Angela
Rocha, a pediatrician in northeastern Brazil, measures the head of a
child born with microcephaly, a tragic neurological complication linked
to Zika, the mosquito-borne virus sparking a health scare across the
Americas.
Outside
the room, seven mothers cradling infants with abnormally small heads
line up for hours for tests. More than 1,000 cases of microcephaly have
been reported in just a few months in Pernambuco state, the epicenter of
the Zika outbreak.
“We
were taken by surprise,” says Rocha, a veteran infectious disease
specialist at the Oswaldo Cruz University in the state capital of
Recife, where doctors are struggling to care for 300 babies born with
the condition.
For
a country that for years has battled the Aedes aegypti mosquito -
responsible for previous epidemics of dengue, yellow fever and other
tropical diseases - the outbreak of Zika has caught the government,
public health administrators and doctors entirely off guard.
A
tropical climate, dense cities, poor sanitation and slipshod
construction provided ideal conditions for mosquito breeding grounds and
the spread of the Zika virus in Brazil’s northeast, across the country
and to more than 20 others throughout the Americas.
“We
just didn’t have the conditions or resources necessary to stop the
mosquito or the virus,” says Maria da Gloria Teixeira, an epidemiologist
in the neighboring state of Bahia and a director of the Brazilian
Association of Collective Health, a grouping of public health
professionals.
Amid
warnings from governments and multilateral health agencies, pregnant
women in Brazil and beyond are now seeking to avoid exposure to the
mosquito, at least until contagion is contained or scientists develop a
vaccine, which could still take years.
Brazilian
health officials this week said they plan to reach an agreement with
the U.S. National Institutes of Health to work on a vaccine. Some Latin
American countries have advised women to delay getting pregnant.
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