cdc travel vaccinations for peru

Recommended Vaccines and Immunizations for Peru Travel

Before you go to Peru, you’ll need to get the correct travel vaccinations. It may be boring, it may be costly, but it’s an important part of your pre-trip planning.

No vaccines are currently required for entry into Peru, but the necessary immunizations will help keep you safe and healthy on the road. The following guidelines are not a substitute for a consultation with a medical professional. Always seek advice from your doctor or a specialist travel clinic before you travel, ideally 4 to 6 weeks before you go to Peru . Some vaccinations require a course of injections, while others need time to take effect.

Hepatitis A

All travelers to Peru should be vaccinated for Hepatitis A, an infection that can be spread through contaminated food and water. In most cases, one dose of hepatitis A vaccine taken any time before travel is enough to offer protection, although two weeks before travel is ideal. Common side effects include pain at the injection site and headaches.

Hepatitis B

Your travel plans will determine whether you need the hepatitis B vaccination—you should discuss the issue with your doctor before receiving the injection. According to the Centers for Disease Control and Prevention's "Health Information for Travelers to Peru", the vaccine is especially recommended for travelers who “might be exposed to blood or body fluids, have sexual contact with the local population, or be exposed through medical treatment.” The vaccine is normally administered in three doses over six months, but quicker alternatives do exist (but they may not provide optimal protection). A combined hepatitis A and hepatitis B vaccine is also available.

Yellow Fever

Yellow fever, like malaria and dengue fever (for which there is no vaccine), is a disease transmitted by infected mosquitoes . Not all travelers to Peru will need the yellow fever vaccination, but it is recommended for certain areas of the country. Broadly speaking, risk areas are located to the east of the Andes, in jungle locations below 7,545 feet (2,300 meters) in elevation. The vaccine is given 10 days before travel and is effective for at least 10 years. Possible side effects include flu-like symptoms.

Most travelers don’t need the rabies vaccination for Peru. However, your doctor may recommend the vaccine due to special circumstances, including:

• You are going to Peru to work with or handle animals (veterinary work, wildlife research or to work in an animal sanctuary, for example).
• You will be involved in activities that might bring you into close contact with bats (including spelunking/caving).
• You will be staying in a rural area with limited medical care where the risk of rabies may be high.

With or without the vaccine, you should always take care to avoid animal bites in Peru. Stay clear of stray animals, be cautious around wildlife and avoid contact with bats.

The CDC recommends the typhoid vaccine for all travelers to Peru, particularly those “staying with friends or relatives or visiting smaller cities, villages, or rural areas where exposure might occur through food or water.” In general, getting the typhoid vaccine is a good idea. There are two types of vaccines available: an oral vaccine that consists of four capsules (one taken every other day) or an injection administered a week before travel. Neither typhoid vaccine is 100% effective, typically protecting 50% to 80% of recipients. Standard precautions such as careful hygiene, hand washing, and attention to food preparation help protect against typhoid.

Routine Vaccinations

Before you travel, make sure you are up-to-date with your routine vaccinations. Your doctor will be able to check your vaccination history and let you know which injections and booster shots you need. Immunizations include:

• measles, mumps, rubella (MMR) vaccine
• diphtheria, pertussis, tetanus (DPT) vaccine
• polio vaccine

Required and Recommended Vaccinations for China Travel

Tunisia Travel: Visas, Health, Transport, & More

Guatemala Vaccinations and Health Information

What Travelers Should Know About the Delta Variant

Vaccinations You Need Before Going to Nicaragua

Planning a Trip to Fiji

ethiopia travel tips to know

Is It Safe in Thailand?

How to Stay Safe on a Trip to the Dominican Republic

Is It Safe to Travel to Europe?

Bali and Thailand Plan on Fully Reopening to Tourists by July

CDC Releases New COVID-19 Testing Guidelines for Cruise Ships

How to Travel Internationally With Your Pet

Countries That Require Proof of Yellow Fever Vaccination

Nyungwe Forest National Park, Rwanda: The Complete Guide

Here's What the CDC Recommends for Holiday Travel

Travel Vaccines and Advice for Peru

With a wide array of natural beauty to explore, Peru is a popular destination.

A place of great history, Peru has something to offer everyone. A day can be spent hiking dunes, sunning on beach or walking through ancient ruins.

Contained within Peru are parts of the Andes mountain range and the Amazon jungle.

There is plenty to see and do in the urban areas and rural villages as well. From fantastic music to culinary delights, large cities like Lima, Cusco and Piura have much to offer.

On This Page: Do I Need Vaccines for Peru? Other Ways to Stay Healthy in Peru Do I Need a Visa or Passport for Peru? What Is the Climate Like in Peru? How Safe Is Peru? Trekking in Peru What Should I Take to Peru? U.S. Embassy in Peru

Do I Need Vaccines for Peru?

Yes, some vaccines are recommended or required for Peru. The CDC and WHO recommend the following vaccinations for Peru: typhoid , hepatitis A , polio , yellow fever , chikungunya , rabies , hepatitis B , influenza , COVID-19 , pneumonia , meningitis , chickenpox , shingles , Tdap (tetanus, diphtheria and pertussis) and measles, mumps and rubella (MMR) .

See the bullets below to learn more about some of these key immunizations:

• Typhoid – Food & Water – Recommended for travelers to most regions.
• Hepatitis A – Food & Water – Recommended for most travelers.
• Polio – Food & Water – Generally considered a routine vaccination for most travel itineraries. Single adult booster recommended.
• Yellow Fever – Mosquito – Recommended for all travelers over 9 months of age going to areas at elevations under 7500 ft. in the regions of Amazonas, Loreto, Madre de Dios, San Martin and Ucayali, Puno, Cusco, Junín, Pasco, Huánuco, far north of Apurimac, far northern Huancavelica, far northeastern Ancash, eastern La Libertad, northern and eastern Cajamarca, northern and northeastern Ayacucho, and eastern Piura.
• Chikungunya – Mosquito – Peru is a higher risk region. Vaccination is recommended.
• Rabies – Saliva of Infected Animals – Moderate risk country. Vaccine recommended for certain travelers based on destination, activities and length of stay.
• Hepatitis B – Blood & Body Fluids – Recommended for travelers to most regions.
• Influenza – Airborne – Vaccine components change annually.
• COVID-19 – Airborne – Recommended for travel to all regions, both foreign and domestic.
• Pneumonia – Airborne – Two vaccines given separately. All 65+ or immunocompromised should receive both.
• Meningitis – Direct Contact & Airborne – Given to anyone unvaccinated or at an increased risk, especially students.
• Chickenpox – Direct Contact & Airborne – Given to those unvaccinated that did not have chickenpox.
• Shingles – Direct Contact – Vaccine can still be given if you have had shingles.
• Polio – Food & Water – Considered a routine vaccination for most travel itineraries. Single adult booster recommended.
• TDAP (Tetanus, Diphtheria & Pertussis) – Wounds & Airborne – Only one adult booster of pertussis required.
• Measles Mumps Rubella (MMR) – Various Vectors – Given to anyone unvaccinated and/or born after 1957. One time adult booster recommended.

See the table below for more information:

Specific Vaccine Information

• Typhoid – Typhoid, caused by Salmonella Typhi, spreads via contaminated food and water, especially in areas with poor sanitation. Protect yourself by practicing good hygiene and safe food habits. Vaccination can significantly reduce the risk of typhoid infection, especially when traveling to endemic areas.
• Hepatitis A – Hepatitis A is a highly contagious liver infection caused by the hepatitis A virus. It’s typically spread through contaminated food or water. The hepatitis A vaccine is a safe and effective immunization that protects against the virus, usually given in two shots for long-term prevention.
• Yellow Fever – Yellow fever, transmitted through mosquito bites, can lead to serious illness. Prevention is key. The yellow fever vaccine is a must for travelers visiting at-risk regions. The vaccine provides lifetime protection.
• Chikungunya – Chikungunya, transmitted via mosquito bites, poses a health threat. Prevention involves mosquito bite avoidance and vaccination against the disease.
• Rabies – Rabies, a deadly viral disease, spreads via bites or scratches from infected animals. Vaccination is the cornerstone of prevention, including post-exposure prophylaxis (PEP) for suspected exposures and pre-exposure prophylaxis (PrEP) for individuals with regular animal contact or travelers.
• Hepatitis B – The hepatitis B virus causes liver infection, spreading through contact with infected bodily fluids. Prevention measures include safe practices and, notably, hepatitis B vaccination. This vaccine effectively triggers the immune system to produce antibodies, offering reliable, long-term protection against the virus.
• Measles, Mumps, Rubella (MMR) – Measles, mumps, and rubella are highly contagious viral infections. Vaccination is the cornerstone of prevention. The MMR vaccine, with its two-dose regimen, ensures strong immunity, reducing the risk of disease transmission and protecting both individuals and the broader population from these potentially severe illnesses.

Yellow Fever in Peru

Yellow fever vaccination is generally recommended for travel to Peru. If only traveling to the high Andes or Cajamarca, vaccination may not be needed, depending on activities and mode of transportation. Traveling from Peru to another country may require proof of yellow fever vaccination even if you were not in yellow fever-endemic areas.

Malaria in Peru

Antimalarials are recommended for all areas under 8,200ft except the following: Lima Province, the Pacific Coast and the cities of Arequipa, Ica, Moquegua, Nazca, Puno and Tacna. Malaria in Peru is choloquine-resistant, limiting the antimalarials that can be used.

To find out more about these vaccines, see our vaccinations page. Ready to travel safely? Book your appointment either call or book online now.

Other Ways to Stay Healthy in Peru

Prevent bug bites in peru.

Keep bugs at bay by dressing smartly and applying EPA-registered repellents containing DEET, picaridin, or OLE. In case of a bug bite, cleanse the area, refrain from scratching, and find relief with readily available remedies. If symptoms worsen, consult a healthcare professional.

Food and Water Safety in Peru

Abroad, make wise food choices by familiarizing yourself with local cuisine and favoring established restaurants. Frequent handwashing is crucial, and it’s advisable to steer clear of street food, opting for thoroughly cooked options. A travelers’ diarrhea kit is recommended for travel to all regions throughout the world.

Infections To Be Aware of in Peru

• Chagas disease (American Trypanosomiasis) – Chagas disease, transmitted through kissing bug bites, can be prevented with insecticides and insect avoidance.
• Dengue – Aedes mosquitoes spread dengue to millions globally, prevention is the best defense. The disease can strike multiple times due to its four strains, underscoring the need for mosquito bite prevention like netting and repellents.
• Leishmaniasis – Leishmaniasis, a parasitic disease carried by sand flies, poses a substantial health risk. Effective prevention includes protective measures like using insect repellents, wearing long clothing, and avoiding outdoor activities during sand fly peak hours.
• Zika – Zika, a mosquito-borne virus, can cause mild to severe symptoms and poses significant risks during pregnancy. Prevention strategies include using insect repellent, safe sex practices, and avoiding travel to affected areas.

Do I Need a Visa or Passport for Peru?

Travelers from the United States do not need a visa to enter Peru if they are staying less than 30 days. While entry and exit regulations are more relaxed than other countries, fines can mount up if you stay past your deadline.

Sources: Embassy of Peru and U.S. State Department

What Is the Climate Like in Peru?

Peru is a country with different climates depending on where you go. Here are some of the most popular tourist destinations and what the weather is like there:

• Lima : The capital of Peru is often foggy during the winter months and has temperatures between 60 to 75 degrees throughout the year.
• Cusco : This city in the Andes Mountains has two seasons. The dry season from May-October is sunny and cold at night, and the rainy season from November-April is wet.
• Machu Picchu : This high-altitude destination has cooler temperatures ranging from 55 to 75 year-round. The driest and most popular time to visit is from May-October.
• Arequipa : This city has a dry climate with temperatures ranging from 60 to 80 year-round, but nights can be chilly.
• Iquitos : This city in the Amazon rainforest has a hot and humid climate with temperatures ranging from 80 to 95 year-round. The wettest months are from November-April.

Remember that weather can change, so it’s important to check the forecast before you go.

How Safe Is Peru?

Peru’s safety situation is like other Latin American countries. Travelers should avoid leaving their residences after dark without a local guide. Be sure to stick to well-lit areas and public thoroughfares with heavy foot traffic.

When in public, be aware of your surroundings, especially in urban areas. pick-pocketing and other forms of petty theft are common in Peru.

Do not travel with debit or credit cards. Leave them at your hotel or hostel for the day unless they are necessary.

Some drugs that are illegal in the United States are widely available in Peru. Be cautious in what you buy do not return with any substances that are illegal in the U.S.

Trekking in Peru

Avoid mosquitoes and other bugs, insect-borne disease are a threat throughout the world., keep the bugs away with passport health’s repellent options .

One of the most popular tourist activities in Peru is trekking. There are many routes for visitors to hike, with the most famous being the Inca Trail that leads to Machu Picchu. These trips are a great way to soak in natural beauty and experience historical sites.

There are many companies to choose from when planning a trek, and prices can vary. Make sure to research the group you are going with to assure safety and financial security.

There is also a range of extreme sports such as skydiving and rafting that are open to the public.

What Should I Take to Peru?

Here are some essential items to consider for your trip to Peru:

• Medical Supplies – These can be expensive in Peru, so it is important to bring one’s own. Make sure to include anti-diarrheal, antimalarials and basic over-the-counter aides.
• Breathable Clothing – The climate of Peru in the central lowlands and the coast can be quite hot. Wear clothing that is not too thick, and that you wouldn’t mind sweating in.
• Warm Clothing – Take these with you if traveling to an area near or within the Andes mountain range.
• Documents – Be sure to bring a passport and another form of identification.
• Cash – It is safest to operate on a cash-only basis.

U.S. Embassy in Peru

All Americans visiting Peru should register online with the U.S. Department of State before departure. This will inform the office of your travel plans within the country and will allow them to reach out in the case of an emergency or evacuation.

Once in Peru, the information for the U.S. Embassy is:

U.S. Embassy Lima Avenida La Encalada cdra. 17 s/n Surco, Lima 33 Peru Telephone: +(51)(1) 618-2000 Emergency After-Hours Telephone: +(51)(1) 618-2000 Fax: +(51)(1) 618-2724 Email: [email protected]

Visit the Embassy to Peru website before departure to confirm correct contact details for the office.

If you have any questions about traveling to Peru or are wondering what shots you may need for your trip, schedule an appointment with your local Passport Health travel medicine clinic. Call us at or book online today .

Customer Reviews

Passport health – travel vaccines for peru.

• Records Requests
• Passport Health App
• Privacy Center
• Online Store

Cookies on GOV.UK

We use some essential cookies to make this website work.

We’d like to set additional cookies to understand how you use GOV.UK, remember your settings and improve government services.

We also use cookies set by other sites to help us deliver content from their services.

You have accepted additional cookies. You can change your cookie settings at any time.

You have rejected additional cookies. You can change your cookie settings at any time.

• Passports, travel and living abroad
• Travel abroad
• Foreign travel advice

Before you travel check that:

• your destination can provide the healthcare you may need
• you have appropriate travel insurance for local treatment or unexpected medical evacuation

This is particularly important if you have a health condition or are pregnant.

Emergency medical number

Call 106 and ask for an ambulance.

Contact your insurance company promptly if you are referred to a medical facility for treatment.

Vaccinations and health risks

Check TravelHealthPro’s current advice on Peru to find out how to reduce the health risks you’ll face there.

TravelHealthPro also lists the recommended vaccines that could apply to you. At least 8 weeks before you travel, check how to get vaccines and whether you have to pay on the NHS travel vaccinations page .

Altitude sickness is a serious risk in parts of Peru (including Cusco, Puno, the Colca Canyon and Kuelap). Read more about altitude sickness on TravelHealthPro .

Other health risks

Peru is experiencing a major dengue outbreak following floods. There is also a risk of being infected with malaria, Zika virus or yellow fever through mosquito bites. Take precautions to avoid being bitten by mosquitos .

Diarrhoea caused by contaminated food or water is common and is potentially serious. See more about food and water hygiene on TravelHealthPro .

The legal status and regulation of some medicines prescribed or bought in the UK can be different in other countries. Many medications are available over the counter in Peru, but local prescriptions will be required for some.

Read best practice when travelling with medicines on TravelHealthPro .

The NHS has information on whether you can take your medicine abroad .

Healthcare facilities in Peru

Medical treatment is not easily available and can be more difficult to access outside of Lima. Make sure you have adequate travel health insurance and accessible funds to cover the cost of any medical treatment abroad and repatriation.

If you need emergency medical assistance during your trip in Lima, dial one of the following numbers: 0051 1 225 4040 (Lima - Alerta Med), 0051 1 467 4861 (Lima - Clave 5), 0051 1 241 1911(Lima - Plan Vital) and ask for an ambulance. These services are private, so you will need to pay for them.

FCDO has a list of English-speaking doctors in Peru.

COVID-19 healthcare in Peru

The Peruvian authorities provide guidance on public health centres in Lima and laboratories that process tests in the country (in Spanish). COVID-19 PCR tests are widely available.

Travel and mental health

Read FCDO guidance on travel and mental health . There is also mental health guidance on TravelHealthPro .

Related content

Is this page useful.

• Yes this page is useful
• No this page is not useful

Help us improve GOV.UK

Don’t include personal or financial information like your National Insurance number or credit card details.

To help us improve GOV.UK, we’d like to know more about your visit today. Please fill in this survey .

Update May 10, 2024

Information for u.s. citizens in the middle east.

• Travel Advisories |
• Contact Us |
• MyTravelGov |

Find U.S. Embassies & Consulates

Travel.state.gov, congressional liaison, special issuance agency, u.s. passports, international travel, intercountry adoption, international parental child abduction, records and authentications, popular links, travel advisories, mytravelgov, stay connected, legal resources, legal information, info for u.s. law enforcement, replace or certify documents.

Share this page:

Peru Travel Advisory

Travel advisory november 15, 2023, peru - level 2: exercise increased caution.

Last Update: Reissued with updates to crime information.

Exercise increased caution due to  crime, civil unrest, and the possibility of kidnapping . Some areas have increased risk. Read the entire Travel Advisory.

Do not travel to:

• The Colombian-Peruvian border area in the Loreto Region due to  crime .
• The Valley of the Apurímac, Ene, and Mantaro Rivers (VRAEM), including areas within the Departments of Ayacucho, Cusco, Huancavelica, and Junin, due to  crime  and  terrorism .

Country Summary : Crime, including petty theft, carjackings, muggings, assaults, and other violent crime, is common in Peru and can occur during daylight hours despite the presence of many witnesses. Kidnapping is rare, but does occur. The risk of crime increases at night. Organized criminal groups have been known to use roadblocks to rob victims in areas outside of the capital city of Lima.

Demonstrations occur regularly throughout the country. Public demonstrations can take place for a variety of political and economic issues. Demonstrations can cause the shutdown of local roads, trains, and major highways, often without prior notice or estimated reopening timelines. Road closures may significantly reduce access to public transportation and airports and may disrupt travel both within and between cities.

U.S. travelers participating in Ayahuasca and Kambo ceremonies should be aware that numerous persons, including U.S. citizens, have reported that while under the influence of these substances, they have witnessed or been victims of sexual assault, rape, theft, serious health problems and injuries, and even death.

Currently, U.S. government personnel cannot travel freely throughout Peru for security reasons . Read the  country information page  for additional information on travel to Peru.

If you decide to travel to Peru:

• Be aware of your surroundings.
• Monitor local media for breaking events and adjust your plans as needed.
• Enroll in the  Smart Traveler Enrollment Program  ( STEP ) to receive Alerts and make it easier to locate you in an emergency.
• Follow the Department of State on  Facebook  and  Twitter .
• Follow the U.S. Embassy on  Facebook  and  Twitter .
• Review the U.S. Embassy  webpage .
• Review the  Country Security Report  for Peru.
• Prepare a contingency plan for emergency situations. Review the  Traveler’s Checklist .
• Visit the CDC page for the latest  Travel Health Information  related to your travel.

Colombian-Peruvian border area in the Loreto Region – Level 4: Do Not Travel

Drug trafficking and other criminal activity, combined with poor infrastructure, limits the capability and effectiveness of Peruvian law enforcement in this area.

The U.S. government has limited ability to provide emergency services to U.S. citizens as U.S. government personnel are restricted from traveling within 20 kilometers of the border with Colombia in the Loreto region, except on the Amazon River itself, without permission. This includes travel on the Putumayo River, which forms most of the Peru-Colombia border.

U.S. government personnel must receive advance permission for any travel to the Peruvian-Colombian border.

Valley of the Apurímac, Ene, and Mantaro Rivers (VRAEM) includes areas within the Departments of Ayacucho, Cusco, Huancavelica, and Junin – Level 4: Do Not Travel

Remnants of the Shining Path terrorist group are active in the VRAEM. The group may attack with little or no warning, targeting Peruvian government installations and personnel.

Drug trafficking and other criminal activity, combined with poor infrastructure, limit the capability and effectiveness of Peruvian law enforcement in this area.

U.S. government personnel are restricted from traveling in the VRAEM except for certain areas during daylight hours. U.S. government personnel must receive advance permission for any travel to the VRAEM. The U.S. government has limited ability to provide emergency services to U.S. citizens due to these travel restrictions.

Visit our website for  Travel to High-Risk Areas .

Travel Advisory Levels

Assistance for u.s. citizens, search for travel advisories, external link.

You are about to leave travel.state.gov for an external website that is not maintained by the U.S. Department of State.

Links to external websites are provided as a convenience and should not be construed as an endorsement by the U.S. Department of State of the views or products contained therein. If you wish to remain on travel.state.gov, click the "cancel" message.

You are about to visit:

Malaria and Travelers for U.S. Residents

Quick links.

• Prophylaxis Guidelines for Malaria in “Off-the-Radar” Areas
• Travel to West Africa? Don’t Neglect Malaria Prevention
• Mosquito Repellent Fact Sheet
• Prescribing Information for Malaria Prevention Drugs
• Yellow Book Malaria Section New!
• Blog: CDC Malaria Hotline—When the Caller is Ill Abroad

This information is intended for travelers who reside in the United States. Travelers from other countries may find this information helpful; however, because malaria prevention recommendations and the availability of antimalarial drugs vary, travelers from other countries should consult health care providers in their respective countries. For more health recommendations for international travel, visit the CDC Yellow Book .

Every year, millions of US residents travel to countries where malaria is present. About 2,000 cases of malaria are diagnosed in the United States annually, mostly in returned travelers.

Travelers to sub-Saharan Africa have the greatest risk of both getting malaria and dying from their infection. However, all travelers to countries where malaria is present may be at risk for infection.

Obtain a detailed itinerary including all possible destinations that may be encountered during the trip and check to see if malaria transmission occurs in these locations. The Malaria Information by Country Table  provides detailed information about the specific parts of countries where malaria transmission does or does not occur. It also provides additional information including the species of malaria that occur there, the presence of drug resistance, and the specific medicines that CDC recommends for use for malaria prevention in each country where malaria transmission occurs on CDC’s Malaria maps.

Prevention of malaria involves a balance between ensuring that all people who will be at risk of infection use the appropriate prevention measures, while preventing adverse effects of those interventions among people using them unnecessarily. An individual risk assessment should be conducted for every traveler, taking into account not only the destination country, but also the detailed itinerary, including specific cities, types of accommodation, season, and style of travel. In addition, conditions such as pregnancy or the presence of antimalarial drug resistance at the destination may modify the risk assessment.

More on: Malaria Risk Assessment for Travelers

Based on the risk assessment, specific malaria prevention interventions should be used by the traveler. Often this includes avoiding mosquito bites through the use of repellents or insecticide treated bed nets, and specific medicines to prevent malaria.

More on: Preventing Mosquito Bites While Traveling

If malaria prevention medicines will be needed for the traveler, the  Malaria Information by Country Table lists the CDC-recommended options. For many destinations, there are multiple options available. Factors to consider are the patient’s other medical conditions, medications being taken (to assess potential drug-drug interactions), the cost of the medicines, and the potential side effects.

More on: Tips on Choosing the Right Drug for an Individual Traveler

The Drugs for Malaria Prevention table  provides prescription dosing information for both adults and children.

In some countries (including those with malaria risk), drugs may be sold that are counterfeit (“fake”) or substandard (not made according to United States standards). Such drugs may not be effective. Antimalarial drugs should always be purchased before traveling overseas!

For details and specific warnings, see Counterfeit and Substandard Antimalarial Drugs

This picture shows some things that travelers can use to protect themselves against malaria: malaria pills; insect repellent; long-sleeved clothing; bednet; and flying insect spray. (Not shown, but also protective: air conditioned or screened quarters.)

The interventions used to prevent malaria can be very effective when used properly, but none of them are 100% effective.

Malaria is always a serious disease and may be a deadly illness. Travelers who become ill with a fever or flu-like illness either while traveling in a malaria-risk area or after returning home (for up to 1 year) should seek immediate medical attention and should tell the physician their travel history.

Travelers who are assessed at being at high risk of developing malaria while traveling should consider carrying a full treatment course of malaria medicines with them. Providing this reliable supply of medicine (formerly referred to as standby or emergency self-treatment) will ensure that travelers have immediate access to an appropriate and high quality medicine if they are diagnosed with malaria while abroad. Depending on the medicine they are using for prevention, this could either be atovaquone/proguanil or artemether/lumefantrine.

More on: Malaria Treatment (United States)

Travelers are often surprised to learn that even if they adhered to all of the prevention advice and did not become sick with malaria, recent travel to a place where malaria transmission occurs is an exclusion criterion for blood donation.

More on: Prevention of Blood Transfusion-Associated Malaria

To receive email updates about this page, enter your email address:

New! Locally Acquired Cases of Malaria in Florida, Texas, Maryland, and Arkansas

New! Update to Guidance for use of Artemether-Lumefantrine (Coartem®) in Pregnancy for Uncomplicated Malaria New! Discontinuation of CDC’s Distribution of Intravenous Artesunate as Commercial Drug Guidance for Malaria Diagnosis in Patients Suspected of Ebola Infection in the United States -->

See all Malaria Notices

• New! Malaria is a Serious Disease
• New!   La malaria (paludismo) es una enfermedad grave
• How to Report a Case of Malaria
• CDC Yellow Book
• Red Pages: Malaria-endemic areas by country
• Drugs for Prevention
• Choosing a Drug to Prevent Malaria
• Drugs for Treatment in the U.S.
• Frequently Asked Questions (FAQs)
• Blood Banks

Click here for contact information

Exit Notification / Disclaimer Policy

• The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website.
• Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website.
• You will be subject to the destination website's privacy policy when you follow the link.
• CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website.

Travel Vaccines and Advice for Peru

With a wide array of natural beauty to explore, Peru is a popular destination.

A place of great history, Peru has something to offer everyone. A day can be spent hiking dunes, sunning on beach or walking through ancient ruins.

Contained within Peru are parts of the Andes mountain range and the Amazon jungle.

There is plenty to see and do in the urban areas and rural villages as well. From fantastic music to culinary delights, large cities like Lima, Cusco and Piura have much to offer.

Do I Need Vaccines for Peru?

Yes, some vaccines are recommended or required for Peru. The PHAC and WHO recommend the following vaccinations for Peru: hepatitis A , hepatitis B , typhoid , yellow fever , rabies , meningitis , polio , measles, mumps and rubella (MMR) , Tdap (tetanus, diphtheria and pertussis) , chickenpox , shingles , pneumonia and influenza .

See the bullets below to learn more about some of these key immunizations:

• Hepatitis A – Food & Water – Recommended for most travellers
• Hepatitis B – Blood & Body Fluids – Recommended for travellers to most regions.
• Typhoid – Food & Water – Recommended for travellers to most regions.
• Yellow Fever – Mosquito – Recommended for all travellers over 9 months of age going to areas at elevations under 2,200 metres in the regions of Amazonas, Loreto, Madre de Dios, San Martin and Ucayali, Puno, Cusco, Junín, Pasco, Huánuco, far north of Apurimac, far northern Huancavelica, far northeastern Ancash, eastern La Libertad, northern and eastern Cajamarca, northern and northeastern Ayacucho, and eastern Piura.
• Rabies – Saliva of Infected Animals – Moderate risk country. Vaccine recommended for certain travellers based on destination, activities and length of stay.
• Measles Mumps Rubella (MMR) – Various Vectors – Given to anyone unvaccinated and/or born after 1957. One time adult booster recommended.
• TDAP (Tetanus, Diphtheria & Pertussis) – Wounds & Airborne – Only one adult booster of pertussis required.
• Chickenpox – Direct Contact & Airborne – Given to those unvaccinated that did not have chickenpox.
• Shingles – Direct Contact – Vaccine can still be given if you have had shingles.
• Pneumonia – Airborne – Two vaccines given seperately. All 65+ or immunocompromised should receive both.
• Influenza – Airborne – Vaccine components change annually.
• Meningitis – Airborne & Direct Contact – Given to anyone unvaccinated or at an increased risk, especially students.
• Polio – Food & Water – Considered a routine vaccination for most travel itineraries. Single adult booster recommended.

See the tables below for more information:

Antimalarials or recommended for travel to some jungle regions. Consult with a travel health specialist to learn if you will need them for your trip.

There is also a risk of contracting Zika virus while in Peru. Because of the birth defects caused by the virus, it is recommended that pregnant women do not travel to Peru.

Dengue is another threat to travellers. The mosquito-borne disease can be fatal if it becomes hemorrhagic fever. Protection from all three diseases is possible through using insect repellents and mosquito netting.

See our vaccinations page to learn more about these infections and vaccines. Ready to protect yourself? Book your travel health appointment today by calling or schedule online now .

Customer Reviews

Passport health – travel vaccines for peru, do i need a visa or passport for peru.

Travellers from Canada do not need a visa to enter Peru if they are staying less than 90 days. While entry and exit regulations are more relaxed than other countries, fines can mount up if you stay past your deadline.

Sources: Embassy of Peru and Canadian Travel and Tourism

All Canadian tourists will receive an entry stamp in their passport, as well as an Andean Immigration card upon their arrival. If you are travelling to Peru for business purposes, a visa is required.

Visit the Canadian Travel and Tourism website for more information on entry and exit requirements.

What is the Climate Like in Peru?

The equator runs through Peru making the climate very warm. The average annual temperature is in the mid-20’s. Nights can get chilly with temperatures reaching the low-10’s.

There is a rainy season from March to May and from October to November. In November and December there is light rain.

How Safe is Peru?

Peru’s safety situation is like other Latin American countries. Travellers should avoid leaving their residences after dark without a local guide. Be sure to stick to well-lit areas and public thoroughfares with heavy foot traffic.

When in public, be aware of your surroundings, especially in urban areas. Pickpocketing and other forms of petty theft are common in Peru.

Do not travel with debit or credit cards. Leave them at your hotel or hostel for the day unless they are necessary.

Some drugs that are illegal in the United States are widely available in Peru. Be cautious in what you buy do not return with any substances that are illegal in the U.S.

Trekking in Peru

One of the most popular tourist activities in Peru is trekking. There are many routes for visitors to hike, with the most famous being the Inca Trail that leads to Machu Picchu. These trips are a great way to soak in natural beauty and experience historical sites.

There are many companies to choose from when planning a trek, and prices can vary. Make sure to research the group you are going with to assure safety and financial security.

There is also a range of extreme sports such as skydiving and rafting that are open to the public.

What Should I Take To Peru?

Here are some essential items to consider for your trip to Peru:

• Medical Supplies – These can be expensive in Peru, so it is important to bring one’s own. Make sure to include anti-diarrheal, antimalarials and basic over-the-counter aides.
• Breathable Clothing – The climate of Peru in the central lowlands and the coast can be quite hot. Wear clothing that is not too thick, and that you wouldn’t mind sweating in.
• Warm Clothing – Take these with you if travelling to an area near or within the Andes mountain range.
• Documents – Be sure to bring a passport and another form of identification.
• Cash – It is safest to operate on a cash-only basis.

Canadian Embassy in Peru

Canadian consular services can help travellers with many issues they may face including passport services. Once in Peru, the information for the Canadian Embassy is:

Embassy of Canada to Peru Bolognesi 228, Miraflores 15074, Lima – Peru Telephone: 51-1-319-3200

If you have any questions about travelling to Peru or are wondering what shots you may need for your trip, schedule an appointment with your local Passport Health travel medicine clinic. Call us at or book online today .

On This Page: Do I Need Vaccines for Peru? Do I Need a Visa or Passport for Peru? What is the Climate Like in Peru? How Safe is Peru? Trekking in Peru What Should I Take To Peru? Canadian Embassy in Peru

• PIPEDA Policy and Consent Form
• Privacy Policy
• Automatic Data Collection Statement

• Skip to main content
• Skip to "About this site"

Language selection

Search travel.gc.ca.

Help us to improve our website. Take our survey !

COVID-19: travel health notice for all travellers

Peru travel advice

Latest updates: Health - editorial update

Last updated: May 6, 2024 10:37 ET

On this page

Safety and security, entry and exit requirements, laws and culture, natural disasters and climate, peru - exercise a high degree of caution.

Exercise a high degree of caution in Peru due to high levels of crime, as well as social conflicts and strikes that may occur across the country.

Regional advisory - Avoid non-essential travel

• Huallaga and Tocache provinces in the department of San Martín
• the Upper Huallaga and Ene river valleys in the departments of Huánuco and San Martín
• Padre Abad province in the department of Ucayali
• Huacaybamba, Humalíes, Leoncio Prado and Marañón provinces in the department of Huánuco
• Concepción and Satipo provinces in the department of Junín
• Tayacaja province in the department of Huancavelica
• the districts of Abancay, Andahuaylas and Chincheros in the department of Apurímac
• Huanta and La Mar provinces, in the department of Ayacucho
• Valley of Apurimac, Ene and Mantaro rivers (VRAEM)

Border area with Colombia - Avoid non-essential travel

Avoid non-essential travel to areas within 20 km of the border with Colombia due to drug trafficking and occasional incursions by armed guerrilla forces from Colombia into Peru.

Border area with Ecuador - Avoid non-essential travel

Avoid non-essential travel to areas within 20 km of the border with Ecuador, especially in the Cordillera del Cóndor region, due to the safety threat posed by landmines.

Back to top

State of emergency in regions bordering Ecuador

On January 10, 2024, the Peruvian government declared a state of emergency in the northern regions bordering Ecuador following the Government of Ecuador’s declaration of a nationwide state of “internal armed conflict” on January 9, 2024. The state of emergency is in effect in the following regions:

If you are in these regions, you should carry identification with you at all times.

Demonstrations and strikes

Demonstrations and strikes take place regularly throughout the country. Strikes can complicate travel and disrupt public transport and services, including your ability to travel to or leave isolated tourist destinations such as Machu Picchu. They could also lead to border closures with Bolivia. Protestors may also block rivers essential for transportation in some remote regions, including the Manu region of Madre de Dios and Iquitos region. This may result in the temporary detainment of tourists.

Even peaceful demonstrations can turn violent at any time. Police have used tear gas and other methods to disperse crowds in the past. Authorities often declare a state of emergency in response to demonstrations. 

Peruvian law prohibits political activities by foreigners. You may face detention or deportation if you take part in a demonstration.

• Avoid areas where demonstrations and large gatherings are taking place
• Follow the instructions of local authorities
• Consult local media to be aware of strikes and demonstrations that may affect your stay or travel plans

Mass gatherings (large-scale events)

State of Emergency 

The Peruvian government periodically declares a state of emergency in certain areas to allow the military to assist police forces to respond to security incidents and natural disasters. When a state of emergency is in effect, security forces have increased rights to:

• restrict freedom of movement
• monitor correspondence
• conduct search and seizures
• detain persons of interest

Border area with Colombia

Criminal activity related to narcotics trafficking and occasional incursions by armed guerrilla forces from Colombia at Cordillera del Cóndor, Peru, pose a threat to personal security.

Border area with Ecuador

Cross the Peru–Ecuador border at official crossing points only due to the presence of landmines along the border.

Basic services in the Tumbes district have become increasingly difficult to access due to an increased number of migrants entering Peru from the North land border with Ecuador. The increased population has limited the provision of these services.

Valle de los Ríos Apurímac, Ene y Mantaro (VRAEM)

Drug trafficking.

Cocaine production and trafficking occurs inVRAEM. Travel is particularly dangerous in areas where there is coca cultivation and processing.

Domestic terrorism

Incidents of domestic terrorism have occurred in VRAEM, particularly the region where the Apurímac, Ayacucho, Cuzco and Junín departments meet.

Crime rates are high throughout the country.

• Maintain a high level of vigilance and personal security awareness, especially at night
• Avoid walking in deserted or under-populated areas
• Travel in groups whenever possible

Petty crime

Petty crime, such as pickpocketing and purse snatching, occurs, particularly in Lima, in other cities and even in crowded, public areas. Theft occurs frequently in hotels, restaurants, bus stations and airports, on intercity buses and microbuses and while hailing taxis.

• Avoid wearing expensive watches and jewellery, or showing signs of affluence
• Ensure that your belongings, including your passport and other travel documents, are secure at all times
• Never leave bags unattended

Pickpockets and bag snatchers may work in pairs or groups and employ a variety of ruses to divert their victim’s attention. A common scam involves spraying a substance on victims and then robbing them while pretending to help clean the stain, or distracting the victim by asking questions while another person perpetrates the theft. In some cases, thieves on motorcycles will snatch purses, backpacks or cellular phones. 

Violent crime

Violent crime occurs. Incidents have included:

• kidnappings

Armed robbery

Armed robberies are on the rise. While most victims are not physically injured, criminals will not hesitate to use force when opposed.

• If you are robbed, hand over your cash, electronic devices and valuables without resistance
• Be particularly vigilant after visiting a bank, an ATM or a change bureau, as thieves may follow and rob victims.
• Use ATMs inside banks and during regular hours of service, when guards are on duty

Assaults have occurred along the Inca Trail and in the Huaraz region of the Cordillera Blanca mountains. Hiking in these regions should be done in groups.

Express kidnappings involving tourists have occurred. Victims are usually abducted for a few hours and forced to withdraw money from ATMs for their release. Most express kidnappings take place at night, but incidents also occur during daylight hours. Incidents often involve criminals posing as taxi drivers, or taxi drivers working for organized gangs. Virtual kidnappings occur throughout the country. Criminals use stolen cellphones to contact family members claiming to have kidnapped the owner of the phone and then ask for ransom money.

• Be suspicious of strangers approaching you on the street
• Never leave your cellphone unattended
• Be cautious when using cellphones and smart devices in public as they are often targeted by thieves, especially while people are using them
• Ensure your phone is password protected

Organized crime

Organized crime is reportedly increasing in parts of Lima Province and in some districts of the Department of Piura. In some parts of the country, military and security forces have been deployed to assist police in combatting organized crime.

Incidents of domestic terrorism occur, particularly in remote jungle areas such as:

• parts of the Huancavelica and Ucayali departments
•  the Upper Huallaga river valley in the Huánuco and San Martín departments.

Incidents have included:

• temporary ambushes of small villages
• bombings or threats of violence against local security forces or community figures

Overland travel in these regions is unsafe.

Counterfeit currency

Counterfeit currency in both sol and U.S. dollars is a growing and serious problem. Counterfeit bills are widely distributed, including by banks, casinos and local stores.

Avoid moneychangers on the street, as they may carry counterfeit currency or work with pickpockets.

Credit card fraud

Credit card and ATM fraud occurs. Be cautious when using debit or credit cards:

• pay careful attention when your cards are being handled by others
• use ATMs located in well-lit public areas or inside a bank or business
• avoid using card readers with an irregular or unusual feature
• cover the keypad with one hand when entering your PIN
• check for any unauthorized transactions on your account statements

Criminals posing as taxi drivers often rob tourists along the route to and from Lima’s Jorge Chávez International Airport.

• Use a secure taxi service when arriving at and leaving the airport
• Exercise caution en route to and from your hotel

Thieves also pose as police officers to gain the confidence and cooperation of their potential victims.

• If you are stopped by local authorities, ask to see official identification and record the officer’s name, badge number and district.
• For traffic violations, request that the officer issue you a fine in writing, which is payable at a later date.
• You should also note the location of the arrest.

Legitimate police officers have also extorted money in exchange for dismissing minor offences or traffic violations. They have also stolen money and valuables during searches.

• If you are searched, even at the airport, ensure you have all your belongings before leaving
• If you are planning to participate in volunteer activities in Peru, ensure that the company organizing your trip is legitimate
• Make sure your accommodations and return arrangements are secure before travelling

Useful links

• Lima Airport Partners
• Overseas fraud
• Volunteering abroad

Spiked food and drinks

Snacks, beverages, gum and cigarettes may contain drugs that could put you at risk of sexual assault and robbery.

• Be wary of accepting these items from new acquaintances
• Never leave food or drinks unattended or in the care of strangers

Women’s safety

Women travelling alone may be subject to some forms of harassment and verbal abuse. Incidents of sexual assault, including rape, occur throughout the country, particularly in tourist destinations. In some cases, tour guides have been implicated.

• Do not travel alone, especially after dark.
• Remain particularly vigilant at bus terminals and in taxis.
• Be careful when dealing with strangers or recent acquaintances, especially regarding the acceptance of rides or other invitations.

Women reporting sexual assault should contact police immediately. Medical examinations at identified clinics are part of the investigation process. Women who have delayed reporting may experience more scrutiny by local authorities.

Advice for women travellers

Adventure tourism

Each year, several hikers and climbers are victims of serious, sometimes fatal, accidents in the Andes, including at the Huayna Picchu peak near Machu Picchu and the Cordillera Blanca region in Huaraz, where Peru’s highest peaks are located.

The Inca Trail is usually closed each year in February for maintenance. Other trails, such as those found in Ollantaytambo, may be poorly marked. Hikers have become lost. Be aware that steep or slippery areas are neither fenced nor marked.

In November 2023, the Cusipata District in Quispicanchi Province closed two access routes to Vinicunca, the “Rainbow Mountain.” The closure follows violent disputes between the municipalities surrounding the access routes. Access to Vinicunca from Quispicanchi Province will be closed indefinitely, but access remains open via the Pitumarca District in Canchis Province.

Remote areas of Peru, where popular jungle excursions operate, may not have cellphone coverage or internet access.

If you intend to hike, trek or climb:

• never do so alone, and always hire an experienced guide from a reputable company
• only use licensed companies recommended by the Ministry of Tourism for adventure tours and sports
• exercise extreme caution while climbing, as local authorities have limited rescue capabilities
• buy travel insurance that includes helicopter rescue and medical evacuation
• ensure that your physical condition is good enough to meet the challenges of your activity
• make sure that you’re properly equipped and well-informed about weather and other conditions that may pose a hazard
• inform a family member or friend of your itinerary, including when you expect to be back to camp
• know the symptoms of acute altitude sickness, which can be fatal
• obtain detailed information on trekking routes or ski slopes before setting out and do not venture off marked trails or slopes
• always leave the contact information of the tour operator with your family and friends
• always hire an experienced guide from a reputable company if you travel in remote areas
• iPerú ‎ - Peruvian government’s Tourist Information and Assistance‎
• APOTUR  - The Peruvian Association of Incoming and Domestic Tour Operators (in Spanish)
• APAVIT   - Peruvian Association of Travel and Tourist Agencies (in Spanish)
• APTAE - Peruvian association of adventure, eco, and specialized tourism (in Spanish)
• Qualified Tourism Service Companies  - Ministry of foreign trade and tourism (in Spanish)

Water activities

There have been several recent white-water rafting accidents and drownings involving tourists, particularly on the Urubamba River near Cuzco. Companies offering white-water rafting, their guides and their equipment may not be held to the same standards as similar companies in Canada. Rescue services may not be consistent with international standards.

Coastal waters can be dangerous. Strong currents exist in the Pacific Ocean and in rivers. Life guards are not always present or properly trained at beaches.

Swimming in jungle lakes and rivers can be dangerous due to the presence of parasites and wildlife.

Seek advice and consult residents and local authorities about conditions before swimming, surfing or participating in other aquatic activities.

Water safety abroad

Ayahuasca ceremonies

Spiritual cleansing and ayahuasca ceremonies, offered by shamans and other individuals, involve consuming substances that can cause medical complications and severely impair cognitive and physical abilities. Exposure to these substances has led to serious illness, injury, assault and even the death of several tourists.

Ceremonies often take place in remote areas with no access to medical or mental health facilities or resources and limited communication with local authorities. Most of the time, the facilities lack basic first aid or emergency plans for those suffering from physical or psychological illness from these ceremonies. Ayahuasca ceremonies are not regulated and there is no way to assess the safety of any of the services, the operators or the shamans.

Road safety

Road conditions and road safety are poor throughout the country. Drivers are extremely aggressive, and they do not respect traffic laws. Mountainous roads can be particularly dangerous, especially at night. Poor signage also poses a hazard. Accidents causing fatalities are common.

Regular police spot checks can cause traffic delays.

When renting a vehicle, always purchase insurance. Most drivers in Peru have only the minimum required car insurance, which may not adequately cover accidents.

Vehicles are a target for robbery. Criminals have thrown objects in front of oncoming traffic in the hope that cars will stop. If this occurs and you need to stop, do so only in a safe location, such as a gas station.

• While travelling by car, keep your doors locked and windows shut at all times
• Keep your personal belongings in the trunk of the vehicle, as criminals have been known to shatter windows to “smash and grab” and to attempt entry when they see travel bags or merchandise
• Avoid travelling by road outside of major cities after dark, when there is a higher risk of robbery

State of the roads in Peru in real time  – Government of Peru (in Spanish)

Thefts on boats by river pirates occur along rivers in the Amazon jungle.

Mariners should take appropriate precautions.

Live piracy report  - International Maritime Bureau

Public transportation

Buses and minibuses operate between most major cities. Demonstrations and strikes can lead to disruptions to traffic and public transportation.

Many of the buses and combis in Lima are old, poorly maintained and overcrowded. Drivers of these vehicles tend to dominate the roads and disregard other drivers or pedestrians.

Intercity bus travel can be dangerous due to the risk of bus accidents, which are usually caused by excessive speed, poor vehicle maintenance and driver fatigue. Armed gangs have been known to stop buses to rob travellers, especially at night. Incidents of assaults on buses have also been reported.

The Government of Peru publishes a list of the bus companies with the highest rates of involvement in fatal or serious injury traffic accidents.

• Only use reputable transportation companies
• Contact your travel agency for a list of recommended intercity bus companies

Ministry of Transportation  - Government of Peru (in Spanish)

Trains operate between Arequipa-Cusco-Puno and between Cusco-Ollantaytambo-Machu Picchu . Demonstrations, strikes and derailments can disrupt travel by train, including trains to or from Machu Picchu.

• Train services – Peru rail
• Train to Machu Picchu - Inca rail

Licensed taxis are not metered. Taxi drivers sometimes do not provide change or will continue to drive until they can obtain change.

• Do not hail taxis on the street
• Reserve a taxi by calling a reputable taxi company or use taxi services associated with major hotels
• Agree to a fare prior to departure and do not pay until you have reached your destination
• Try to carry the exact fare

We do not make assessments on the compliance of foreign domestic airlines with international safety standards.

Information about foreign domestic airlines

entry_restrictions_at_land_and_river_borders_with_ecuador

Entry restrictions at land and river borders with Ecuador

On January 11, 2024, the Government of Ecuador announced new entry restrictions in response to the ongoing state of internal armed conflict.

All foreigners entering Ecuador at crossing points with the land or river borders will need to present a criminal records check from their country of origin or residence. Both the original criminal record check and the Spanish translation must be apostilled, and cover the past five years. Minors travelling with their family members will generally be exempt.

The Apostille Convention took effect in Canada on January 11, 2024. An apostille is a standard certificate allowing documents to be accepted in all countries where the convention is in effect.

• Migration information – Ecuador Immigration Agency (in Spanish)
• Changes to authentication services in Canada
• Apostilles for documents

Every country or territory decides who can enter or exit through its borders. The Government of Canada cannot intervene on your behalf if you do not meet your destination’s entry or exit requirements.

We have obtained the information on this page from the Peruvian authorities. It can, however, change at any time.

Verify this information with the  Foreign Representatives in Canada .

Entry requirements vary depending on the type of passport you use for travel.

Before you travel, check with your transportation company about passport requirements. Its rules on passport validity may be more stringent than the country’s entry rules.

Regular Canadian passport

Your passport must be valid for at least 6 months beyond the date you expect to leave Peru.

Passport for official travel

Different entry rules may apply.

Official travel

Passport with “X” gender identifier

While the Government of Canada issues passports with an “X” gender identifier, it cannot guarantee your entry or transit through other countries. You might face entry restrictions in countries that do not recognize the “X” gender identifier. Before you leave, check with the closest foreign representative for your destination.

Other travel documents

Different entry rules may apply when travelling with a temporary passport or an emergency travel document. Before you leave, check with the closest foreign representative for your destination.

• Foreign Representatives in Canada
• Canadian passports

Tourist visa: not required for a stay of less than 90 days per 365 day period Business visa: required  Student visa: required

If you entered Peru with a business visa, you must obtain a certificate from the Peruvian Ministry of the Economy to prove that all Peruvian taxes on income earned during the trip have been paid prior to leaving the country. The certification is required even if no money was paid or earned and must be presented to the central Peruvian immigration office in Lima before departure.

Entering the country

You must register your entry into Peru at the port of entry or checkpoint.

• Only cross the border at official checkpoints
• Ensure the immigration office at your port of entry is open at the time you intend to cross the border

Other entry requirements

Customs officials may ask you to show them:

• a return or onward ticket
• proof that you have a place to stay
• proof that you have sufficient funds for the duration of your stay

Length of stay

As a Canadian tourist, you may stay in Peru for up to 90 days in a 365-day period.

Overstaying is a criminal offence. There is a fine for each day of overstay. This fee must be paid upon exiting the country.

Dual citizenship

Peruvian–Canadians entering Peru using their Canadian passport are subject to visit restrictions, including length of stay and associated fines. Dual nationals must use the same nationality to enter and exit the country.

Children and travel

Travellers under 18 exiting Peru after a stay of 183 days are automatically protected by Peru’s law on minors and will require the authorization of both parents/guardians to exit the country.

Children who have resident status in Peru must have written permission from the non-accompanying parents to leave the country.

Children born of Canadian parents in Peru require a Peruvian passport to leave the country for the first time. Contact Peruvian immigration officials for more information.

• Travelling with children

Yellow fever

Learn about potential entry requirements related to yellow fever (vaccines section).

Relevant Travel Health Notices

• Global Measles Notice - 13 March, 2024
• Zika virus: Advice for travellers - 31 August, 2023
• COVID-19 and International Travel - 13 March, 2024
• Dengue: Advice for travellers - 6 May, 2024

This section contains information on possible health risks and restrictions regularly found or ongoing in the destination. Follow this advice to lower your risk of becoming ill while travelling. Not all risks are listed below.

Consult a health care professional or visit a travel health clinic preferably 6 weeks before you travel to get personalized health advice and recommendations.

Routine vaccines

Be sure that your  routine vaccinations , as per your province or territory , are up-to-date before travelling, regardless of your destination.

Some of these vaccinations include measles-mumps-rubella (MMR), diphtheria, tetanus, pertussis, polio, varicella (chickenpox), influenza and others.

Pre-travel vaccines and medications

You may be at risk for preventable diseases while travelling in this destination. Talk to a travel health professional about which medications or vaccines may be right for you, based on your destination and itinerary. 

Yellow fever   is a disease caused by a flavivirus from the bite of an infected mosquito.

Travellers get vaccinated either because it is required to enter a country or because it is recommended for their protection.

• There is a risk of yellow fever in this country.

Country Entry Requirement*

• Proof of vaccination is not required to enter this country.

Recommendation

• Vaccination is recommended depending on your itinerary.
• Contact a designated Yellow Fever Vaccination Centre well in advance of your trip to arrange for vaccination.
• Discuss travel plans, activities, and destinations with a health care professional.
• Protect yourself from mosquito bites.

About Yellow Fever Yellow Fever Vaccination Centres in Canada * It is important to note that   country entry requirements   may not reflect your risk of yellow fever at your destination. It is recommended that you contact the nearest   diplomatic or consular office   of the destination(s) you will be visiting to verify any additional entry requirements.

There is a risk of hepatitis A in this destination. It is a disease of the liver. People can get hepatitis A if they ingest contaminated food or water, eat foods prepared by an infectious person, or if they have close physical contact (such as oral-anal sex) with an infectious person, although casual contact among people does not spread the virus.

Practise  safe food and water precautions and wash your hands often. Vaccination is recommended for all travellers to areas where hepatitis A is present.

Measles is a highly contagious viral disease. It can spread quickly from person to person by direct contact and through droplets in the air.

Anyone who is not protected against measles is at risk of being infected with it when travelling internationally.

Regardless of where you are going, talk to a health care professional before travelling to make sure you are fully protected against measles.

  Hepatitis B is a risk in every destination. It is a viral liver disease that is easily transmitted from one person to another through exposure to blood and body fluids containing the hepatitis B virus.  Travellers who may be exposed to blood or other bodily fluids (e.g., through sexual contact, medical treatment, sharing needles, tattooing, acupuncture or occupational exposure) are at higher risk of getting hepatitis B.

Hepatitis B vaccination is recommended for all travellers. Prevent hepatitis B infection by practicing safe sex, only using new and sterile drug equipment, and only getting tattoos and piercings in settings that follow public health regulations and standards.

Coronavirus disease (COVID-19) is an infectious viral disease. It can spread from person to person by direct contact and through droplets in the air.

It is recommended that all eligible travellers complete a COVID-19 vaccine series along with any additional recommended doses in Canada before travelling. Evidence shows that vaccines are very effective at preventing severe illness, hospitalization and death from COVID-19. While vaccination provides better protection against serious illness, you may still be at risk of infection from the virus that causes COVID-19. Anyone who has not completed a vaccine series is at increased risk of being infected with the virus that causes COVID-19 and is at greater risk for severe disease when travelling internationally.

Before travelling, verify your destination’s COVID-19 vaccination entry/exit requirements. Regardless of where you are going, talk to a health care professional before travelling to make sure you are adequately protected against COVID-19.

 The best way to protect yourself from seasonal influenza (flu) is to get vaccinated every year. Get the flu shot at least 2 weeks before travelling.  

 The flu occurs worldwide. 

•  In the Northern Hemisphere, the flu season usually runs from November to   April.
•  In the Southern Hemisphere, the flu season usually runs between April and   October.
•  In the tropics, there is flu activity year round. 

The flu vaccine available in one hemisphere may only offer partial protection against the flu in the other hemisphere.

The flu virus spreads from person to person when they cough or sneeze or by touching objects and surfaces that have been contaminated with the virus. Clean your hands often and wear a mask if you have a fever or respiratory symptoms.

Malaria  is a serious and sometimes fatal disease that is caused by parasites spread through the bites of mosquitoes.   There is a risk of malaria in certain areas and/or during a certain time of year in this destination. 

Antimalarial medication may be recommended depending on your itinerary and the time of year you are travelling. Consult a health care professional or visit a travel health clinic before travelling to discuss your options. It is recommended to do this 6 weeks before travel, however, it is still a good idea any time before leaving.    Protect yourself from mosquito bites at all times:  • Cover your skin and use an approved insect repellent on uncovered skin.  • Exclude mosquitoes from your living area with screening and/or closed, well-sealed doors and windows. • Use insecticide-treated bed nets if mosquitoes cannot be excluded from your living area.  • Wear permethrin-treated clothing.    If you develop symptoms similar to malaria when you are travelling or up to a year after you return home, see a health care professional immediately. Tell them where you have been travelling or living. 

In this destination, rabies is carried by dogs and some wildlife, including bats. Rabies is a deadly disease that spreads to humans primarily through bites or scratches from an infected animal. While travelling, take precautions , including keeping your distance from animals (including free-roaming dogs), and closely supervising children.

If you are bitten or scratched by an animal while travelling, immediately wash the wound with soap and clean water and see a health care professional. Rabies treatment is often available in this destination. 

Before travel, discuss rabies vaccination with a health care professional. It may be recommended for travellers who are at high risk of exposure (e.g., occupational risk such as veterinarians and wildlife workers, children, adventure travellers and spelunkers, and others in close contact with animals). 

Safe food and water precautions

Many illnesses can be caused by eating food or drinking beverages contaminated by bacteria, parasites, toxins, or viruses, or by swimming or bathing in contaminated water.

• Learn more about food and water precautions to take to avoid getting sick by visiting our eat and drink safely abroad page. Remember: Boil it, cook it, peel it, or leave it!
• Avoid getting water into your eyes, mouth or nose when swimming or participating in activities in freshwater (streams, canals, lakes), particularly after flooding or heavy rain. Water may look clean but could still be polluted or contaminated.
• Avoid inhaling or swallowing water while bathing, showering, or swimming in pools or hot tubs. 

Travellers' diarrhea is the most common illness affecting travellers. It is spread from eating or drinking contaminated food or water.

Risk of developing travellers' diarrhea increases when travelling in regions with poor standards of hygiene and sanitation. Practise safe food and water precautions.

The most important treatment for travellers' diarrhea is rehydration (drinking lots of fluids). Carry oral rehydration salts when travelling.

Typhoid   is a bacterial infection spread by contaminated food or water. Risk is higher among children, travellers going to rural areas, travellers visiting friends and relatives or those travelling for a long period of time.

Travellers visiting regions with a risk of typhoid, especially those exposed to places with poor sanitation, should speak to a health care professional about vaccination.  

Insect bite prevention

Many diseases are spread by the bites of infected insects such as mosquitoes, ticks, fleas or flies. When travelling to areas where infected insects may be present:

• Use insect repellent (bug spray) on exposed skin
• Cover up with light-coloured, loose clothes made of tightly woven materials such as nylon or polyester
• Minimize exposure to insects
• Use mosquito netting when sleeping outdoors or in buildings that are not fully enclosed

To learn more about how you can reduce your risk of infection and disease caused by bites, both at home and abroad, visit our insect bite prevention page.

Find out what types of insects are present where you’re travelling, when they’re most active, and the symptoms of the diseases they spread.

There is a risk of chikungunya in this country.  The risk may vary between regions of a country.  Chikungunya is a virus spread through the bite of an infected mosquito. Chikungunya can cause a viral disease that typically causes fever and pain in the joints. In some cases, the joint pain can be severe and last for months or years.

Protect yourself from mosquito bites at all times. There is no vaccine available for chikungunya.

Cutaneous and mucosal   leishmaniasis   causes skin sores and ulcers. It is caused by a parasite spread through the bite of a female sandfly.

Risk is generally low for most travellers. Protect yourself from sandfly bites, which typically occur after sunset in rural and forested areas and in some urban centres. There is no vaccine or medication to protect against leishmaniasis.

• In this country,   dengue  is a risk to travellers. It is a viral disease spread to humans by mosquito bites.
• Dengue can cause flu-like symptoms. In some cases, it can lead to severe dengue, which can be fatal.
• The level of risk of dengue changes seasonally, and varies from year to year. The level of risk also varies between regions in a country and can depend on the elevation in the region.
• Mosquitoes carrying dengue typically bite during the daytime, particularly around sunrise and sunset.
• Protect yourself from mosquito bites . There is no vaccine or medication that protects against dengue.

Zika virus is a risk in this country. 

Zika virus is primarily spread through the bite of an infected mosquito. It can also be sexually transmitted. Zika virus can cause serious birth defects.

During your trip:

• Prevent mosquito bites at all times.
• Use condoms correctly or avoid sexual contact, particularly if you are pregnant.

If you are pregnant or planning a pregnancy, you should discuss the potential risks of travelling to this destination with your health care provider. You may choose to avoid or postpone travel. 

For more information, see Zika virus: Pregnant or planning a pregnancy.

American trypanosomiasis (Chagas disease)   is a risk in this country. It is caused by a parasite spread by infected triatomine bugs. The infection can be inactive for decades, but humans can eventually develop complications causing disability and even death.

Risk is generally low for most travellers. Protect yourself from triatomine bugs, which are active at night, by using mosquito nets if staying in poorly-constructed housing. There is no vaccine available for Chagas disease.

Animal precautions

Some infections, such as rabies and influenza, can be shared between humans and animals. Certain types of activities may increase your chance of contact with animals, such as travelling in rural or forested areas, camping, hiking, and visiting wet markets (places where live animals are slaughtered and sold) or caves.

Travellers are cautioned to avoid contact with animals, including dogs, livestock (pigs, cows), monkeys, snakes, rodents, birds, and bats, and to avoid eating undercooked wild game.

Closely supervise children, as they are more likely to come in contact with animals.

There is a risk of   plague   in this country. Plague is a bacterial disease that can cause serious illness, and if left untreated, death.

The occurrence of cases in areas where the plague bacteria are known to circulate can be influenced by weather and environmental conditions. In some countries, this results in seasonal outbreaks. Travellers to areas where plague routinely occurs may be at risk if they are camping, hunting, or in contact with rodents.

Plague is spread by:

• bites from fleas infected with the plague
• direct contact with body fluids or tissues from an animal or person who is sick with or has died from plague

Overall risk to travellers is low.   Protect yourself   by   reducing contact with fleas  and potentially infected rodents and other wildlife.

Person-to-person infections

Stay home if you’re sick and practise proper cough and sneeze etiquette , which includes coughing or sneezing into a tissue or the bend of your arm, not your hand. Reduce your risk of colds, the flu and other illnesses by:

•   washing your hands often
• avoiding or limiting the amount of time spent in closed spaces, crowded places, or at large-scale events (concerts, sporting events, rallies)
• avoiding close physical contact with people who may be showing symptoms of illness 

Sexually transmitted infections (STIs) , HIV , and mpox are spread through blood and bodily fluids; use condoms, practise safe sex, and limit your number of sexual partners. Check with your local public health authority pre-travel to determine your eligibility for mpox vaccine.  

Tuberculosis is an infection caused by bacteria and usually affects the lungs.

For most travellers the risk of tuberculosis is low.

Travellers who may be at high risk while travelling in regions with risk of tuberculosis should discuss pre- and post-travel options with a health care professional.

High-risk travellers include those visiting or working in prisons, refugee camps, homeless shelters, or hospitals, or travellers visiting friends and relatives.

Medical services and facilities

Quality of care varies throughout the country.

Private hospitals and clinics in urban centres are well-staffed and -equipped to handle any emergency or medical issue. Public hospitals and rural facilities, even in some tourist destinations and major cities, may not meet Canadian standards or may be inadequate to treat serious conditions.

Cases of serious injury or illness in remote areas may require evacuation to the nearest adequate medical facility in the country. Clinic, hospital and evacuation expenses can be costly and the service provider often expects immediate cash payment or confirmation of payment from an insurance company.

Make sure you get travel insurance that includes coverage for medical evacuation and hospital stays.

Travel health and safety

Keep in Mind...

The decision to travel is the sole responsibility of the traveller. The traveller is also responsible for his or her own personal safety.

Be prepared. Do not expect medical services to be the same as in Canada. Pack a   travel health kit , especially if you will be travelling away from major city centres.

You must abide by local laws.

Learn about what you should do and how we can help if you are arrested or detained abroad .

Penalties for possession, use or trafficking of illegal drugs are severe. Convicted offenders can expect lengthy jail sentences, regardless of the amount of narcotics seized at arrest.

If you are arrested in Peru, you should expect lengthy delays to resolve your case, pre-trial detention in harsh conditions and significant related expenses.

• Pack your own luggage and monitor it closely at all times
• Never transport other people’s packages, bags or suitcases

Drugs, alcohol and travel

Identification

You must carry photo identification at all times. Keep a photocopy of your passport in a safe place, in case it's lost or confiscated. Failure to show identification could result in detention.

Peruvian authorities may impose fines and other penalties for any action considered to be disrespectful at historical and archaeological sites such as Machu Picchu, Ollantaytambo and Saqsayhuaman. Visitors to Machu Picchu must adhere to strict regulations regarding entry restrictions and behaviour within the site. Check with your travel guide or agent for the latest information.

Peruvian law strictly prohibits the export of antiques and artefacts (huacos) from pre-colonial civilizations. Purchase reproductions of colonial or pre-colonial art from reputable dealers only and insist on obtaining documentation from Peru's National Institute of Culture to prove that the object is a reproduction and may be exported.

The export of coca tea bags and products is prohibited.

It is illegal to remove certain fauna and flora items from Peru. Items made from or displaying animals, insects or plants may be seized. If you are convicted of possession of such items, you could face heavy fines or jail sentences.

National Forest and Wildlife Service (SERFOR) - Ministry of Agriculture and Irrigation of Peru (in Spanish)

Photography

It is forbidden to photograph military installations.

2SLGBTQI+ travellers

Peruvian law does not prohibit sexual acts between individuals of the same sex. However, homosexuality is not widely accepted in Peruvian society.

Travel and your sexual orientation, gender identity, gender expression and sex characteristics

Dual citizenship is legally recognized in Peru.

If you are a Canadian citizen, but also a citizen of Peru, our ability to offer you consular services may be limited while you're there. You may also be subject to different entry/exit requirements .

Travellers with dual citizenship

International Child Abduction

The Hague Convention on the Civil Aspects of International Child Abduction is an international treaty. It can help parents with the return of children who have been removed to or retained in certain countries in violation of custody rights. The convention applies between Canada and Peru.

If your child was wrongfully taken to, or is being held in Peru, and if the applicable conditions are met, you may apply for the return of your child to the Peruvian court.

If you are in this situation:

• act as quickly as you can
• contact the Central Authority for your province or territory of residence for information on starting an application under The Hague Convention
• consult a lawyer in Canada and in Peru to explore all the legal options for the return of your child
• report the situation to the nearest Canadian government office abroad or to the Vulnerable Children’s Consular Unit at Global Affairs Canada by calling the Emergency Watch and Response Centre

If your child was removed from a country other than Canada, consult a lawyer to determine if The Hague Convention applies.

Be aware that Canadian consular officials cannot interfere in private legal matters or in another country’s judicial affairs.

• List of Canadian Central Authorities for the Hague Convention
• International Child Abduction: A Guidebook for Left-Behind Parents
• The Hague Convention - Hague Conference on Private International Law
• Canadian embassies and consulates by destination
• Emergency Watch and Response Centre

You must carry an international driving permit. A foreign driver's licence can be used only in Lima and only for 30 days after arrival.

Carry identification and vehicle registration at all times.

International Driving Permit

The currency is the Peruvian sol (PEN). The U.S. dollar is widely accepted.

Credit cards are not commonly accepted outside major cities. Many establishments will request to see a passport to confirm the identity of the person using the credit card. 

ATMs are not easily accessible in small towns. They often have limits to the amount and number of daily withdrawals.

El Niño

The complex weather phenomenon called El Niño happens at irregular intervals of 2 to 7 years. El Niño generally generates heavy rainfalls, occurring at the same time as the rainy season, from November to May.

• Keep informed of regional weather forecasts before and during your travels, and plan accordingly.
• Ensure you have adequate insurance to cover the consequences of such events, including the disruption of travel plans. 

Seismic activity

Earthquakes.

Peru is in an active seismic zone and is prone to earthquakes.

Dangerous landslides can also occur, even after minor earthquakes.

Latest earthquakes  - Government of Peru (in Spanish)

Tsunamis can occur following seismic activity. Tsunami evacuation routes are posted along the Costa Verde in Lima and several locations on the coast.

Directorate of Hydrography and Navigation  (in Spanish)

There are active and potentially active volcanoes in southern Peru. Debris from erupting volcanoes may clog rivers and cause them to overflow, resulting in potential flash floods and mudslides. Transportation and services may be affected. Ash clouds may cause disruptions to domestic and international flights. If you live or are travelling near active volcanoes:

• monitor levels of volcanic activity through the local media
• pay careful attention to all warnings issued and follow the advice of local authorities
• Be prepared to modify your travel arrangements or even evacuate the area on short notice

Geophysical Institute of Peru  (in Spanish)

Higher tides are experienced several times throughout the year and may cause flooding and damage along the coast.

Rainy season

The rainy season extends from November to May in the Peruvian Andes.

Seasonal flooding, mudslides and landslides can hamper overland travel and reduce the provision of essential services such as utilities, emergency and medical care, food, fuel and water supplies. Roads may become impassable and bridges damaged.

Keep informed of regional weather forecasts and plan accordingly.

• Emergency monitoring  – National Institute of Civil Defence (in Spanish)
• Nationwide weather warnings  – National Meteorology and Hydrology Service of Peru (in Spanish)
• Tornadoes, cyclones, hurricanes, typhoons and monsoons

Local services

• Police: 105
• Tourist police: +51 980 122 335 (Whatsapp number)
• Medical assistance: 116
• Firefighters: 116

Consular assistance

For emergency consular assistance, call the embassy of Canada to Peru, in Lima, and follow the instructions. At any time, you may also contact the Emergency Watch and Response Centre in Ottawa.

The decision to travel is your choice and you are responsible for your personal safety abroad. We take the safety and security of Canadians abroad very seriously and provide credible and timely information in our Travel Advice to enable you to make well-informed decisions regarding your travel abroad.

The content on this page is provided for information only. While we make every effort to give you correct information, it is provided on an "as is" basis without warranty of any kind, expressed or implied. The Government of Canada does not assume responsibility and will not be liable for any damages in connection to the information provided.

If you need consular assistance while abroad, we will make every effort to help you. However, there may be constraints that will limit the ability of the Government of Canada to provide services.

Learn more about consular services .

Risk Levels

  take normal security precautions.

Take similar precautions to those you would take in Canada.

  Exercise a high degree of caution

There are certain safety and security concerns or the situation could change quickly. Be very cautious at all times, monitor local media and follow the instructions of local authorities.

IMPORTANT: The two levels below are official Government of Canada Travel Advisories and are issued when the safety and security of Canadians travelling or living in the country or region may be at risk.

  Avoid non-essential travel

Your safety and security could be at risk. You should think about your need to travel to this country, territory or region based on family or business requirements, knowledge of or familiarity with the region, and other factors. If you are already there, think about whether you really need to be there. If you do not need to be there, you should think about leaving.

  Avoid all travel

You should not travel to this country, territory or region. Your personal safety and security are at great risk. If you are already there, you should think about leaving if it is safe to do so.

National Typhoid and Paratyphoid Fever Surveillance Annual Summary, 2016

• Surveillance

Jurisdictions 1 reporting at least one typhoid or paratyphoid fever 2  case to the NTPFS during 2016 are shown in Figures 1 and 2.

• 349 typhoid fever cases were reported by 40 jurisdictions Figure 1
• 80 paratyphoid fever cases were reported by 21 jurisdictions; all were caused by Salmonella serotype Paratyphi A Figure 2 .

1 Includes all 50 states and District of Columbia 2 Paratyphoid fever is caused by Salmonella serotypes Paratyphi A, Paratyphi B, and Paratyphi C. Two distinct pathotypes of Paratyphi B are recognized; one is associated with paratyphoid fever and the other is associated with uncomplicated gastroenteritis. The two pathotypes have distinct virulence characteristics and are differentiated based on the ability to ferment tartrate. The paratyphoidal pathotype is unable to ferment tartrate and is designated serotype Paratyphi B; the nonparatyphoidal pathotype ferments tartrate and is designated serotype Paratyphi B var. L(+) tartrate+. Only those isolates laboratory-confirmed as not able to ferment tartrate are included in the annual report. Many Paratyphi B reports do not include this information; these reports are presumed to be of the non-paratyphoidal pathotype and are therefore excluded in this report.

Demographic and Clinical Characteristics of Patients

International travel, typhoid fever vaccine, national notifiable diseases surveillance system, antimicrobial resistance.

Read an overview of the National Typhoid and Paratyphoid Fever Surveillance (NTPFS) system [PDF – 2 pages]

Typhoid fever cases reported to NTPFS, by jurisdiction, 2016 (n = 349)

NTPFS Typhoid Fever Cases Reported in 2016_figure1.csv

Cases reported in Washington, D.C.: 0 (not shown on figure)

Paratyphoid fever cases reported to NTPFS, by jurisdiction, 2016 (n=80)

Demographic and clinical characteristics of patients with typhoid fever and paratyphoid fever are shown in Tables 1 and 2.

• The median age of patients with typhoid fever was 23 years (range 0 – 80 years)
• The median age of patients with paratyphoid fever was 26 years (range 1 – 74 years)
• There was one death among patients with typhoid fever. There were no deaths among patients with paratyphoid fever.

1 Travel destinations are shown in Table 3a 2 Received typhoid fever vaccination within five years before illness began; of the 13 cases in vaccinated persons, six received only the Vi capsular polysaccharide vaccine (ViCPS). Vaccine type was not reported for the other seven. 3 Median length of hospitalization was five days.

1 Travel destinations are shown in Table 3b 2 Median length of hospitalization was five days.

• Among the 342 typhoid fever patients whose travel histories were reported, 299 (87%) reported traveling or living outside the United States in the 30 days before illness began.
• Among the 76 paratyphoid fever patients whose travel histories were reported, 72 (95%) reported traveling or living outside the United States in the 30 days before illness began.
• Among patients reporting international travel, 264 (88%) patients with typhoid fever and 66 (92%) patients with paratyphoid fever reported travel to a single destination (Tables 3a and 3b).
• Visiting friends or relatives was the most common reason for international travel among patients with typhoid fever (55%) and paratyphoid fever (50%) .

1 Guatemala (7 patients), El Salvador (5), Nigeria (5), Nepal (3), Dominican Republic (2), Kenya (2), Philippines (2), Tanzania (2), Burma (1), Chad (1), Democratic Republic Of The Congo (1), Ethiopia (1), Ghana (1), Indonesia (1), Jamaica (1), Lebanon (1), Peru (1), Samoa (1), Sri Lanka (1), Sudan (1), United Arab Emirates (1), and Zimbabwe (1)

1 Nepal (1), Philippines (1)

1 Figure excludes patients whose typhoid vaccination status was unknown or not reported (n=118).

The National Notifiable Diseases Surveillance System (NNDSS) collects and compiles reports of nationally notifiable infectious diseases, including typhoid fever. NNDSS reports can be found at www.cdc.gov/nndss/data-statistics .

The figure below presents a comparison of typhoid fever reports submitted to NTPFS and NNDSS in the past five years. Reports submitted to NNDSS can include clinically compatible cases that are epidemiologically linked to a confirmed case but are not laboratory-confirmed.

Comparisons for paratyphoid fever are not provided because, although it was nationally notifiable, it was reported under the case definition for salmonellosis during these years.

The National Antimicrobial Resistance Monitoring System (NARMS) monitors antimicrobial resistance among enteric bacteria, including Salmonella serotypes Typhi and Paratyphi A, Paratyphi B (tartrate negative), and Paratyphi C. Among Typhi, decreased susceptibility to ciprofloxacin (DSC, defined as minimum inhibitory concentration ≥0.12 µg/mL) has been associated with fluoroquinolone treatment failure. Multidrug-resistant (MDR) is defined as resistance to ampicillin, chloramphenicol, and trimethoprim-sulfamethoxazole.

Among Salmonella serotype Typhi isolated during 2016:

• 73.3% had DSC
• 9.6% were MDR
• 12.4% were resistant to three or more classes of antibiotics
• No isolates were resistant to ceftriaxone

Among Salmonella serotype Paratyphi A isolated during 2016:

• 94.6% had DSC
• No isolates were MDR
• No isolates were resistant to three or more classes of antibiotics

Data are available in NARMS Now , an interactive tool containing antibiotic resistance data from bacteria isolated from humans.

The Foodborne Disease Outbreak Surveillance System (FDOSS) collects reports of foodborne disease outbreaks from local, state, tribal, and territorial public health agencies. The most recently published annual reports are available at www.cdc.gov/fdoss/annual-reports .

The Waterborne Disease and Outbreak Surveillance System (WBDOSS) collects reports of waterborne disease outbreaks associated with drinking water and recreational water from local, state, tribal, and territorial public health agencies. Reports are available at www.cdc.gov/healthywater/surveillance/surveillance-reports.html .

One outbreak of typhoid fever (none of paratyphoid fever) was reported in 2016. The outbreak occurred in Arizona and resulted in two illnesses .

• CDC. National Antimicrobial Resistance Monitoring System (NARMS) Now: Human Data. Atlanta, Georgia: U.S. Department of Health and Human Services, CDC. 03/30/2021. https://www.cdc.gov/narmsnow . Accessed 3/30/2021.

Centers for Disease Control and Prevention (CDC). National Typhoid and Paratyphoid Fever Surveillance Annual Report, 2016. Atlanta, Georgia: US Department of Health and Human Services, CDC, 2021

You are using an outdated browser. Upgrade your browser today or install Google Chrome Frame to better experience this site.

Ecuador, including the Galápagos Islands Traveler View

Travel health notices, vaccines and medicines, non-vaccine-preventable diseases, stay healthy and safe.

• Packing List

After Your Trip

Be aware of current health issues in Ecuador. Learn how to protect yourself.

Level 1 Practice Usual Precautions

• Dengue in the Americas April 18, 2024 Dengue is a risk in many parts of Central and South America, Mexico, and the Caribbean. Some countries are reporting increased numbers of cases of the disease. Travelers to the Americas can protect themselves by preventing mosquito bites. Destination List: Argentina, Brazil, Colombia, Costa Rica, Ecuador, including the Galápagos Islands, French Guiana (France), Guadeloupe, Guatemala, Martinique (France), Mexico, Nicaragua, Panama, Paraguay, Peru, Turks and Caicos Islands (U.K.), Uruguay

⇧ Top

Check the vaccines and medicines list and visit your doctor at least a month before your trip to get vaccines or medicines you may need. If you or your doctor need help finding a location that provides certain vaccines or medicines, visit the Find a Clinic page.

Routine vaccines

Recommendations.

Make sure you are up-to-date on all routine vaccines before every trip. Some of these vaccines include

• Chickenpox (Varicella)
• Diphtheria-Tetanus-Pertussis
• Flu (influenza)
• Measles-Mumps-Rubella (MMR)

Immunization schedules

All eligible travelers should be up to date with their COVID-19 vaccines. Please see  Your COVID-19 Vaccination  for more information. 

COVID-19 vaccine

Hepatitis A

Recommended for unvaccinated travelers one year old or older going to Ecuador.

Infants 6 to 11 months old should also be vaccinated against Hepatitis A. The dose does not count toward the routine 2-dose series.

Travelers allergic to a vaccine component or who are younger than 6 months should receive a single dose of immune globulin, which provides effective protection for up to 2 months depending on dosage given.

Unvaccinated travelers who are over 40 years old, immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.

Hepatitis A - CDC Yellow Book

Dosing info - Hep A

Hepatitis B

Recommended for unvaccinated travelers younger than 60 years old traveling to Ecuador. Unvaccinated travelers 60 years and older may get vaccinated before traveling to Ecuador.

Hepatitis B - CDC Yellow Book

Dosing info - Hep B

CDC recommends that travelers going to certain areas of Ecuador take prescription medicine to prevent malaria. Depending on the medicine you take, you will need to start taking this medicine multiple days before your trip, as well as during and after your trip. Talk to your doctor about which malaria medication you should take.

Find  country-specific information  about malaria.

Malaria - CDC Yellow Book

Considerations when choosing a drug for malaria prophylaxis (CDC Yellow Book)

Malaria information for Ecuador.

Cases of measles are on the rise worldwide. Travelers are at risk of measles if they have not been fully vaccinated at least two weeks prior to departure, or have not had measles in the past, and travel internationally to areas where measles is spreading.

All international travelers should be fully vaccinated against measles with the measles-mumps-rubella (MMR) vaccine, including an early dose for infants 6–11 months, according to  CDC’s measles vaccination recommendations for international travel .

Measles (Rubeola) - CDC Yellow Book

Rabid dogs are commonly found in Ecuador. If you are bitten or scratched by a dog or other mammal while in Ecuador, there may be limited or no rabies treatment available. 

Consider rabies vaccination before your trip if your activities mean you will be around dogs or wildlife.

Travelers more likely to encounter rabid animals include

• Campers, adventure travelers, or cave explorers (spelunkers)
• Veterinarians, animal handlers, field biologists, or laboratory workers handling animal specimens
• Visitors to rural areas

Since children are more likely to be bitten or scratched by a dog or other animals, consider rabies vaccination for children traveling to Ecuador. 

Rabies - CDC Yellow Book

Recommended for most travelers, especially those staying with friends or relatives or visiting smaller cities or rural areas.

Typhoid - CDC Yellow Book

Dosing info - Typhoid

Yellow Fever

Required for travelers ≥1 year old arriving from Brazil, Democratic Republic of the Congo, or Uganda; this includes >12-hour airport transits or layovers in any of these countries .

Recommended for travelers ≥9 months old going to areas <2,300 m (≈7,550 ft) elevation, east of the Andes Mountains, in the provinces of Morona-Santiago, Napo, Orellana, Pastaza, Sucumbíos, Tungurahua,* and Zamora-Chinchipe. Generally not recommended for travel limited to areas <2,300 m (≈7,550 ft) elevation, west of the Andes Mountains, in the provinces of Esmeraldas,* Guayas, Los Ríos, Manabí, Santa Elena, Santo Domingo de los Tsáchilas, and designated areas in the provinces of Azuay, Bolívar, Cañar, Carchi, Chimborazo, Cotopaxi, El Oro, Imbabura, Loja, and Pichincha. Not recommended for travel limited to areas >2,300 m (≈7,550 ft) elevation, the cities of Guayaquil or Quito (the capital), or the Galápagos Islands *CDC recommendations differ from those published by WHO .

Yellow Fever - CDC Yellow Book

Avoid contaminated water

Leptospirosis

How most people get sick (most common modes of transmission)

• Touching urine or other body fluids from an animal infected with leptospirosis
• Swimming or wading in urine-contaminated fresh water, or contact with urine-contaminated mud
• Drinking water or eating food contaminated with animal urine
• Avoid contaminated water and soil

Clinical Guidance

Avoid bug bites, chagas disease (american trypanosomiasis).

• Accidentally rub feces (poop) of the triatomine bug into the bug bite, other breaks in the skin, your eyes, or mouth
• From pregnant woman to her baby, contaminated blood products (transfusions), or contaminated food or drink.
• Avoid Bug Bites

Chagas disease

• Mosquito bite

Leishmaniasis

• Sand fly bite
• An infected pregnant woman can spread it to her unborn baby

Airborne & droplet

• Breathing in air or accidentally eating food contaminated with the urine, droppings, or saliva of infected rodents
• Bite from an infected rodent
• Less commonly, being around someone sick with hantavirus (only occurs with Andes virus)
• Avoid rodents and areas where they live
• Avoid sick people

Tuberculosis (TB)

• Breathe in TB bacteria that is in the air from an infected and contagious person coughing, speaking, or singing.

Learn actions you can take to stay healthy and safe on your trip. Vaccines cannot protect you from many diseases in Ecuador, so your behaviors are important.

Eat and drink safely

Food and water standards around the world vary based on the destination. Standards may also differ within a country and risk may change depending on activity type (e.g., hiking versus business trip). You can learn more about safe food and drink choices when traveling by accessing the resources below.

• Choose Safe Food and Drinks When Traveling
• Water Treatment Options When Hiking, Camping or Traveling
• Global Water, Sanitation and Hygiene | Healthy Water
• Avoid Contaminated Water During Travel

You can also visit the Department of State Country Information Pages for additional information about food and water safety.

Prevent bug bites

Bugs (like mosquitoes, ticks, and fleas) can spread a number of diseases in Ecuador. Many of these diseases cannot be prevented with a vaccine or medicine. You can reduce your risk by taking steps to prevent bug bites.

What can I do to prevent bug bites?

• Cover exposed skin by wearing long-sleeved shirts, long pants, and hats.
• Use an appropriate insect repellent (see below).
• Use permethrin-treated clothing and gear (such as boots, pants, socks, and tents). Do not use permethrin directly on skin.
• Stay and sleep in air-conditioned or screened rooms.
• Use a bed net if the area where you are sleeping is exposed to the outdoors.

What type of insect repellent should I use?

• FOR PROTECTION AGAINST TICKS AND MOSQUITOES: Use a repellent that contains 20% or more DEET for protection that lasts up to several hours.
• Picaridin (also known as KBR 3023, Bayrepel, and icaridin)
• Oil of lemon eucalyptus (OLE) or para-menthane-diol (PMD)
• 2-undecanone
• Always use insect repellent as directed.

What should I do if I am bitten by bugs?

• Avoid scratching bug bites, and apply hydrocortisone cream or calamine lotion to reduce the itching.
• Check your entire body for ticks after outdoor activity. Be sure to remove ticks properly.

What can I do to avoid bed bugs?

Although bed bugs do not carry disease, they are an annoyance. See our information page about avoiding bug bites for some easy tips to avoid them. For more information on bed bugs, see Bed Bugs .

For more detailed information on avoiding bug bites, see Avoid Bug Bites .

Stay safe outdoors

If your travel plans in Ecuador include outdoor activities, take these steps to stay safe and healthy during your trip.

• Stay alert to changing weather conditions and adjust your plans if conditions become unsafe.
• Prepare for activities by wearing the right clothes and packing protective items, such as bug spray, sunscreen, and a basic first aid kit.
• Consider learning basic first aid and CPR before travel. Bring a travel health kit with items appropriate for your activities.
• If you are outside for many hours in heat, eat salty snacks and drink water to stay hydrated and replace salt lost through sweating.
• Protect yourself from UV radiation : use sunscreen with an SPF of at least 15, wear protective clothing, and seek shade during the hottest time of day (10 a.m.–4 p.m.).
• Be especially careful during summer months and at high elevation. Because sunlight reflects off snow, sand, and water, sun exposure may be increased during activities like skiing, swimming, and sailing.
• Very cold temperatures can be dangerous. Dress in layers and cover heads, hands, and feet properly if you are visiting a cold location.

Stay safe around water

• Swim only in designated swimming areas. Obey lifeguards and warning flags on beaches.
• Practice safe boating—follow all boating safety laws, do not drink alcohol if driving a boat, and always wear a life jacket.
• Do not dive into shallow water.
• Do not swim in freshwater in developing areas or where sanitation is poor.
• Avoid swallowing water when swimming. Untreated water can carry germs that make you sick.
• To prevent infections, wear shoes on beaches where there may be animal waste.

Leptospirosis, a bacterial infection that can be spread in fresh water, is found in Ecuador. Avoid swimming in fresh, unchlorinated water, such as lakes, ponds, or rivers.

Keep away from animals

Most animals avoid people, but they may attack if they feel threatened, are protecting their young or territory, or if they are injured or ill. Animal bites and scratches can lead to serious diseases such as rabies.

Follow these tips to protect yourself:

• Do not touch or feed any animals you do not know.
• Do not allow animals to lick open wounds, and do not get animal saliva in your eyes or mouth.
• Avoid rodents and their urine and feces.
• Traveling pets should be supervised closely and not allowed to come in contact with local animals.
• If you wake in a room with a bat, seek medical care immediately. Bat bites may be hard to see.

All animals can pose a threat, but be extra careful around dogs, bats, monkeys, sea animals such as jellyfish, and snakes. If you are bitten or scratched by an animal, immediately:

• Wash the wound with soap and clean water.
• Go to a doctor right away.
• Tell your doctor about your injury when you get back to the United States.

Consider buying medical evacuation insurance. Rabies is a deadly disease that must be treated quickly, and treatment may not be available in some countries.

Reduce your exposure to germs

Follow these tips to avoid getting sick or spreading illness to others while traveling:

• Wash your hands often, especially before eating.
• If soap and water aren’t available, clean hands with hand sanitizer (containing at least 60% alcohol).
• Don’t touch your eyes, nose, or mouth. If you need to touch your face, make sure your hands are clean.
• Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing.
• Try to avoid contact with people who are sick.
• If you are sick, stay home or in your hotel room, unless you need medical care.

Avoid sharing body fluids

Diseases can be spread through body fluids, such as saliva, blood, vomit, and semen.

Protect yourself:

• Use latex condoms correctly.
• Do not inject drugs.
• Limit alcohol consumption. People take more risks when intoxicated.
• Do not share needles or any devices that can break the skin. That includes needles for tattoos, piercings, and acupuncture.
• If you receive medical or dental care, make sure the equipment is disinfected or sanitized.

Know how to get medical care while traveling

Plan for how you will get health care during your trip, should the need arise:

• Carry a list of local doctors and hospitals at your destination.
• Review your health insurance plan to determine what medical services it would cover during your trip. Consider purchasing travel health and medical evacuation insurance.
• Carry a card that identifies, in the local language, your blood type, chronic conditions or serious allergies, and the generic names of any medications you take.
• Some prescription drugs may be illegal in other countries. Call Ecuador’s embassy to verify that all of your prescription(s) are legal to bring with you.
• Bring all the medicines (including over-the-counter medicines) you think you might need during your trip, including extra in case of travel delays. Ask your doctor to help you get prescriptions filled early if you need to.

Many foreign hospitals and clinics are accredited by the Joint Commission International. A list of accredited facilities is available at their website ( www.jointcommissioninternational.org ).

In some countries, medicine (prescription and over-the-counter) may be substandard or counterfeit. Bring the medicines you will need from the United States to avoid having to buy them at your destination.

Malaria is a risk in some parts of Ecuador. If you are going to a risk area, fill your malaria prescription before you leave, and take enough with you for the entire length of your trip. Follow your doctor’s instructions for taking the pills; some need to be started before you leave.

Select safe transportation

Motor vehicle crashes are the #1 killer of healthy US citizens in foreign countries.

In many places cars, buses, large trucks, rickshaws, bikes, people on foot, and even animals share the same lanes of traffic, increasing the risk for crashes.

Be smart when you are traveling on foot.

• Use sidewalks and marked crosswalks.
• Pay attention to the traffic around you, especially in crowded areas.
• Remember, people on foot do not always have the right of way in other countries.

Riding/Driving

Choose a safe vehicle.

• Choose official taxis or public transportation, such as trains and buses.
• Ride only in cars that have seatbelts.
• Avoid overcrowded, overloaded, top-heavy buses and minivans.
• Avoid riding on motorcycles or motorbikes, especially motorbike taxis. (Many crashes are caused by inexperienced motorbike drivers.)
• Choose newer vehicles—they may have more safety features, such as airbags, and be more reliable.
• Choose larger vehicles, which may provide more protection in crashes.

Think about the driver.

• Do not drive after drinking alcohol or ride with someone who has been drinking.
• Consider hiring a licensed, trained driver familiar with the area.
• Arrange payment before departing.

Follow basic safety tips.

• Wear a seatbelt at all times.
• Sit in the back seat of cars and taxis.
• When on motorbikes or bicycles, always wear a helmet. (Bring a helmet from home, if needed.)
• Avoid driving at night; street lighting in certain parts of Ecuador may be poor.
• Do not use a cell phone or text while driving (illegal in many countries).
• Travel during daylight hours only, especially in rural areas.
• If you choose to drive a vehicle in Ecuador, learn the local traffic laws and have the proper paperwork.
• Get any driving permits and insurance you may need. Get an International Driving Permit (IDP). Carry the IDP and a US-issued driver's license at all times.
• Check with your auto insurance policy's international coverage, and get more coverage if needed. Make sure you have liability insurance.
• Avoid using local, unscheduled aircraft.
• If possible, fly on larger planes (more than 30 seats); larger airplanes are more likely to have regular safety inspections.
• Try to schedule flights during daylight hours and in good weather.

Medical Evacuation Insurance

If you are seriously injured, emergency care may not be available or may not meet US standards. Trauma care centers are uncommon outside urban areas. Having medical evacuation insurance can be helpful for these reasons.

Helpful Resources

Road Safety Overseas (Information from the US Department of State): Includes tips on driving in other countries, International Driving Permits, auto insurance, and other resources.

The Association for International Road Travel has country-specific Road Travel Reports available for most countries for a minimal fee.

For information traffic safety and road conditions in Ecuador, see Travel and Transportation on US Department of State's country-specific information for Ecuador .

Maintain personal security

Use the same common sense traveling overseas that you would at home, and always stay alert and aware of your surroundings.

Before you leave

• Research your destination(s), including local laws, customs, and culture.
• Monitor travel advisories and alerts and read travel tips from the US Department of State.
• Enroll in the Smart Traveler Enrollment Program (STEP) .
• Leave a copy of your itinerary, contact information, credit cards, and passport with someone at home.
• Pack as light as possible, and leave at home any item you could not replace.

While at your destination(s)

• Carry contact information for the nearest US embassy or consulate .
• Carry a photocopy of your passport and entry stamp; leave the actual passport securely in your hotel.
• Follow all local laws and social customs.
• Do not wear expensive clothing or jewelry.
• Always keep hotel doors locked, and store valuables in secure areas.
• If possible, choose hotel rooms between the 2nd and 6th floors.

Healthy Travel Packing List

Use the Healthy Travel Packing List for Ecuador for a list of health-related items to consider packing for your trip. Talk to your doctor about which items are most important for you.

Why does CDC recommend packing these health-related items?

It’s best to be prepared to prevent and treat common illnesses and injuries. Some supplies and medicines may be difficult to find at your destination, may have different names, or may have different ingredients than what you normally use.

If you are not feeling well after your trip, you may need to see a doctor. If you need help finding a travel medicine specialist, see Find a Clinic . Be sure to tell your doctor about your travel, including where you went and what you did on your trip. Also tell your doctor if you were bitten or scratched by an animal while traveling.

If your doctor prescribed antimalarial medicine for your trip, keep taking the rest of your pills after you return home. If you stop taking your medicine too soon, you could still get sick.

Malaria is always a serious disease and may be a deadly illness. If you become ill with a fever either while traveling in a malaria-risk area or after you return home (for up to 1 year), you should seek immediate medical attention and should tell the doctor about your travel history.

For more information on what to do if you are sick after your trip, see Getting Sick after Travel .

Map Disclaimer - The boundaries and names shown and the designations used on maps do not imply the expression of any opinion whatsoever on the part of the Centers for Disease Control and Prevention concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Approximate border lines for which there may not yet be full agreement are generally marked.

Other Destinations

If you need help finding travel information:

Message & data rates may apply. CDC Privacy Policy

File Formats Help:

• Adobe PDF file
• Microsoft PowerPoint file
• Microsoft Word file
• Microsoft Excel file
• Audio/Video file
• Apple Quicktime file
• RealPlayer file
• Zip Archive file

Exit Notification / Disclaimer Policy

• The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website.
• Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website.
• You will be subject to the destination website's privacy policy when you follow the link.
• CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website.

We’re sorry, this site is currently experiencing technical difficulties. Please try again in a few moments. Exception: request blocked