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Seven of the island’s eight clinics performed 5,363 abortions in the fiscal year starting July 2013, based on the most recent data available from the commonwealth’s health department. And roughly 1,350 women had sought two or more procedures.Mojica was a faithful member of a Seventh-day Adventist congregation — which does allow for abortion in cases of certain congenital abnormalities — but says she now converses with God on her own.The rashes hadn’t been caused by allergies, but instead by Zika, a virus known to cause serious birth defects.Since 2015, the virus, which is spread by mosquitoes and sexual contact, has risen from relative obscurity to a worldwide menace.(Carmen Heredia Rodriguez/KHN) But the church’s influence is declining.Just over half of the population self-identifies as Catholic, according to a 2014 Pew Research Center survey.

Puerto Ricans and religious leaders generally don’t support abortion.

Puerto Rico marks the epicenter of the outbreak in the United States. 16, the commonwealth’s health department reported 35,648 confirmed cases, including 2,864 pregnant women.

Federal health officials have declared a public health emergency here and anticipate 25 percent of the population will have contracted the virus by the end of 2016.

(Carmen Heredia Rodriguez/KHN) CAGUAS, Puerto Rico — Before the virus overwhelmed Puerto Rico, Zika already lurked in Keishla Mojica’s home.

First her partner, John Rodríguez, 23, became infected.

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