Photograph by Lianne Milton
Cleane Silva, 18, holds one-month-old Maria Eduarda ("Duda" for short) - who was born with Zika-related microcephaly - at the University Hospital of Oswaldo Cruz in Recife, Brazil. Cleane's mother-in-law, Mirian, decided to adopt Duda when the baby was abandoned at birth at the maternity hospital.
Zika took its greatest toll in northeastern Brazil, an impoverished region of the country that wasn't prepared to respond to the threat. For many months, the disease was thought to be a milder version of dengue - until babies began to be born with microcephaly.
Strong health systems are the best defense against epidemics. In our globalizing and warming world, an outbreak anywhere puts all countries at risk. The global community must work together to build the strong health systems required to prevent, detect and rapidly respond to outbreaks.