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Brazilian unprotected

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On a Friday afternoon in OctoberLuciana Caroline Albuquerque Bezerra, the executive secretary of health surveillance for the state of Pernambuco, Brazil, received a call from her boss, the secretary of health for the state. Two pediatric neurologists serving at separate hospitals had come to report a strange phenomenon: By the following Monday, it was clear something was seriously wrong. The Brazilian unprotected health secretariat instituted a compulsory notification to the surveillance system of any new cases of babies born with microcephaly.

Albuquerque was stunned as institutions around Brazilian unprotected state reported new cases before the end of November, when in a typical year they might see only a dozen. She realized they were on the precipice of a new epidemic—but they had yet to discover its origin. Brazilian unprotected had seen two pregnant women in a short period of time whose sonograms showed unusual fetal brain development—microcephaly and other complications. Both samples tested positive for the Zika virus, establishing the first concrete link between microcephaly and the mosquito-borne Brazilian unprotected.

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Brazil has not addressed longstanding human rights problems that allowed the Zika outbreak to escalate, leaving the population vulnerable to future outbreaks and other serious public Brazilian unprotected risks. No one is sure exactly when or how the Zika virus was introduced into northeastern Brazil, but the conditions for its rapid spread are ideal. Zika is transmitted predominantly through the bite of an infected Aedes aegypti mosquito, which has bred rampantly in the warm, humid climate of the states in the northeast.

The poorest region in the country, decades of underinvestment in Brazilian unprotected water and wastewater services exacerbated the proliferation of this mosquito, which can also carry other serious viruses, including dengue, chikungunya, and yellow fever.

The outbreak hit as the country faced its worst economic recession in decades, forcing authorities to make Brazilian unprotected decisions about allocating resources in response. Dengue has been present in Brazil for decades, so when hundreds of thousands of people with cases of what was thought to be a milder case of dengue began arriving in health clinics in lateit was worrying but not a surprise—until the wave of children born with microcephaly.

State governments in the region tried to respond quickly, and in Novemberthe Brazilian government declared a national health emergency as cases of microcephaly increased.

By Februarythe World Health Organization had declared a global public health emergency in response to the spread of Zika. As of May Brazilian unprotected, the virus had been detected in 85 countries and territories around the world. We spoke with more than people, including more than two dozen mothers raising children with Zika syndrome and 44 women and girls Brazilian unprotected were pregnant or had given birth during the Brazilian unprotected.


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