Throughout history, countless pathogens have demonstrated an extraordinary ability to mutate and adapt, often surpassing existing therapeutic tools. This creates a competition in which, while humanity develops new solutions, these pathogens in turn develop new adaptations. In this dynamic, prevention and control become a challenge where delays in implementing effective and efficient measures can lead to local, regional, or even pandemic outbreaks.
In Ecuador, as in many other countries, we have seen how rapidly evolving pathogens can impact both healthcare systems and the economy. In this sense, the threat of pathogens ceased to be something distant for us with a particular case: H5N1 avian influenza. At the end of 2022, H5N1 avian influenza outbreaks began to significantly affect our country. This news was surprising, as Ecuador had previously been considered free of highly pathogenic avian influenza (HPAI)[1]. This was not an isolated event, since a similar situation to that of our country was evident globally. In Ecuador, the virus severely affected poultry (especially chickens), decimating its production in several provinces. This was accompanied by several cullings that were taken as biosecurity measures to control the outbreaks[3], thus affecting the local economy, especially in rural communities that depend on poultry farming for their livelihoods. Shortly after, cases were detected in wild birds, including protected species that inhabit fragile ecosystems such as coastal wetlands and the Galapagos Islands. The threat was not limited to birds; on the coasts of South America, mass deaths of sea lions and other marine mammals were reported, revealing the virus's ability to cross new species barriers and expanding the risk of spread[2].
The impact also reached humans. In January 2023, Ecuador confirmed the first human case of avian influenza: a nine-year-old girl from the province of Bolívar, who developed a severe infection [4]. This event, along with other precedents that compromise not only our country's productive model but also our biodiversity and health, marked a turning point in how this problem was addressed.