“…Some studies have analysed the population's response to the epidemic and have found a negative effect of the Zika/microcephaly on fertility rates in Brazil (Castro, Han, Carvalho, Victora, & França, 2018; Junior & Rasul, 2019; Quintana‐Domeque, Carvalho, & de Oliveira, 2018; Rangel, Nobles, & Hamoudi, 2019; Ryu, 2019) and on birth rates in Colombia (Gamboa & Lesmes, 2019). However, although there is an extensive literature that shows the spatial dependence on the incidence of viral outbreaks such as dengue and Zika (Cai, Ding, Yang, Peng, & Wang, 2019; Fitzgibbon, Morgan, & Webb, 2017; Flórez‐Lozano et al, 2020; Martínez‐Bello, López‐Quílez, & Torres Prieto, 2018; Mondini & Chiaravalloti‐Neto, 2008), issues related to spatial interaction are not addressed in studies that sought to analyse the impact of Zika incidence on birth rates.…”