The authors of the correspondence respond to a study by Esteban Ortiz-Prado and colleagues that looked at deaths of indigenous children in the Ecuadorian Amazon attributed to leptospirosis. They agree on the need to improve surveillance of this neglected tropical disease and ensure better health care for indigenous communities. At the same time, however, they present facts that challenge the official claim that the death of eight children from the Achuar community in Taisha was caused by leptospirosis. The article does not list the exact alternative causes of death, but emphasizes the need for accurate diagnosis and better epidemiological surveillance. Leptospirosis is recorded as a neglected tropical disease in Ecuador with a significant number of cases and hospitalizations, but official data on causes of death in indigenous communities may be incomplete or misinterpreted[1][2]. The authors call for a comprehensive approach to health care and more accurate diagnosis in the Amazon regions.