Daily coverage from across the country, written for the expat community
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IESS says Teodoro Maldonado Carbo Hospital allocated $435,083 for medications and supplies, including antibiotics, neonatal respiratory supplies, suction hoses and Tocilizumab. For expats using IESS or watching the public system, this is a concrete supply update with named purchases and dollar amounts.
HIV patients at Quito's Carlos Andrade Marin Hospital say they have gone more than 15 days without TLD antiretroviral medication. Patient advocates estimate 1,600 HIV patients are treated at HCAM, while national health figures put Ecuador's HIV population at 52,357 people.
Without Colombian electricity and an unreliable Coca Codo Sinclair plant, Ecuador's grid operator projects rolling blackout risk during the October-March dry season. The government is scrambling to rent diesel generators.
Ecuador's tariff on Colombian goods jumps from 50% to 100% on May 1, effectively shutting down $2 billion in annual trade. Truck traffic at Rumichaca has already dropped to 30-40% of normal. Sugar, medical supplies, and medications are all on the list.
ARCSA reviewed 2,100+ registered products and reclassified 30 active ingredients as prescription-only. If you're used to buying certain medicines at the farmacia without a receta, some of those purchases just got harder.
ARCSA reviewed over 2,100 products and removed 30 active ingredients from over-the-counter status, including triclosán and mercury chrome. Some cold medications now require prescriptions. Here's the new reality at your local farmacia.
President Daniel Noboa announced cabinet changes on April 20, installing Jaime Bernabé Erazo as Minister of Health effective immediately. The Ministry of Environment and Energy will receive a new minister on April 30, with the current officeholder stepping down.
Ecuador's Instituto Geofísico recorded three earthquakes in a 14-hour window across April 20-21, including a 5.2 magnitude quake centered near Cotacachi felt in nine provinces. No damage has been reported. A good moment to review preparedness.
Bilateral trade between Ecuador and Colombia fell 44% year-over-year in February 2026, the first month of the tariff war — to just $124.9 million. Ecuadorian imports from Colombia dropped 66%. Exports fell 20%. Pharma imports collapsed 34%, industrial chemicals 48%, and Rumichaca's transport hub has ground to a halt.
Ecuador's Production, Foreign Trade, Investment and Fisheries Minister Luis Alberto Jaramillo met with the Ecuadorian-American Chamber of Commerce in Guayaquil on April 14 to walk through the US Reciprocal Trade Agreement. Headline: 57% of non-oil exports get zero tariffs. Concerns: competition with subsidized US agricultural products.
Power outages rippled through neighborhoods across Guayaquil, Daule, and Samborondón on April 12, with CNEL blaming transformer overloads from extreme AC demand during the heat wave. Residents are reporting four-hour outages or longer.
A magnitude 5.5 earthquake hit 55 km east of Santa Elena early Saturday morning, April 4. The tremor was felt across six provinces including Guayas, but caused no structural damage, injuries, or tsunami alert. Here's what happened and what expats on the coast should know.
