Violent crimes, such as armed robberies and carjackings, are increasing. The Ecuadorian government has increased police patrols in tourist areas, but travelers in resort areas along the coast and in the cities of Quito and Guayaquil should remain alert to their surroundings and maintain constant control of purses, backpacks, and briefcases. Expensive-appearing jewelry and watches should be worn. In Quito, extreme caution should be taken in tourist areas and crowded marketplaces, especially on the crowded streets of south Quito, the Panecillo and all transportation terminals. Most recently there have been incidents of luggage theft at the airport.
Medical care is available but varies in quality.
Doctors and hospitals often expect immediate cash payment for health services. Many hospitals do take credit cards. U. S. medical insurance is not always valid outside the United States. Supplemental medical insurance with specific overseas coverage, including provision for medical evacuation, has proven useful in many emergencies. Hotel accommodations in the major cities for business visitors are excellent.