title: Genetic services in Ecuador.
abstract: Ecuador has a population of 12 million inhabitants, composed of a variety of ethnic groups. The majority of the population lives in rural areas. There is a severe deficiency in health services, and most diseases are associated with poor life conditions: malnutrition, parasitic diseases and infections. At the same time, however, chronic diseases, e.g. cancer, have increased in prevalence. Most genetic services are provided by the private sector, which offers clinical genetic consultations and counseling, cytogenetic analyses, a limited number of molecular and biomedical tests, and prenatal diagnosis. Genetic research is centered in the universities of important cities (Quito, Guayaquil and Cuenca). The government sponsors some university research projects but does not conduct health actions in genetics in the community. There is an incipient interest in ethic and legal issues in genetics, such as how to provide modern genomic medicine in a resource-poor country.
authors.affiliation: Laboratorio de Genética Molecular y Citogenética Humana, Escuela de Biología y Facultad de Medicina, Pontificia Universidad Católica del Ecuador, Quito, Ecuador. cpazymino@puce.edu.ec
authors.forename: César
authors.initials: C
authors.lastname: Paz-y-Miño
mesh_terms: D000013:Congenital Abnormalities / Q000517:prevention & control; D003695:Delivery of Health Care; D004484:Ecuador; D030342:Genetic Diseases, Inborn / Q000517:prevention & control; D033142:Genetic Services / Q000458:organization & administration* / Q000592:standards; D006281:Health Occupations / Q000193:education; D006801:Humans