{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T07:12:22Z","timestamp":1790838742127,"version":"4.1.0"},"reference-count":40,"publisher":"FapUNIFESP (SciELO)","issue":"12","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Abstract: Until 2015, Zika was mostly unknown in Brazil and in the world. Since then, the Zika virus has been found to be vertically transmitted and to cause congenital Zika syndrome (CZS). This study aims to describe and analyze the vulnerabilities of the women and children most affected by the Zika epidemic in Brazil. Alagoas has the lowest Human Development Index in Brazil and one of the highest rates of adolescent pregnancy. Between December 2016 and March 2017, interviews were conducted with 54 women with children affected by Zika. The interviews had two components: a narrative-oriented conversation and a semi-structured questionnaire. This comprehensive mixed methods case study represented 45% of the confirmed CZS cases and 20% of the cases under investigation in the state at that time. The women are predominantly Afro-Brazilian; most experienced their first pregnancy during adolescence, and had little education. Many were not covered by social protection programs and were not receiving adequate health care. The rights and needs of these women and children are impacted by a systemic lack of access to services and medications. There is inadequate transportation to services that many families depend on. Discrimination against their children with disabilities is a new and complex concept in their lives. The Zika epidemic has compounded rights violations in their lives and worsened their social and economic layers of vulnerability. There is an urgent need for a robust public response to guarantee the rights of these women and children and to implement mechanisms to prevent and eliminate their vulnerabilities.<\/jats:p>","DOI":"10.1590\/0102-311x00032020","type":"journal-article","created":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T02:38:08Z","timestamp":1610591888000},"source":"Crossref","is-referenced-by-count":21,"title":["The vulnerabilities of lives: Zika, women and children in Alagoas State, Brazil"],"prefix":"10.1590","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2886-4284","authenticated-orcid":false,"given":"Ilana G.","family":"Ambrogi","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil; Anis - Instituto de Bio\u00e9tica Direitos Humanos e G\u00eanero,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8752-2386","authenticated-orcid":false,"given":"Luciana","family":"Brito","sequence":"additional","affiliation":[{"name":"Anis - Instituto de Bio\u00e9tica Direitos Humanos e G\u00eanero,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6987-2569","authenticated-orcid":false,"given":"Debora","family":"Diniz","sequence":"additional","affiliation":[{"name":"International Planned Parenthood Federation,  U.K.; Universidade de Bras\u00edlia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2020]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1001\/jamapediatrics.2016.3982","article-title":"Characterizing the pattern of anomalies in congenital Zika syndrome for pediatric clinicians","volume":"171","author":"Moore CA","year":"2017","journal-title":"JAMA Pediatr"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1016\/S0140-6736(16)30883-2","article-title":"Pathology of congenital Zika syndrome in Brazil a case series","volume":"388","author":"Martines RB","year":"2016","journal-title":"Lancet"},{"key":"ref3","series-title":"V\u00edrus Zika no Brasil: a resposta do SUS","year":"2017"},{"key":"ref4","series-title":"Desenvolvimento humano nas macrorregi\u00f5es brasileiras"},{"key":"ref5","series-title":"Zika in Brazil: women and children at the center of the epidemic","author":"Diniz D","year":"2017"},{"issue":"04","key":"ref6","article-title":"Monitoramento dos casos de dengue, febre de chikungunya e doen\u00e7a aguda pelo v\u00edrus Zika at\u00e9 a Semana Epidemiol\u00f3gica 52 de 2018","volume":"50","year":"2018","journal-title":"Boletim Epidemiol\u00f3gico"},{"issue":"47","key":"ref7","article-title":"Situa\u00e7\u00e3o epidemiol\u00f3gica da infec\u00e7\u00e3o pelo v\u00edrus Zika no Brasil, de 2015 a 2017","volume":"49","year":"2018","journal-title":"Boletim Epidemiol\u00f3gico"},{"issue":"02","key":"ref8","article-title":"Monitoramento dos casos de arboviroses urbanas transmitidas pelo Aedes (dengue, chikungunya e Zika), Semanas epidemiol\u00f3gicas 01 a 52","volume":"51","year":"2020","journal-title":"Boletim Epidemiol\u00f3gico"},{"issue":"05","key":"ref9","article-title":"Monitoramento dos casos de arboviroses urbanas transmitidas pelo Aedes (dengue, chikungunya e Zika), Semanas epidemiol\u00f3gicas 01 a 03","volume":"51","year":"2020","journal-title":"Boletim Epidemiol\u00f3gico"},{"issue":"08","key":"ref10","article-title":"Monitoramento integrado de altera\u00e7\u00f5es no crescimento e desenvolvimento relacionadas \u00e0 infec\u00e7\u00e3o pelo v\u00edrus Zika e outras etiologias infecciosas, at\u00e9 a Semana Epidemiol\u00f3gica 52 de 2018","volume":"50","year":"2019","journal-title":"Boletim Epidemiol\u00f3gico"},{"key":"ref11","article-title":"S\u00edndrome cong\u00eanita associada \u00e0 infec\u00e7\u00e3o pelo v\u00edrus Zika: situa\u00e7\u00e3o epidemiol\u00f3gica, a\u00e7\u00f5es desenvolvidas e desafios, 2015 a 2019","volume":"50","year":"2019","journal-title":"Boletim Epidemiol\u00f3gico"},{"issue":"06","key":"ref12","article-title":"Monitoramento integrado de altera\u00e7\u00f5es no crescimento e desenvolvimengto relacionadas \u00e0 infec\u00e7\u00e3o pelo virus Zika e outras etiologias infecciosas, da Semana Epidemiol\u00f3gica 45\/2015 at\u00e9 a Semana Epidemiol\u00f3gica 02\/2017","volume":"48","year":"2017","journal-title":"Boletim Epidemiol\u00f3gico"},{"key":"ref13","series-title":"Brasil adota recomenda\u00e7\u00e3o da OMS e reduz medida para microcefalia. 2016"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1212\/WNL.0b013e3181b783f7","article-title":"Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society Practice parameter: evaluation of the child with microcephaly (an evidence-based review). 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