Hawaii health officials confirmed Friday that a baby born in Oahu had brain damage linked to a past Zika virus infection. The virus has been in the spotlight in recent weeks as a possible culprit for an increase in brain deformities in newborns in Brazil. The Hawaii case could be the first in the U.S.

The child’s mother had resided in Brazil in May 2015, the Hawaii State Department of Health (DOH) said in a statement (PDF), and it is likely she acquired the disease at that point and the baby was infected in the womb.

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Baby born in Hawaii with brain damage linked to the Zika virus