The Zika Baby Crisis

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0:00:02 > 0:00:05It came from nowhere, attacking babies in the womb.

0:00:05 > 0:00:09- TRANSLATION:- I was shocked when he was born like this, really sad,

0:00:09 > 0:00:12because I didn't know this illness existed.

0:00:14 > 0:00:18A mystery disease suspected of being carried by mosquitoes

0:00:18 > 0:00:21has now spread to 37 countries.

0:00:21 > 0:00:26These mosquitoes have adapted tremendously and very efficiently

0:00:26 > 0:00:29to the urban environment in tropical countries.

0:00:29 > 0:00:32Thousands of babies have been born with microcephaly -

0:00:32 > 0:00:35abnormally small heads.

0:00:35 > 0:00:38- TRANSLATION:- It makes me sad to realise the kind of problems they're

0:00:38 > 0:00:42going to find in his little head because of this disease.

0:00:42 > 0:00:47'Tonight on Panorama - the riddle of the Zika virus.

0:00:47 > 0:00:51'Until we find the answer, more brain-damaged babies will be born.'

0:00:53 > 0:00:56So there will be a whole new spike in cases of microcephaly?

0:00:56 > 0:00:59We think there will be a whole new spike in cases.

0:00:59 > 0:01:03'Many babies will have a bleak future.'

0:01:03 > 0:01:06- TRANSLATION:- He can't walk, he can't talk, he can't see,

0:01:06 > 0:01:08and that's what his life is like.

0:01:24 > 0:01:28It's bath time for six-week-old Enzo.

0:01:30 > 0:01:33It looks like a normal, happy domestic scene

0:01:33 > 0:01:36in north-eastern Brazil.

0:01:42 > 0:01:46But his mother, Juliana, knows Enzo isn't a normal healthy baby.

0:01:50 > 0:01:52- TRANSLATION:- When he was born, there was so much going on

0:01:52 > 0:01:54we didn't realise.

0:01:54 > 0:01:57We were so happy we cried with joy,

0:01:57 > 0:02:00but when he was in the baby ward I looked at him

0:02:00 > 0:02:03and a normal child, and I could see his head was smaller.

0:02:07 > 0:02:12Enzo's a suspected Zika baby, born with an abnormally small head.

0:02:12 > 0:02:15He's likely to have brain damage.

0:02:15 > 0:02:17His eyesight's affected.

0:02:17 > 0:02:19His legs are displaced.

0:02:21 > 0:02:24- TRANSLATION:- I accepted it, because I know God gave him to me.

0:02:24 > 0:02:27I can raise him no matter what his condition.

0:02:27 > 0:02:29I will always love him.

0:02:29 > 0:02:32He's my son. I've GOT to love him.

0:02:34 > 0:02:36'These parents aren't alone.

0:02:36 > 0:02:40'Nearly 5,000 babies have recently been born in Brazil

0:02:40 > 0:02:41'with this condition.

0:02:41 > 0:02:43'It's called microcephaly.'

0:02:45 > 0:02:47What do you think when you look ahead to him as a little boy

0:02:47 > 0:02:49and growing up?

0:02:49 > 0:02:51- TRANSLATION:- I pray

0:02:51 > 0:02:54and I trust God will make him grow up as a normal child.

0:03:00 > 0:03:03They're spraying the streets here against a mosquito

0:03:03 > 0:03:05they think is to blame.

0:03:05 > 0:03:06It carries the Zika virus,

0:03:06 > 0:03:11suspected of being the cause of the explosion in cases of microcephaly.

0:03:15 > 0:03:19Recife, the capital of the tropical state of Pernambuco, used to

0:03:19 > 0:03:24be famous for its carnival, not a terrible epidemic of microcephaly.

0:03:24 > 0:03:28This February, as usual, people were out partying in the streets.

0:03:28 > 0:03:33But since carnival time a year ago, more than 1,400 babies in the area

0:03:33 > 0:03:36have been born with brain deformities.

0:03:36 > 0:03:40And, away from the celebrations, there's fear and uncertainty.

0:03:41 > 0:03:45So how and why did the Zika virus strike so many pregnant women here?

0:03:46 > 0:03:48How did the doctors figure it all out?

0:03:48 > 0:03:51And what are the authorities doing to fight the mosquito that

0:03:51 > 0:03:56spreads this devastating condition that affects babies in the womb?

0:04:01 > 0:04:05The first sign of something dreadfully wrong came last August.

0:04:05 > 0:04:09Doctors at Recife's hospitals began seeing more than the normal

0:04:09 > 0:04:13handful of babies with the rare condition of microcephaly.

0:04:16 > 0:04:18I went with baby Enzo

0:04:18 > 0:04:21and his parents to meet Dr Vanessa van der Linden.

0:04:21 > 0:04:24She was the first to realise microcephaly cases

0:04:24 > 0:04:26were rising sharply.

0:04:30 > 0:04:33- TRANSLATION:- Lots of cases started to emerge.

0:04:33 > 0:04:35At the hospital where I work, in just one day,

0:04:35 > 0:04:39we had three babies born with microcephaly.

0:04:41 > 0:04:43There is a malformation of the brain...

0:04:43 > 0:04:47Dr Van der Linden noticed this infection caused scarring

0:04:47 > 0:04:52of a baby's brain in different areas from cases she'd seen before.

0:04:52 > 0:04:56In all brain, we have calcification in this part of the brain.

0:04:59 > 0:05:02- TRANSLATION:- There was something different about these cases,

0:05:02 > 0:05:05probably a new pathological agent or a new disease.

0:05:06 > 0:05:10Dr Van der Linden has been inundated with cases like Enzo's.

0:05:26 > 0:05:29And your husband?

0:05:32 > 0:05:35I'm sorry. I'm sorry.

0:05:36 > 0:05:40'Across town, in the Oswaldo Cruz Hospital, another

0:05:40 > 0:05:44'paediatrician was seeing more cases of microcephaly last summer.'

0:05:48 > 0:05:50- TRANSLATION:- I've been practising for 20 years now.

0:05:50 > 0:05:53I've seen cholera, diphtheria,

0:05:53 > 0:05:56a number of diseases which affect families,

0:05:56 > 0:06:00but unfortunately I've never seen anything like this.

0:06:04 > 0:06:08One of Dr Coeli's patients is five-week-old Christian.

0:06:08 > 0:06:10She's measuring his head.

0:06:10 > 0:06:14It should be bigger, but he has microcephaly, too.

0:06:14 > 0:06:1732cms, it's too small.

0:06:20 > 0:06:23- TRANSLATION:- At first, we couldn't understand what was going on.

0:06:23 > 0:06:26This sudden boom of children born with microcephaly.

0:06:26 > 0:06:2913 in a week, then ten more the week after.

0:06:29 > 0:06:31Something strange was going on.

0:06:31 > 0:06:34That's when we reported it to the Health Department.

0:06:36 > 0:06:39Within days, the Brazilian authorities declared

0:06:39 > 0:06:42a national public health emergency.

0:06:42 > 0:06:43That was in November.

0:06:45 > 0:06:49- TRANSLATION:- It caught our attention around 70% of these mothers had

0:06:49 > 0:06:51a rash at the beginning of their pregnancy,

0:06:51 > 0:06:52in the first three months.

0:06:52 > 0:06:55Not all of them, but almost all.

0:06:57 > 0:07:00The rash was caused by Zika

0:07:00 > 0:07:03and tests revealed that somehow the virus had passed

0:07:03 > 0:07:07from the mother to some babies who developed microcephaly in the womb.

0:07:12 > 0:07:15- TRANSLATION:- We're 99% sure this microcephaly is caused by

0:07:15 > 0:07:17the Zika virus.

0:07:17 > 0:07:21But is there any other infection or any other factor associated

0:07:21 > 0:07:24with this that may be worsening the magnitude of this

0:07:24 > 0:07:26infection in children?

0:07:28 > 0:07:32'Like many women, Edernalia, Christian's mother,

0:07:32 > 0:07:34'didn't even know she'd been infected.'

0:07:34 > 0:07:36How were you in your pregnancy?

0:07:36 > 0:07:42- TRANSLATION:- It went well. I had no symptoms, absolutely nothing.

0:07:42 > 0:07:45So you didn't know you'd been bitten by a mosquito

0:07:45 > 0:07:47- or you had any problems?- No.

0:07:53 > 0:07:55- TRANSLATION:- While the woman is pregnant,

0:07:55 > 0:07:57she imagines her dream baby.

0:07:57 > 0:08:00She's been picturing a healthy, sound baby for nine months.

0:08:00 > 0:08:04She has plans for it, and when the child's born, it has microcephaly.

0:08:06 > 0:08:08The baby may have seizures.

0:08:08 > 0:08:10The routine of the whole family has to change.

0:08:10 > 0:08:14They have to be devoted to that child. It's sad.

0:08:20 > 0:08:22Baby Christian has a chest infection

0:08:22 > 0:08:26and has to remain in hospital overnight.

0:08:26 > 0:08:29His grandmother, Damiana, stays to keep an eye on him.

0:08:37 > 0:08:41- TRANSLATION:- I feel frustrated. I keep asking God to help us.

0:08:41 > 0:08:44I don't know what this is or what's going to happen.

0:08:46 > 0:08:47His mother left the hospital.

0:08:47 > 0:08:50She's too nervous because of the whole situation,

0:08:50 > 0:08:52so I decided to stay.

0:08:52 > 0:08:55We don't know what to do or why the baby is like this.

0:09:02 > 0:09:07Zika has brought scientists from all over the world to Recife.

0:09:07 > 0:09:09They're urgently trying to understand

0:09:09 > 0:09:12the link between the mosquito, the virus and microcephaly.

0:09:14 > 0:09:16We cannot take appropriate measures

0:09:16 > 0:09:18unless we understand what's happening.

0:09:18 > 0:09:22Professor Laura Rodrigues has flown in from London to head up

0:09:22 > 0:09:27research on Zika and microcephaly at a Recife university.

0:09:28 > 0:09:30They've had to start from scratch.

0:09:32 > 0:09:34Zika, until November, October

0:09:34 > 0:09:37we had no idea that it could be so harmful,

0:09:37 > 0:09:39so there was very little research done,

0:09:39 > 0:09:42so we know very little about it.

0:09:42 > 0:09:45The Zika virus was first discovered almost 70 years ago

0:09:45 > 0:09:48in monkeys in Uganda.

0:09:48 > 0:09:53The first human case was discovered in Nigeria in the 1950s,

0:09:53 > 0:09:57but scientists don't know if there were any microcephaly cases here.

0:09:57 > 0:10:00From Africa, Zika spread slowly to Asia

0:10:00 > 0:10:04and turned up nine years ago in the Pacific islands.

0:10:07 > 0:10:09It wasn't until the outbreak in Brazil

0:10:09 > 0:10:13a link between Zika and microcephaly was spotted.

0:10:13 > 0:10:16That's when the Polynesians went back and re-examined their data

0:10:16 > 0:10:19on aborted foetuses.

0:10:19 > 0:10:24In French Polynesia, abortion is legal, and most of the women chose

0:10:24 > 0:10:27to have terminations, so that's why we failed to spot it there,

0:10:27 > 0:10:29but the spike in microcephaly was there.

0:10:31 > 0:10:35Professor Rodrigues is leading a study across Recife,

0:10:35 > 0:10:38gathering data from 400 pregnant women.

0:10:39 > 0:10:42This is important because women at the moment,

0:10:42 > 0:10:44if they're pregnant and they get Zika,

0:10:44 > 0:10:50they don't know if the risk to their babies is 5% or it's 95%.

0:10:50 > 0:10:54But the results of the research will be useful for the rest of the world.

0:10:55 > 0:10:58I went with health workers to visit one of the pregnant women

0:10:58 > 0:11:01taking part in Professor Rodrigues' study.

0:11:01 > 0:11:04Adenilda!

0:11:11 > 0:11:14Adenilda had a rash early in her pregnancy -

0:11:14 > 0:11:16the tell-tale sign of Zika infection.

0:11:22 > 0:11:24They're taking blood to find out

0:11:24 > 0:11:28whether the first three months of pregnancy is, as they suspect,

0:11:28 > 0:11:31the riskiest time to catch the Zika virus.

0:11:31 > 0:11:34Adenilda's scans indicate she's in the clear,

0:11:34 > 0:11:38but she'll only know for sure when the baby is born.

0:11:42 > 0:11:46What would it mean to you if there was a difficulty with the baby?

0:12:20 > 0:12:22As fear spreads in Recife,

0:12:22 > 0:12:27scientists here now believe the epidemic isn't just a one-off.

0:12:27 > 0:12:30Mosquito numbers rise and fall with the seasons,

0:12:30 > 0:12:32and so will the Zika virus.

0:12:34 > 0:12:38There's a big increase in the number of pregnant women with rash,

0:12:38 > 0:12:42so we think that what's happening now is the second epidemic of Zika,

0:12:42 > 0:12:47which will then be followed by a second outbreak of microcephaly

0:12:47 > 0:12:48in eight, nine months.

0:12:48 > 0:12:52So there will be a whole new spike in cases of microcephaly?

0:12:52 > 0:12:55We think there will be a whole new spike of cases, yes.

0:12:56 > 0:13:01'What does the future hold for thousands of Zika babies?

0:13:01 > 0:13:05'An early study suggests over 70% will have a severe

0:13:05 > 0:13:07'form of microcephaly.'

0:13:17 > 0:13:20Six-year-old Emanuele has microcephaly

0:13:20 > 0:13:22caused by a genetic condition, not Zika.

0:13:25 > 0:13:28Emanuele's plight shows the huge burden that will be put

0:13:28 > 0:13:31on the Zika families and the state.

0:13:31 > 0:13:35His mother, Cleciana, told me her son has 20 seizures a day.

0:13:38 > 0:13:41- TRANSLATION:- He grows by the day. It just gets harder and harder.

0:13:41 > 0:13:44He can't walk, he can't talk, he can't see.

0:13:44 > 0:13:47That's what his life is like.

0:13:49 > 0:13:52In 2010, the year Emanuele was born,

0:13:52 > 0:13:57there were only five babies in the Recife area with microcephaly.

0:13:57 > 0:14:00His parents say they still had to wait two years for a wheelchair

0:14:00 > 0:14:04and sue the state to get them to pay for the boy's medicines.

0:14:08 > 0:14:10- TRANSLATION:- The government can't support the five children

0:14:10 > 0:14:12born in 2010,

0:14:12 > 0:14:16and now this figure has skyrocketed to more than 1,000.

0:14:16 > 0:14:20They make promises, but in reality things are different.

0:14:22 > 0:14:25The family live three hours' drive from Recife.

0:14:25 > 0:14:29Transport is difficult, so Emanuele doesn't get the regular

0:14:29 > 0:14:33physiotherapy sessions that microcephaly children need.

0:14:33 > 0:14:36- TRANSLATION:- He hasn't had physiotherapy.

0:14:36 > 0:14:40His hands are supposed to open like this. That's what happens, see?

0:14:40 > 0:14:43Always stuck.

0:14:53 > 0:14:56The parents of the newborn Zika babies are at the very start

0:14:56 > 0:14:59of living with microcephaly.

0:15:02 > 0:15:04- TRANSLATION:- We have to do exercises on a daily basis

0:15:04 > 0:15:08to improve both his legs and hip.

0:15:10 > 0:15:13- TRANSLATION:- I hope he's going to be a normal kid.

0:15:13 > 0:15:16Maybe not for others, but for me he's going to be a normal kid.

0:15:16 > 0:15:20He's going to study and do everything a normal child does.

0:15:26 > 0:15:29- TRANSLATION:- He's going to be my comfort, my joy on sad days,

0:15:29 > 0:15:31my eternal baby.

0:15:31 > 0:15:34I'll look after him whatever the difficulties.

0:15:34 > 0:15:37I will strive so he is given anything he wants.

0:15:42 > 0:15:45Juliana and Jobson are unemployed.

0:15:45 > 0:15:48They can use transport provided by the state to get to hospital

0:15:48 > 0:15:50two or three times a week,

0:15:50 > 0:15:53but they haven't yet seen any sign of the money

0:15:53 > 0:15:57promised by the Brazilian President to support the Zika babies.

0:16:03 > 0:16:06- TRANSLATION:- This is a tragedy, a generation of children who will

0:16:06 > 0:16:10turn into adults, but disabled adults.

0:16:10 > 0:16:14It's going to be like the population of a whole town with microcephaly.

0:16:19 > 0:16:24So why did the Zika virus take such a hold here in Recife

0:16:24 > 0:16:26sparking the microcephaly epidemic?

0:16:29 > 0:16:32Recife is a city that was founded literally on a swamp

0:16:32 > 0:16:35and the city today spreads across a series of islands

0:16:35 > 0:16:38and there is water everywhere.

0:16:38 > 0:16:43Miles of open sewage canals flow through the city to the sea.

0:16:43 > 0:16:47It's just one gigantic mosquito breeding ground

0:16:47 > 0:16:50and three million people live here.

0:16:50 > 0:16:54There's now an urgency to inspect hundreds of thousands of water tanks

0:16:54 > 0:16:57to make sure they're properly sealed or treated.

0:16:59 > 0:17:00You can see the problem.

0:17:00 > 0:17:03Even this covered water tank, they've found mosquito larvae

0:17:03 > 0:17:05in the water here.

0:17:05 > 0:17:07There's two more tanks up there, another one over there,

0:17:07 > 0:17:10and it just gives you an idea of the scale of the task.

0:17:10 > 0:17:13They've been fighting the Aedes Aegyptae mosquito

0:17:13 > 0:17:15in Recife for decades.

0:17:15 > 0:17:17It carries many tropical diseases -

0:17:17 > 0:17:22yellow fever, dengue, chikungunya - some of them fatal.

0:17:22 > 0:17:25But Zika's been a game-changer.

0:17:25 > 0:17:28The health authorities here have been spraying intensively

0:17:28 > 0:17:32since the Zika epidemic reached its peak in autumn last year.

0:17:32 > 0:17:35But with an area of over 200 square kilometres to cover,

0:17:35 > 0:17:38it's a mammoth task.

0:17:38 > 0:17:41We didn't have Zika virus before and it was probably

0:17:41 > 0:17:46introduced by visitors from other parts of the world,

0:17:46 > 0:17:50probably from Asia and specifically Polynesia,

0:17:50 > 0:17:53who may have brought the virus in the first place.

0:17:54 > 0:17:58Recife was virgin territory for the Zika virus -

0:17:58 > 0:18:01a large population with no natural immunity.

0:18:03 > 0:18:06And natural territory for a mosquito

0:18:06 > 0:18:09that thrives in many 21st-century cities.

0:18:12 > 0:18:15These mosquitoes have adapted tremendously

0:18:15 > 0:18:20and very efficiently to the urban environment in tropical countries,

0:18:20 > 0:18:24so this really is something that we need to be doing on a regular basis,

0:18:24 > 0:18:28in a very intense way, so we can reduce the burden of this disease.

0:18:28 > 0:18:32We're going to have this problem for a long time before we get

0:18:32 > 0:18:35either natural immunity or vaccine-induced immunity.

0:18:36 > 0:18:40But there's no vaccine yet to prevent Zika.

0:18:40 > 0:18:42So, for the moment, education programmes

0:18:42 > 0:18:46and spraying to kill off the mosquito are the only options.

0:18:49 > 0:18:52The government's declared a war against the mosquito.

0:18:52 > 0:18:56I'm out with the army inspecting homes in a poor slum, or favela.

0:19:02 > 0:19:06Local health director Maria Eugenia is ramming home the message

0:19:06 > 0:19:10that everyone needs to fight the mosquito in their own backyard.

0:19:25 > 0:19:29It's the living conditions here that make people vulnerable to the

0:19:29 > 0:19:31diseases carried by the mosquito.

0:19:33 > 0:19:36Brazil already has the highest incidence of dengue fever

0:19:36 > 0:19:38in the Western Hemisphere.

0:19:38 > 0:19:41Last year there were a million and a half cases

0:19:41 > 0:19:44and nearly 900 people died.

0:19:44 > 0:19:48And the same mosquito that carries dengue carries the Zika virus.

0:19:53 > 0:19:56Brazil has spent billions of dollars over the decades

0:19:56 > 0:19:59trying to eradicate the mosquito with little success.

0:20:01 > 0:20:04There are still septic tanks inside many houses,

0:20:04 > 0:20:07but some people blame the government for the Zika epidemic.

0:20:30 > 0:20:33It's pregnant women in poor neighbourhoods like this

0:20:33 > 0:20:37who are most vulnerable to giving birth to babies with microcephaly.

0:21:04 > 0:21:08A dozen teams around the world are racing to develop a vaccine,

0:21:08 > 0:21:11but it's years away from being widely available.

0:21:13 > 0:21:15In the meantime,

0:21:15 > 0:21:18could Zika be defeated by a new experimental weapon -

0:21:18 > 0:21:21a mosquito that's been genetically-modified?

0:21:23 > 0:21:26How many are you releasing this morning?

0:21:26 > 0:21:30This morning we are releasing 244,000 mosquitoes.

0:21:30 > 0:21:34A British company is carrying out this field trial in Piracicaba,

0:21:34 > 0:21:371,600 miles south of Recife.

0:21:37 > 0:21:39We only release males,

0:21:39 > 0:21:42so these males are going to look for females, they're going to

0:21:42 > 0:21:46mate with them, and all the offspring will die before they

0:21:46 > 0:21:51reach the breeding age, so we're going to kill the next generation.

0:21:52 > 0:21:57This is how it works - the eggs of the Aedes mosquito are injected

0:21:57 > 0:22:01with a lethal gene to create a new strain of male mosquito.

0:22:01 > 0:22:06It will pass on that gene when it mates and its offspring then die.

0:22:08 > 0:22:12'Oxitec are now producing the GM mosquitoes in Brazil.

0:22:12 > 0:22:16'This morning it's feeding time.'

0:22:16 > 0:22:19- So this is blood? - Yeah, this is lamb's blood.

0:22:19 > 0:22:23We just put one of these blood plates here...

0:22:23 > 0:22:26- They're all swarming.- ..and the females will be attracted to it.

0:22:27 > 0:22:29'In the lab, like the outside world,

0:22:29 > 0:22:32'it's only the female mosquitoes which bite.'

0:22:34 > 0:22:37I can see how aggressive the female Aedes mosquito is.

0:22:37 > 0:22:40I've been bitten several times on the backs of my hands

0:22:40 > 0:22:42since I have been in the lab and I'm covered with repellent,

0:22:42 > 0:22:44but they still seem to have got through.

0:22:46 > 0:22:49People are very worried about anything genetically-modified.

0:22:49 > 0:22:53A fear you're going to create some kind of super insect with

0:22:53 > 0:22:55devastating results down the line.

0:22:55 > 0:22:57How do you know you're not doing that here?

0:22:57 > 0:22:59Well, our mosquito is self-limiting.

0:22:59 > 0:23:03It is weaker than the mosquito in nature, so we know that in two

0:23:03 > 0:23:08to four days, it is dead once it is released, so we know that for sure.

0:23:09 > 0:23:12'Oxitec claims the trials in Piracicaba have

0:23:12 > 0:23:16'resulted in 82% of wild mosquitoes being killed off.'

0:23:20 > 0:23:25But this GM process hasn't passed all the regulatory hurdles yet,

0:23:25 > 0:23:29and it will need massive scaling up to cover cities like Recife.

0:23:33 > 0:23:37Meanwhile, how will the families with Zika babies cope?

0:23:37 > 0:23:39There are more than 1,000,

0:23:39 > 0:23:43spread across a state four times the size of Wales.

0:23:44 > 0:23:46Baby Christian is out of hospital

0:23:46 > 0:23:50and he's back home with his parents, Edernalia and Christiano.

0:23:54 > 0:23:58- TRANSLATION:- He won't be able to walk because of his legs.

0:23:58 > 0:23:59That's what they told us.

0:23:59 > 0:24:01He may never walk.

0:24:01 > 0:24:04It makes you sad. It hurts.

0:24:06 > 0:24:09- TRANSLATION:- When I was told, I got really sad, I was upset inside.

0:24:09 > 0:24:12I was crying inside.

0:24:12 > 0:24:14It's not OK to have a child with microcephaly,

0:24:14 > 0:24:18but since he was born like this, we have to give him love and care.

0:24:20 > 0:24:22Christian's grandmother, Damiana,

0:24:22 > 0:24:27is far from sure the teenage parents can cope with a disabled child.

0:24:29 > 0:24:31- TRANSLATION:- I'm really worried.

0:24:31 > 0:24:33Edernalia is so young and inexperienced.

0:24:33 > 0:24:36I am worried how she'll take care of him.

0:24:36 > 0:24:40I want Christian to always be close to me because I'm more responsible.

0:24:41 > 0:24:46'Now Damiana's other daughter, Tatiana, is eight months pregnant.

0:24:46 > 0:24:48'The father's no longer around.

0:24:48 > 0:24:51'The shadow of microcephaly hangs over her, too.'

0:24:53 > 0:24:55Are you worried about your baby?

0:24:55 > 0:24:58Are you worried about your pregnancy?

0:25:07 > 0:25:09Has she talked to you about what she might do

0:25:09 > 0:25:11if the baby has microcephaly?

0:25:11 > 0:25:14- TRANSLATION:- She said, if it's like Christian, that's OK,

0:25:14 > 0:25:17but if it's more deformed, like the ones she saw back in Recife,

0:25:17 > 0:25:20she won't keep it.

0:25:20 > 0:25:23Would abortion be a possibility? Have you discussed that with her?

0:25:23 > 0:25:26- TRANSLATION:- Yes, a lot. I told her that's just wrong.

0:25:26 > 0:25:30If she did that and I learnt about it, I would have gone to the police.

0:25:30 > 0:25:32They have to act more responsibly.

0:25:32 > 0:25:34Babies don't choose to be born.

0:25:41 > 0:25:44There are many unplanned, unwanted pregnancies,

0:25:44 > 0:25:47especially at carnival time.

0:25:49 > 0:25:53Another reason so many babies with microcephaly were born here

0:25:53 > 0:25:56is that abortion's almost always illegal in Brazil.

0:25:58 > 0:26:02But now campaigners are taking a case to the Supreme Court,

0:26:02 > 0:26:05arguing Zika and microcephaly must lead to a change in the law.

0:26:09 > 0:26:12Tragedies sometimes open new doors.

0:26:12 > 0:26:17I think it would be a very good thing, in spite of the horrible

0:26:17 > 0:26:21aspects of this microcephaly, if that was the opportunity

0:26:21 > 0:26:25where Brazil finally reconsidered the issue of legal abortions.

0:26:26 > 0:26:29Tourists and travellers bitten by the mosquito

0:26:29 > 0:26:33have spread Zika from Brazil across South America.

0:26:34 > 0:26:38In a few cases, Zika's been sexually transmitted.

0:26:38 > 0:26:42It's also suspected to have caused paralysis in some adults.

0:26:44 > 0:26:49The Zika virus that first took hold here in Recife has now spread

0:26:49 > 0:26:52to more than two dozen countries in the Americas,

0:26:52 > 0:26:54and even to Europe.

0:26:54 > 0:26:58It's become a global medical emergency - a growing pandemic.

0:27:02 > 0:27:05There's been one case of microcephaly in the US -

0:27:05 > 0:27:09a baby born to a woman who'd visited Latin America.

0:27:09 > 0:27:13Three pregnant tourists who returned to Spain are also being monitored.

0:27:18 > 0:27:20- TRANSLATION:- I am worried about further developments for Zika

0:27:20 > 0:27:23around the globe.

0:27:23 > 0:27:27The virus is not going to affect one region only. It is going to spread.

0:27:32 > 0:27:36That spread will most likely be across hotter countries.

0:27:36 > 0:27:39But it's unlikely the mosquito which carries Zika

0:27:39 > 0:27:42could survive in the colder conditions across much of Europe.

0:27:44 > 0:27:47In Recife, where it all began, they're warning the tragedy

0:27:47 > 0:27:52of the Zika babies is far from over, and not just in Brazil.

0:27:53 > 0:27:57I think the world has to prepare to live with Zika for a few years

0:27:57 > 0:28:01while we get the development

0:28:01 > 0:28:03of the tools we need to prevent it.

0:28:03 > 0:28:06And that means more babies with microcephaly?

0:28:06 > 0:28:09It certainly means more babies with microcephaly.

0:28:10 > 0:28:13- TRANSLATION:- I'd give my life for my grandchildren.

0:28:13 > 0:28:15I've got to take care of them.

0:28:15 > 0:28:17Let's see what God has in store.

0:28:17 > 0:28:20The new baby may be deformed, but I won't abandon him.

0:28:22 > 0:28:25Since I left Recife three weeks ago,

0:28:25 > 0:28:2988 more babies have been born in this state with microcephaly.

0:28:30 > 0:28:34More Enzos, more Christians,

0:28:34 > 0:28:36more families living with the devastating consequences

0:28:36 > 0:28:39of the Zika virus.