Ecuador and Peru choose new presidents Sunday under strict public health measures prompted by the coronavirus pandemic, which has recently strengthened in the neighboring South American nations.

Ecuadoreans face a runoff between a conservative businessman and a protégé of former leftist President Rafael Correa, while Peruvians have 18 options to pick from in the first round. All seats in Peru’s congress, too, are being contested.

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A boy walks past election posters promoting presidential candidate Guillermo Lasso, representing the Creating Opportunities party or CREO, in Quito, Ecuador, Friday, April 9, 2021. Ecuadoreans face a runoff on Sunday between Lasso and Andres Arauz, a disciple of former leftist President Rafael Correa. (AP PhotoDolores Ochoa)

Ecuador and Peru choose new presidents Sunday under strict public health measures prompted by the coronavirus pandemic, which has recently strengthened in the neighboring South American nations.

Pedestrians cross a street past a median draped with electoral ads promoting presidential and congressional candidates in Lima, Peru, Saturday, April 10, 2021. Peruvians head to the polls Sunday to choose a president from a field of 18 candidates following years of political turmoil that have seen a series of presidents and even the whole congress itself ousted over corruption scandals. (AP PhotoMartin Mejia)

In Ecuador, voters have been ordered to wear a mask, bring their own hand sanitizer and pencil, keep a 5-foot (1.5-meter) distance from others and avoid all personal contact in the polling place. The only time voters will be allowed to lower their mask will be during the identification process.

Pedestrians walk past electoral ads promoting presidential candidates in the San Juan de Miraflores neighborhood of Lima, Peru, Saturday, April 10, 2021. Peruvians head to the polls Sunday to choose a president from a field of 18 candidates following years of political turmoil that have seen a series of presidents and even the whole congress itself ousted over corruption scandals. (AP PhotoMartin Mejia)

Arauz is backed by Correa, a major force in the troubled Andean nation despite a corruption conviction. He has proposed making the wealthy pay more taxes, backing away from agreements with the International Monetary Fund, and finding legal mechanisms to force the repatriation of deposits that Ecuadorians have abroad.

A billboard promoting presidential candidate Daniel Urresti towers over the Villa Maria shanty town of Lima, Peru, Saturday, April 10, 2021. Peruvians head to the polls Sunday to choose a president from a field of 18 candidates following years of political turmoil that have seen a series of presidents and even the whole congress itself ousted over corruption scandals. (AP PhotoMartin Mejia)

Meanwhile, Peru’s election has turned into a popularity contest in which a candidate has even addressed how he suppresses his sexual desires. The crowded field of presidential hopefuls comes months after the country’s political chaos reached a new level in November, when three men were named presidents in a week after one was impeached by Congress over corruption allegations and protests forced his successor to resign.

Pedestrians walk past campaign posters promoting presidential candidates Andres Arauz of the United for Hope Alliance or UNES, and Guillermo Lasso of the Creating Opportunities party or CREO, in Quito, Ecuador, Saturday, April 10, 2021. Ecuadoreans face a presidential runoff race on Sunday between conservative businessman Lasso and Arauz, a protege of former President Rafael Correa. (AP PhotoDolores Ochoa)

In polls, centrist Yonhy Lescano has been followed by center-right George Forsyth, conservative Rafael López Aliaga and Keiko Fujimori, the opposition leader and daughter of the polarizing former President Alberto Fujimori.

A soldier stands guard at a polling station a day ahead of a general election, in Lima, Peru, Saturday, April 10, 2021. Peruvians head to the polls Sunday to choose a president from a field of 18 candidates following years of political turmoil that have seen a series of presidents and even the whole congress itself ousted over corruption scandals. (AP PhotoMartin Mejia)

A soldier stands guard at a polling station a day ahead of a general election, in Lima, Peru, Saturday, April 10, 2021. Peruvians head to the polls Sunday to choose a president from a field of 18 candidates following years of political turmoil that have seen a series of presidents and even the whole congress itself ousted over corruption scandals. (AP PhotoMartin Mejia)

Electoral workers, one carrying folding cardboard voting booths, walk past rows of registration tables set up at a polling station a day ahead of a general election, in Lima, Peru, Saturday, April 10, 2021. Peruvians head to the polls Sunday to choose a president from a field of 18 candidates following years of political turmoil that have seen a series of presidents and even the whole congress itself ousted over corruption scandals. (AP PhotoMartin Mejia)

Electoral workers, one carrying folding cardboard voting booths, walk past rows of registration tables set up at a polling station a day ahead of a general election, in Lima, Peru, Saturday, April 10, 2021. Peruvians head to the polls Sunday to choose a president from a field of 18 candidates following years of political turmoil that have seen a series of presidents and even the whole congress itself ousted over corruption scandals. (AP PhotoMartin Mejia)

A child stands in the doorway of a beauty salon next to campaign posters promoting presidential candidate Andres Arauz of the United for Hope Alliance or UNES, in Quito, Ecuador, Saturday, April 10, 2021. Ecuadoreans face a runoff on Sunday between conservative businessman Guillermo Lasso and Arauz, a disciple of former leftist President Rafael Correa. (AP PhotoDolores Ochoa)

A child stands in the doorway of a beauty salon next to campaign posters promoting presidential candidate Andres Arauz of the United for Hope Alliance or UNES, in Quito, Ecuador, Saturday, April 10, 2021. Ecuadoreans face a runoff on Sunday between conservative businessman Guillermo Lasso and Arauz, a disciple of former leftist President Rafael Correa. (AP PhotoDolores Ochoa)

A woman stands in the doorway of her home next to her window blanketed with posters of presidential candidate Andres Arauz of the United for Hope Alliance or UNES, in Quito, Ecuador, Friday, April 9, 2021. Ecuadoreans face a runoff on Sunday between conservative businessman Guillermo Lasso and Arauz, a disciple of former leftist President Rafael Correa. (AP PhotoDolores Ochoa)

A woman stands in the doorway of her home next to her window blanketed with posters of presidential candidate Andres Arauz of the United for Hope Alliance or UNES, in Quito, Ecuador, Friday, April 9, 2021. Ecuadoreans face a runoff on Sunday between conservative businessman Guillermo Lasso and Arauz, a disciple of former leftist President Rafael Correa. (AP PhotoDolores Ochoa)

A woman walks near a campaign poster promoting presidential candidate Guillermo Lasso of the Creating Opportunities party or CREO, in Quito, Ecuador, Saturday, April 10, 2021. Ecuadoreans face a presidential runoff race on Sunday between the conservative businessman Lasso and Andres Arauz of the United for Hope Alliance or UNES, a protege of former President Rafael Correa. (AP PhotoDolores Ochoa)

A woman walks near a campaign poster promoting presidential candidate Guillermo Lasso of the Creating Opportunities party or CREO, in Quito, Ecuador, Saturday, April 10, 2021. Ecuadoreans face a presidential runoff race on Sunday between the conservative businessman Lasso and Andres Arauz of the United for Hope Alliance or UNES, a protege of former President Rafael Correa. (AP PhotoDolores Ochoa)

The elections come amid a surge in COVID-19 cases in both countries and meager progress in their vaccination programs. Lockdowns have returned, threating further damage to the nations’ already battered economies.

A boy walks past election posters promoting presidential candidate Guillermo Lasso, representing the Creating Opportunities party or CREO, in Quito, Ecuador, Friday, April 9, 2021. Ecuadoreans face a runoff on Sunday between Lasso and Andres Arauz, a disciple of former leftist President Rafael Correa. (AP PhotoDolores Ochoa)

A boy walks past election posters promoting presidential candidate Guillermo Lasso, representing the Creating Opportunities party or CREO, in Quito, Ecuador, Friday, April 9, 2021. Ecuadoreans face a runoff on Sunday between Lasso and Andres Arauz, a disciple of former leftist President Rafael Correa. (AP PhotoDolores Ochoa)

In Ecuador, voters have been ordered to wear a mask, bring their own hand sanitizer and pencil, keep a 5-foot (1.5-meter) distance from others and avoid all personal contact in the polling place. The only time voters will be allowed to lower their mask will be during the identification process.

Election officials in Peru have scheduled specific times for people to vote to avoid overcrowding at the polls. People will have to wipe their shoes on sanitizing mats, wear masks, undergo a temperature check and carry their own blue-ink pen. Poll workers will be paid for the first time.

Ecuador’s runoff features leftist candidate Andres Arauz, who led the first round of voting with more than 30% on Feb. 7, and former banker Guillermo Lasso, who edged into the final by finishing about half of a percentage point above environmentalist and Indigenous candidate Yaku Pérez.

Pedestrians cross a street past a median draped with electoral ads promoting presidential and congressional candidates in Lima, Peru, Saturday, April 10, 2021. Peruvians head to the polls Sunday to choose a president from a field of 18 candidates following years of political turmoil that have seen a series of presidents and even the whole congress itself ousted over corruption scandals. (AP PhotoMartin Mejia)

Pedestrians cross a street past a median draped with electoral ads promoting presidential and congressional candidates in Lima, Peru, Saturday, April 10, 2021. Peruvians head to the polls Sunday to choose a president from a field of 18 candidates following years of political turmoil that have seen a series of presidents and even the whole congress itself ousted over corruption scandals. (AP PhotoMartin Mejia)

Arauz is backed by Correa, a major force in the troubled Andean nation despite a corruption conviction. He has proposed making the wealthy pay more taxes, backing away from agreements with the International Monetary Fund, and finding legal mechanisms to force the repatriation of deposits that Ecuadorians have abroad.

Lasso finished second in the last two presidential contests. He favors free-market policies and Ecuador’s rapprochement with international organizations. He has proposed raising the minimum wage to $500, finding ways to include more youth and women in the labor market and eliminating tariffs for agricultural equipment.

The country is deep in a recession that many fear will worsen as lockdowns return because of a spike in COVID-19 cases. Ecuador has tallied more than 341,000 cases and over 17,000 deaths as of Friday.

Pedestrians walk past electoral ads promoting presidential candidates in the San Juan de Miraflores neighborhood of Lima, Peru, Saturday, April 10, 2021. Peruvians head to the polls Sunday to choose a president from a field of 18 candidates following years of political turmoil that have seen a series of presidents and even the whole congress itself ousted over corruption scandals. (AP PhotoMartin Mejia)

Pedestrians walk past electoral ads promoting presidential candidates in the San Juan de Miraflores neighborhood of Lima, Peru, Saturday, April 10, 2021. Peruvians head to the polls Sunday to choose a president from a field of 18 candidates following years of political turmoil that have seen a series of presidents and even the whole congress itself ousted over corruption scandals. (AP PhotoMartin Mejia)

Meanwhile, Peru’s election has turned into a popularity contest in which a candidate has even addressed how he suppresses his sexual desires. The crowded field of presidential hopefuls comes months after the country’s political chaos reached a new level in November, when three men were named presidents in a week after one was impeached by Congress over corruption allegations and protests forced his successor to resign.

All former Peruvian presidents who ruled since 1985 have been ensnared in corruption allegation, some imprisoned or arrested in their mansions. One died by suicide before police could arrest him.

To avoid a June runoff, a candidate needs more than 50% of votes, and recent polls show the leading candidate garnering only about 15% support.

A billboard promoting presidential candidate Daniel Urresti towers over the Villa Maria shanty town of Lima, Peru, Saturday, April 10, 2021. Peruvians head to the polls Sunday to choose a president from a field of 18 candidates following years of political turmoil that have seen a series of presidents and even the whole congress itself ousted over corruption scandals. (AP PhotoMartin Mejia)

A billboard promoting presidential candidate Daniel Urresti towers over the Villa Maria shanty town of Lima, Peru, Saturday, April 10, 2021. Peruvians head to the polls Sunday to choose a president from a field of 18 candidates following years of political turmoil that have seen a series of presidents and even the whole congress itself ousted over corruption scandals. (AP PhotoMartin Mejia)

In polls, centrist Yonhy Lescano has been followed by center-right George Forsyth, conservative Rafael López Aliaga and Keiko Fujimori, the opposition leader and daughter of the polarizing former President Alberto Fujimori.

The country is among those hardest hit by COVID-19, with more than 1.5 million cases and over 53,400 deaths as of Friday.

Pedestrians walk past campaign posters promoting presidential candidates Andres Arauz of the United for Hope Alliance or UNES, and Guillermo Lasso of the Creating Opportunities party or CREO, in Quito, Ecuador, Saturday, April 10, 2021. Ecuadoreans face a presidential runoff race on Sunday between conservative businessman Lasso and Arauz, a protege of former President Rafael Correa. (AP PhotoDolores Ochoa)

Pedestrians walk past campaign posters promoting presidential candidates Andres Arauz of the United for Hope Alliance or UNES, and Guillermo Lasso of the Creating Opportunities party or CREO, in Quito, Ecuador, Saturday, April 10, 2021. Ecuadoreans face a presidential runoff race on Sunday between conservative businessman Lasso and Arauz, a protege of former President Rafael Correa. (AP PhotoDolores Ochoa)

A soldier stands guard at a polling station a day ahead of a general election, in Lima, Peru, Saturday, April 10, 2021. Peruvians head to the polls Sunday to choose a president from a field of 18 candidates following years of political turmoil that have seen a series of presidents and even the whole congress itself ousted over corruption scandals. (AP PhotoMartin Mejia)

A soldier stands guard at a polling station a day ahead of a general election, in Lima, Peru, Saturday, April 10, 2021. Peruvians head to the polls Sunday to choose a president from a field of 18 candidates following years of political turmoil that have seen a series of presidents and even the whole congress itself ousted over corruption scandals. (AP PhotoMartin Mejia)

Electoral workers, one carrying folding cardboard voting booths, walk past rows of registration tables set up at a polling station a day ahead of a general election, in Lima, Peru, Saturday, April 10, 2021. Peruvians head to the polls Sunday to choose a president from a field of 18 candidates following years of political turmoil that have seen a series of presidents and even the whole congress itself ousted over corruption scandals. (AP PhotoMartin Mejia)

Electoral workers, one carrying folding cardboard voting booths, walk past rows of registration tables set up at a polling station a day ahead of a general election, in Lima, Peru, Saturday, April 10, 2021. Peruvians head to the polls Sunday to choose a president from a field of 18 candidates following years of political turmoil that have seen a series of presidents and even the whole congress itself ousted over corruption scandals. (AP PhotoMartin Mejia)

A child stands in the doorway of a beauty salon next to campaign posters promoting presidential candidate Andres Arauz of the United for Hope Alliance or UNES, in Quito, Ecuador, Saturday, April 10, 2021. Ecuadoreans face a runoff on Sunday between conservative businessman Guillermo Lasso and Arauz, a disciple of former leftist President Rafael Correa. (AP PhotoDolores Ochoa)

A child stands in the doorway of a beauty salon next to campaign posters promoting presidential candidate Andres Arauz of the United for Hope Alliance or UNES, in Quito, Ecuador, Saturday, April 10, 2021. Ecuadoreans face a runoff on Sunday between conservative businessman Guillermo Lasso and Arauz, a disciple of former leftist President Rafael Correa. (AP PhotoDolores Ochoa)

A woman stands in the doorway of her home next to her window blanketed with posters of presidential candidate Andres Arauz of the United for Hope Alliance or UNES, in Quito, Ecuador, Friday, April 9, 2021. Ecuadoreans face a runoff on Sunday between conservative businessman Guillermo Lasso and Arauz, a disciple of former leftist President Rafael Correa. (AP PhotoDolores Ochoa)

A woman stands in the doorway of her home next to her window blanketed with posters of presidential candidate Andres Arauz of the United for Hope Alliance or UNES, in Quito, Ecuador, Friday, April 9, 2021. Ecuadoreans face a runoff on Sunday between conservative businessman Guillermo Lasso and Arauz, a disciple of former leftist President Rafael Correa. (AP PhotoDolores Ochoa)

A woman walks near a campaign poster promoting presidential candidate Guillermo Lasso of the Creating Opportunities party or CREO, in Quito, Ecuador, Saturday, April 10, 2021. Ecuadoreans face a presidential runoff race on Sunday between the conservative businessman Lasso and Andres Arauz of the United for Hope Alliance or UNES, a protege of former President Rafael Correa. (AP PhotoDolores Ochoa)

A woman walks near a campaign poster promoting presidential candidate Guillermo Lasso of the Creating Opportunities party or CREO, in Quito, Ecuador, Saturday, April 10, 2021. Ecuadoreans face a presidential runoff race on Sunday between the conservative businessman Lasso and Andres Arauz of the United for Hope Alliance or UNES, a protege of former President Rafael Correa. (AP PhotoDolores Ochoa)