Experts say one explanation is the high levels of air traffic between Ecuador and Spain, which is home to more than 400,000 Ecuadorian migrants and which has the world’s second-highest death toll from the disease. The first Covid-19 case recorded in the South American country was of a 71-year-old woman who flew into Guayaquil from Madrid in mid-February and died there on 13 March.
Others suspect Ecuador’s failure to quickly impose and enforce effective quarantine measures may have played a role, although the government rejects that charge.
The port city’s plight has sent shockwaves across a region where many already fragile health systems are now bracing for a similar wave of patients and deaths.
“It’s not time to snooze. It’s time to get ready,” El Salvador’s president, Nayib Bukele, tweeted this week, pointing to Guyaquil’s calamity as proof.
“They said the pandemic wouldn’t be so bad in Latin America because we’re used to illness, because it’s hot, because our population’s young,” added Bukele, who has ordered some of the region’s fastest and strictest anti-Covid measures. “But just look at what is happening in Ecuador.”
For the rest of the world, Guayaquil is a nightmare that could come true”.
For Barrezueta and his 30-year-old wife, Katiuska Castro, it is an ordeal that is still playing out. As they sat at home with his Reynaldo’s cadaver on Thursday, the father-of-two said grief would have to wait.
“Of course, it’s a huge loss. He’s my dad. We feel awful,” he said.
“But we’re getting sick ourselves now. We’ve got all the symptoms … diarrhoea, fever … muscle aches. And we can’t go to the hospital because if you go to the hospital you just get more infected and they won’t see you anyway.
“He’s been here in the sitting room for three days and my family is getting infected,” complained Barrezueta, who has sent his two sons – aged two and four – to stay with relatives to get them out of danger.
Ecuador’s official coronavirus death toll now stands at 120, some 82 of which were recorded in the province of Guayas, of which Guayaquil is the capital.
But Barrezueta, like many here, said he suspected the true figure was far higher.
“We’re going through a very difficult stuation here right now,” he said. “The president isn’t here. He’s hiding. We don’t know where he is. We’ve got no mayor. No governor. We’ve got nothing.”
“It’s chaos. There’s no-one to help us. We are afraid,” Barrezueta later added in a WhatsApp message. “Please. We need help. We are dying here and nobody is doing anything.”