Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Globalization and local response to epidemiological overlap in 21st century Ecuador | Globalization and Health BioMed Central Open Access Debate Globalization and local response to epidemiological overlap in 21st century Ecuador William F Waters Address Institute for Research in Health and Nutrition Universidad San Francisco de Quito Quito Ecuador Email William F Waters - wiwaquito@ Corresponding author Published 19 May 2006 Received 23 September 2005 Globalization and Health 2006 2 8 doi 1744-8603-2-8 Accepted 19 May 2006 This article is available from http content 2 1 8 2006 Waters licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Third World countries are confronted by a complex overlay of two sets of health problems. Traditional maladies including communicable diseases malnutrition and environmental health hazards coexist with emerging health challenges including cardiovascular disease cancer and increasing levels of obesity. Using Ecuador as an example this paper proposes a conceptual framework for linking epidemiologic overlap to emerging social structures and processes at the national and global levels. Discussion Epidemiologic trends can be seen as part of broader processes related to globalization but this does not imply that globalization is a monolithic force that inevitably and uniformly affects nations communities and households in the same manner. Rather characteristics and forms of social organization at the subnational level can shape the way that globalization takes place. Thus globalization has affected Ecuador in specific ways and is at the same time intimately related to the form in which the epidemiologic transition has transpired in that country. Summary Ecuador is among neither the poorest nor the wealthiest countries .