Most disabilities shouldn't stop anyone from traveling. There are more options and resources out there than ever before. But Ecuador is severely behind the times in making structural changes to address the needs of its own citizens with disabilities -- not to mention visitors with disabilities. In most cities, sidewalks are narrow, crowded, and uneven. Few hotels offer wheelchair-accessible accommodations, and there are no public buses equipped to handle those in wheelchairs. The Quito trolley system can handle wheelchair passengers, although its near constant overcrowding makes this better in theory than in practice. A few of the higher-end large hotels in Quito and Guayaquil have specific wheelchair-accessible rooms and bathrooms.
Organizations that offer a vast range of resources and assistance to disabled travelers include MossRehab (tel. 800/CALL-MOSS; www.mossresourcenet.org); the American Foundation for the Blind (AFB; tel. 800/232-5463; www.afb.org); and SATH (Society for Accessible Travel & Hospitality; tel. 212/447-7284; www.sath.org). AirAmbulanceCard.com is now partnered with SATH and allows you to preselect top-notch hospitals in case of an emergency.
Access-Able Travel Source (tel. 303/232-2979; www.access-able.com) offers a comprehensive database on travel agents from around the world with experience in accessible travel; destination-specific access information; and links to such resources as service animals, equipment rentals, and access guides.
Many travel agencies offer customized tours and itineraries for travelers with disabilities. Among them are Flying Wheels Travel (tel. 507/451-5005; www.flyingwheelstravel.com); and Accessible Journeys (tel. 800/846-4537 or 610/521-0339; www.disabilitytravel.com).
Flying with Disability (www.flying-with-disability.org) is a comprehensive information source on airplane travel. Avis Rent a Car (tel. 888/879-4273) has an "Avis Access" program that offers services for customers with special travel needs. These include specially outfitted vehicles with swivel seats, spinner knobs, and hand controls; mobility scooter rentals; and accessible bus service. Be sure to reserve well in advance.
Also check out the quarterly magazine Emerging Horizons (www.emerginghorizons.com), available by subscription ($16.95 per year in the U.S., $21.95 outside U.S.).
The "Accessible Travel" link at Mobility-Advisor.com (www.mobility-advisor.com) offers a variety of travel resources to disabled persons.
British travelers should contact Holiday Care (tel. 0845-124-9971 in U.K. only; www.holidaycare.org.uk) to access a wide range of travel information and resources for disabled and elderly people.