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Vision impairment was reported in 14 (26%). The cause of microcephaly was unknown in 60% 13 (19%) had been diagnosed with genetic disorders; 22 (39%) had anomalies on neuroimaging. No congenital or probable Zika infection was identified. Severe microcephaly was more often associated with hearing impairment than microcephaly of 2 SDs but ≤3 SDs below the mean (p0.007). Indigenous children and children with socioeconomic advantage were over-represented among children with microcephaly. Novel national data on microcephaly highligh