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  1. Ana-Lucia Moncayo1,2,
  2. Philip J Cooper1,3
  1. 1Colegio de Ciencias de la Salud, Universidad San Francisco de Quito, Quito, Ecuador
  2. 2Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brazil
  3. 3Molecular and Biochemical Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK
  1. Correspondence to Ana Lucia Moncayo, Instituto de Saúde Coletiva, Universidade Federal da Bahia, Rua Basílio da Gama, s/n, Salvador, Bahia, Brazil; almoncayo{at}

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Drs Marsh and colleagues are essentially correct in saying that the word ‘wheeze’ rather than ‘asthma’ may have been more appropriate in the title of our paper. Not all wheeze is asthma but, given the lack of a widely agreed definition for asthma, we chose to use a simple but widely used definition (wheeze in the past 12 months) in this Ecuadorian study to estimate prevalence. As the authors will have seen from the abstract, the aim of the study was to investigate risk factors for atopic and non-atopic wheeze illness to understand better those that may cause or protect against asthma in the study population.1 …

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  • Funding Wellcome Trust, UK, HCPC Latin American Centres of Excellence Programme (ref 072405/Z/03/Z). The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript.

  • Competing interests None.

  • Ethics approval This study was conducted with the approval of the ethics committee of the Hospital Pedro Vicente Maldonado, Ecuador.

  • Provenance and peer review Not commissioned; not externally peer reviewed.

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