[Correspondence] Accurate diagnosis of Indigenous child deaths in Ecuadorian Amazonia – Authors' reply

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Source: The Lancet

Original: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)02102-6/fullt...

Published: 2025-12-13

The authors of the correspondence respond to comments regarding the leptospirosis epidemic in the Ecuadorian community of Taisha in the Amazon region of Morona Santiago. They confirm the urgent need to improve the diagnosis of neglected tropical diseases in remote regions of Ecuador. An outbreak of leptospirosis occurred in the Taisha region, resulting in the deaths of eight children aged 5 to 13 from indigenous communities. At the same time, 46 patients with symptoms of this bacterial infection were identified and are receiving antibiotic treatment aimed at leptospira and possible accompanying infections. Ecuador's Ministry of Health deployed medical teams to nine rural communities, four of which have the highest number of cases, and provided more than 800 medical treatments. Leptospirosis is transmitted by contact with contaminated water, soil or animals, and its symptoms range from fever and vomiting to serious complications such as jaundice or kidney failure. The authors emphasize the importance of early diagnosis and treatment to stop the spread of the disease and reduce mortality among indigenous children in the area[1][2][7].