I think some of the practices of the (big) US beekeepers is poor - shipping bees across country, mixing them with any disease going in a monoculture with other bees and then spreading the disease about the country when the bees are taken away - maybe to another monoculture site doesn't appear to me to be good beekeeping practice. It's not what bees are supposed to do.
Varroa, Nosema Ceranae, pesticides, trucking, antibiotics, environmental pollution are all contributory factors. Beekeepers (Michael Bush) who don't do these things seem to have healthy bees. There's a lesson there.
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