Rosana Vieira Alves, 28, holds her two-year-old, daughter Luana Vieira, who was born with microcephaly, at a supermarket in Olinda, Brazil, August 9, 2018. Rosana has three daughters. "It's hard to manage the girls. Some of them are jealous, but Luana needs more care. In time, they'll understand." Rosana does not have any family support and is overwhelmed by the cost of housing and Luana's medicines. She counts it a victory that she has managed to get a wheelchair for Luana, and worries about the four surgeries her daughter needs to correct problems with her eyes, her gut and the position of her hips and feet. The demands have taken Rosana to some dark places, and she confesses that she has considered suicide. But she still dreams of a better future, and hopes to get a degree in accounting or civil engineering. REUTERS/Ueslei Marcelino SEARCH "ZIKA" FOR THIS STORY. SEARCH "WIDER IMAGE" FOR ALL STORIES.