On February 1st, 2016, the World Health Organization declared the Zika epidemic a public health emergency of international concern. With the second highest rate of Zika infection behind Brazil, Colombia offers an interesting case study for the sociopolitical effects of disease, particularly in post-conflict societies. Just recently emerging from a violent past, Colombia demonstrates a surprisingly high level of state capacity in certain regions but exercises almost no control over others. It also boasts a robust health care system, lauded by both the World Bank and WHO, and some of the most progressive reproductive rights laws in the region. Through both primary and secondary research, this study explores the ways in which Colombia's response to this exogenous threat both reinforces and defies theories of state capacity, inequities in health care, and the impact of disease on economic and political stability, particularly in post-conflict zones.