|Medical Facilities and Health Information||
Adequate medical and dental care is available in the major cities of Ecuador. In smaller communities and in the Galápagos Islands, services are limited, and the quality is generally well below U.S. standards. Ambulances, with or without trained emergency staff, are in short supply in cities, but even more so in rural areas.
Pharmacies are readily available in any city; however, you might find that the availability of some medications is sporadic, and formulations and brand names will differ from products available in the United States. Narcotics and tranquilizers are extremely limited in availability. Pharmacists sometimes dispense medications without requesting a prescription. These individuals may have little training and often prescribe broad-spectrum antibiotics. Consider any advice from them accordingly. Folk healers and traditional markets in some parts of the country offer herbal and folk remedies. You should exercise caution when exploring these remedies, as the formulations can be questionable and some components may interact with other prescription medications.
Many tropical diseases are present in Ecuador, including malaria, dengue and yellow fever (which are transmitted by mosquitoes at lower altitudes), leishmaniaisis (transmitted by sand flies), chagas disease (transmitted by triatomine bugs) and tuberculosis (transmitted from person to person via respiratory droplets). To protect yourself from insect-borne diseases while at lower altitudes, use insect repellants, clothing treated with permethrin, and bed nets.
In Ecuador, yellow fever is found only in the Amazon basin. Ecuadorian authorities might require you to show a certificate of yellow fever vaccination when entering or leaving this area, or when continuing travel to other areas of South America. If possible, you should obtain a yellow fever vaccine prior to departure from the United States. You can also obtain the vaccination in Guayaquil from the Jefatura Provincial de Salud, Panama y Padre Aguirre, (tel): 04-230-3160, Monday through Friday from 8:30 a.m. to 12:00 p.m. The vaccine is free if you do not need an international certification; otherwise it costs $10.40. Antimalarial medication significantly reduces the risk of contracting malaria. There are no vaccines or prophylactic medications for dengue, leishmaniaisis or chagas. If you become ill with fever or flu-like symptoms during or after travel in a high-risk area, you should promptly seek medical attention. Note that the onset of these diseases may be delayed by up to a year.
Your Health and High Altitudes: If you travel to Quito (elevation: 9,400 feet) or other highland areas, you will typically require some time to adjust to the altitude, which can adversely affect your blood pressure, digestion, and energy level. Mountain climbers in particular should be cautioned not to underestimate the time required to adjust before beginning a challenging climb at altitude. Consult with your personal health care providers before undertaking high-altitude travel, as there are medications available to help combat the effects. If you have heart or lung problems or the sickle cell trait, you may develop serious health complications at high altitudes.
|Drinking Water Source - percent of rural population improved||75.2%|
|Drinking Water Source - percent of total population unimproved||13.6%|
|Drinking Water Source - percent of urban population improved||91.6%|
|HIV/AIDS - adult prevalence rate||0.4%|
|Hospital Bed Density - beds/1,000 population||1.6|
|People Living with HIV/AIDS||37,000|
|Physicians Density - physicians/1,000 population||1.69|
|Sanitation Facility Access - percent of total population unimproved||16.9%|
|Sanitation Facility Access - percent of urban population improved||86.5%|
|Sanitation Facitlity Access - percent of rural population improved||75.9%|
|Major Infectious Diseases - degree of risk||high|
|Food or Waterborne Disease (s)||bacterial diarrhea, hepatitis A, and typhoid fever|
|Vectorborne Disease (s)||dengue fever and malaria|
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