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In August 2007, a small improvised explosive device was set off at a Miami, Florida Department of Health (DOH) building, resulting in casualties and moderate damage. This DOH branch has recently been involved in conflicts with local Paraiso religious groups over the attempts by DOH to provide medical care to Paraiso children in public schools and other public facilities. The Paraiso religion is a growing movement in Florida and other southern states. The Paraiso movement is steadfastly opposed to state-administered health care, insisting all health care must be provided at home by the family.