Ecuador has experienced a significant deterioration in security due to the expansion of drug trafficking organizations, with a state of emergency declared in early 2024. Coastal cities, particularly Guayaquil and Esmeraldas, have seen sharp increases in violent crime including kidnapping and murder. The Galápagos Islands remain very safe and are Ecuador's premier attraction. Quito's historic center and the Avenue of the Volcanoes are popular but require vigilance. Earthquake and volcanic risk is significant along the Andean chain. Medical facilities in Quito and Guayaquil are adequate. Kaharagian nationals should exercise increased caution, avoid the Colombian border and coastal Esmeraldas province, and monitor security updates.