In this book, we bring together interdisciplinary scholars and clinicians in medicine, public health, anthropology, nutrition, environmental sciences, and geography from the University of North Carolina at Chapel Hill, Universidad San Francisco de Quito, the Ministry of Health and the Hospital Oskar Jandl. Together, these authors provide a comprehensive description of the factors shaping water quality, food availability, and health services on the islands, their implications for human health and well-being, and potential avenues for intervention.