns flew to Kelowna. The plan was to spend two weeks together. Instead, he returned to Manitoba only once, to refill prescriptions. They wed in August of that year. 

Enns wrote the officiant’s introduction to their vows.

“You have learned from your own experiences and from each other, suffering is unavoidable, real and to be believed,” Enns wrote. “And [you] know to offer each other succor and consolation when tears fall and times are hard.”

Neither knew how difficult that would be.

Medical crises

Moving to B.C. was risky for Enns. It meant leaving his longtime doctors behind.

Enns had struggled with chronic pain and depression for decades. Throughout his life, he had often felt disbelieved by the medical establishment. His amputated left leg was the clearest example. He had had to convince doctors that an amputation was the only way to end the searing pain in his leg, the result of a failed foot fusion surgery and severe osteoarthritis. 

After that surgery, pain continued, just elsewhere in his body. 

In B.C., Enns found a family doctor quickly: a woman who, coincidentally, had attended school with one of Enns’ sons. But in 2022 she moved, and he needed to find a new family doctor to prescribe painkillers. 

Enns was caught in the crossfire of two health crises: a provincial opioid epidemic and a national doctor shortage. The only B.C. doctor who would prescribe painkillers was an addiction specialist.  For the rest of his life, Enns felt he was labelled as an addict. 

He received a prescription for methadone, a new drug for him. It was too much. He almost died and was put in a medically induced coma so doctors could stabilize him.

Once released, his memory and motivation to leave his home diminished. He began sleepwalking. He once poured boiling water on himself while asleep; another time, he fell after attempting to walk without a prosthetic. 

Emergency room doctors told Enns and Hewitt nothing was wrong. Hewitt says they were told Enns was at-risk of being flagged as a patient who fabricated stories. 

Enns wanted to receive an opioid his former family doctor had prescribed. It gave him fair control of his pain, he said. But doctors refused, noting they were concerned it could kill him. 

Funeral march begins

In August 2024, Enns woke Hewitt from her daily afternoon nap to say the pain in his left shoulder was unbearable. 

He wanted MAID.

Hewitt was not completely surprised. She could hear his shoulder bones grind against each other all the time. “It was the percussion section in his shoulder,” she said. 

But this was not the music of a lively rock band. The pain was keeping time to a funeral march. 

Hewitt knew her husband would not waver in his decision to get MAID. So she put her advocacy work aside and set about supporting him.

For Enns, MAID was the right choice, she says. But not because it reinforced his dignity.

“It was empowering in that it was the only thing that Victor could take control of,” she said in February. “It was the only thing left.” 

Pain increases

When Enns announced he wanted MAID, he was on the waitlist for shoulder surgery. Hewitt called his surgeon immediately to explain the urgency of the situation. A spot had recently opened, and Enns had surgery five days later. 

The recovery went well. But it magnified Enns’ other pain.

“It was like he actually started feeling the rest of all the pain that he was carrying that this [shoulder] pain was muting a little bit,” said Davina Kula, a personal care worker who worked with Enns and Hewitt since 2022. 

Enns slept in a medical recliner because searing back pain made lying down impossible. The percussive pain was now in his knee. 

Kula understood why Enns felt dismissed by the medical system. At appointments with Enns and Hewitt, doctors often first directed questions to Kula. “It feels like his [medical] issues got minimized quite a bit,” Kula said. 

Enns was diagnosed with dementia in April 2025. 

After this, his desire to obtain MAID swung into high gear. 

“I felt like we were talking about MAID every day,” said Kula. Spilled food, dropped items, missed words all prompted Enns to discuss MAID. 

Hewitt was conflicted. The man she had vowed to love in sickness and in health, till death did them part, was pursuing a method of death she opposed. 

Yet, she wanted his suffering to end.

This was no regular dying process. When her previous husbands had been diagnosed with cancer, they had always remained hopeful for a cure. 

There was no such hope with MAID. “Death was there constantly,” she said.

‘Blurry’ lines

In July, Enns had the first of two medical assessments needed to determine if he was legally eligible for MAID. 

He worried about forgetting details or not being believed. Hewitt helped prepare notes for him. 

They were ultimately not necessary. 

At the first assessment, the assessor told Enns he was approved shortly after Enns began telling his story. The second assessor began the assessment by telling Enns he was approved.

“They were so fast. They weren’t worth talking about,” Enns said in December, five days before he died. 

Both assessments worried Hewitt.

Under Canadian law, MAID patients are approved as either Track 1 or Track 2. Track 1 means their death is reasonably foreseeable; Track 2 means their death is not. 

Hewitt had assumed Enns would qualify as Track 2 MAID. But assessors told him he could be Track 1, because of his dementia diagnosis.

Hewitt had previously lost two husbands to cancer. She felt she knew what dying looks like, and that Enns was not dying, even though he was diagnosed with dementia. 

“I thought that I could clearly identify a Track 1 MAID person,” she said in February. “Clearly I can’t.” 

Dementia has proven controversial in MAID requests. 

A report released last fall by the Ontario MAID Death Review Committee described several cases where dementia patients were approved for Track 1 MAID. In many cases, individuals were recently diagnosed and were struggling with fear of the future. Committee members, many of whom were doctors or nurses, disagreed with each other about whether MAID assessments for dementia patients require more rigour. 

Under federal law, each MAID death must be reported to Health Canada, and reports must indicate if patients were Track 1 or Track 2.

But Enns and Hewitt did not know what track Enns was approved under. Hewitt says the assessors never told them.

A patient’s track affects how they are treated. Track 2 patients are supposed to be informed of counselling, disability and community supports that could relieve their suffering. 

Enns did not receive any such offers, Hewitt says. In fact, there was such little communication after the MAID approval that Enns began to worry doctors had forgotten about his scheduled death. 

For Hewitt, the experience increased her concerns about MAID. She had had concerns about Track 2 since it was legalized in 2021. Now, she had concerns about Track 1 as well.

“If the lines between Track 1 and Track 2 are so blurry, I now have strong doubts about Track 1,” she said.

‘That’s enough’

But Enns was at peace with his decision.

“I’m going to, to die,” he said in December, five days before his death. 

“I’m 70 years old. I’m not a babe in the woods or anything like that. I’ve had different kinds of pain and mental health issues for 50 years.” He looked down, his voice cracking. “I think that’s enough. That’s really what it is.”  

The dementia was also robbing his comprehension, the ultimate fear for a professional poet like Enns. He struggled to understand poems he had just written for a book to be published posthumously.  

“I don’t want to wait until I sound like a fool to myself,” he said, before acknowledging that might sound derogatory.

“Language like that isn’t appropriate for someone with a disability, but that’s how it feels sometimes to me.” 

He wanted a good death, he said, and felt MAID was good “compared to some of the other options.”

He knew his physical pain would never truly subside. The dementia was here to stay.

“There’s some things you just can’t fix, no matter how hard you try,” he said.

Hewitt remained troubled by the process. 

“I have chosen to support Victor in what he wants, but this journey in itself—” She paused, then turned and spoke to Enns. “It’s not been a good journey for you.”

“Not as good as it could be,” he agreed.  

“But really?” He turned to his wife with a laugh. “You expect MAID to be a good journey?” 

Final goodbyes

In the end, it was not the good death Enns had wanted.

Enns and Hewitt set about making his last day as memorable as possible. He ate a hearty pancake breakfast with Hewitt and all the caregivers. He had strawberries and maple syrup and a thick milkshake. He was the “life and soul of the party,” Hewitt said.

After a rest, Enns picked his final outfit: dress pants and a dress shirt.

They wheeled in their wheelchairs to the hospice, which could be seen from their condo. They took their time, pausing to watch fish in the pond outside before entering the hospice. In their final photo together, they smiled like newlyweds. 

He had asked to not lie down on the bed for very long before the procedure began because of his back pain. That was not to be. 

The IV was set about 45 minutes before MAID was to begin. His dress shirt was taken off. Later, they had to reset the IV because it had not been inserted properly. Enns cried in pain as he waited for the medication to take effect.

Hewitt had to leave his side so the IV could be reset. They yelled their final goodbyes to each other from across the room.

Hewitt watched it all, telling him she loved him. Enns said he loved her and his family. Then, it was done. 

Hewitt returned to an empty condo, walked her service dog and took a sleeping pill.

She had gone from being a vocal critic of MAID to a MAID widow.

‘Love remains’

Even living under MAID’s long shadow, Enns and Hewitt found joy together. 

In the evening, after their care team had left, they ate ice cream, laughing like children gobbling forbidden desserts. 

She would describe what happened on her nightly walks with her service dog, and they would end each night by saying the same words together: “We are better together, because we are happy, we are safe and we are very well loved.”

Five days before his death, the affection was obvious. They kissed. They laughed. They hung onto each other’s words; they knew not many words were left.

“I’ve learned he is incredibly strong, to just daily go through the level of pain that he goes [through],” Hewitt said. 

“And then to make this decision, and to be fair, going into it knowing that it’s not something that I would have advocated for him to do.”

Enns knew nothing had changed his wife’s love for him.

“I’ve got what I have in your arms right now, and that is that the love remains,” he told her. “That we are still, still —”

She completed  his sentence. “Very much in love.” 

The post ‘The only thing left’: One woman’s journey from MAID critic to MAID widow appeared first on Canadian Affairs.

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sarcozona
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We will kill peoples rather than give them the care and attention they need
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Cultural Management of Huanglongbing: Current Status and Ongoing Research | Phytopathology®

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Citrus Greening - Citrus Greening 

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Citrus Greening, also known as Huanglongbing (HLB), is the most important citrus plant disease worldwide. The core mandate of the Research Institute of Organic Agriculture FiBL is to conduct practice-oriented research to develop environmental-friendly innovations with and for farmers and the food industry. Concerning HLB, since 2011, FiBL, together with partners from Mexico, has been conducting different research activities to develop and test different interventions to mitigate and control Citrus Greening in the context of organic production. This involves both direct and indirect measures to reduce the level of disease infection and strategies to increase citrus plants' resistance to disease.

The research results obtained until now (see Our research and Resources) reveal that an optimal combination of the most promising technological innovations is the way forward to control HLB infections in organically managed citrus orchards. This involves alternate weed cutting (to promote natural biodiversity and beneficial insects), applications of the fungus Metarhizium anisopliae by specific thresholds values (to directly reduce the number of transmitting insects), and  the use of ‘charged biochar’ in combination with organic fertilisers (to enhance water and nutrient uptake by citrus trees).

All research activities of the program are currently implemented at two sites in Mexico. It is the interest of the program to validate the technologies mentioned above also in other contexts. As the Citrus Greening disease is also a threat for Mediterranean countries, the program would be keen to link up with European partners to introduce the most relevant measures in organically managed orchards.

The Coop Fund for Sustainability has been supporting this program, which will last at least until 2024.

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Florida growers eye agroecology solution to devastating citrus disease

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  • Virtually all of Florida’s citrus groves have been infected with citrus greening disease, also known by its Chinese name Huanglongbing, since the early 2000s.
  • Despite billions of US dollars put toward rescue efforts, citrus production numbers are the lowest they have been since the Great Depression.
  • Scientists from Argentina are now testing the agroecological method of push-pull pest management using an organic plant-hormone solution to lure pests away from citrus crops and toward “trap crops” instead.
  • Proponents hope push-pull management, first developed in East Africa, could be part of the solution and lessen dependence on pesticides.

FORT PIERCE, Florida — Just off of North Kings Highway, a dirt road once led to lush rows of sweet-smelling citrus crops: grapefruits, lemons and oranges. Now, all that’s left of the once-flourishing groves are barren rows of dead trees, weeds and a few sickly fruits still clutching to their final nutrients.

Florida was once a global capital for citrus production. But in 1998, a state entomologist discovered a tiny insect called the Asian citrus psyllid (Diaphorina citri). It was an ominous sign; the invasive pest transmits a pathogen that causes citrus greening disease, or Huanglongbing, which slowly kills the trees and turns the fruit bitter. It took seven more years to identify the first confirmed case. Over the past two decades, the disease has virtually decimated the state’s industry. Projections for this year’s orange production, the most abundant citrus crop grown in Florida, sit at just under 20 million boxes — down from more than 200 million boxes in the early 2000s, before the disease had spread.

Since then, the world’s leading scientists have poured endless time and money into rescue efforts, including mesh protective covers to block the pest from infecting young trees, disease-tolerant hybrid varieties, and antibiotic trunk injections. Yet the disease continues spreading.

A dead grapefruit grove in Fort Pierce, Florida. Image by Marlowe Starling for Mongabay.A largely dead grapefruit grove infected with citrus greening disease in Fort Pierce, Florida. Image by Marlowe Starling for Mongabay.

Now, a team from Argentina is testing a cheaper and simpler technique to control psyllids — sometimes called jumping plant lice — in Florida’s groves. It’s a method known as push-pull pest management; the idea is to repel pests away from crops and to lure them toward a more appealing “trap crop” planted on the perimeter of the farm.

“We’re working on insect behavioral manipulation” by distracting the pest with more-attractive plants, protecting oranges and other citrus fruits, team leader María Victoria Coll-Aráoz told Mongabay.

Push-pull pest management isn’t new. It’s a low-maintenance technique that farmers have used for the past 30-some years in parts of East Africa where it greatly helped maize crops for smallholder farmers. It’s an intercropping method considered part of agroecology, a holistic farming approach that prioritizes ecosystem health while addressing other aspects like producing enough yield for food security and ditching harmful chemicals for human and ecosystem health.

But Coll-Aráoz’s team is taking it a step further. They are spraying the citrus with an organic plant hormone that represses the plant’s production of a naturally produced chemical called methyl salicylate, the compound that attracts psyllids and other pests. The hormone works by blocking the plant’s biosynthetic pathway that releases this chemical. When a tree becomes infected with citrus greening, it produces even more methyl salicylate — a positive feedback loop “designed by the bacteria for its own propagation,” as Coll-Aráoz explained.

The idea is to spray trap crops with a substance that makes the plant produce methyl salicylate, luring insects to those plants instead. Another way is to deploy methyl salicylate via plastic dispensers that act as perfume bottles to attract the insects. Coll-Aráoz co-founded a startup called Semion to market these organic solutions at an affordable price. Ideally, growers would spray crops during a growth phase called flushing, when new shoots and leaves are growing.

The psyllid likes to lay eggs inside those tiny leaf hammocks and feed on the leaves, “drooling” into the plant, which is how they transmit the bacteria (Candidatus Liberibacter asiaticus) that cause citrus greening. This triggers an immune response that clogs the tree’s “arteries,” called phloem, preventing sugar and other nutrients from traveling through the plant. It’s a slow, prolonged death.

“The disease has this insidious, long incubation period before you see symptoms,” Stelinski explained — sometimes years. That’s why it can be so difficult to control.

Citrus is most susceptible to the Asian citrus psyllid during a phase called “flushing,” when the plant grows new leaves at the tips of its branches. These new-growth clusters are where psyllids like to lay their eggs. Image by Marlowe Starling for Mongabay.Citrus is most susceptible to the Asian citrus psyllid during a phase called “flushing,” when the plant grows new leaves at the tips of its branches. These new-growth clusters are where psyllids like to lay their eggs. Image by Marlowe Starling for Mongabay.

Testing the technique

In Fort Pierce, about 2 1/2 hours north of Miami on Florida’s east coast, Coll-Aráoz and her collaborators have designed an experiment to test this technique on young Valencia oranges (Citrus sinensis ‘Valencia’). There are three plots: One with untreated crops, a second with crops treated with the plant-hormone spray and a third also treated with plant hormones but surrounded by curry leaf plants (Murraya koenigii) as the trap crop, which are sprayed with methyl salicylate.

Curry leaf is a good insect trap for several reasons, Coll-Aráoz said. Their strong scent out-smells the citrus crops, making them more attractive to the insects than the citrus. Add the non-synthetic methyl salicylate, and the curry plants become even more attractive. Curry leaf is also immune to the pathogen that causes citrus greening. But even if a different trap crop is used, the idea is for the psyllids to live out their days on those plants instead of the crop that farmers are trying to protect. Methyl salicylate also attracts the pests’ natural predators, like wasps, which should help lower psyllid populations.

“The idea of putting the Murraya plants around the citrus plants is that any psyllid coming from outside will like these plants more,” Coll-Aráoz said. In essence, this makes the valuable citrus crops smell like “burnt toast” to the psyllid while making the trap crops smell like a much more appealing avocado toast, she explained.

Four adult Asian citrus psyllids feed on a young-growth shoot on an orange tree. Image courtesy of Alejandro Forlin/Semion.Four adult Asian citrus psyllids feed on a young shoot of an orange tree. Image courtesy of Alejandro Forlin/Semion.

Coll-Aráoz is also testing the push-pull technique using plant hormones on corn in Argentina, where the corn leafhopper (Dalbulus maidis) is transmitting a disease called corn stunt spiroplasma.

Lukasz Stelinski, a leading entomologist at the University of Florida, said he thinks the technique could be used effectively for avocados, too. His lab has tested the push-pull strategy on the redbay ambrosia beetle (Xyleborus glabratus), a pest causing a disease called laurel wilt. But so far, his team’s dispensers aren’t out-smelling the avocados’ natural scent. Stelinski said if they were able to change the way the avocado tree smells, like Coll-Aráoz is doing with citrus, “I think it could make a difference.”

So why hasn’t anyone tried it earlier?

Psyllids like to nest in the center of this curry leaf plant, which attracts the pest with its strong scent as a “trap crop.” Image by Marlowe Starling for Mongabay.Psyllids like to nest in the center of curry leaf plants, which attract the pest with their strong scent as a “trap crop.” Image by Marlowe Starling for Mongabay.

Focusing on Florida

In 2022, international juice company Tropicana closed its Fort Pierce processing facility from a lack of fruit supply, firing 27 employees. It wasn’t the first to shut down.

“It’s difficult to imagine being much worse off in our industry right now,” Fred Gmitter, a plant breeder at University of Florida’s Citrus Research and Education Center, said in 2022. “I ask this question all the time: Is this the bottom? Is this as bad as it’s going to get?”

Over the past two decades of citrus greening in Florida, dozens of approaches have fallen short. And some solutions, like disease-resistant varieties, take years to develop. So far, oxytetracycline hydrochloride trunk injections, a relatively recent tool, have had the most success. But they’re also the most expensive option and the method treats infected trees retroactively to improve fruit yield and quality, like taking medicine when you’re sick. The injections also come with risks: Injecting trees incorrectly can kill them.

“Pesticides haven’t worked to control this vector, and we’re entering a time when these alternatives are unsustainable,” said Stelinski, the entomologist. “They’re too expensive. They’re having negative impacts in terms of insecticide resistance development, and they’re not working.”

Semion’s biological-trap approach, by contrast, aims to prevent infection entirely, at a fraction of the cost of most other solutions, including pesticides.

But their efforts to introduce push-pull in Florida have been met with mixed feedback.

Citrus fruits affected by citrus greening disease, like this lemon, turn green. Image by Marlowe Starling for Mongabay.Citrus fruits affected by citrus greening disease, like this lemon in a Florida grove, turn green. Image by Marlowe Starling for Mongabay.

“I was sort of astonished at how reluctant producers are to test something new, even if they know that everything else hasn’t worked,” Coll-Aráoz said. She said some growers worry that by planting trap crops, they will be attracting more psyllids to their groves. But the insects are already there — so much so that eradicating them isn’t possible.

“We’ve all come to learn that it’s just not feasible to try to eliminate the psyllid,” said Pat Schirard, a Florida Citrus Commissioner and grower. “They’re just endemic throughout the state.”

Schirard is one of several growers in Central Florida allowing Coll-Aráoz’s team to set up real-time experiments in their groves. The team is also conducting experiments in Stelinski’s lab at the Citrus Research and Education Center.

“I’m hopeful, of course, about this research,” Stelinski said, but added, “I’m not hopeful that this will be a massive paradigm shift or that it will be a savior of some sort or a silver bullet.”

Instead, he said he can envision push-pull being part of a wider management system to help reduce psyllid populations. “One of the things that we’ve learned over these past 15 years with citrus greening is that it’s very unlikely that there will be one tool or one approach that’s going to make a difference,” he added. “This really has to be an integrated approach.”

The sentiment rings true among growers. “In my view, there is no one answer,” Schirard said. “It’s going to be a combination of things, and it starts with diminishing the psyllid population in any way possible. We’d love to accomplish that without the use of additional sprays or pesticides.”

Forlin and Coll-Araoz check for psyllids on a young Valencia orange crop at one of their testing sites in Fort Pierce. Image by Marlowe Starling for Mongabay.Alejandro Forlin and Victoria Coll-Araoz from the Semion team check for psyllids on a young Valencia orange tree at one of their testing sites in Fort Pierce, Florida. Image by Marlowe Starling for Mongabay.

Heavy pesticide use comes with many drawbacks: Not only do several formulas pose serious health concerns such as developmental and brain defects in young children, but they can also lead to pest resistance, which is when pests evolve to survive the toxicity. Scientists usually recommend rotating different types of pesticides or, better yet, incorporating other types of pest control to avoid this problem.

It’s with this integrated approach in mind that Coll-Aráoz and her business partner, Emilio Molina, co-founded Semion.

“Something really important is that we want to make this technology easily integrated” into farmers’ existing pest management strategies, Molinas said, who is a third-generation farmer from Ecuador.

Meanwhile, citrus growers in Argentina and Brazil have fared much better, in part because they learned from Florida’s mistakes, but also because of more aggressive pest management.

In Brazil, unlike Florida, it’s legal for the government to kill infected trees in private groves. Whereas Florida sprayed pesticides once a month, Brazil sprayed once a week. And Brazil has large, sprawling groves, making it easier to do aerial sprays. Florida, by contrast, has fragmented groves interspersed with superstores and housing developments, making wide-scale control difficult. But Brazil’s heavy dependence on pesticides, many known to be dangerous, has come with its own slew of concerns, including environmental pollution, harm to wildlife and human health effects such as childhood cancer deaths.

The push-pull approach has been less popular in the U.S. likely because it misaligns with the priorities of Western agriculture, Stelinski added. After World War II, agriculture became heavily mechanized, reliant on agrochemicals and focused on high yields.

Both of these leaves are from the same citrus tree: the top leaf is healthy, and the bottom leaf shows symptoms of citrus greening. Araoz and Forlin’s team saw new, healthy growth on the trees they sprayed with the plant hormone that suppresses methyl salicylate production—a welcome side-effect. Image by Marlowe Starling for Mongabay.The top citrus leaf is healthy, and the bottom leaf shows symptoms of citrus greening. Araoz and Forlin’s team are seeing new, healthy growth on the trees sprayed with a plant hormone that suppresses methyl salicylate production. Image by Marlowe Starling for Mongabay.

“It’s easy, it’s accessible, it’s within the already calculated input costs based on the profit you’re going to get from yield,” he said. Push-pull takes more effort: Farmers need a deeper understanding of pest behavior and have to sacrifice some land for trap crops.

But Florida is desperate.

“We’re all in this together at this point,” Schirard said, “which is the reason that I was amenable to working with Victoria and her group. If you’ve got an idea that may help me or my fellow Florida citrus growers, please, bring it on.”

 

Marlowe Starling is a freelance environmental journalist who writes about conservation, climate change and pollution, with bylines in Mongabay, Environmental Health News, Earth Island Journal, the Associated Press and a variety of Florida news outlets.

Related audio from our podcast: Agroecology is changing the way food is produced, but can it feed the world? Author Anna Lappé explains why it’s a myth that it can’t, listen here:

See related coverage:

In Kenya, push-pull method tries to debug organic farming’s pest problem

Citations: 

Rivera, M.J., Martini, X., Conover, D. et al. Evaluation of semiochemical based push-pull strategy for population suppression of ambrosia beetle vectors of laurel wilt disease in avocado. Sci Rep 10, 2670 (2020). https://doi.org/10.1038/s41598-020-59569-0

Luttermoser, T., Khan, Z. R., Midega, C. A. O., Nyagol, D., Jonsson, M., & Poveda, K. (2023). Are pests adapting to the push-pull system? Ecologically intensified farms in Kenya maintain successful pest control over time. Agriculture, Ecosystems & Environment, 347, 108345. https://doi.org/10.1016/j.agee.2023.108345

Beloti, V. H., Alves, G. R., Coletta-Filho, H. D., & Yamamoto, P. T. (2018b). The Asian citrus psyllid host murraya koenigii is immune to citrus huanglongbing pathogen ‘candidatus liberibacter asiaticus.’ Phytopathology®, 108(9), 1089–1094. https://doi.org/10.1094/phyto-01-18-0012-r

Coll-Aráoz, M.V., Hill, J.G., Luft-Albarracin, E. et al. Modern Maize Hybrids Have Lost Volatile Bottom-Up and Top-Down Control of Dalbulus maidis, a Specialist Herbivore. J Chem Ecol 46, 906–915 (2020). https://doi.org/10.1007/s10886-020-01204-3

From Mongabay’s agroecology video file: Ducks raised on rice paddies in Vermont deliver win-win-win results:

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Rush-Hour Exhaust May Be Triggering Tomorrow’s Migraine

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migraine headache

(Credit: Andrea Piacquadio from Pexels)

  • A 23-year study of over 7,000 migraine patients found that traffic-related air pollution and sunlight intensity were associated with higher odds of emergency migraine visits the following day.
  • Hot, dry summer weeks roughly doubled the migraine risk linked to nitrogen dioxide spikes; cold, humid winter weeks nearly quadrupled the risk tied to fine airborne particles.
  • Months of accumulated pollution exposure were linked to increased overall migraine activity, suggesting that dirty air may raise the brain’s baseline vulnerability over time.
  • Researchers say the findings could eventually support migraine prediction tools that use real-time air quality and weather data to help patients prepare for high-risk days.

For the roughly one billion people worldwide who live with migraines, the question “What triggered this?” is a constant source of frustration. Many sufferers have long suspected that weather and air quality play a role in their attacks, but solid scientific evidence has been hard to come by. Now, a large-scale study spanning more than two decades offers some of the strongest population-level support for those suspicions.

Moreover, it reveals one of the most notable findings in recent migraine research: the air people breathe and the weather outside may be working together in season-specific combinations to push vulnerable brains past their tipping point.

Researchers in Israel tracked over 7,000 migraine patients across 23 years and found that spikes in nitrogen dioxide, a common traffic-related pollutant, along with increases in sunlight intensity (measured as solar radiation), were associated with a higher risk of emergency migraine visits the very next day, though the study cannot prove cause and effect. What stood out was what happened when those daily pollution spikes collided with certain weekly weather patterns. During summer weeks marked by extreme heat and low humidity, the effect of nitrogen dioxide on migraine risk roughly doubled. During cold, humid winter weeks, the risk tied to fine airborne particles nearly quadrupled.

Published in the journal Neurology, the research proposes a “layered model” for understanding how the environment influences migraine. Rather than pointing to a single trigger, it frames short-term pollution spikes as the match, while the broader weather pattern of the surrounding week acts as the kindling.

Researchers drew from the Negev Migraine Cohort, a database of patients identified through medical records from Clalit Health Services and Soroka University Medical Center in Be’er Sheva, a city of roughly 220,000 in the arid northern Negev desert. Patients qualified if they were adults aged 18 or older with a migraine diagnosis or a prescription for triptans, a class of medication used to treat acute migraine attacks. Daily air pollution and weather data came from a dense network of fixed monitoring stations; each patient was assigned exposure values based on the nearest station to their home.

A key strength of the design was that researchers compared each patient to themselves, examining the environmental conditions on the day before a migraine emergency visit versus conditions on similar days when that person did not seek care. Because each person served as their own control, fixed personal factors like genetics, sex, and chronic health conditions were automatically accounted for.

Among the 7,032 patients, about 77% were female, with an average age of roughly 47 years. Nearly a third had at least one emergency migraine-related health care visit during the study period, producing a total of 24,608 such events.

Air pollution and seasonal weather patterns may work together to trigger migraines, a major 23-year study of 7,000 patients finds. (Image generated by StudyFinds)

When researchers examined conditions in the days before an emergency visit, nitrogen dioxide exposure one day prior stood out. People were 41% more likely to seek emergency care at their peak pollution exposure compared to their lowest, a figure that reflects each person’s individual exposure range over the full study period rather than typical day-to-day changes. Sunlight intensity the day before was tied to 23% higher odds.

Fine airborne particles, tiny specks often produced by combustion or dust, did not show a significant short-term trigger effect on their own. Over longer time frames, however, they mattered. Higher fine particle levels in the preceding three-month window were linked to about a 9% increase in triptan use; nitrogen dioxide showed a similar roughly 10% increase. Day-to-day pollution spikes appeared to act as immediate triggers, while months of accumulated exposure seemed to ramp up overall migraine activity, suggesting two processes that may operate on different timescales.

Researchers also examined how weekly weather patterns changed the impact of daily pollution spikes, dividing weeks into extreme categories by temperature and humidity and measuring how those conditions altered the relationship between daily pollution and emergency visits.

During hot, dry summer weeks, nitrogen dioxide’s effect was dramatically amplified. Cold, humid winter weeks intensified the effect of fine airborne particles to an even greater degree. Researchers noted that an abrupt weather shift, such as a hot day during an otherwise cold and humid week, may cause a larger physical disruption than the same temperature on a day that fits the surrounding pattern.

Sunlight intensity emerged as a significant and independent trigger, a factor the authors noted has rarely been examined within a broader environmental framework. Exploratory analyses added another wrinkle: the effects of nitrogen dioxide and temperature were more pronounced among men than women, a counterintuitive result given that migraines are far more common in women.

For migraine patients, the practical takeaway is validating. Forecasted high-risk exposure periods could guide preventive action, from limiting outdoor activity and using air filtration to starting short-term preventive medications before a bad stretch arrives. If the layered model holds up, it could eventually be built into migraine prediction apps that incorporate real-time air quality and weather data.

Migraines often strike without warning and leave patients scrambling for answers. This research points toward a future where at least some of those answers arrive in advance, written in the day’s air quality forecast and the week’s weather report. As the researchers concluded, their findings support moving migraine management “from a reactive treatment approach to a proactive, risk-based, and time-sensitive intervention.”

Disclaimer: This article is based on peer-reviewed research published in an academic journal and is intended for informational purposes only. It does not constitute medical advice. Readers with health concerns should consult a qualified healthcare provider.

The study relied on emergency health care encounters as its primary outcome, meaning it captured only the most clinically severe migraine episodes. Migraines managed at home were not included, likely leading to an underestimation of total migraine activity. Exposure was assigned based on fixed monitoring stations rather than individual-level measurements, and the study could not account for personal behaviors such as time spent indoors, use of air conditioning or air filtration, occupational setting, or daily mobility. Migraine patients may intentionally avoid outdoor activity during perceived high-risk conditions, which could further reduce measured associations. Triptan dispensation data were available only for 46.7% of patients and measured in 90-day intervals, limiting temporal precision. Data on preventive migraine therapies, including CGRP monoclonal antibodies, were not consistently available in the electronic medical records. Pollutants and lagged exposures were highly correlated, so the odds ratios reported do not represent fully independent tests. Finally, the study was conducted in a single city with a specific arid climate, which may limit generalizability to other geographic regions.

The study was supported by the Ministry of Innovation, Science and Technology, Israel (grant number: 1001591849; proposal no. 5604, 2022). The article processing charge was funded by the authors. Authors Ido Peles, Lena Novack, Michal Gordon, Batia Sarov, and Victor Novack reported no disclosures relevant to the manuscript. Gal Ifergane received consulting fees and honoraria from Teva, Novartis, Eli Lilly, Pfizer, and Abbvie, and received research support from Teva and Pfizer.

Title: Acute Environmental Triggers and Intermediate-Term Modulators of Emergency Migraine-Related Health Care Encounters | Authors: Ido Peles, Lena Novack, Michal Gordon, Batia Sarov, Victor Novack, and Gal Ifergane | Affiliations: Faculty of Health Sciences, Ben-Gurion University of the Negev; Clinical Research Center, Soroka University Medical Center; School of Public Health and Negev Environmental Health Research Institute, Ben-Gurion University of the Negev; Internal Medicine Division, Soroka University Medical Center; Department of Neurology, Brain Medicine Division, Soroka University Medical Center, all in Be’er Sheva, Israel. | Journal: Neurology, Volume 106, Number 9, May 12, 2026 | DOI: 10.1212/WNL.0000000000214936 | Received: September 17, 2025. Accepted: February 17, 2026. Handling editor was Associate Editor Rebecca Burch, MD.

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The left is cheering for leaders they don’t really believe in

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It is strange to see progressive voters rooting so wholeheartedly for Prime Minister Mark Carney and Hungary's Péter Magyar, leaders who, let’s face it, lean pretty heavily to the right.
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sarcozona
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“In just over one year as prime minister, he has eliminated consumer-based carbon pricing, jettisoned many other Trudeau climate policies, signed an MOU with Alberta for another oil pipeline, adopted tougher bail and sentencing measures, made deep cuts to the civil service and jacked up health care costs for refugees. The day after his byelection victories, Carney announced an almost five-month pause of the fuel excise tax to give voters a break at the gas pumps. That’s a $2.4 billion crowd pleaser that is certain to grow greenhouse gas pollution.”
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