Graphic 1. Line chart showing ZKV cases from 2016 to 2024 for SP state (dark blue line) versus SP city (orange line), and ABC cities (São Bernardo do Campo - dark green line, São Caetano do Sul - light blue line, Santo André - purple line, and Diadema - light green line). Data were retrieved from the DATASUS system via the Notifiable Diseases Information System (SINAN 2024), accessed through the TABNET platform from July to August 2024. Part A covers the entire population, while Part B focuses on females of reproductive age (15-39 years old).