From Epidemic to Endemic: Longitudinal Surveillance of Congenital Zika Syndrome in Brazil
This longitudinal ecological study of Brazil from 2015 to 2023 reveals that while the initial Zika epidemic peaked in 2016 and subsequently declined to low-level endemic circulation, Congenital Zika Syndrome remains disproportionately concentrated in the Northeast region, with significant geographic disparities in burden and diagnostic capacity necessitating sustained surveillance and etiological investigation.