# Mexico-Ecuador health supply crises > Live situation record from CLSTR: https://clstr.news/situations/mexico-ecuador-health-supply-crises > Updated: 2026-08-04T22:54:21.000Z. Sources: 13. Developments: 3. In early July, legislators in Mexico and members of Ecuador’s National Assembly highlighted severe gaps in the provision of essential medicines for children, citing expired pediatric drug stocks and denied access to approved treatments for spinal muscular atrophy. The incidents prompted calls for investigations, greater transparency, and oversight of hospital inventories and social‑security health institutions. By late July, attention shifted to a growing renal health emergency. Ecuador convened a multi‑sectoral forum to craft a technical roadmap for sustaining dialysis services, while Mexico’s Aguascalientes state launched a door‑to‑door campaign to screen residents for chronic kidney disease, aiming to curb the need for costly dialysis. In early August, Ecuadorian kidney patients staged a protest in Quito over acute shortages of dialysis supplies and immunosuppressants, alleging thousands of deaths and demanding guaranteed medication deliveries. Demonstrators criticized delayed procurement plans with India and called for immediate government action to restore treatment continuity. The unrest persisted into 2026. On 4 August, patients and families again gathered in Quito, reporting roughly 4,000 deaths over the previous two years and that about 20,800 people now rely on regular dialysis. Hospitals were operating at only 54 % of the supply capacity recommended by the WHO, far below the 80‑90 % target. Cumulative health‑budget cuts of US$421 million (2023‑2025) left only 45 % of the latest budget executed, and medication availability in public hospitals hovered around 60 %. The Ministry of Health announced plans to import 44 medicine types from India, while the Frente de Pacientes Renales del Ecuador presented a seven‑point proposal to create a permanent national renal health board involving the Ministry, IESS, private providers, and patient representatives. ## Claims - Around 4,000 people with kidney disease have died in Ecuador over the past two years due to medication shortages. (single source) - Approximately 20,800 patients in Ecuador depend on dialysis treatment. (single source) - Ecuadorian hospitals are operating at 54 % supply capacity, below the WHO recommended 80‑90 % range. (single source) - Health budget cuts in Ecuador totalled US$421 million between 2023 and 2025, with only 45 % of the budget executed in the last year. (single source) - The Ministry of Health reports medication availability in Ecuador's public hospitals is about 60 %, implying a 40 % shortage. (single source) - Ecuador plans to import 44 types of medicines from India to address shortages. (single source) - The Frente de Pacientes Renales proposes a permanent national renal health board involving the Ministry of Health, IESS, private providers, academia, and patients. (single source) ## Timeline ### 2026-08-04: Ecuadorian kidney patients protest over medication shortages Ecuadorian kidney patients protest a drug shortage that has caused over 4,000 deaths, left 20,800 on dialysis, and prompted the health ministry to plan Indian imports to address a 40% medication gap. 10 sources. https://clstr.news/cluster/ecuador-kidney-patients-protest-over-dialysis-supply-shortages ### 2026-07-23: Ecuador and Mexico Tackle Kidney Disease Crisis with Policy Forum and Public Campaign Ecuador convened a forum to develop a policy roadmap for its dialysis crisis, while Mexico's Aguascalientes launched a house‑to‑house kidney disease screening campaign to curb a severe regional health issue. 2 sources. https://clstr.news/cluster/ecuador-and-mexico-tackle-kidney-disease-crisis-with-policy-forum-and-public-campaign ### 2026-07-10: Mexico and Ecuador confront pediatric medication shortages Mexico’s deputy demands probes into expired medicines affecting child cancer patients, while Ecuadorian parents allege lack of spinal muscular atrophy drugs, prompting new oversight actions. 2 sources. https://clstr.news/cluster/mexico-and-ecuador-confront-pediatric-medication-shortages --- Cite as: Mexico-Ecuador health supply crises. CLSTR, https://clstr.news/situations/mexico-ecuador-health-supply-crises