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Canadian Respiratory Journal
Volume 11, Issue 3, Pages 193-194

Tuberculosis Control in Ecuador: Unforeseen Problems, Unanticipated Strengths

Stan Houston

University of Alberta, Edmonton, Canada

Copyright © 2004 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Ecuador is among the eight countries with the highest tuberculosis (TB) prevalences in the Americas (the World Health Organization estimates 141 new cases/100,000 population in 2002) and has had a poorly functioning TB control program. As described in an earlier editorial (1), the Canadian Lung Association, with funding from the Canadian International Development Agency, has been involved for four years in supporting Ecuador?s National TB Program. The initial phase of the project has just been completed, but the experience has already provided many valuable lessons, some quite unexpected.