They only lasted about 3 months in Ecuador before returning to the States.
Just for the record, we have never had any health problems living in Ecuador due to any real or imagined cleanliness issues and here in Cuenca we see very few disease carrying bugs such as mosquitoes and roaches.
Before moving to Ecuador we lived in the State of Georgia, where we had to protect our kids from mosquitoes who carry West Nile virus and encephalitis along with ticks who spread Lyme disease.
We more than once encountered rattlesnakes on our property where our children ran barefoot through the grass.
I don’t think that Jill would have survived very long living in Georgia either.