Hub Discussion Forum

Dear colleagues,

I am writing to emphasize the urgent need to recognize Digital Health as a chronic and strategic national priority for Ecuador, rather than a temporary innovation or an emergency-only response.

Ecuador faces a growing causal loop between Climate Change and Public Health, where climate variability, natural disasters, ecosystem degradation, and forced human mobility are intensifying epidemiological and microbiological hazards. These pressures accelerate the spread of antimicrobial resistance (AMR), zoonotic diseases, waterborne infections, and vector-borne illnesses, while simultaneously straining the capacity of the health system to respond effectively.

In this context, Digital Health represents a critical adaptation strategy to mitigate long-term risks. By integrating epidemiological surveillance, microbiological and laboratory data, climate indicators, and territorial risk mapping, Digital Health enables early warning systems, predictive modeling, and evidence-based decision-making. These mechanisms are essential to prevent health emergencies from escalating and to strengthen preparedness before crises occur.

Digital Health can support:

- Early detection and monitoring of outbreaks and AMR patterns through interconnected laboratory and surveillance systems;
- Anticipation of health impacts related to natural disasters, including service disruption and secondary disease outbreaks;
- Continuity of care in vulnerable and remote territories through telemedicine and digital clinical decision-support tools;
- A One Health approach that connects human, animal, environmental, and microbial data to guide public health policy.

Failing to invest in Digital Health reinforces a reactive and fragmented health system, increasing long-term costs, avoidable morbidity, and vulnerability to climate-driven health shocks. Conversely, a robust Digital Health ecosystem transforms data into resilience, strengthening public health sovereignty, equity, and national preparedness.

For Ecuador, Digital Health is not optional. It is a structural safeguard to confront the interconnected challenges of Climate Change, AMR, and emerging epidemiological threats, and a cornerstone for sustainable public health adaptation.

Sincerely,

Darien Castro
Transform Health Youth Council in Ecuador