Peru

In the Amazons, especially in Loreto, there is an important malaria risk. We recommend the use of mosquito-repellent measures from dusk till morning, in combination with the use of malaria tablets.

In Amazonas, Junin, San Martin and at the border with Brasil, there is a moderate malaria risk. We recommend the use of mosquito-repellent measures from dusk till morning. For people with an increased risk, we sometimes recommend preventive malaria tablets, or taking an emergency treatment with you. 

In the other regions lower than 2300 meters there is a low malaria risk (P. vivax). We recommend the use of mosquito-repellent measures from dusk till morning.

There is no malaria risk in the big cities (except in the suburbs of Iquitos), nor in the areas above 2300 meters.

In case of fever during or after your journey, get tested for malaria as soon as possible.

There is risk of yellow fever in the following areas: the entire territory of Amazonas, Loreto, Madre de Dios, San Martin, Ucayali, Puno, Cuzco (except the city), Junin, Pasco and Huanuco and the dedicated areas (see map) of North-east Ancash, North-Apurimac, north and north-eastern Ayachucho, north and eastern Cajamarca, the northwest, north and northeast of Cusco, northern Huan-cavelica, the east of La Libertad and eastern Piura.

The risk of yellow fever is very low in the following areas west of the Andes: Lambayeque and Tumbes and the dedicated areas of western Piura and south, central and western Cajamarca.

There is no risk of yellow fever in the areas above 2300 m, nor in the areas west of the Andes that are not mentioned above, nor in the cities Cuzco and Lima, nor at Machu Picchu and nor along the Inca Trail.

Insects can transmit diseases such as dengue, chikungunya, zika, leishmaniasis and Chagas disease.

Ticks can transmit diseases.

Dogs and other mammals can be infected with rabies.

You may experience altitude sickness in areas above 2500 metres.

Tuberculosis

Read these tips before you leave.

Yellow fever vaccination is recommended for all travellers. This vaccination must be administered at least ten days prior to arrival by an official yellow fever vaccination centre and must be registered in an International Certificate of Vaccination and Prophylaxis.

Hepatitis A vaccination is recommended for all travellers.

• Tetanus-diphtheria-pertussis
• Polio
• Measles-mumps-rubella

Discuss with your doctor whether one of the following vaccinations is recommended for you:

• Typhoid fever
• Rabies
• Hepatitis B
• Influenza
• Pneumococci