WITH NO VACCINE, no cure, and without even a reliable diagnosis, doctors are at a loss for how to protect their patients from the Zika virus. In the past year, the mosquito-borne disease has spread throughout Latin America, sparking panic because of a possible link to microcephaly—babies born with abnormally small brains. Without more information, medical advice so far has boiled down to this: Don’t get pregnant. So say official guidelines from Brazil, Colombia, and Honduras. El Salvador has gone so far as to recommend women do not get pregnant until 2018.
But most of these Latin American countries are also Catholic, so access to birth control is often poor and abortion is flat-out banned. “This kind of recommendation that women should avoid pregnancy is not realistic,” says Beatriz Galli, a Brazil-based policy advisor for the reproductive health organization Ipas. “How can they put all the burden of this situation on the women?”
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Now throw Zika into that. Scientists still haven’t confirmed the link to microcephaly, but Brazilian researchers have confirmed the virus can jump through the placenta from mother to fetus. Circumstantially, the number of of microcephaly cases has gone up 20 fold since Zika first reached Brazil. In the face of fear and incomplete information, women will have to figure out how to protect themselves and their children.
