Editing Openai/69439ed2-a934-800b-ad0f-4b1320a3650b (section)

==== A scale-faithful conclusion, based on the currently visible evidence, would read like this: ====
# Cuba is experiencing a severe mosquito-borne disease wave (dengue and chikungunya are both being reported), consistent with broader regional dengue pressure but with locally intensified impact. Pan American Health Organization<ref>{{cite web|title=Pan American Health Organization|url=https://www.reuters.com/business/environment/cuba-fights-contain-spread-mosquito-borne-chikungunya-virus-2025-11-13/|publisher=Pan American Health Organization|access-date=2025-12-18}}</ref>
# Multiple independent drivers plausibly amplify transmission in Cuba: degraded sanitation, infrastructure strain, power and water disruptions, and constrained vector-control operations. Reuters<ref>{{cite web|title=Reuters|url=https://www.reuters.com/business/environment/cuba-fights-contain-spread-mosquito-borne-chikungunya-virus-2025-11-13/|publisher=reuters.com|access-date=2025-12-18}}</ref>
# The sanctions question is not best tested solely at “medicine access.” The more mechanically direct pathway—visible in current reporting—is constraints on outbreak-control operations, including fuel and related logistical capacity, which can reduce fumigation and prevention intensity. Belly of the Beast<ref>{{cite web|title=Belly of the Beast|url=https://www.bellyofthebeastcuba.com/why-is-cuba-facinng-a-mosquito-virus-crisis|publisher=Belly of the Beast|access-date=2025-12-18}}</ref>
# Humanitarian permissions and exemptions exist on paper within U.S. policy, but “paper permission” is not the same thing as frictionless procurement. Any serious analysis must evaluate financial and shipping compliance frictions as part of how supply restriction occurs in practice. State Department<ref>{{cite web|title=State Department|url=https://www.state.gov/fact-sheet-provision-of-humanitarian-assistance-to-cuba|publisher=State Department|access-date=2025-12-18}}</ref>

That is the work: a claim re-expressed as mechanisms, observables, and weighted causal channels—without collapsing into slogan or absolution.