This short note reports on the difficulties facing a community leader in Guayaquil, whom the author has known for more than 30 years, in getting and affording treatment for breast cancer. It serves as a reminder that low-income households in low- and middle-income nations face many of the same health risks from non-communicable diseases as higher-income groups, but cannot get appropriate treatment from public health care and cannot afford private treatment.
Moser, Caroline ( 2009), Ordinary Families, Extraordinary Lives: Assets and Poverty Reduction in Guayaquil 1978- 2004, Brookings Institution Press, Washington DC, 360 pages.
3.
WHO (2002), The World Health Report 2002: Reducing Risks, Promoting Healthy Life, World Health Organization , Geneva, 248 pages.
4.
Wilbanks, T., P. Romero-Lankao, M. Bao, F. Berkhout, S. Cairncross, J-P. Ceron, M. Kapshe, R. Muir-Wood and R. Zapata-Marti ( 2007), "Industry, settlement and society", Chapter 7 in M L Parry, O F Canziani, J P Palutikof, P J van der Linden and C E Hanson (editors), Climate Change 2007: Impacts, Adaptation and Vulnerability, Cambridge University Press, Cambridge, pages 357-390.
