“…This mosquito-borne pathogen is able to pass through the placental barrier to infect the fetus and create developmental problems ( Almeida et al, 2020 ; Cugola et al, 2016 ). The incidence of birth defects is difficult to assess with lack of access to the RT-PCR equipment necessary to rule out the infection in affected areas ( Barbosa et al, 2020 ; Fandino-Cardenas, Idrovo, Velandia, Molina-Franky, & Alvarado-Socarras, 2019 ; Leal, Muniz, Caldas Neto, van der Linden, & Ramos, 2020 ). This problem could explain the wide range of hearing deficits assessed in different studies, which range from 0% to 68% of infected fetuses ( Barbosa et al, 2020 ; Fandino-Cardenas et al, 2019 ; Satterfield-Nash et al, 2017 ).…”