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AP Photographer Reflects on ‘Bucket Baby’ in Brazil

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Associated Press photographer Felipe Dana, based in Rio de Janeiro, Brazil, reflects on his pictures of a mother and her child who suffers from microcephaly.

The first time I met Solange Ferreira was in December. She was at a hospital, waiting to hear from a doctor whether her baby boy had what so many in her village were talking about _ microcephaly, or an abnormally small head that is a sign of severe disabilities and a truncated life-expectancy.


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In this  Jan. 30, 2016 photo, Associated Press photographer Felipe Dana poses for a photo with Solange Ferreira holding her son Jose Wesley in Bonito, Pernambuco state, Brazil. (AP Photo/Mario Lobao)


I had no doubt that little Jose Wesley, born in September, had the condition that many experts believe is linked to the Zika virus. His head was notably small, his skull practically flat.

“Everybody says he has a small head, but I don’t know what’s going on,” Ferreira, a 38-year-old maid, told me while she waited in Caruaru, a city in northeast Brazil near Recife, where the Zika virus has hit hardest.

Like so many other mothers I have interviewed and photographed, Ferreira asked me what I thought. I said nothing. I didn’t want to be the one to dash her hopes that Jose would be fine.


In this Jan. 30, 2016 photo, Solange Ferreira holds Jose Wesley outside their house in Bonito, Pernambuco state, Brazil. Ferreira has moved to the town of Bonito, leaving her husband in their old village. She said she wanted closer to the city of Recife, where Jose Wesley can get therapy and to get away from an area infested with mosquitoes. (AP Photo/Felipe Dana) In this Dec. 23, 2015 photo, Solange Ferreira bathes her son Jose Wesley in a bucket at their house in Poco Fundo, Pernambuco state, Brazil. Ferreira says her son enjoys being in the water, she places him in the bucket several times a day to calm him. (AP Photo/Felipe Dana)

When she emerged from the doctor’s office, she told me the news. She had come alone to the hospital with Jose, and it was clear she needed to talk to somebody. She didn’t cry, but her sadness was palpable, and she seemed in shock. I asked for her phone number, and she agreed to let me photograph her and Jose the next day.

In her small house in Poco Fundo, about a three-hour drive from Recife, I saw a mother struggling. The boy would scream uncontrollably for long stretches, getting red in the face and tightening his already stiff limbs. He also struggled to feed, something I had learned was common in children with neurological disorders.

When his screaming got so bad that nobody in the house could take it, Ferreira would put Jose in a bucket. A nurse at the hospital had suggested the technique, and it seemed to calm the child.

“We were lucky to learn about the bucket,” said Ferreira.

Editing my pictures that night was hard. I realized that so many captured Jose suffering, but I didn’t want to just show him in that light.

The pictures of Jose in the bucket would have a large impact on me and on readers around the world. So this week I decided to visit the family again.


In the Jan. 30, 2016 photo, Solange Ferreira bathes her son Jose Wesley in a bucket at their house in Bonito, Pernambuco state, Brazil, Saturday. Jose Wesley who cries incessantly only calms down when he is placed in the bucket of water. A trick his mother learned from a nurse at a hospital. (AP Photo/Felipe Dana) In this Jan. 30, 2016 photo, Elielson tries to calm down his baby brother Jose Wesley, in Bonito, Pernambuco state, Brazil. Jose Wesley was born with microcephaly and he screams uncontrollably for long stretches, getting red in the face and tightening his already stiff limbs. (AP Photo/Felipe Dana) In this Jan. 30, 2016 photo, Solange Ferreira tries to make her son Jose Wesley sleep, in Bonito, Pernambuco state, Brazil. We were lucky to learn about the bucket,” said Ferreira. (AP Photo/Felipe Dana)

Ferreira had moved a few hours away to a town called Bonito while her husband remained in their old village. She said she wanted to be closer to Recife, where Jose can get therapy, and to get away from an area infested with mosquitoes.

“If we had not been there, this wouldn’t have happened,” she said.

In reality, Bonito is no different than Poco Fundo in terms of mosquitoes and the viruses they transmit, such as Zika, dengue and chikungunya.

Jose looked worse. Not only did he scream uncontrollably, but one of his eyes convulsed. Ferreira told me that in subsequent doctor visits she had learned that he would likely be blind and paralyzed. He had lost weight, from 7 to 5 kilograms (15 to 11 pounds), a huge drop for a baby who should be growing. Depending on the severity, some children with microcephaly fail to thrive and thus die before becoming adults.

Ferreira cried when she said she had realized that Jose may never run and play like her two older children. I realized then that the full weight of what Ferreira was up against had hit her. This wasn’t a temporary problem, a challenge that would eventually be overcome. Jose would need extreme care for the rest of his life.

As I was leaving, a neighbor with an infant about the same age as Jose came over for a visit.

Ferreira looked at the baby and smiled.

“Now I have started believing that it is actually the other babies that have heads that are too big,” she said, in a tone both playful and sad. “Jose is my new normal.”


In this Jan. 30, 2016 photo, Solange Ferreira carries her son Jose Wesley at their house in Bonito, Pernambuco state, Brazil. (AP Photo/Felipe Dana) In this Jan. 30, 2016 photo, Solange Ferreira bathes Jose Wesley in a sink in their house in Bonito, Pernambuco state, Brazil. The town of Bonito is no different than others in terms of mosquitoes and the viruses they transmit, such as Zika, dengue and chikungunya. (AP Photo/Felipe Dana) In this Jan. 30, 2016 photo, Elielson tries to calm down his baby brother Jose Wesley, in Bonito, Pernambuco state, Brazil. Jose Wesley struggles to feed, something common in children with neurological disorders like microcephaly. (AP Photo/Felipe Dana) In this Jan. 30, 2016 photo, Solange Ferreira, left, watches as her nephew Jhonnata tries to calm Jose Wesley, in their house in Bonito, Pernambuco state, Brazil. According to Ferreira when his screaming gets bad nobody in the house can stand it. Only the water bucket will calm him down. (AP Photo/Felipe Dana) In this Jan. 30, 2016 photo, Jose Wesley's older brother Elenilson plays inside of their house in Bonito, Pernambuco state, Brazil. His mother Solange Ferreira cried when she said she had realized that her youngest son Jose Wesley, who was born with microcephaly, may never run and play like her two older children. “Now I have started believing that it is actually the other babies that have heads that are too big,” she said, in a tone both playful and sad. “Jose is my new normal.” (AP Photo/Felipe Dana) In this Jan. 30, 2016 photo, Jose Wesley sleeps over a large pillow on his mother's bed in Bonito, Pernambuco state, Brazil. Jose Wesley has lost weight, from 7 to 5 kilograms (15 to 11 pounds), a huge drop for a baby who should be growing. (AP Photo/Felipe Dana)

 

Text from the AP news story, AP photographer reflects on ‘bucket baby’ in Brazil, by Felipe Dana.

 

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Filed under: Featured Photographer, Interview, News Tagged: AP Images, AP Photographer, AP Photographer reflects, baby, brain damage, Brazil, bucket baby, Felipe Dana, Jose Wesley, microcephaly, mosquitoes, neurological disorder, photographer behind the scenes, Photographer experience, Solange Ferreira, Zika virus

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