Angélica Romero lives in Guayaquil, Ecuador, with her husband Maximiliano Ayoví and their three children. Angélica, who makes a living as a domestic worker, contracted COVID-19 in the spring and became so ill she nearly died. Her husband was also infected around the same time. Last spring, Guayaquil was among the cities in Latin America worst hit by COVID-19, with The New York Times and others reporting that the city’s total coronavirus deaths could be up to 15 times higher than official counts as many people were dying at home and bodies were being left in the streets.