These images and many more told a harrowing story that case reports alone couldn’t convey: A little-known mosquito-borne virus called Zika appeared to be taking a terrible toll on women and babies,
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, and their families. The world got a gut-wrenching view of microcephaly in 2016, along with a mountain of evidence convincing scientists that Zika bears much of the blame for the dramatic increase in cases.
“Once you’ve seen those pictures from Brazil, you realize what a huge impact this kind of outbreak can have,” says Sonja Rasmussen, a pediatrician at the U.S. Centers for Disease Control and Prevention in Atlanta. Brazil logged its first cases of Zika in 2015, but infections there peaked this spring with perhaps up to 8,000 new infections per week. The virus crept northward and infiltrated many more countries including Panama,
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, Haiti and Mexico. Now,
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, the threat has come to the United States: Cases have been reported in every state except Alaska. They stem mostly from travelers infected abroad,
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, but the virus has staked out new territory in Puerto Rico, the U.S. Virgin Islands,
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, American Samoa and Florida.
As of December 1,
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, Puerto Rico had reported more than 34,000 people with Zika infections. More than 2,
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,700 are pregnant women. And elsewhere in the United States, the CDC has reported well over 4,000 laboratory-confirmed cases of Zika. In these places and others, the images from Brazil have filled expectant mothers (and anyone considering having kids) with uncertainty and fear. “It’s really scary to be pregnant right now,
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,” Rasmussen says. “We don’t know what to tell women.”

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