The city of Recife, Brazil, is at the heart of the global health crisis over Zika, a mosquito-borne virus. Rates of microcephaly, a birth defect in which babies are born with abnormally small heads, have surged as health officials have tried to stem the explosion of the virus among its population of 3.9 million.

Photographer Sebastian Liste documented the scenes of treatment and prevention for TIME. See the gallery above for glimpses around the city and inside the Associacao de Assistencia a Crianca Deficiente treatment center for babies with microcephaly.

Read more: See All the Places Where the Zika Virus Has Spread

Read next: How Brazil Uncovered the Possible Connection Between Zika and Microcephaly

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