The small, rough, wart-like bumps on your birch leaves are most likely insect galls—abnormal plant growths induced by tiny wasps, mites, or aphids. The insect lays eggs; the plant reacts by forming a protective chamber. By the time you see them, the insect has often left. Galls are unsightly but rarely harm tree health.
If the "warts" are smooth, oval, and on stems/branches, you may have scale infestation. Heavy scale can weaken the tree. Check for honeydew and sooty mold.
If unsure, email clear close-up photos (top and bottom of leaves, stem close-ups) to a local extension service or certified arborist. Accurate identification ensures the right treatment.
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