1. Latin American Studies, Center for International Studies, Ohio University, Athens, Ohio, USA
2. International Development Studies, Center for International Studies, Ohio University, Athens, Ohio, USA
3. Office of Rural and Underserved Programs, Heritage College of Osteopathic Medicine, Ohio University, Athens, Ohio, USA
4. Medical Anthropology Unit, Institute of Tropical Medicine Antwerp/Center for Research on Health in Latin America, School of Biological Sciences, Pontifical Catholic University of Ecuador, Quito, Ecuador
5. Infectious and Tropical Disease Institute, Department of Biomedical Sciences, Heritage College of Osteopathic Medicine, Ohio University, Athens, Ohio, USA
6. Athens/Center for Research on Health in Latin America, School of Biological Sciences, Pontifical Catholic University of Ecuador, Quito, Ecuador