In the only U.S. city confirmed to have mosquitoes carrying the Zika virus, some residents say they'd rather be bitten than be exposed to droplets of chemicals sprayed from planes to kill the bugs.
No assurances from health officials would calm some 200 people packing a Miami Beach City Commission meeting Wednesday. They cursed elected officials and the U.S. Centers for Disease Control and Prevention for mixed messages about aerial spraying over South Beach and refusing to detail all locations where adult mosquitoes have been isolated with the virus.
"At first they said they couldn't do aerial spraying, but then they said yes," said Sadie Kaplan, a fitness trainer who fled her home twice to avoid the spraying. "Pick a side. Don't flip-flop."
Some argued the mild flu-like illness Zika causes in most people doesn't warrant aggressive pesticide use, even booing a doctor presenting evidence of Zika-related birth defects to city commissioners.
"I don't want to be sprayed with pesticides for what I believe is a hoax," said Kiro Ace, a graphic designer who was shirtless but wore a gas mask as he joined protesters chanting, "If you're going to spray, we want a say!"
At issue is the use of naled, an insecticide sprayed since the 1950s for mosquito control in the U.S. It's currently being used in Miami Beach at levels deemed safe by the CDC and the U.S. Environmental Protection Agency. It's banned from personal use in homes, but the EPA says there's no evidence it causes cancer.
An EPA fact sheet on naled says people exposed to high concentrations can experience nausea, dizziness and confusion. At extremely high concentrations it can be fatal. Ten naled-related calls have been reported to the Florida Poison Control Information Network since Aug. 1, but there's no confirmation of any pesticide exposure or illness, Florida Department of Health spokeswoman Mara Gambineri said in an email.
Not everyone in the community agreed that naled should be ruled out.
Dr. Christine Curry, a University of Miami OB-GYN who is treating a number of women in the affected area who have the Zika virus, reminded the skeptical audience that there is indeed a potential health risk.
"There are four women I have spoken to in the last several weeks who have not left Florida and who are suspected to have gotten their infection in our community," she said to boos and jeers. "I frankly don't care which compound we decide to use or not use for mosquito control. I care that we choose an option that this community agrees on."
While considered safe for humans at the low levels officials say has been sprayed in Florida's Zika response efforts, naled use can have environmental consequences. About 2 million honeybees died last month in South Carolina after some beekeepers weren't notified about aerial spraying, the South Carolina Department of Pesticide Regulation confirmed.
Puerto Rico's governor has refused to authorize the CDC to use naled to fight Zika there — in spite of widespread infections on the island — amid outrage over its potential effects on people and wildlife.
Officials call naled a safe and effective way to kill adult mosquitoes, but they also are careful to add that children should stay inside during spraying.
"We don't think this poses a big risk, but people need to avoid unnecessarily being exposed to it. If aerial applications are occurring ... don't let your kids out to play," said Jack Housenger, director of EPA's Office of Pesticide Programs. "If toys are outside, be sure to wash them off. Use common sense."
So far, no beekeepers or conservationists have complained about naled spraying over Miami's Wynwood district last month and over South Beach since last week, Miami-Dade County mosquito control spokeswoman Gayle Love said in an email.
Florida health officials say those are the only two areas where mosquitoes have been actively transmitting the Zika virus. Aggressive pesticide spraying could extend beyond the urban neighborhoods, though, if another outbreak is confirmed elsewhere.
The only beekeeper registered in Miami Beach, attorney Darius Asly, said he's still concerned with how the government has handled the fight against Zika overall. He wants to see better coordination among different agencies.
Still, he's prepared to lose bees to help protect people from Zika.
"If I must lose my bees in order to prevent that some poor mommy should have a sick child — I'd have to be a real jerk to be opposed to that," he said.
The city's commissioners appear to be listening to concerns over continued naled spraying, even though they admit it may be their most effective tool at the moment. Amid the shouts at Wednesday's meeting, they passed two resolutions urging county and state officials to investigate alternative mosquito control methods.
Spraying in South Beach is scheduled to continue this weekend. City officials said they didn't want naled spraying, but their hands were tied by a public health emergency declared by Gov. Rick Scott in February.
Florida health officials now have reported 650 travel-related infections, 86 infections involving pregnant women and 77 cases of Zika contracted within the state.
"We're getting sprayed because the rest of the country sees this as a public health threat," Miami Beach Commissioner Kristen Rosen Gonzalez said. "We're getting sprayed whether we want to or not."