They were saying that it is Ecuador's connection to Italy and Spain that likely infected the nation this way so early so it is likely going to spread now to other nations as people run to escape the virus across borders legally or illegally all over South America who might be carriers but not sick.
Here is a quote from the New York Times:
Since the start of the crisis in late March, the government has recovered 1,350 bodies from Guayaquil’s homes.
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https://www.nytimes.com/2020/04/08/world/americas/ecuador-coronavirus.html
So, as you can see whether it is New York City or Guayaquil, Ecuador people are dying at home a lot without ever going to a doctor or hospital or being tested worldwide. This leaves local authorities to deal with the situation later and often could infect whoever picks up these bodies and their families too if they are not extremely knowledgeable and careful in handling these bodies.
Guayas is a region of Ecuador sort of like a county.
Begin partial quote from:
In Guayas alone, 54 doctors have died since the outbreak of the virus, some directly affected and others indirectly because they couldn't receive treatment for other ailments.
Supplies are also running short.
end partial quote from:
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