Healthcare workers serving during the COVID-19 pandemic may have been exposed to high work overload, which may have had an impact on their physical, mental, and social health. The aim of this study was to assess the risk factors associated with psychological distress among healthcare workers serving during the COVID-19 pandemic from January 2020 to December 2022. A systematic review was conducted based on the 2020 PRISMA statement. Articles were searched in the Pubmed, Scopus, Web of Science, CINAHL, and PsycINFO databases. A total of 59 articles were included in this systematic review. It was observed that the prevalence of psychological distress during the COVID-19 pandemic was high. Female sex, being a nurse, being young, living alone/being single, and having a chronic disease or psychiatric disorder history are the main risk factors at the personal level. Other occupational and pandemic-related factors such as having many years of work experience, the presence of COVID-19 symptoms and contact history, not enough sleep, having lower family support and limited social relationships, fear of infecting friends and family, having a reduced perception of protection by personal protective equipment, working on the frontline, and having longer service duration were found to be factors influencing the development of psychological distress during the COVID-19 pandemic. There are personal, interpersonal, and organizational risk factors that can lead to the occurrence of psychological distress among healthcare staff working during the COVID-19 pandemic.

The total energy demand in the transport sector represented 48.80% of the total consumption in Ecuador throughout 2016, where 89.87% corresponded to the road transport sector. Therefore, it is crucial to analyze the future behavior of this sector and assess the economic and environmental measures towards sustainable development. Consequently, this study analyzed: (1) the total energy demand for each vehicle class and fuel type; (2) the GHG (greenhouse gas) emissions and air pollutants NO_x and PM₁₀; and (3) the cost attributed to the fuel demand, between 2016 and 2035. For this, four alternative demand scenarios were designed: BAU: Business As Usual; EOM: Energy Optimization and Mitigation; AF: Alternative Fuels; and SM: Sustainable Mobility using Long-range Energy Alternatives Planning system. After analysis, the EOM, AF, and SM scenarios have advantages relative to BAU, where SM particularly stands out. The results show that SM compared to BAU, contributes with a 12.14% (141,226 kBOE) decrease of the total energy demand, and the economic savings for this fuel demand is of 14.22% (26,720 MUSD). Moreover, global NO_x and PM₁₀ emissions decreased by 14.91% and 13.78%, respectively. Additionally, accumulated GHG emissions decreased by 13.49% due to the improvement of the fuel quality for the vehicles that mainly consume liquefied petroleum gas, natural gas, and electricity.

Anthropogenic activities performed in the Ecuadorian Amazon have released potentially toxic elements (PTEs) into the rivers, causing severe environmental pollution and increasing the risk of exposure to the residents of the surrounding areas. This study aims to carry out a human health risk assessment using deterministic and probabilistic methods to estimate the hazard index (HI) and total cancer risk (TCR) related to multi-pathway human exposure to PTEs in polluted rivers. Concentrations of Al, Cd, Cr, Cu, Hg, Ni, Pb, and Zn in surface water and sediment samples from rivers on the Ecuadorian Amazon were considered to assess the potential adverse human health effects. As a result, deterministic and probabilistic estimations of cancer and non-cancer risk through exposure to surface waters and sediments were above the safety limit. A sensitivity analysis identified the concentration of PTEs and the exposure duration (ED) as the two most important variables for probabilistic health risk assessment. The highest risk for receptors was related to exposure to polluted sediments through incidental ingestion and dermal contact routes. According to the deterministic estimation, the human health risk through ingestion of water was above the threshold in specific locations. This study reveals the potential health risk to which the population is exposed. This information can be used as a baseline to develop public strategies to reduce anthropogenic pollution and exposure to PTEs in Ecuadorian Amazon rivers.

Currently, hydropower is the principal renewable energy source; however, climate change is increasing the frequency of extreme events, such as floods, droughts, erosion, and sedimentation of rivers, which produce uncertainty with regard to hydroelectric generation. Thus, this study aimed to analyze the climate change projections for the hydropower systems of Ecuador based on data from 14 projects studying scenarios according to the Shared Socioeconomic Pathways from the Intergovernmental Panel on Climate Change. The study examined the period from 2010 to 2020 with historical data, determined the tendency, defined a database year, and then projected the scenarios to 2050. The quantitative methodology used time-series statistics for Ecuador’s hydropower inflow to calculate the deviation over recent years and develop a model to simulate future power generation. The results showed that hydropower in Ecuador is expected to decrease considerably through to 2050 due to meteorological changes. In this calculation of the Shared Socioeconomic Pathways, the selected scenarios showed a reduction in SSP5 of 11.5%, SP2 of 16.2%, and SSP4 of 18.2% through to 2050, indicating that the opportunities for hydroelectric production in the face of climate change are variable, but the challenges are broad. In Ecuador, the projections of reductions in hydropower generation represent a sensitive issue, especially knowing that, in 2020, 87% of the energy grid in the country depended on hydroelectric production.

Work environments can interfere with the mental health of workers as generators or reducers of psychological distress. Work engagement is a concept related to quality of life and efficiency at work. The aim of this study was to find the relationship between work environment factors and work engagement among the Ecuadorian general population during the first phase of the COVID-19 pandemic to assess their levels of psychological distress. For this purpose, a cross-sectional, descriptive study using a set of questionnaires was performed. Sociodemographic and work environment data, work engagement (UWES-9 scale) scores, and General Health Questionnaire (GHQ-12) scores were collected. The variables that predicted 70.2% of psychological distress during the first phase of the pandemic were being female, with a low level of vigour (work engagement dimension), being stressed at work, and low job satisfaction. The sample showed an intermediate level of engagement in both the global assessment and the three dimensions, being higher in those without psychological distress. With effective actions on work environment factors, mental health effects may be efficiently prevented, and work engagement may be benefited. Companies can reduce workers’ psychological distress by providing safe and effective means to prevent the risk of contagion; reducing the levels of work conflict, work stress, or workload; and supporting their employees with psychological measures in order to maintain ideal working conditions.

Objective: The global COVID-19 pandemic has challenged health systems. Healthcare professionals had to face harsh conditions that have caused psycho-emotional consequences. Ecuador has been one of the countries hit hardest by the pandemic in Latin America. The objective of this study was to analyse the levels of psychological distress among healthcare workers in Ecuador during the COVID-19 pandemic.Methods: A cross-sectional descriptive study was conducted with a convenience sample of 1,056 healthcare professionals, assessing their psychological distress, physical symptoms of COVID-19, state of health, the preventive measures adopted, and the history of contact with people infected with the SARS-CoV2 virus.Results: showed that 66.0% of the participants manifested psychological distress, with significantly higher levels in women with symptoms of COVID-19 and previous contact with infected people or objects (p < 0.001). However, adherence to preventive measures and perception of health were associated with less psychological distress (p < 0.001).Conclusions: The importance of monitoring the mental health of healthcare workers during the COVID-19 pandemic was confirmed, having identified factors associated with the development of psychological distress among professionals in Ecuador.