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Security Alert May 17, 2024

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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 .

Embassy Messages

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Quick Facts

Must have six months validity at time of entry.

One page required for entry stamp.

Free, issued at the port of entry.

None Required.

$30,000 USD. More than $10,000 USD must be declared upon entry.

Same as entry.

Embassies and Consulates

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]

U.S. Consular Agency - Cusco Av. El Sol 449, Suite #201 Cusco, Peru Telephone: + (51)(84) 231-474 Emergency After-Hours Telephone:  + (51)(1) 618-2000 Fax: + (51)(84) 245-102

Email: [email protected]

Destination Description

See the Department of State’s Fact Sheet on Peru for information on U.S.-Peru relations.

Entry, Exit and Visa Requirements

COVID-19 Requirements

• There are no COVID-related entry requirements for U.S. citizens.

Requirements for Entry :

• A passport with six months validity is required to enter Peru. Migraciones (Immigration) authorities may also require evidence of return/onward travel.
• Be sure your date and place of entry is officially documented by Migraciones, whether you arrive at a port, airport, or land border.
• Your length of approved stay will be determined by border officials at the time of entry, and can range from 30 to 183 days. Extensions for tourists are usually not approved, and overstays result in fines.
• The Embassy is unable to assist if you are denied entry. Peruvian immigration requires airlines to return travelers who are denied entry to their point of origin.

Requirements for Exit :

• If you do not have an entry record, you will not be allowed to exit the country until immigration authorities confirm the time and place of your entry into the country. This can be a difficult process, costing considerable time and money to resolve.
• Make sure Migraciones (Immigration) records your entry, and then save the record for your exit. An entry record is required even at remote border crossings, where often the proper officials are not present.
• Immediately report lost/stolen passports to local police and keep the report. You must apply for a new passport at the Embassy and obtain a replacement entry record from Migraciones using your police report prior to exiting Peru.

Travel with Minors : Regardless of nationality, all children who are traveling with both birth parents are required to have a valid passport and the necessary visa or citizenship of the country where they are traveling. Peruvian immigration procedures are complex for minors traveling without one or both parents/legal guardians.

For entry/exit from Peru, U.S. citizen minors under the age of 18, traveling alone (or with only one parent), generally do not require additional documentation if entering as a tourist for less than 183 days. However, if the stay lasts more than 183 days, then a Permiso Notarial de Viaje is required (see below).

U.S. citizen minors who are dual national Peruvians, traveling alone (or with only one parent), require a Permiso Notarial de Viaje. Furthermore, step-parents or guardians accompanying a dual U.S.-Peruvian citizen minor must provide a Permiso Notarial de Viaje from the non-traveling minor’s parents (as listed on the birth certificate). Finally, if an accompanying parent has sole custody, legal documentation is required (such as a foreign court-approved custody document stating sole custody, a death certificate, a Peruvian court-approved document for travel, or a birth certificate listing only one parent).

A Permiso Notarial de Viaje is a written, notarized authorization from the non-traveling parent(s). Peruvian immigration will not accept a document notarized by the U.S. Embassy or a document notarized by a U.S. notary in lieu of a Permiso Notarial de Viaje. Please be aware that these authorizations are valid for 30 days and one trip only.

How to get a Permiso Notarial de Viaje:

• In the United States, at the nearest Peruvian Consulate. There are multiple locations .
• In Peru, at most Peruvian notaries. An apostilled U.S. birth certificate is required for issuance.

The U.S. Embassy is unable to assist travelers who are prevented from traveling for lack of a Permiso Notarial de Viaje.

HIV Restrictions : The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to, or foreign residents of, Peru.

Find information on dual nationality , prevention of international child abduction , and customs regulations on our websites.

Safety and Security

Terrorism:   Terrorist groups and those inspired by such organizations are intent on attacking U.S. citizens abroad. Terrorists are increasingly using less sophisticated methods of attack – including knives, firearms, and vehicles – to more effectively target crowds. Frequently, their aim is unprotected or vulnerable targets, such as: 

• High-profile public events (sporting contests, political rallies, demonstrations, holiday events, celebratory gatherings, etc.) 
• Hotels, clubs, and restaurants frequented by tourists 
• Places of worship 
• Schools 
• Parks 
• Shopping malls and markets 
• Public transportation systems (including subways, buses, trains, and scheduled commercial flights)  

U.S. Embassy Lima enforces a Restricted Travel Policy for Embassy personnel, which is based on its assessment of conditions and developments throughout the country. See the Overseas Security and Advisory Council’s Country Security Report for Peru. See the latest Travel Advisory for Peru .

The VRAEM (Valley of the Apurímac, Ene, and Mantaro Rivers) is particularly remote and a known safe haven for narcotraffickers and the last operational remnants of the Shining Path terrorist group.

For more information, see our  Terrorism  page.  

Crime : Crime is a widespread problem in Peru.

• Sexual assaults and rapes can occur, even in tourist areas. Travel in groups, do not leave food or drinks unattended, and use caution if a stranger offers you food or drink.
• Intoxicated travelers, including U.S. citizens, also have been sexually assaulted, injured, or robbed while under the influence of drugs and alcohol.
• Pick-pocketing, robbery, and hotel room theft are the most common crimes. Armed robberies have occurred throughout the city, including popular tourist destinations. Armed assailants usually target victims for their smartphones, wallets, or purses. If confronted by someone with a weapon, it is best not to resist.
• Incapacitating drugs, such as rohypnol and scopolamine, have been used to facilitate robberies and sexual assaults. Seek medical attention if you begin to feel ill.
• On routes to and from the airport in Lima, robberies have occurred where the assailant uses a tool to break a window while the vehicle is stopped in traffic.  Keep your belongings in the trunk or out of sight. Authorized taxi booths are present at the airport in Lima that will charge a flat rate according to the destination.
• Use hotel safes, if available. Avoid wearing obviously expensive jewelry or clothing, and carry only the cash or credit cards that you need.
• Stay alert in crowds and on public transportation. Be aware that thieves might create distractions to target you.
• Avoid isolated areas when on foot, especially after dark.
• Be alert for robberies in which criminals enter a taxi and force victims to withdraw money from ATMs.
• Use an app-based taxi service, order a taxi by phone, or use a service affiliated with a major hotel, as it is usually safer than hailing an unknown taxi on the street.
• Use ATMs in well-protected indoor areas such as banks or shopping malls. Avoid withdrawing large amounts of cash at one time.
• Do not let your credit card out of your sight in order to avoid credit card “skimming.” You should expect the vendor to use a credit card reader in your presence. The vendor will ask for your passport or ID number on the receipt.
• To avoid carjacking or theft from your car while you are stopped at intersections, drive with your doors locked and windows rolled up. Do not leave valuables in plain view.

There is little government presence in many remote areas of the Andes and Amazon basin. Illicit activities, such as illegal mining, logging, and coca production, are common.

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

The U.S. government has limited ability to provide emergency services to U.S. citizens along the Colombian border and in the VRAEM, as U.S. government personnel are restricted from traveling in these regions.

Demonstrations  occur frequently. They may take place in response to political or economic issues, on politically significant holidays, and during international events. 

• Demonstrations can be unpredictable; avoid areas around protests and demonstrations.
• Past demonstrations have turned violent.
• Check local media for updates and traffic advisories. 

International Financial Scams:  See the  Department of State  and the  FBI pages for information.

Financial scams are prevalent in Peru. Scams are often initiated through Internet postings/profiles or by unsolicited emails and letters. Scammers almost always pose as U.S. citizens who have no one else to turn to for help. Common scams include:

• Money transfers 
• Grandparent/Relative targeting 

Victims of Crime :  U.S. citizen victims of sexual assault are encouraged to contact the U.S. Embassy for assistance. Report crimes to the local police and contact the U.S. Embassy in Lima. Remember that local authorities are responsible for investigating and prosecuting crime.

• U.S. Embassy: +51-1-618-2000 (phone is answered 24 hours a day, seven days a week)
• Local police: 105 (National Police)
• Tourist Police: 0800-22221
• IPeru: 01-574-8000 (a tourist information service that has English-speaking personnel)

See our webpage on help for U.S. victims of crime overseas .

• Help you find appropriate medical care.
• Assist you with reporting a crime to the police.
• Contact relatives or friends with your written consent.
• Provide general information regarding the victim’s role during the local investigation and following its conclusion.
• Provide a list of local attorneys.
• Provide information on victims’ compensation programs in the United States .
• Provide information on assistance programs for victims of crime in Peru .
• Provide an emergency loan for repatriation to the United States and/or limited medical support in cases of destitution.
• Help you find accommodation and arrange flights home.
• Replace a stolen or lost passport.

Domestic Violence :  U.S. citizen victims of domestic violence are encouraged to contact the Embassy for assistance. Telephone (answered 24 hours): +51-1-618-2000

Tourism : The tourism industry, including adventure activities (e.g. paragliding, sandboarding, etc.), is unevenly regulated, and safety inspections for equipment and facilities do not commonly occur. Hazardous areas/activities are not always identified with appropriate signage, and staff may not be trained or certified either by the host government or by recognized authorities in the field. U.S. citizens are encouraged to pay attention to waiver and liability policies of tour companies, as they may vary or not exist. In the event of an injury, appropriate medical treatment is typically available only in/near major cities. First responders are generally unable to access areas outside of major cities and to provide urgent medical treatment. U.S. citizens are encouraged to purchase medical evacuation insurance . 

Local Laws & Special Circumstances

Criminal Penalties : You are subject to local laws. If you violate local laws, even unknowingly, you may be expelled, arrested, or imprisoned. Individuals establishing a business or practicing a profession that requires additional permits or licensing should seek information from the competent local authorities prior to practicing or operating a business.

Ayahuasca/Kambo/Hallucinogens:  Traditional hallucinogens, often referred to as ayahuasca or kambo, are often marketed to travelers as “ceremonies” or “spiritual cleansing,” and typically contain dimethyltryptamine (DMT), a strong hallucinogen that is illegal in the United States and many other countries.

• Intoxicated travelers, including U.S. citizens, have been sexually assaulted, injured, or robbed while under the influence of these substances.
• Health risks associated with ayahuasca are not well understood, and, on occasion, U.S. citizens have suffered serious illness or death after taking these drugs.
• These incidents often occur in remote areas and far away from modern medical facilities, making the risks even greater.
• Penalties for possessing, using, or trafficking in illegal drugs in Peru are severe.
• Offenders can expect long pre-trial detention and lengthy prison sentences under harsh conditions with significant expense for themselves and/or their families.
• Never agree to carry a suitcase or package through customs for anyone.
• Peru uses strict screening procedures for detecting narcotics smuggling at its international airports.

Customs Currency Regulations :

• $30,000 USD or its equivalent in cash or negotiable items is the maximum allowed for entry or exit.
• Any amount in excess of $10,000 USD must be declared and the legal source proven.

Artifacts :

• Peruvian law forbids the export of pre-Columbian objects and other artifacts protected by cultural patrimony statutes.
• U.S. customs officials are required to seize pre-Columbian objects and certain colonial religious artwork brought into the United States.

Animal Products/Plants :

• Avoid products made of wild plants and animals, as many are of illegal origin and may involve protected or endangered species, whose sale and export are illegal.
• Peruvian authorities will seize any protected species that is sold or transported, either live or transformed into food, medicinal beverages, leather, handcrafts, garments, etc.
• Some products, including live animals, require special permits when leaving Peru.
• Knowingly importing into the United States wildlife or plants that were taken from the wild or sold in violation of the laws of Peru (or any other country) is a violation of the Lacey Act (16 USC § 3371).

Furthermore, some laws are also prosecutable in the United States, regardless of local law. For examples, see our website on crimes against minors abroad and the Department of Justice website.

Arrest Notification : If you are arrested or detained, ask police or prison officials to notify the U.S. Embassy immediately. See our webpage for further information.

Special Circumstances : Many popular destinations in Peru are remote. These areas have few facilities that are able to provide advanced or emergency medical care.

• Local rescue capabilities are severely limited. Many mountain areas are too high for helicopters to reach safely. Accidents or injuries while hiking or climbing are common; crisis responders may take hours or even days to reach you if they are traveling over great distances and/or rough terrain.
• When using tourist company services, travelers are encouraged to use qualified and licensed operators. Many do not meet international safety standards. Inquire about safety standards prior to engaging in adventure activities. The Ministerio de Comercio Exterior y Turismo (Tourism Ministry) website provides information on tourism companies.
• Always check with local authorities before traveling about local geographic, climatic, health, and security conditions that may impact your safety.
• Be aware that you may not have access to phone or internet for days at a time. Check in with family prior to going to remote areas and leave detailed written plans and timetables. Use of a personal GPS beacon is encouraged.

Seismic Activity :  Earthquakes are common throughout Peru. On May 26, 2019, a magnitude 8.0 earthquake struck the Loreto region of Peru. One fatality in the Cajamarca region and 11 injuries as well as isolated power outages and some infrastructure damage were reported.

• Visit Peru’s National Emergency Operations Center (COEN) for more information.
• In the event of a natural disaster, monitor local media and government agencies, including IPeru , the Commission to Promote Peru for Exports and Tourism (PROMPERU) , and Peru’s National Meteorology and Hydrology Service (SENAMHI) for updates.
• WhatsApp: IPeru +51-944-492-314
• Twitter: @Promperu @COENPeru @SENAMHIPeru @Sismos_Peru_IGP
• Visit the U.S. Centers for Disease Control and Prevention website for information on emergency preparedness and response.

Legal Issues in Peru :

• The legal system in Peru may require victims or their families to hire lawyers to advance their cases through the legal system, even for victims of serious crimes.
• U.S. citizens have reported unethical practices by lawyers and others, resulting in costly losses and little hope of remedy through the local judicial system.
• Peruvian laws are subject to change with little notice . The Peruvian government publishes little information in English. The U.S. Embassy cannot give detailed advice about Peruvian law.

Counterfeit and Pirated Goods : Although counterfeit and pirated goods are prevalent in many countries, they may still be illegal according to local laws. You may also pay fines or have to give them up if you bring them back to the United States. See the U.S. Department of Justice website for more information.

Faith-Based Travelers : See the following webpages for details:

• Faith-Based Travel Information
• International Religious Freedom Report – see country reports
• Human Rights Report – see country reports

LGBTQI+ Travelers : There are no legal restrictions on same-sex sexual relations or the organization of LGBTI events in Peru.

See our LGBTQI+ Travel Information page and section 6 of our Human Rights report for further details.

Travelers with Disabilities:  Peruvian law prohibits discrimination against persons with physical and mental disabilities, and the law is enforced.  Social acceptance of persons with disabilities in public is as prevalent as in the United States. The most common types of accessibility may include ramps, special cashiers for those with disabilities, and elevators. Expect accessibility to be limited in public transportation, and common in lodging, communication/information, and general infrastructure. There is a significant difference between Lima (and other large cities) and the rest of the country.

• Rental, repair, and replacement services are available for aids/equipment/devices.
• The Ministry of Foreign Affairs has a list of translators .

Students : See our Students Abroad page and FBI travel tips .

Women Travelers : See our travel tips for Women Travelers .

COVID-19 Testing:

• PCR and/or antigen tests are available for U.S. citizens in Peru, and test results are reliably available within one calendar day.
• Peru is able to test for COVID-19 in country. Private hospitals and laboratories as well as the Peruvian Ministry of Health (MINSA) are administering tests.
• U.S. citizens are responsible for their own COVID-19 testing costs.

COVID-19 Vaccines:

The COVID-19 vaccine is available for U.S. citizens to receive in Peru. Visit the FDA's website to  learn more about FDA-approved vaccines  in the United States.  

• Pfizer-BioNTech, Moderna, AstraZeneca, and Sinopharm vaccines are available in Peru.
• For more information about the Peruvian Ministry of Health’s (MINSA) national vaccine strategy, see (in Spanish)  MINSA's website .

Medical Care :

• Specialized medical care can cost tens of thousands of dollars, and you are expected to pay in full at the time of discharge.
• Pharmacies are widely available. However, some medications might not be offered, and brand names will differ from products in the United States.
• Exercise caution if you explore herbal and folk remedies.

For emergency services in Peru, dial 113 .

Ambulance services are not present throughout the country or are unreliable in most areas except Lima and other major cities. Training and availability of emergency responders may be below U.S. standards. Injured or seriously ill travelers may prefer to take a taxi or private vehicle to the nearest major hospital rather than wait for an ambulance.

We do not pay medical bills . Be aware that U.S. Medicare/Medicaid does not apply overseas. Most hospitals and doctors overseas do not accept U.S. health insurance.

Medical Insurance : Make sure your health insurance plan provides coverage overseas. Most care providers overseas only accept cash payments. See our webpage for more information on insurance overseas. Visit the U.S. Centers for Disease Control and Prevention for more information on type of insurance you should consider before you travel overseas.

We strongly recommend supplemental insurance to cover medical evacuation.

Always carry your prescription medication in original packaging, along with your doctor’s prescription. Check with the Government of Peru to ensure the medication is legal in Peru.

Vaccinations : Be up-to-date on all vaccinations recommended by the U.S. Centers for Disease Control and Prevention.

Further health information :

• World Health Organization
• U.S. Centers for Disease Control and Prevention (CDC)

Air Quality : Visit  AirNow Department of State  for information on air quality at U.S. Embassies and Consulates.

The U.S. Embassy maintains a list of doctors and hospitals . We do not endorse or recommend any specific medical provider or clinic.

Health Facilities in General:

• Adequate health facilities are available in Lima and other major cities, but health care in rural areas may be below U.S. standards.
• Public medical clinics lack basic resources and supplies.
• Hospitals and doctors often require payment “up front” prior to service or admission. Credit card payment is usually available. Some hospitals and medical professionals require cash payment.
• Private and public hospitals usually require advance payment or proof of adequate insurance before admitting a patient.
• Travelers should make efforts to obtain complete information on billing, pricing, and proposed medical procedures before agreeing to any medical care.
• Medical staff may speak little or no English.
• Generally, in public hospitals only minimal staff is available overnight in non-emergency wards.
• Patients bear all costs for transfer to or between hospitals if they do not have insurance.
• Psychological and psychiatric services are limited, even in the larger cities, with hospital-based care only available through government institutions.

Medical Tourism and Elective Surgery :

• U.S. citizens have suffered serious complications or died during or after having cosmetic or other elective surgery.
• Medical tourism is a rapidly growing industry. People seeking health care overseas should understand that medical systems operate differently from those in the United States and are not subject to the same rules and regulations. Anyone interested in traveling for medical purposes should consult with their local physician before traveling and visit the U.S. Centers for Disease Control and Prevention website for information on Medical Tourism, the risks of medical tourism, and what you can do to prepare before traveling to Peru.
• We strongly recommend supplemental insurance to cover medical evacuation in the event of unforeseen medical complications.
• Your legal options in case of malpractice are very limited in Peru.
• Although Peru has many elective/cosmetic surgery facilities that are on par with those found in the United States, the quality of care varies widely. If you plan to undergo surgery in Peru, make sure that emergency medical facilities are available and professionals are accredited and qualified.

Pharmaceuticals:

• Exercise caution when purchasing medication overseas. Pharmaceuticals, both over the counter and requiring prescription in the United States, are often readily available for purchase with little controls. Counterfeit medication is common and may prove to be ineffective, the wrong strength, or contain dangerous ingredients. Medication should be purchased in consultation with a medical professional and from reputable establishments.
• U.S. Customs and Border Protection and the Food and Drug Administration are responsible for rules governing the transport of medication back to the United States. Medication purchased abroad must meet their requirements to be legally brought back into the United States. Medication should be for personal use and must be approved for usage in the United States. Please visit the  U.S. Customs and Border Protection  and the  Food and Drug Administration  websites for more information.   

Please review Peru's rules on medication .  

Non-Traditional Medicine:

• U.S. citizens have suffered serious complications or died while seeking medical care from non-traditional “healers” and practitioners in Peru. Ensure you have access to licensed emergency medical facilities in such cases.

Assisted Reproductive Technology and Surrogacy :

• If you are considering traveling to Peru to have a child through use of assisted reproductive technology, please see our ART and Surrogacy Abroad page .
• Surrogacy is illegal for foreigners in Peru, subject to complex local regulation.
• If you decide to pursue parenthood in Peru via assisted reproductive technology (ART) with a gestational mother, be prepared for long and unexpected delays in documenting your child’s citizenship. Be aware that individuals who attempt to circumvent local law risk criminal prosecution.

Water Quality:

• In many areas, tap water is not potable. Bottled water and beverages are generally safe, although you should be aware that many restaurants and hotels serve tap water unless bottled water is specifically requested. Be aware that ice for drinks may be made using tap water. 
• Many cities in Peru, such as Puno, Cusco, Arequipa, Ayacucho, and Huaraz, are at high altitude. Be aware of the symptoms of altitude sickness, and take precautions before you travel. Visit the U.S. Centers for Disease Control and Prevention website for more information about  Travel to High Altitudes .

Adventure Travel:

• Visit the U.S. Centers for Disease Control and Prevention website for more information about  Adventure Travel . 

General Health :

The following diseases are prevalent:

• Travelers’ Diarrhea
• Guillain-Barré Syndrome
• Hepatitis A and B
• Leishmaniasis
• Tuberculosis
• Yellow fever

Use the U.S. Centers for Disease Control and Prevention recommended mosquito repellents and sleep under insecticide-impregnated mosquito nets. Chemoprophylaxis is recommended for all travelers even for short stays.  

HIV/AIDS: For more information visit MINSA’s website (in Spanish): https://www.dge.gob.pe/vih/ .

Visit the U.S. Centers for Disease Control and Prevention website for more information about  Resources for Travelers  regarding specific issues in Peru.

Air Quality:

• Air pollution is a significant problem in several major cities in Peru. Consider the impact seasonal smog and heavy particulate pollution may have on you and consult your doctor before traveling if necessary.  
• Infants, children, and teen.
• People over 65 years of age.
• People with lung disease such as asthma and chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis and emphysema.
• People with heart disease or diabetes.
• People who work or are active outdoors. 

Travel and Transportation

Road Conditions and Safety :  Driving conditions in Peru are very different from those found in the United States, and can be considerably more dangerous. Visitors are strongly encouraged to familiarize themselves with local law and driving customs before attempting to operate vehicles.

• Roads are often poorly maintained and may lack crash barriers, guard rails, signs, and streetlights.
• Fog is common on coastal and mountain highways, making conditions more treacherous.
• Slow-moving buses and trucks frequently stop in the middle of the road unexpectedly.
• Road travel at night is particularly hazardous. Due to safety concerns, U.S. Embassy personnel are prohibited from traveling on mountainous roads at night.
• Traveling in a group is preferable to solo travel. Spare tires, parts, and fuel are needed when traveling in remote areas, where distances between service areas are long.

Traffic Laws:  Traffic laws are often ignored and rarely enforced, creating dangerous conditions for drivers and pedestrians.

• Seat belts are mandatory for driver and front-seat passengers in a private vehicle.
• It is against the law to talk on a cellular phone while driving, and violators may be fined.
• When driving in urban areas, taxis and buses often block lanes impeding traffic.
• Directional signals are often not used, and vehicles frequently turn from the middle through traffic lanes.
• While driving outside major cities and on the Pan-American Highway, you must drive with your lights on.
• Traffic officers must wear uniforms and identification cards that include their last name on their chest.
• Traffic officers are not allowed to retain your personal identification or vehicle documents.
• Under no circumstances should you offer or agree to pay money to traffic officers.
• If you are involved in an accident, you MUST contact local police and remain at the scene without moving your vehicle until the authorities arrive. This rule is strictly enforced, and moving a vehicle or leaving the scene of an accident may constitute an admission of guilt under Peruvian law.
• If your car is a rental, call the agency or representative of the insurance company provided by the rental agency.
• Always carry your driver's license, a copy of your passport, and the rental agreement when you drive a rental car.
• International driver's licenses are valid for one year, while driver's licenses from other countries are generally valid for 30 days.

Public Transportation : Many buses are overcrowded, poorly maintained, and lack safety features such as seat belts.

• Bus accidents resulting in multiple deaths and injuries are common due to routes along narrow, winding roads without a shoulder and steep drop-offs.
• Accidents are frequently attributed to excessive speed, poor bus maintenance, poor road conditions, and driver fatigue.
• Individuals should use private taxi companies or car-share applications when traveling as opposed to hailing taxis on the side of the road for safety.

See our Road Safety page for more information. Visit the website of Peru’s  national tourist office  and national authority responsible for road safety. 

Aviation Safety Oversight : The U.S. Federal Aviation Administration (FAA) has assessed the government of Peru’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of Peru’s air carrier operations. Further information may be found on the FAA’s safety assessment page .

Maritime Travel : Mariners planning travel to Peru should check for U.S. maritime advisories and alerts . Information may also be posted to the U.S. Coast Guard homeport website , and the NGA broadcast warnings .

For additional travel information

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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

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Which Vaccinations Do I Need for Peru?

September 14, 2015 by Will Sowards 8 Comments

A trip to Peru with a hike up the Inca Trail is one of the top trips in the world. But, Peru is more than just ruins and trails. The jungles of eastern Peru are some of the most amazing in all the Amazon, and Lake Titicaca is a must visit.

Peruvian travel also poses certain health risks. Food- and mosquito-borne illness are common as well as travelers diarrhea, just to name a few. Be sure to take proper precautions before venturing to The Land of the Incas.

Which Vaccines Do I Need for Peru?

If you’re headed to Peru, you need to make sure that you take steps to safeguard your health. The CDC and WHO recommend visiting a travel health clinic at least four weeks before you leave.

Vaccines for Peru vary based on your specific itinerary. A Passport Health travel specialist will help you decide which vaccines are best for you. The CDC and WHO have recommended that travelers receive the following vaccines:

• Yellow Fever (this vaccine may be required based on your travel itinerary)
• Hepatitis A
• Hepatitis B
• Routine Vaccines

Is Malaria in Peru?

Malaria is a common mosquito-borne disease especially in South and Central America. Peru is no exception with an estimated 64,000 malaria cases each year. The Loretto region, a popular tourist destination, accounts for a high percentage of the Amazon’s malaria cases. If you are planning to travel to the jungles of Peru, take some type of antimalarial medication with you. This is especially important during the summers.

What Other Health Concerns Should I Be Aware Of?

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

Peru is a generally safe place to travel. Follow the same rules you would in any developing country when it comes to food or other activities:

• Street Food – While often incredible, street food can pose a serious risk to your health. The CDC recommends avoiding it at all times.
• Water Sources – Peru does not have water sources as pure as those in North America. While in-country, avoid tap water and ice. Consider purchasing bottled water or other drinks in the area or bringing a water filter.
• Dengue Fever – Peru has reported a large number of denuge cases at various times. As a mosquito-borne disease, repellents are the best way to protect yourself.
• Zika Virus – While not yet prevalent in Peru, Zika virus has been documented there. Take extra precautions to avoid mosquitoes. This is especially true if you are pregnant or may become pregnant.
• Chikungunya – There is currently a Level 1 health alert in place for chikungunya in Peru. The CDC recommends taking precautions for against mosquitoes to protect yourself from the disease.

Handy Tips for Enjoying the Peruvian Andes

First, bring sunscreen. Even if it is cloudy outside, you can still get a sunburn while exploring Machu Picchu or the Inca Trail. Select a good sunscreen that is SPF 50 or higher, and apply it several times throughout the day.

When you arrive in Peru, you will receive an Andean migration card instead of a visitor’s visa. You cannot lose this piece of paper as you will need it to stay in hotels and even leave the country. We recommend keeping it clipped to the front page of your passport.

When you go to Machu Picchu, you may need to bring your passport. This may vary based on your specific itinerary. But, consider doing so anyway as you can get a novelty passport stamp there.

Don’t be afraid to ask your hotel to help set up a trip for you. Many locations work with local guides and will be able to help you find a guide. They can arrange transportation for you as well. But, most locations are within a short distance of each other within cities.

If you plan on traveling long distance, such as Cusco to Puno, buses are the way to go. They are usually inexpensive, only about 40 soles, but can be time consuming. Consider traveling at night to maximize your free time.

Going to Peru? Make an Appointment with a Travel Health Specialist Today!

By scheduling a consultation with a travel health specialist , you can help ensure spend every minute of your trip enjoying Peru. Vaccinations can mean the difference between a great time and a serious illness. It makes sense to take care of your health before you go.

We Want To Hear From You!

Have you been to Peru? Share your favorite tips with us in our comments section below. Or reach out to us on Facebook or Twitter with your thoughts.

January 18, 2016 at 5:46 pm

Thank you so much for posting about the types of vaccinations one should get when they travel to Peru. I am going to that country next month and have been wondering what type of shots I should get. I have already had my Hepatitis B shot, but I have yet to get a Yellow Fever vaccine and so I think that I will see if I can get that one from my local urgent care.

February 29, 2016 at 4:06 am

My son is leaving for Peru this week, please let me know how you enjoyed it.

January 23, 2016 at 2:46 pm

We will be travelling to the Peruvian Amazon in September. As we will be 61 and 63, we are wondering about the Yellow Fever vaccination as it is not recommended for people aged 60+, especially if you have not previously received a YF jab. Any thoughts from experienced travellers of a similar age would be appreciated.

September 7, 2016 at 4:40 am

I”m told by my doctor that if any symtoms are noticed there is a pill taken immediately, so if you notice symptoms seek medical attention right away, also consider a medical perscription for deet.

February 27, 2017 at 11:59 am

I know this is an old post, but still helpful. It’s really a cool and helpful piece of information.

December 6, 2017 at 11:16 pm

Thanks. Very useful and informative post

October 14, 2019 at 2:51 pm

At the center of your essence you have all the answers; you know your divinity and you understand what you must do.

October 10, 2020 at 10:28 pm

Never knew this, regards for letting me know.

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Peru Travel Requirements & Vaccinations

Peru is a country on the northwest coast of South America, officially known as the Republic of Peru. Spanish is the primary language and is spoken by more than 80 percent of the population. In some popular tourist destinations, English is also widely spoken.

The terrain of Peru is widely varied and ranges from hot, dry plains in the Pacific coastal region to tropical rainforests and jungles that extend to the east and occupy almost 60 percent of the country’s land mass. True to its name, the rainforest and jungle regions are characterized by frequent, heavy rainfall and hot temperatures. Portions of the country farther to the south have cooler winters and more seasonal rainfall.

Because of its varied geography and climate, Peru is home to over 1,800 species of birds, over 300 species of reptiles and 500 species of mammals, including the puma, jaguar and spectacled bear.

Some of the many tourist attractions and activities offered in Peru include:

• Ancient ruins, including the 15th century Inca citadel, Machu Picchu
• Hiking, climbing and mountain biking through picturesque mountainous regions
• Manu National Park with its stunning variety of wildlife
• Town markets offering locally made handicrafts
• Sandy coastlines and beaches
• Wide variety of cultural events featuring local art, cuisine and music

Recommended Vaccinations for Peru Travel

• Hepatitis A
• Yellow Fever

*Rabies vaccination is typically only recommended for very high risk travelers given that it is completely preventable if medical attention is received within 7 – 10 days of an animal bite.Travelers may also be advised to ensure they have received the routine vaccinations listed below. Some adults may need to receive a booster for some of these diseases:

• Measles, mumps and rubella (MMR)
• Tdap (tetanus, diphtheria and pertussis)

Older adults or those with certain medical conditions may also want to ask about being vaccinated for shingles and/or pneumonia.

This information is not intended to replace the advice of a travel medicine professional. Not all of the vaccines listed here will be necessary for every individual.

Talk to the experts at UH Roe Green Center for Travel Medicine & Global Health to determine how each member of your family can obtain maximum protection against illness, disease and injury while traveling, based on age, health, medical history and travel itinerary.

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• 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. See the ‘Outbreaks’ page of the TravelHealthPro Peru guide for more information.

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 .

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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 seaside 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? 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? Embassy of the United Kingdom in Peru

Do I Need Vaccines for Peru?

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

• Hepatitis A – Food & Water – Recommended for most travellers to the region, especially if unvaccinated.
• Hepatitis B – Blood & Body Fluids – Recommended for travellers to most regions.
• Tetanus – Wounds or Breaks in Skin – Recommended for travellers to most regions, especially if not previously vaccinated.
• 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 – High risk country. Vaccine recommended for long-stay travellers and those who may come in contact with animals.

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 whilst 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 .

Do I Need a Visa or Passport for Peru?

No visa is required for stays under 183 days in Peru. Passports must be valid for at least six months beyond the date of entry.

Sources: Embassy of Peru and GOV.UK

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 UK.

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. Ensure 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. Ensure to include anti-diarrhoeal, 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.

Embassy of the United Kingdom in Peru

If you are in Peru and have an emergency (for example, been attacked, arrested or someone has died) contact the nearest consular services. Contact the embassy before arrival if you have additional questions on entry requirements, safety concerns or are in need of assistance.

British Embassy Lima Torre Parque Mar (22nd Floor) Avenida José Larco 1301 Miraflores Lima Peru Telephone: +51 1 617 3000 Emergency Phone: 00 51 1 617 3000 Fax: +51 1 617 3100 Contact Form: Click Here

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

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Have a safe trip with travel vaccines and advice from medical professionals.

Travel health and safety for peru 🇵🇪, peru is known for its rich history and ancient civilizations. the inca empire, with its most famous site machu picchu, is one of the most iconic archaeological sites in the world..

Peru has a diverse geography, including the Andes Mountains, the Amazon Rainforest, and the Pacific coastline. It is one of the world’s most biodiverse countries. The country is famous for its gastronomy. Peruvian cuisine is a fusion of indigenous ingredients and flavors with influences from Spanish, African, Asian, and other immigrant cultures. Lake Titicaca, located on the border of Peru and Bolivia, is the highest navigable lake in the world. It is known for its scenic beauty and indigenous communities but it is important to be aware of Altitiude Sickness.

Peru is home to numerous archaeological sites apart from Machu Picchu, such as the Nazca Lines, the ancient city of Cusco, and the ruins of Chan Chan . The Amazon Rainforest covers a significant portion of Peru’s territory, offering opportunities for eco-tourism, wildlife spotting, and exploration of indigenous cultures.  

Travel Immunizations for Peru

What vaccines do i need for peru get all the information and vaccinations you need to minimize travel health risks..

Hepatitis A virus can cause liver disease, and in rare cases, liver failure and death.

• Can be spread by fecal-oral transmission, consuming contaminated food or water, or close, personal contact with an infected person.
• Symptoms may range from mild to severe, including fatigue, jaundice, abdominal discomfort, vomiting, and joint pain.

Typhoid is a bacterial infection contracted through contaminated food or water  

• Symptoms include high fever, abdominal pain, and gastrointestinal issues.   
• Typhoid can lead to severe complications if not treated promptly.  

Yellow Fever is a viral disease transmitted by mosquitoes in certain regions of Africa and South America.

• Mild cases: Fever, headache, muscle and joint aches, fatigue, loss of appetite, nausea, and vomiting
• Severe cases: High fever, jaundice (yellowing of the skin and eyes), bleeding, organ failure, and, in some cases, death.

We have made every effort to ensure the accuracy and reliability of the provided information, however, it is not feasible for us to update daily. Please book a virtual consultation with one of our Travel Medicine Professionals for current, personalized advice and answers to any questions you may have.

Health Canada strongly advises travelers ensure their routine vaccinations are up to date, including:

Chickenpox (Varicella)

Guards against the varicella-zoster virus, responsible for chickenpox.

Diphtheria-Tetanus-Pertussis (DTaP)

Protects against three different bacterial infections.

Flu (Influenza)

Vaccination against seasonal influenza strains is essential.

Measles-Mumps-Rubella (MMR)

Provides immunity against all three diseases in one shot.

Essential for guarding against the poliovirus.

Offers protection against a viral infection that causes painful rashes.

The ongoing pandemic necessitates adherence to vaccination guidelines and preventive measures.

Peru Concerns / Health Canada Recommendations

Traveler's Diarrhea

Most common illness for travelers, from consuming contaminated food & water

• Affects up to 70% of travelers and risks minimized with good hygiene and safe food/drink choices (eg. avoid raw foods, ice in drinks).
• Symptoms may include diarrhea, vomiting, nausea, fever, bloating.

Malaria is a serious and occasionally fatal disease that is spread by the bite of an infected mosquito.  

• Symptoms may include fever, chills, headache, similar to the flu. Without treatment, malaria can cause severe illness and death.  
• Malaria can be treated with anti-malarial medications.  
• Use insect repellents containing DEET, wear long sleeves, long pants, and consider staying in accommodations with screens or bed nets.  

Altitude Sickness

Peru has high-altitude regions, including Cusco, and areas around Lake Titicaca.  

• Common symptoms include headache, nausea, vomiting, fatigue, dizziness, and shortness of breath  
• Take necessary precautions, such as acclimatizing slowly, medication for altitude sickness, and staying hydrated.  
• Consider medication such as acetazolamide as recommended by your Rockdoc Travel Medicine Professional.

Hygiene & Sanitation

Practice good hygiene by washing your hands regularly with soap and water, or using hand sanitizers when soap or hashwashing facilities are not available.

Sun Prevention

Peru can have intense sunlight, especially in high-altitude areas. Protect yourself from sunburn by wearing a wide-brimmed hat, sunglasses, and using sunscreen with a high SPF.

Over the Counter Medications for Travel to Peru

Pain relief.

Medications such as acetaminophen (e.g., Tylenol) or ibuprofen (e.g., Advil) can be helpful for managing headaches, muscle pain, or fever. 

Anti-Diarrheal Medications

It’s advisable to carry over-the-counter anti-diarrheal medications like loperamide (e.g., Imodium) to treat mild cases of traveler’s diarrhea. However, it’s important to stay hydrated and seek medical attention if diarrhea persists or worsens. 

Antacids like Tums or Pepto-Bismol can provide relief from indigestion or heartburn, which can sometimes occur when trying new foods or experiencing changes in diet during travel. 

Allergy Medications

If you have known allergies, carrying antihistamines like cetirizine( e.g., Reactine) or diphenhydramine (e.g., Benadryl) can help manage allergic reactions to environmental allergens or insect bites. 

Motion Sickness Medications

If you are prone to motion sickness, consider carrying medication like dimenhydrinate (e.g., Gravol) to alleviate symptoms during long journeys or when traveling by car, train, or boat.

Medical Services and Facilities in Peru

• Hospitals : Peru has public and private hospitals located in major cities and towns.   
• Clinics and Medical Centers : There are numerous private clinics and medical centers throughout Peru. These facilities provide outpatient services for non-emergency medical issues, such as consultations, vaccinations, and minor procedures.   
• Pharmacies : Pharmacies, known as “farmacias” in Peru, can be found in most cities and towns. They provide over-the-counter medications and can offer advice for minor health issues.  

Medical Tourism in Peru

Peru has become a popular destination for medical tourism, especially for cosmetic and dental procedures. There are specialized clinics and hospitals that cater to international patients, offering a range of medical and surgical services at competitive prices. Research facilities properly.

Consular Assistance in Peru

Street Address: Calle Bolognesi 228, Miraflores, Lima 15074, Peru

Telephone: 51 (1) 319-3200

Email: [email protected]

Website: https://www.Canada.ca/Canada-And-Peru

In case of emergency, dial:

• Police: 105
• Medical assistance: 116
• Firefighters: 116

Tourist police can be reached via Whatsapp number: +51 980 122 335

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Peru Travel Health Information

Read below for travel health advice on Peru from the MDtravelhealth channel on Red Planet Travel.

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Medications

Immunizations

• Recent outbreaks of diseases
• Other Infections
• Food and Water
• Insect Tick Protection
• General Advice
• Medical Facilities
• Blood Supply
• Travel with children

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Are you a doctor or medical professional with knowledge of the situation in Peru  Why not apply to contribute to this page? You will get a link and referrals to your clinic from this site.

Summary You can't Edit

Summary of recommendations

Most travelers to Peru will need vaccinations for hepatitis A , typhoid fever , and yellow fever , as well as medications for malaria prophylaxis, travelers' diarrhea , and altitude sickness . Other immunizations may be necessary depending upon the circumstances of the trip and the medical history of the traveler, as discussed below. Insect repellents are recommended, in conjunction with other measures to prevent mosquito bites. All travelers should visit either a travel health clinic or their personal physician 4-8 weeks before departure.

Malaria:Prophylaxis with Lariam (mefloquine), Malarone (atovaquone/proguanil), or doxycycline is recommended for all areas below 2000 m (6561 ft), including the cities of Iquitos and Puerto Maldonado, with the exception of the cities of Ica, Lima, the coast south of Lima, and Nazca.

Vaccinations:

Medications You can't Edit

Travelers' diarrhea is the most common travel-related ailment. The cornerstone of prevention is food and water precautions , as outlined below. All travelers should bring along an antibiotic and an antidiarrheal drug to be started promptly if significant diarrhea occurs, defined as three or more loose stools in an 8-hour period or five or more loose stools in a 24-hour period, especially if associated with nausea, vomiting, cramps, fever or blood in the stool. A quinolone antibiotic is usually prescribed: either ciprofloxacin (Cipro) 500 mg twice daily or levofloxacin (Levaquin) 500 mg once daily for a total of three days. Quinolones are generally well-tolerated, but occasionally cause sun sensitivity and should not be given to children, pregnant women, or anyone with a history of quinolone allergy. Alternative regimens include a three day course of rifaximin (Xifaxan) 200 mg three times daily or azithromycin (Zithromax) 500 mg once daily. Rifaximin should not be used by those with fever or bloody stools and is not approved for pregnant women or those under age 12. Azithromycin should be avoided in those allergic to erythromycin or related antibiotics. An antidiarrheal drug such as loperamide (Imodium) or diphenoxylate (Lomotil) should be taken as needed to slow the frequency of stools, but not enough to stop the bowel movements completely. Diphenoxylate (Lomotil) and loperamide (Imodium) should not be given to children under age two.

Most cases of travelers' diarrhea are mild and do not require either antibiotics or antidiarrheal drugs. Adequate fluid intake is essential.

If diarrhea is severe or bloody, or if fever occurs with shaking chills, or if abdominal pain becomes marked, or if diarrhea persists for more than 72 hours, medical attention should be sought.

Though effective, antibiotics are not recommended prophylactically (i.e. to prevent diarrhea before it occurs) because of the risk of adverse effects, though this approach may be warranted in special situations, such as immunocompromised travelers.

Malaria in Peru: prophylaxis is recommended for all areas below 2000 m (6561 ft), including the cities of Iquitos and Puerto Maldonado, with the exception of the cities of Ica, Lima, the coast south of Lima, and Nazca. Most cases occur in Loreto (see Emerging Infectious Diseases), where malaria transmission has reached epidemic levels. There is no malaria risk in the highland tourist areas (Cuzco, Machu Picchu, and Lake Titicaca) and the southern cities of Arequipa, Moquegua, Puno, and Tacna. For a map showing the risk of malaria in different parts of the country, go to the Pan American Health Organization .

Either mefloquine (Lariam), atovaquone/proguanil (Malarone)(PDF) , or doxycycline may be given. Mefloquine is taken once weekly in a dosage of 250 mg, starting one-to-two weeks before arrival and continuing through the trip and for four weeks after departure. Mefloquine may cause mild neuropsychiatric symptoms, including nausea, vomiting, dizziness, insomnia, and nightmares. Rarely, severe reactions occur, including depression, anxiety, psychosis, hallucinations, and seizures. Mefloquine should not be given to anyone with a history of seizures, psychiatric illness, cardiac conduction disorders, or allergy to quinine or quinidine. Those taking mefloquine (Lariam) should read the Lariam Medication Guide (PDF). Atovaquone/proguanil (Malarone) is a combination pill taken once daily with food starting two days before arrival and continuing through the trip and for seven days after departure. Side-effects, which are typically mild, may include abdominal pain, nausea, vomiting, headache, diarrhea, or dizziness. Serious adverse reactions are rare. Doxycycline is effective, but may cause an exaggerated sunburn reaction, which limits its usefulness in the tropics.

Insect protection measures are essential in all areas where malaria is reported.

Long-term travelers who may not have access to medical care should bring along medications for emergency self-treatment should they develop symptoms suggestive of malaria, such as fever, chills, headaches, and muscle aches, and cannot obtain medical care within 24 hours. See malaria for details. Symptoms of malaria sometimes do not occur for months or even years after exposure.

The number of cases of malaria has risen sharply in recent years, due in part to internal migration and the spread of irrigation for rice and cotton farming.

For further information about malaria in Peru, including a map showing the risk of malaria in different parts of the country, go to the World Health Organization.

Altitude sickness may occur in travelers who ascend rapidly to altitudes greater than 2500 meters, including Cusco (3000 meters) and Lake Titicaca (4000 meters). Acetazolamide is the drug of choice to prevent altitude sickness. The usual dosage is 125 or 250 mg twice daily starting 24 hours before ascent and continuing for 48 hours after arrival at altitude. Possible side-effects include increased urinary volume, numbness, tingling, nausea, drowsiness, myopia and temporary impotence. Acetazolamide should not be given to pregnant women or those with a history of sulfa allergy. For those who cannot tolerate acetazolamide, the preferred alternative is dexamethasone 4 mg taken four times daily. Unlike acetazolamide, dexamethasone must be tapered gradually upon arrival at altitude, since there is a risk that altitude sickness will occur as the dosage is reduced.

Travel to high altitudes is generally not recommended for those with a history of heart disease, lung disease, or sickle cell disease.

Immunizations You can't Edit

The following are the recommended vaccinations for Peru.

Hepatitis A vaccine is recommended for all travelers over one year of age. It should be given at least two weeks (preferably four weeks or more) before departure. A booster should be given 6-12 months later to confer long-term immunity. Two vaccines are currently available: VAQTA (Merck and Co., Inc.) and HAVRIX (GlaxoSmithKline). Both are well-tolerated. Side-effects, which are generally mild, may include soreness at the injection site, headache, and malaise.

Older adults, immunocompromised persons, and those with chronic liver disease or other chronic medical conditions who have less than two weeks before departure should receive a single intramuscular dose of immune globulin (0.02 mL/kg) at a separate anatomic injection site in addition to the initial dose of vaccine. Travelers who are less than one year of age or allergic to a vaccine component should receive a single intramuscular dose of immune globulin (see hepatitis A for dosage) in the place of vaccine.

Typhoid vaccine is recommended for all travelers. It is generally given in an oral form (Vivotif Berna) consisting of four capsules taken on alternate days until completed. The capsules should be kept refrigerated and taken with cool liquid. Side-effects are uncommon and may include abdominal discomfort, nausea, rash or hives. The alternative is an injectable polysaccharide vaccine (Typhim Vi; Aventis Pasteur Inc.) (PDF), given as a single dose. Adverse reactions, which are uncommon, may include discomfort at the injection site, fever and headache. The oral vaccine is approved for travelers at least six years old, whereas the injectable vaccine is approved for those over age two. There are no data concerning the safety of typhoid vaccine during pregnancy. The injectable vaccine (Typhim Vi) is probably preferable to the oral vaccine in pregnant and immunocompromised travelers.

Yellow fever vaccine is recommended for all travelers greater than nine months of age going to the following areas less than 2300 m in elevation: the entire regions of Amazonas, Loreto, Madre de Dios, San Martin, and Ucayali and designated areas (see map ) of the following regions: far northeastern Ancash; northern Apurimac; northern and northeastern Ayacucho; northern and eastern Cajamarca; northwestern, northern, and northeastern Cusco; far northern Huancavelica; northern, central, and eastern Huanuco; northern and eastern Junin; eastern La Libertad; central and eastern Pasco; eastern Piura; and northern Puno. The vaccine should be considered only for those at increased risk due to prolonged travel, heavy exposure to mosquitoes, or inability to avoid mosquito bites, for travel to the following areas west of the Andes: the entire regions of Lambayeque and Tumbes and the designated areas of west-central Cajamarca and western Piura (see map ). The vaccine is not recommended for travelers whose itineraries are limited to the following areas: all areas greater than 2300 m in elevation, areas west of the Andes not listed above, the cities of Cuzco and Lima, Machu Picchu, and the Inca Trail (see map ). In recent years, yellow fever has been reported from the departments of Amazonas, Ancash, Ayacucho, Cusco, Huanuco, Junin, Loreto, Madre de Dios, Metas, Pasco, Puno, San Martin, and Ucayali (see "Recent outbreaks" below.).

Yellow fever vaccine (YF-VAX; Aventis Pasteur Inc.) (PDF) must be administered at an approved yellow fever vaccination center , which will give each vaccinee a fully validated International Certificate of Vaccination. Reactions to the vaccine, which are generally mild, include headaches, muscle aches, and low-grade fevers. Yellow fever vaccine should not in general be given to those who are younger than nine months of age, pregnant, immunocompromised, or allergic to eggs. It should also not be given to those with a history of thymus disease or thymectomy. Serious allergic reactions, such as hives or asthma, are rare and generally occur in those with a history of egg allergy.

Hepatitis B vaccine is recommended for all travelers if not previously vaccinated. Two vaccines are currently licensed in the United States: Recombivax HB (Merck and Co., Inc.) and Engerix-B (GlaxoSmithKline) (PDF) . A full series consists of three intramuscular doses given at 0, 1 and 6 months. Engerix-B is also approved for administration at 0, 1, 2, and 12 months, which may be appropriate for travelers departing in less than 6 months. Side-effects are generally mild and may include discomfort at the injection site and low-grade fever. Severe allergic reactions (anaphylaxis) occur rarely.

Rabies vaccine is recommended for travelers spending a lot of time outdoors, for travelers at high risk for animal bites, such as veterinarians and animal handlers, for long-term travelers and expatriates, and for travelers involved in any activities that might bring them into direct contact with bats. Children are considered at higher risk because they tend to play with animals, may receive more severe bites, or may not report bites. In Peru, most cases are related to contact with dogs or vampire bats. A complete preexposure series consists of three doses of vaccine injected into the deltoid muscle on days 0, 7, and 21 or 28. Side-effects may include pain at the injection site, headache, nausea, abdominal pain, muscle aches, dizziness, or allergic reactions.

Any animal bite or scratch should be thoroughly cleaned with large amounts of soap and water and local health authorities should be contacted immediately for possible post-exposure treatment, whether or not the person has been immunized against rabies.

Tetanus - diphtheria vaccine is recommended for all travelers who have not received a tetanus-diphtheria immunization within the last 10 years.

Measles - mumps - rubella vaccine: two doses are recommended (if not previously given) for all travelers born after 1956, unless blood tests show immunity. Many adults born after 1956 and before 1970 received only one vaccination against measles, mumps, and rubella as children and should be given a second dose before travel. MMR vaccine should not be given to pregnant or severely immunocompromised individuals.

Cholera vaccine is not generally recommended. Cholera continues to occur in Peru, but the number of cases has fallen dramatically in recent years. Most travelers are at extremely low risk for infection. Two oral vaccines have recently been developed: Orochol (Mutacol), licensed in Canada and Australia, and Dukoral , licensed in Canada, Australia, and the European Union. These vaccines, where available, are recommended only for high-risk individuals, such as relief workers, health professionals, and those traveling to remote areas where cholera epidemics are occurring and there is limited access to medical care. The only cholera vaccine approved for use in the United States is no longer manufactured or sold, due to low efficacy and frequent side-effects.

The number of cholera cases increased sharply in early 1998, probably as a result of storms and floods caused by El Nino.

Polio vaccine is not recommended for any adult traveler who completed the recommended childhood immunizations. Polio has been eradicated from the Americas, except for a small outbreak of vaccine-related poliomyelitis in the Dominican Republic and Haiti in late 2000.

Recent outbreaks of diseases You can't Edit

Recent outbreaks

An outbreak of leptospirosis was reported in April 2013 from the city of Juanjui, capital of the Mariscal Caceres Province, in the San Martin Region. In April 2012, a leptospirosis outbreak occurred in the Loreto Region after river water rose to its highest level in 25 years. More than 300 cases were described, three of them fatal. Leptospirosis is a bacterial infection transmitted to humans by exposure to water contaminated by the urine of infected animals. Symptoms may include fever, chills, headache, muscle aches, conjunctivitis (pink eye), photophobia (light sensitivity), and rash. Most cases resolve uneventfully, but a small number may be complicated by meningitis, kidney failure, liver failure, or hemorrhage. Those engaging in water activities may consider taking a prophylactic 200 mg dose of doxycycline, either once weekly or as a one-time dose. An increased number of cases of leptospirosis was also reported from Peru after flooding in 1998.

An outbreak of human rabies caused by vampire bats was reported in May 2012 from the La Convencion province, Cusco region, causing the deaths of seven Machiguengas [indigenous] children from Camana. In February 2011, a rabies outbreak related to vampire bats occurred in the San Ramon and Yupicusa native communities in Bagua province in the Amazonas region, near the border with Ecuador, about 1000 km north of Lima. Nine deaths were described by March. In August 2010, an outbreak of vampire bat-associated rabies occurred in the Awajun and Wampis indigenous communities situated about 600 miles north of the capital Lima, on the border with Ecuador in northeastern Peru, causing 20 deaths as of September. In January 2007, an outbreak of vampire bat-transmitted rabies occurred in the departments of Madre de Dios and Puno in the southeastern part of the country, causing 23 fatalities as of March. Between September and November 2006, two outbreaks of human rabies caused by vampire bats were reported from Condorcanqui Province, near the border with Ecuador in the northern part of Peru, killing 11 children. Vampire bats are about the size of a human thumb and inhabit caves and the hollows of tree trunks. They are abundant in these parts of South America. Travelers should not sleep in open areas without mosquito netting. Also, rabies vaccine should be considered for all travelers to the Amazonas and the Cusco regions. See ProMED-mail (January 23 and 31 and March 6, 2007; August 14, 2010; and February 19, 2011) for further information.

Cases of yellow fever are reported each year from Peru. The virus is endemic in the Amazon basin. A total of 31 cases, eight of them fatal, were reported for the year 2013. In March 2013, a fatal case was reported from Sandia province between Phara and Limbani. In March 2012, a fatal case occurred in the Ayacucho region. In February 2012, three fatal cases were reported from the Puno region. In Peru, most cases of yellow fever occur among males over the age of 15 who work in the countryside. Yellow fever vaccine is recommended for all those who will be visiting areas east of the Andes mountains. Yellow fever vaccine is not recommended for those visiting only Machu Picchu and the city of Cuzco, because the mosquitoes which transmit yellow fever are not present at high altitudes.

In January 2009, a confirmed case was reported from the department of San Martin. In the first 21 weeks of 2008, there were three confirmed cases, including one from the Amazonas Department and one from the San Martin Department, and 14 probable cases. All of the confirmed cases were fatal. In February 2007, three cases of yellow fever, all fatal, were reported from the province of La Convencion, a low-lying area in the northernmost part in the department of Cuzco. In March 2006, four cases were reported from Santa Rosa, San Martín and Palmapampa, in the jungle part of Ayacucho Department (see ProMED-mail ). In the first six months of 2004, the government of Peru reported a total of 52 yellow fever cases, more than half of them fatal. Cases were identified in the districts of Echerate (1 case), in the Department of Cuzco; Cholón (1), Daniel Alomia Robles (1), Huánuco (1) and José Crespo y Castillo (5) in the Department of Huánuco; Junín, (1), Perené (4) and Pichanaqui (17), in the Department of Junín; Ramón Castilla (1) in the Department of Loreto; Huepétuhe (5), Laberinto (1) and Manú (1) in the Department of Madre de Dios; Campanilla (7), La Banda de Shiclayo (1), Moyobamba (3), and Nueva Cajamarca (2), in the Department of San Martín. For further information, go to the Pan-American Health Organization .

In July 2003, a yellow fever outbreak was reported from the town of Pavo, Province of Bella Vista, and from the towns of Aucarca and El Zancudo, both located in the Province of Mariscal Caceres. See the Pan-American Health Organization for further information. In June 2001, an outbreak was reported from the Department of Loreto, in the Peruvian Amazon Region, in the districts of Puinahua, San Pablo and Iquitos. See the World Health Organization for details. Yellow fever reached epidemic proportions in 1995, mainly affecting farmers of Andean origin who lived in the central jungles. The outbreak was related to increases in internal migration and the development of new farming and industrial areas, and was terminated by renewed vaccination efforts. For further details on yellow fever in Peru, go to the Pan-American Health Organization (PDF)

An outbreak of bartonellosis , a bacterial infection transmitted by sandflies, was reported from the Huancabamba Province, Piura Region, in October 2011, causing a total of 74 cases. Of these, there were 33 acute cases (Oroya fever) and 41 cases of verruga peruana (Peruvian wart). Two of the cases were fatal. In September 2006, a small outbreak of Oroya fever was reported from Collo Locality, Arahuay District, Canta Province, approximately 80 km from Lima (see ProMED-mail ; September 28, 2006, and October 12, 2011). Historically, transmission has been limited to arid river valleys on the western slopes of the Andes between 800 and 3000 meters, but the recent report from Collo locality indicates that the range may be expanding. Bartonellosis may cause either an acute febrile illness, often associated with anemia, or a chronic disfiguring skin lesion known as "Peruvian wart". A major outbreak was reported from Peru in 2004, resulting in more than 7000 cases. There is no vaccine for bartonellosis. Insect protection measures are strongly advised, as below.

An outbreak of dengue fever caused by a particularly aggressive strain of the virus was reported in January 2011 from Iquitos and Loreto province in the northern Amazon jungle region, causing almost 13,000 cases and 14 deaths by February. In February 2011, a dengue outbreak was reported from Madre de Dios. Cases of dengue fever, a flu-like illness sometimes complicated by hemorrhage or shock, are reported annually from Peru, chiefly from the northern coast and the northeastern and central jungle region. Dengue has also been reported near the Ecuadoran border. Dengue fever is transmitted by Aedes mosquitoes, which bite primarily in the daytime and favor densely populated areas, though they also inhabit rural environments. No vaccine is available at this time. Insect protection measures are essential, as below.

In April 2010, a dengue outbreak occurred in Piura, in the far northwesternn part of the country. A dengue outbreak was reported in the first two months of 2009 from the Tumbes region in northwest Peru, resulting in approximately 5000 suspected cases. In February 2009, an outbreak was reported from the forested region of Ucayali, on the border with Brazil. In October 2008, a dengue outbreak was reported from the Iquitos district in the state of Loreto. An outbreak was also reported from Loreto in January 2008, chiefly involving the Iquitos, San Juan Bautista, and Punchana districts. In February 2008, outbreaks were reported from La Libertad, 550 km north of Lima, and Ucayali. For the country as a whole, a total of 6907 dengue cases, including two deaths, were reported for the year 2007, and a total of 5531 cases, none fatal, were recorded for 2006.

An outbreak of human rabies caused by vampire bats was reported in May 2012 from the La Convencion province, Cusco region, causing the deaths of seven Machiguengas [indigenous] children from Camana. In February 2011, a rabies outbreak related to vampire bats occurred in the San Ramon and Yupicusa native communities in Bagua province in the Amazonas region, near the border with Ecuador, about 1000 km north of Lima. Nine deaths were described by March. In August 2010, an outbreak of vampire bat-associated rabies occurred in the Awajun and Wampis indigenous communities situated about 600 miles north of the capital Lima, on the border with Ecuador in northeastern Peru, causing 20 deaths as of September. In January 2007, an outbreak of vampire bat-transmitted rabies occurred in the departments of Madre de Dios and Puno in the southeastern part of the country, causing 23 fatalities as of March. Between September and November 2006, two outbreaks of human rabies caused by vampire bats were reported from Condorcanqui Province, near the border with Ecuador in the northern part of Peru, killing 11 children. Vampire bats are about the size of a human thumb and inhabit caves and the hollows of tree trunks. They are abundant in these parts of South America. Travelers should not sleep in open areas without mosquito netting. Also, rabies vaccine should be considered for all travelers to the Amazonas region. See ProMED-mail (January 23 and 31 and March 6, 2007; August 14, 2010; and February 19, 2011) for further information.

An outbreak of plague was reported in July 2010 from the provinces of Ascope and Trujillo, department La Libertad. As of August, a total of 27 human cases had been identified: 21 bubonic (including one fatality), four pneumonic, and two septicemic (both fatal). Of the 27 cases, 25 acquired the infection in the Ascope and two in Trujillo. The last plague outbreak reported in the province of Ascope occurred in the locality of Santa Clara, in the district of Casa Grande between August and September 2009 (see ProMED-mail , August 5, 2010). A total of 15 cases were reported, nine of which were confirmed.

Human plague is reported from Peru nearly every year, chiefly from the departments of Cajamarca, La Libertad, Piura, and Lambayeque in the northern part of the country. The plague is usually transmitted by the bite of rodent fleas. Less commonly, the disease is acquired by inhalation of infected droplets, which may be coughed into the air by a person with plague pneumonia, or by direct exposure to infected blood or tissues. Most travelers are at low risk for the plague. Those who may have contact with rodents or their fleas should bring along a bottle of doxycycline , to be taken prophylactically if exposure occurs. Those less than eight years of age or allergic to doxycycline may take trimethoprim-sulfamethoxazole instead. To minimize risk, travelers should avoid areas containing rodent burrows or nests, never handle sick or dead animals, and follow insect protection measures , as described below.

An outbreak of Oropouche fever was reported in June 2010 from the Bagazan community, Pachiza district, in the department of San Martin, causing more than 160 cases. The virus is transmitted by the bite of a hematophagous (blood-sucking) midge named Culicoides paraensis. Symptoms may include fever, headache, loss of appetite, muscle aches, joint pains, and vomiting. Aseptic meningitis is a rare complication.

Other Infections You can't Edit

Other infections

Gnathostomiasis , which is caused by a helminth known as Gnathostoma spinigerum, may be acquired by eating raw or undercooked freshwater fish, including ceviche, a popular lime-marinated fish salad. The chief symptom is intermittent, migratory swellings under the skin, sometimes associated with joint pains, muscle pains, or gastrointestinal symptoms. The symptoms may not begin until many months after exposure. See Moore et al. in Emerging Infectious Diseases for further information.

HIV (human immunodeficiency virus) infection is reported, but travelers are not at risk unless they have unprotected sexual contacts or receive injections or blood transfusions.

Other infections include

• Chagas' disease (endemic in the southwestern region, including Arequipa, Moquegua, Tacna, and Ica Departments; the northwestern part of the country, including coastal regions from La Libertad, Lambayeque, Piura, and Tumbes Departments, and the northeastern region, including Amazonas, Cajamarca, and San Martin Departments; transmitted by triatomid insects found in substandard housing; see ProMED-mail , September 24, 2006)
• Brucellosis (limited foci; most common animal source is infected cattle)
• Histoplasmosis (reported in spelunkers returning from Mato Grosso)
• Cutaneous and mucocutaneous leishmaniasis (chiefly from the mountain and jungle departments; cutaneous form seen mainly in children under age 15, due to increasing use of child labor for brush clearing and preparation of farmlands on mountain slopes of the Andes)
• Anthrax (outbreaks reported from the region of Lambayeque in July 2006 and January 2008; from the Caudevilla locality, Supe District, in May 2008; and from La Libertad in March 2012; see ProMED-mail )
• Louse-borne typhus (mountain areas)
• Hantavirus infection (three cases reported from Iquitos, Loreto department, between July and September 2011; see ProMED-mail , July 21 and September 3, 2011; life-threatening viral infection; occurs in those who live in close association with rodents)
• Venezuelan equine encephalitis (northern Peru)
• Eastern equine encephalitis
• Mayaro virus disease (transmitted by mosquitoes in tropical forests)
• Echinococcus (mainly Andean region)
• Cysticercosis
• Fascioliasis (sheep-raising areas)
• Cyclosporiasis (outbreak reported at naval base in Lima in 2006; see American Journal of Tropical Medicine and Hygiene )
• Paragonimiasis (rare)

For in-depth public health information, go to the Pan-American Health Organization . For further information, go to the Ministerio de Salud (in Spanish).

Food and Water You can't Edit

Food and water precautions

Do not drink tap water unless it has been boiled, filtered, or chemically disinfected . Do not drink unbottled beverages or drinks with ice. Do not eat fruits or vegetables unless they have been peeled or cooked. Avoid cooked foods that are no longer piping hot. Cooked foods that have been left at room temperature are particularly hazardous. Avoid unpasteurized milk and any products that might have been made from unpasteurized milk, such as ice cream. Avoid food and beverages obtained from street vendors. Do not eat raw or undercooked meat or fish, including ceviche. Some types of fish may contain poisonous biotoxins even when cooked. Barracuda in particular should never be eaten. Other fish that may contain toxins include red snapper, grouper, amberjack, and sea bass.

All travelers should bring along an antibiotic and an antidiarrheal drug to be started promptly if significant diarrhea occurs, defined as three or more loose stools in an 8-hour period or five or more loose stools in a 24-hour period, especially if accompanied by nausea, vomiting, cramps, fever or blood in the stool. Antibiotics which have been shown to be effective include ciprofloxacin (Cipro) , levofloxacin (Levaquin), rifaximin (Xifaxan) , or azithromycin (Zithromax) . Either loperamide (Imodium) or diphenoxylate (Lomotil) should be taken in addition to the antibiotic to reduce diarrhea and prevent dehydration.

Insect Tick Protection You can't Edit

Insect and Tick Protection

Wear long sleeves, long pants, hats and shoes (rather than sandals). Apply insect repellents containing 25-50% DEET (N,N-diethyl-3-methylbenzamide) or 20% picaridin (Bayrepel) to exposed skin (but not to the eyes, mouth, or open wounds). DEET may also be applied to clothing. Products with a lower concentration of either repellent need to be repplied more frequently. Products with a higher concentration of DEET carry an increased risk of neurologic toxicity, especially in children, without any additional benefit. Do not use either DEET or picaridin on children less than two years of age. For additional protection, apply permethrin-containing compounds to clothing, shoes, and bed nets. Permethrin-treated clothing appears to have little toxicity. Don't sleep with the window open unless there is a screen. If sleeping outdoors or in an accommodation that allows entry of mosquitoes, use a bed net, preferably impregnated with insect repellent, with edges tucked in under the mattress. The mesh size should be less than 1.5 mm. If the sleeping area is not otherwise protected, use a mosquito coil, which fills the room with insecticide through the night.

To prevent sandfly bites, follow the same precautions as for mosquito bites, except that netting must be finer-mesh (at least 18 holes to the linear inch) since sandflies are smaller.

General Advice You can't Edit

General advice

Bring adequate supplies of all medications in their original containers, clearly labeled. Carry a signed, dated letter from the primary physician describing all medical conditions and listing all medications, including generic names. If carrying syringes or needles, be sure to carry a physician's letter documenting their medical necessity.Pack all medications in hand luggage. Carry a duplicate supply in the checked luggage. If you wear glasses or contacts, bring an extra pair. If you have significant allergies or chronic medical problems, wear a medical alert bracelet.

Make sure your health insurance covers you for medical expenses abroad. If not, supplemental insurance for overseas coverage, including possible evacuation, should be seriously considered. If illness occurs while abroad, medical expenses including evacuation may run to tens of thousands of dollars. For a list of travel insurance and air ambulance companies, go to Medical Information for Americans Traveling Abroad on the U.S. State Department website. Bring your insurance card, claim forms, and any other relevant insurance documents. Before departure, determine whether your insurance plan will make payments directly to providers or reimburse you later for overseas health expenditures. The Medicare and Medicaid programs do not pay for medical services outside the United States.

Pack a personal medical kit , customized for your trip (see description). Take appropriate measures to prevent motion sickness and jet lag , discussed elsewhere. On long flights, be sure to walk around the cabin, contract your leg muscles periodically, and drink plenty of fluids to prevent blood clots in the legs. For those at high risk for blood clots, consider wearing compression stockings.

Avoid contact with stray dogs and other animals. If an animal bites or scratches you, clean the wound with large amounts of soap and water and contact local health authorities immediately. Wear sun block regularly when needed. Use condoms for all sexual encounters. Ride only in motor vehicles with seat belts. Do not ride on motorcycles.

Ambulance You can't Edit

Ambulance and Emergency Services

For a public ambulance in Peru, call 141 . For a private ambulance, which usually offers better service, look in the local telephone directory or call one of the following:

• Alerta Medica (tel. 225-4040)
• San Cristóbal (tel. 440-0200)
• Plan Vital (tel. 241-1911)
• Servimedic (tel. 332-6720)
• Alfa Medic (tel. 362-9519)
• Mision Medica (tel. 346-2929)

Medical Facilities You can't Edit

Medical facilities

In general, private clinics offer better care than the public hospitals. There are several high-quality medical clinics in Lima that are open 24/7 for medical emergencies. They also function as hospitals and offer subspecialty consultations. Many travelers go to one of the following:

• Clinica Anglo Americana (Alfredo Salazar, 3rd block, San Isidro; tel. 221-3656; also urgent care center at Av. La Fontana, La Molina; tel. 436-9933)
• Clinica San Borja (Av. Guardia Civil 333, San Borja; tel. 475-3141; website www.clinicasanborja.com.pe/)
• Clinica El Golf (Av. Aurelio Miro Quesada 1030, San Isidro; tel. 264-3300)
• Clinica Montesur (Av. El Polo, Monterrico; tel. 436-3630; specializes in women’s issues)

For a guide to English-speaking physicians and dentists in private practice in Lima, as well as additional clinics, go to the U.S. Embassy website. Adequate medical care is generally available in other cities, but may be difficult to locate in rural areas. In Cusco, there are several private clinics that provide acceptable care, but serious medical problems generally require transport to Lima. Most doctors and hospitals will expect payment in cash, regardless of whether you have travel health insurance. Life-threatening medical problems will require air evacuation to a country with state-of-the-art medical facilities.

According to the U.S. State Department , "Over the last few years, at least five American citizen visitors have died during liposuction operations in Peru. While some of these deaths occurred in ill-equipped, makeshift clinics, travelers are urged to carefully assess the risks of having this type of surgery performed overseas, even when opting for a treatment at one of the better-known clinics."

Pharmacies You can't Edit

Most pharmacies in Lima are well-supplied. Many travelers go to one of the following:

• Pharmax (Av. La Encalada 1541, Nonterrico, across the street from the U.S. Embassy; tel. 434-1460; 24-hour delivery service)
• Pharmax (Av. Salaverry 3100, San Isidro; tel. 264-2282; 24-hour delivery service)
• Farmacia Deza (Av. Conquistadores 1140, San Isidro; tel. 440-3798; 24-hour delivery service)
• Las Colonias (Santa Elena Norte 102-104 Street, Monterrico, 21st block of Primavera Av. by the Museo de Oro; English-speaking owner)

Many of the major supermarkets, including Wong and Santa Isabel, include good pharmacies.

Blood Supply You can't Edit

Blood supply

Screening for HIV and hepatitis remains inadequate. In September 2007, four people were found to have become infected with HIV from blood transfusions at public hospitals. At around the same time, thirty people who went to a social security dialysis center were found to have become infected with hepatitis C (see ProMED-mail , September 14, 2007). Transfusions in Peru should be avoided if at all possible.

Travel with children You can't Edit

Traveling with children

Make sure you have the names and contact information for qualified medical personnel before you go abroad (see the U.S. Embassy website).

In general, the recommendations for infants and young children are the same as those for adults, except that certain vaccines and medications should not be administered to this age group. Most importantly, yellow fever vaccine is not approved for use in those under age nine months. Unless there is an extraordinary need to do so, children less than nine months of age should not be brought to areas where yellow fever occurs.

The recommendations for malaria prophylaxis are the same for young children as for adults, except that (1) dosages are lower; and (2) doxycycline should be avoided. DEET-containing insect repellents are not advised for children under age two, so it's particularly important to keep children in this age group well-covered to protect them from mosquito bites.

Food and water precautions , which are recommended for all travelers, must be strictly followed at all times, because diarrhea is especially dangerous in this age group and because the vaccines for hepatitis A and typhoid fever are not approved for children less than two years of age.

All children should be up-to-date on routine childhood immunizations, as recommended by the American Academy of Pediatrics . Children who are 12 months or older should receive a total of 2 doses of MMR (measles-mumps-rubella) vaccine, separated by at least 28 days, before international travel. Children between the ages of 6 and 11 months should be given a single dose of measles vaccine. MMR vaccine may be given if measles vaccine is not available, though immunization against mumps and rubella is not necessary before age one unless visiting a country where an outbreak is in progress. Children less than one year of age may also need to receive other immunizations ahead of schedule (see the accelerated immunization schedule).

Travel and pregnancy You can't Edit

International travel should be avoided by pregnant women with underlying medical conditions, such as diabetes or high blood pressure, or a history of complications during previous pregnancies, such as miscarriage or premature labor. For pregnant women in good health, the second trimester (18–24 weeks) is probably the safest time to go abroad and the third trimester the least safe, since it's far better not to have to deliver in a foreign country.

Before departure, make sure you have the names and contact information for physicians, clinics, and hospitals where you can obtain emergency obstetric care if necessary (see the U.S. Embassy website). In general, pregnant women should avoid traveling to countries which do not have modern facilities for the management of premature labor and other complications of pregnancy.

Yellow fever vaccine, which consists of live virus, should not in general be given to pregnant women. Unless absolutely necessary, pregnant women should not travel to areas where yellow fever occurs.

Pregnant women should also avoid areas where malaria is transmitted. Malaria may cause life-threatening illness in both the mother and the unborn child. None of the currently available prophylactic medications is 100% effective. If travel to malarious areas is unavoidable, insect protection measures must be strictly followed at all times. The recommendations for DEET-containing insect repellents are the same for pregnant women as for other adults. Of the currently available drugs for malaria prophylaxis, Mefloquine (Lariam) may be given if necessary in the second and third trimesters, but should be avoided in the first trimester. There are no data regarding the safety of atovaquone/proguanil (Malarone) during pregnancy, so the drug should be avoided pending further information. Doxycycline may interfere with fetal bone development and should not be given during pregnancy.

Strict attention to food and water precautions is especially important for the pregnant traveler because some infections, such as listeriosis, have grave consequences for the developing fetus. Additionally, many of the medications used to treat travelers' diarrhea may not be given during pregnancy. Quinolone antibiotics, such as ciprofloxacin (Cipro) and levofloxacin (Levaquin), should not be given because of concern they might interfere with fetal joint development. Data are limited concerning trimethoprim-sulfamethoxazole, but the drug should probably be avoided during pregnancy, especially the first trimester. Options for treating travelers' diarrhea in pregnant women include azithromycin and third-generation cephalosporins. For symptomatic relief, the combination of kaolin and pectin (Kaopectate; Donnagel) appears to be safe, but loperamide (Imodium) should be used only when necessary. Adequate fluid intake is essential.

Travel to altitudes greater than 4000 meters (13,100 feet) should be avoided during pregnancy. During the third trimester and during high-risk pregnancies, travel should be limited to altitudes less than 2500 meters (8200 feet).

Maps You can't Edit

Helpful maps are available in the University of Texas Perry-Castaneda Map Collection and the United Nations map library. If you have the name of the town or city you'll be visiting and need to know which state or province it's in, you might find your answer in the Getty Thesaurus of Geographic Names .

Embassy You can't Edit

Embassy/Consulate Location

(reproduced from the U.S. State Dept. Consular Information Sheet )

U.S. citizens living in or visiting Peru are encouraged to register at the Consular Section of the U.S. Embassy in Lima and obtain updated information on travel and security in Peru. The Consular Section is open for American Citizen Services, including registration, from 8:00 a.m. to 12:00 noon weekdays, excluding U.S. and Peruvian holidays. The U.S. Embassy is located in Monterrico, a suburb of Lima, at Avenida Encalada, Block Seventeen; telephone 51-1-434-3000 during business hours (8:00 a.m. to 5:00 p.m.), or 51-1-434-3032 for after-hours emergencies; fax 51-1-434-3065, or 434-3037, or 434-4182 (American Citizen Services Unit); Internet web site - http://peru.usembassy.gov. This website provides information, but it does not yet have interactive capability to respond to specific inquiries. The U.S. Consular Agency in Cusco is located in the Binational Center (Instituto Cultural Peruana Norte Americano, ICPNA) at Avenida Tullumayo 125; telephone 51-84-24-5102; fax 51-84-23-35-41; cellular phone 51-84-9-62-1369; Internet address [email protected] . The Consular Agency can provide information and assistance to U.S. citizen travelers who are victims of crime or need other assistance, but it cannot replace lost or stolen U.S. passports, which are processed at the U.S. Embassy in Lima.

Safety Information You can't Edit

Safety information

For information on safety and security, go to the U.S. Department of State MD Travel Health >, United Kingdom Foreign and Commonwealth Office, Foreign Affairs Canada , and the Australian Department of Foreign Affairs and Trade .

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Hotels near Peru

• Manish Hotel Ecólogico Boasting an outdoor swimming pool surrounded by palm trees, this eco-friendly hotel offers rooms with free Wi-Fi in Pucallpa, 2 km from the natural reserve. Private parking on site is free.
• Hospedaje el Emperador Just a 10-minute walk from the main square, Hospedaje el Emperador offers accommodations in Pucallpa. Free WiFi access is available. Each room here features a fan, private bathroom with free toiletries and cable TV. A daily breakfast is included.
• Cedros de Corpac Featuring a garden, Cedros de Corpac offers free Wi-Fi and air conditioning in Pucallpa. The main square and the commercial area are 5 km away. Captain Rolden International Airport is 200 metres from the property.
• Sol de Pucallpa Featuring a restaurant, Sol de Pucallpa offers accommodations in Pucallpa. Free WiFi access is available. Each room here features air conditioning, cable TV and a private bathroom with free toiletries. A daily breakfast is included.
• Hotel Sol del Oriente Pucallpa An outdoor swimming pool, a sauna room and gym facilities are offered in Pucallpa, right across from the town’s Public Clock Square. Chic rooms feature private balconies with swimming pool views.
• Ucayali River Hotel Featuring an outdoor pool and a spa and wellness centre, Ucayali River Hotel is located in Pucallpa. This hotel offers a full buffet breakfast each morning and guests can enjoy drinks at the Tahuari Bar. Free Wi-Fi access is available.
• Grand Hotel Mercedes Featuring an outdoor pool and a restaurant, Grand Hotel Mercedes is located in Pucallpa. The hotel is just 100 metres from the Ucayali River and offers free WiFi access. Breakfast is provided each morning.
• Hostal Arequipa Offering a restaurant, Hostal Arequipa is located in Pucallpa. Free WiFi access is available. Each room here will provide you with a TV, air conditioning and a minibar. Featuring a shower, private bathroom also comes with free toiletries.
• Del Castillo Plaza Located in front of the main square, Del Castillo Plaza offers free Wi-Fi and Continental breakfast in Pucallpa. A regional restaurant and a business centre are featured on site.
• Hospedaje El Refugio Featuring an outdoor pool, Hospedaje El Refugio offers accommodations in Pucallpa. Free WiFi access is available. Each room here features cable TV and a private bathroom. Some also have a minibar and garden views.

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Accommodation near Peru

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Peru Travel Vaccines & Advice

Peru is a truly captivating country. This Western South American nation was once home to some of the most emblematic ancient civilizations. The iconic Inca citadel of Machu Picchu is of course a must-see when visiting Peru. But the country hides countless fascinating vestiges of other lost civilizations, like the vast ancient city of Chan Chan and the intriguing geoglyphs of Nazca. From sand dunes to the soaring peaks of the Andes mountain range, arid steppes inhabited by llamas and the mighty Amazonian jungle, Peru offers spectacular landscapes of a striking beauty, just as diverse as its fascinating multicultural population.

HEALTH INFORMATION FOR TRAVELLING TO PERU

Risk of Zika in this Country.  Learn More >>

We make every effort to ensure that the information posted on our website is up to date and accurate according to the latest public health recommendations; however, it is impossible for us to make changes on a daily basis.

For the most current travel health recommendations, please call our clinic as make an appointment with one of our travel health professionals.

PERU – RECOMMENDED VACCINES

Recommended medications, medical care in peru.

If you need medical care while traveling in Peru, it is better to go to private health care establishments, as the public medical facilities don’t always provide quality care. In Lima, the capital city, good quality private clinics are easy to find. The Clinica Anglo Americana, the San Borja Medical Clinic and the Clinica Montesur can be quoted. But in the event of serious health issues, an air evacuation to another country is required. 

In case of emergency in Peru, call 141. If you can afford it, it is better to resort to a private ambulance, which will provide you a better emergency service. To have one, you can contact Alerta Medica at 225 4040, Alfa Medic at 352 9519, Medical Missions at 346 2929 or the San Cristobal Ambulance Service at 440 0200. 

In Lima, medicines are widely available in the numerous pharmacies found in the city. It is also possible to buy drugs in large supermarkets. If you want to purchase specific treatments, a medical prescription will be required. It is always safer to bring your own medical supplies.

SECURITY ABROAD

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SAN JOSÉ WEATHER

CANADIAN EMBASSY

Emergency services

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

Altitude Sickness

Sleeplessness, traveler’s diarrhea, motion sickness, malaria prevention.

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Runway offers many of the most commonly prescribed travel medications. Create your Peru treatment plan and initiate a consultation with one of our licensed physicians today, so you can explore more and worry less.

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Our standard prescription includes medication for one course of treatment.

Our standard prescription includes a course of treatment for 5 days of continual ascent.

Price includes a course of treatment for 14 days of travel within an endemic area. $25 for each additional week in a malaria endemic region.

Just in case

Our standard prescription includes medication for 14 restful nights.

Includes 3 Scopolamine patches. Each patch provides motion sickness relief for up to 72 hours.

Price includes 20 orally disintegrating tablets (ODT). Additional tablets may be requested for $10 per 10 tablets.

Those traveling through South America will undoubtedly want to visit the Inca city Machu Picchu, but there is far more to Peru than this ancient wonder. Fascinating historical ruins and monuments can be found around the country, and there are plenty of incredible natural wonders to experience - from the Amazon rainforest to Lake Titicaca to the Andes.

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I was having the best time in Mexico until I got an awful stomach bug. Thankfully, I had brought my own medication with me so I didn’t have to deal with language barriers and a local pharmacy. After a quick recovery day, I was still able to enjoy the rest of my trip.

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Medications not allowed in Peru

Peru has strict regulations on the importation of medications, and travelers are not allowed to bring in any personal medications that contain prohibited substances, even if they remain within the country. These restrictions aim to prevent the trafficking of illicit drugs and protect public health.

List of Medications Not Allowed in Peru

Peru has strict regulations on the importation of medications, and travelers are not allowed to bring in any personal medications that contain prohibited substances, even if they remain within the country. These restrictions aim to prevent the trafficking of illicit drugs and protect public health. Here is a list of medications that are not allowed in Peru:

• Narcotics and psychotropic substances : Travelers are not allowed to bring controlled substances of unknown therapeutic use into Peru. Medications containing narcotics and psychotropic substances are generally prohibited, and travelers are advised to use the Peruvian National Institute of Health’s online tool to find out whether their medications contain any prohibited substances.
• Pseudoephedrine and codeine : Medications containing pseudoephedrine, which is a common ingredient in cold and allergy medications, are also not allowed in Peru. Similarly, medications containing codeine, which is a narcotic pain reliever, are also not allowed in Peru.
• Medications containing ephedrine : Medications containing ephedrine, which is a stimulant and decongestant, are also prohibited in Peru.
• Medications containing sibutramine : Sibutramine is a weight loss medication that has been banned in many countries due to its association with cardiovascular events. It is also prohibited in Peru.
• Medications containing phenylpropanolamine : Phenylpropanolamine is a decongestant that has been associated with an increased risk of hemorrhagic stroke. It is also prohibited in Peru.
• Medications containing fenfluramine : Fenfluramine is a weight loss medication that has been banned in many countries due to its association with heart valve disease. It is also prohibited in Peru.
• Medications containing dexfenfluramine : Dexfenfluramine is a weight loss medication that has been banned in many countries due to its association with heart valve disease. It is also prohibited in Peru.
• Medications containing mazindol : Mazindol is a weight loss medication that has been associated with psychiatric side effects. It is also prohibited in Peru.
• Medications containing amfepramone : Amfepramone is a weight loss medication that has been associated with psychiatric side effects. It is also prohibited in Peru.
• Medications containing diethylpropion : Diethylpropion is a weight loss medication that has been associated with psychiatric side effects. It is also prohibited in Peru.

It is important to note that this list is not exhaustive, and travelers are advised to check with the Peruvian National Institute of Health or the nearest Peruvian embassy or consulate for information about specific requirements related to their medications.

Narcotics and Psychotropic Substances

Travelers are not allowed to bring controlled substances of unknown therapeutic use into Peru. Medications containing narcotics and psychotropic substances are generally prohibited, and travelers are advised to use the Peruvian National Institute of Health’s online tool to find out whether their medications contain any prohibited substances.

Pseudoephedrine and Codeine Restrictions

Medications containing pseudoephedrine, which is a common ingredient in cold and allergy medications, are also not allowed in Peru. Similarly, medications containing codeine, which is a narcotic pain reliever, are also not allowed in Peru.

Prescription Requirements and Exceptions

Some medications may require a valid prescription from a healthcare professional in order to enter Peru. Travelers are encouraged to contact the Peruvian National Institute of Health or the nearest Peruvian embassy or consulate for information about specific requirements related to their medications.

Exceptions include medications for chronic conditions, such as insulin for diabetics, but travelers are still required to present documentation confirming their condition and the necessity of carrying the medication.

Penalties for Noncompliance

Noncompliance with Peru’s import regulations could result in severe penalties, including fines, detention, deportation, and criminal charges. Therefore, it is essential to understand and comply with the rules governing the importation of medications into Peru.

How to Check Permitted Medications

To avoid potential issues upon entering Peru, travelers should research the permitted medications before departure. They can refer to the Peruvian National Institute of Health’s website, which provides detailed information about restricted substances and exceptions. Alternatively, travelers can seek advice from their healthcare provider or a local pharmacist experienced in international travel.

Tips for Safe Travels with Medications

To minimize risks associated with traveling with medications, consider the following tips:

• Carry medications in their original packaging, along with a copy of the prescription or a letter from a healthcare provider explaining why the medications are needed.
• Pack medications separately from other items to facilitate inspection during security checks.
• Keep medications in a cool, dry place, away from direct sunlight.
• Avoid packing medications in checked luggage; instead, keep them in hand luggage.
• Be prepared to show proof of the medication’s legitimacy, such as a receipt or prescription, upon request.

By understanding and complying with Peru’s import regulations, travelers can safely enjoy their trips while ensuring compliance with local laws.

Where can I get OTC medication in Peru?

In Peru, you can find over-the-counter (OTC) medications at local pharmacies, supermarkets, and smaller markets known as “tienditas.” Common OTC medications in Peru include:

• Acetaminophen (Paracetamol): Pain reliever and fever reducer
• Ibuprofen: Nonsteroidal anti-inflammatory drug (NSAID), used for pain relief and reducing inflammation
• Loperamide: Antidiarrheal medication
• Mebeverine: Used for treating abdominal cramping and spasm
• Cetirizine: Antihistamine, used for allergy symptom relief
• Loratadine: Antihistamine, used for allergy symptom relief
• Salbutamol: Bronchodilator, used for asthma symptom relief
• Antacids: Used for heartburn, indigestion, and stomach upset
• Vitamins: Various combinations of essential vitamins for overall health support

It is advisable to consult a healthcare professional before taking any medication, particularly if you have a pre-existing medical condition or are taking other medications. Keep in mind that the types of medications and their availability may differ slightly compared to those in the Philippines.

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What can you not bring to Peru

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What food can I take to Peru?

When one is traveling to Peru, he or she must know the country’s customs regulations concerning food. Although it has many local ingredients and a diverse culinary scene, some things are not permitted in the country. In this article, we will delve into what you can and cannot bring in terms of food to Peru….

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Risk / Health Info for Peru

Do i need shots for peru.

Make sure your vaccinations are up to date before you go to Peru. You can protect yourself against typhoid and hepatitis A, two nasty gastrointestinal diseases spread by contaminated food and water.

Consider also getting vaccinated against hepatitis B for Peru, especially if you are planning to go often or stay for a long time. Hep B shots are also recommended for children, and for people who plan to work in healthcare or dentistry, or might be exposed to blood or body fluid. Hepatitis B is also spread by unprotected sex, dirty needles, or invasive medical or cosmetic procedures.

There is a risk of yellow fever  in Peru, so make sure you have had your shot. Keep your certificate handy, because the vaccination gives lifelong immunity.

Animals in Peru can carry rabies so make sure you are protected by this vaccination, particularly if you plan to visit remote regions or be around animals such as dogs or bats. Children should get their rabies shot because they are often bitten while playing with animals. Cyclists and runners are also at increased risk. Always get urgent medical advice about any animal scratch or bite in Peru, even if you’ve already been vaccinated.

What medical facilities are there in Peru?

Peru has well-equipped private hospitals and clinics in urban centres, and public facilities may not meet Canadian standards even in tourist areas. Make sure you have travel insurance and access to funds in case of medical emergency or evacuation, so consult your provincial or territorial health authority before you leave for Peru.

Protect yourself in Peru

Mosquito-borne illnesses including malaria, yellow fever, Zika, chikungunya and dengue fever are present in Peru. Protect yourself by wearing clothing that covers as much skin as possible and using a reliable insect repellent, and also sleeping under nets or in air-conditioned accommodation wherever possible. At least six weeks before you leave for Peru, consult our travel advisers about anti-malarial pills and your yellow fever shot, and also for advice on preventing altitude sickness.

Recommended Vaccines for Peru

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Famous for its Inca ruins, colonial architecture and Machu Picchu, among other delights, Peru lies on the Pacific coast of South America.

top Tips for travelling to Peru

There is more to Peru than just the four-day hike along the Inca Trail to Machu Picchu. You can also hike the Colca Canyon or visit the floating islands in Lake Titicaca, and get a glimpse of fascinating wildlife in the Amazon rainforest, or try sandboarding in Huacachina. Check out the catacombs in Lima, too. Global Affairs Canada recommends avoiding some parts of Peru, so check before you go.

Our vaccination and travel health clinics in Calgary, Edmonton, Ottawa, Toronto & Vancouver will ensure that you are up-to-date on all the travel immunizations recommended by healthcare professionals. Canadian Travel Clinics will ensure you are protected by all the recommended shots before you leave the country.

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The Epicurean Traveler

Inspiring Cultural Exploration Through Culinary Travel

Before Traveling To Peru Prepare For These Health Risks

Are you planning a trip to Peru ? Before you hike the Inca Trail to Machu Picchu , kayak the Amazon River, or eat ceviche in Lima, you’ll want to be prepared for a variety of health risks.

Take it from someone who suffered through food poisoning, altitude sickness, and painful insect bites that you want to be prepared for the worst to have the best experience traveling in South America.

Disclosure: This post about how to prepare for the health issues travelers may face in Peru contains affiliate links. If you click on one of these links and purchase an item, I may earn a small commission. Of course, this is at no extra cost to you.

Health Tips You Should Know Before Peru Travel

In this post, I share four travel health tips for Peru based on my experience visiting the South American country in September 2015. It is important to note that I’m not a medical professional. This post should not replace consulting with your doctor regarding your personal health before traveling to Peru.

Ensure Your Vaccinations are Up to Date

First, I could not stress enough to you the importance of making sure your vaccinations are up to date before traveling abroad. Major vaccines include Dtap (tetanus), Polio, and MMR. If you are an American, you likely received these as a child, but you may be due for a booster shot.

Recommended vaccines for traveling abroad also often include Hepatitis A and B, Meningitis (which is often required now before attending American universities, for those of you studying abroad), the flu shot, and the Covid-19 vaccine.

If you are not sure if your vaccinations are up to date, you can ask your doctor to run a test to find out.

To make sure you are getting the correct vaccinations for the areas of Peru that you’ll be visiting and the activities you plan to do, you should check the Centers for Disease Control and Prevention website and make an appointment with a travel doctor.

Recommended Vaccine For Travel In Peru: Typhoid

Most importantly for Peru, you should get a typhoid fever vaccine. The CDC advises this for most travelers because it’s possible to contract typhoid through contaminated food and drink. In particular, the typhoid vaccine is recommended if you plan to visit small and rural towns, eat home-cooked meals, or are an adventurous foodie.

Before traveling to Peru, I visited a travel doctor’s office in Grand Rapids, Michigan. There, the typhoid vaccine was available as a shot or an oral vaccine. I opted for the oral typhoid vaccine because it was the less expensive option. Additionally, the oral vaccine was good for five years, whereas the shot only covered three years.

If you plan to travel internationally again within the coming years, it is worth inquiring how long each vaccine typically lasts.

Possibly Recommended Vaccine For Travel In Peru: Yellow Fever

Depending on where you’ll be traveling in Peru, you may also need a yellow fever vaccine.

If you get the yellow fever vaccine, you should ask your doctor for a certificate of vaccination. This will likely be a yellow form issued by the World Health Organization.

Several of my Aussie travel companions in Peru said that they would be required to show the yellow fever vaccination certificate in Australia upon returning home from Peru.

Therefore, I recommend you check with your travel doctor and your home country’s government to be sure of the vaccination requirements.

2022 COVID-19 Update for Peru Travel

As of January 18, 2022, the Peruvian government has extended its COVID-19 health emergency through August 28, 2022.

Therefore, all commercial airline passengers age 12 and older must show proof of being fully vaccinated at least 14 days prior to boarding their initial flight or a negative molecular (PCR) test result from a test taken within 48 hours prior to boarding. Children younger than 12 do not need to be vaccinated against or tested for COVID-19, but they must be asymptomatic prior to boarding a flight to Peru.

The aforementioned guidelines are for foreign travelers. Peruvians are now required to show proof of three COVID-19 vaccine doses or a negative test result.

Be Prepared for Malaria and Bug Bites in Peru

Is malaria an issue in peru.

Yes, malaria is present in certain regions of Peru.

The CDC primarily recommends malaria medication to travelers visiting the Amazon, such as the cities of Iquitos and Puerto Maldonado and the eastern regions of La Libertad.

Malaria medication is also recommended for visiting the Lambayeque region in northern Peru.

If you plan to travel to one or more of these destinations in Peru, your doctor may prescribe malaria pills and recommend DEET mosquito repellent.

My experience at Machu Picchu

During my trip, the biting insects at Machu Picchu were intense.

I had worn cropped leggings that left a small section of skin on my lower legs exposed. That night, after visiting Machu Picchu, my legs throbbed with pain. By the next day, that area of skin was covered in red splotches of bug bites that began to itch.

Unfortunately, I flew home the day after getting bitten at Machu Picchu. By the time my overnight flight from Lima landed in Detroit, I could barely walk from the swelling.

Luckily, I had arranged for my mom to pick me up from the airport, and she took me straight to the nearest pharmacy. Taking Benadryl and resting seemed to help, and the swelling reduced by the following day.

In my original version of this post, I had incorrectly identified these insects at Machu Picchu as mosquitoes. I’m not sure what these insects are — some travelers have called them midges, others have said they are sand flies. Whatever they are, they certainly feast on exposed skin!

Recommendations for Preventing Insect-Borne Disease

• Malaria is a concern in certain regions of Peru, particularly if you travel to the Amazon rainforest. Before your trip, you should consult with a travel doctor. You may be prescribed malaria medication to take before, during, and/or after your trip.
• At Machu Picchu, you will likely encounter biting insects. I found the best defense is to wear long pants and long sleeves to leave little skin exposed. Insect repellant may be helpful as well. If you forget to pack bug spray, you can buy insect repellent at shops in Aguas Calientes, the take-off point for visiting Machu Picchu.
• Mosquito-borne diseases, such as dengue fever and Zika Virus, have been reported in Peru. Since mosquitoes are not typically found at high elevations, traveling in highland regions — to tourist favorites such as Lake Titicaca and Cusco — is lower risk for mosquito-borne illnesses.

Prevent Altitude Sickness

Altitude sickness is a difficult ailment to avoid when traveling at a fast pace in mountainous areas. It is best to hydrate as much as possible before reaching a high elevation. Otherwise, you might feel as tired and uncomfortable as I did in Puno, where the elevation is 12,556 feet.

You should not assume that you will be OK because you never experienced altitude sickness in other destinations at high elevations beforehand. Half of my travel group missed out on dinner in Puno because we were struggling with the altitude. Personally, I’ve never had an issue with altitude sickness when traveling in the Swiss Alps or Colorado Rockies, but I certainly did in the Peruvian Andes.

Elevation of Popular Peru Destinations

• Arequipa: 7,661 ft
• Colca Canyon: 10,830 ft
• Cusco: 11,152 ft
• Iquitos: 348 ft
• Lake Titicaca: 12,507 ft
• Lima: 505 ft
• Machu Picchu: 7,972 ft
• Nazca Lines: 1,706 ft
• Puno: 12,556 ft
• Sacred Valley: 8,000 ft
• Vinicunca (Rainbow Mountain): 17,060 ft

What does altitude sickness feel like?

It really depends.

Altitude sickness symptoms could include dizziness, fatigue, shortness of breath, loss of appetite, sleep problems, and a general loss of energy.

Generally, these symptoms occur within 12 to 24 hours of arriving at a high elevation, but they will lessen within one to two days as the body adjusts to the altitude.

However, if your symptoms are more severe, getting back to a lower elevation might be your best option.

In my experience, my symptoms changed throughout the day.

However, the worst of my symptoms were a dull headache, especially in the mornings, that no amount of ibuprofen could relieve and slow digestion that constantly made me feel quite uncomfortable.

Due to that bloated feeling, I wasn’t drinking the recommended amount of water for high altitudes, and that exacerbated the problem.

I also experienced fatigue, interrupted and restless sleep, mild dizziness, and a bloody nose (just a little blood when I had to blow my nose).

How do you treat or prevent altitude sickness?

• Hydrate — The locals recommend drinking at least 1 liter of water per 1,000 meters elevation
• Coca — Locals chew coca leaves or drink coca tea for energy and to aid digestion
• Rest and time — Give yourself time to adjust to higher altitudes before extreme activities like hiking. For example, spend a day or two in Cusco before hiking the Inca trail or visiting Machu Picchu.

Prevention and Treatment Tips for Traveler’s Diarrhea from Food Poisoning in Peru

If you don’t want to miss out on any once-in-a-lifetime experiences in Peru, like I did when I missed white water rafting in the Sacred Valley, travel with anti-diarrheal medication and an antibiotic.

Which medications should you take if you get traveler’s diarrhea from food poisoning?

• Ciprofloxacin — Before you travel to Peru, ask your doctor for a prescription for this antibiotic. You can also buy this medication over the counter at pharmacies in Peru, but — trust me from personal experience — it would be best to have it on hand in case of emergencies.
• Pepto Bismol — Yes, it is pink and gross, but this over-the-counter medication is a traveling eater’s best friend. Not only does it slow digestion, but it also alleviates most upset stomach ailments foreign travelers are too embarrassed or too lacking in vocabulary to accurately describe to a pharmacist. I recommend the pills or chew tablets instead of the liquid.

Which foods and drinks should you avoid in Peru?

• Fruits without skins — Any fruit with a tough peel like a banana, a melon, or an orange is probably safe to eat. Beware of fruits with thin to no skin like strawberries. Instead, try local fruits like granadilla or chirimoya from an open-air market.
• Salads washed in local water — Vegetables are safest to eat when thoroughly cooked. If you want a salad, be sure to ask how the vegetables are washed. In nice restaurants that serve a high volume of tourists, you may be safe ordering a salad. If you are worried about this, stick to potatoes – Peruvians eat 3,000 varieties!
• Raw meat and seafood — If you want to fully enjoy the culinary scene of Lima, South America’s culinary capital, you’ll want to try the ceviche made with raw seafood. The citric acid actually cooks the fish, so just stir your dish really well before eating to ensure the acid has killed all the bacteria.
• Tap water — Do not drink the local tap water in Peru! Instead, order “agua sin gas” for flat water or “agua con gas” for mineral water at restaurants. I wet my toothbrush with the local water, but you should not drink the tap water due to the bacteria in it. Even the locals I met said they boil the water they drink.
• Ice — Ensure the ice is made from boiled or bottled water before asking for it in a drink. If you aren’t sure, just drink your beverage warm like most drinks in Peru are served.
• Mayonnaise — This is likely what caused the food poisoning I experienced in Peru, so I obviously recommend avoiding it. It’s unfortunate because mayonnaise is in one of my favorite Peruvian dishes — Palta Rellena. It’s avocado stuffed with a mayo-based chicken or tuna salad though the protein can vary.
• Street Food — As a foodie, I know this is extremely tempting. I’ll admit I indulged a couple times myself for tres leches cake and fresh juice. However, you never really know the precautions these vendors have taken, so tourists are generally safer eating at sit-down restaurants.

Health Items You Should Pack for Peru

• Travel Insurance — Email your policy to yourself, and pack a hard copy of the vital information of your plan, including phone numbers to call in case of an emergency. I purchased my travel insurance policy from World Nomads for my Peru trip.
• Malaria medication  (if prescribed)
• Ciprofloxacin
• Pepto Bismol — It comes in a convenient travel size!
• Antacids — Though you can take Pepto Bismol for heartburn and indigestion, TUMS comes in tastier flavors such as assorted fruit or peppermint .
• ibuprofen — I like these travel-size Advil bottles that fit into a purse or jacket pocket.
• Sunscreen — For travel, I like Neutrogena’s face and body stick sunscreen and pocket-size beach defense™ with 70 SPF .
• Lip balm with SPF
• Bug spray (preferably with DEET) — I’ve found this mosquito repellant with DEET works really well. It’s also sold as wipes .
• Benadryl or other antihistamine
• Neosporin or a first-aid antibiotic cream — Neosporin makes this handy to-go spray !
• Anti-bacterial hand sanitizer — I like  Purrell hand sanitizer portable bottles that you can loop onto your purse strap or backpack zipper pulls for traveling in Peru. Read my post about hygiene essentials for Peru to see why!
• Cortizone or after-bug-bite/anti-itch cream — The Cortizone Easy Relief™ Applicator is a great size for travel.

For Female Travelers

• Your femcare products of choice (Note: Tampons are not often used by Peruvian women and may be difficult to find, especially ones with an applicator)
• Midol / Pamprin /other menstrual relief medication
• Contraceptives

Travel Tip: If you’ll be traveling in Peru while it’s your “time of the month,” you might want to try The DivaCup . I’ve explained why traveling with the menstrual cup is beneficial in Peru . Plus, that post shares four other hygiene tips you should know before you encounter the bathrooms in Peru.

Are you planning a trip to Peru?

If you are traveling to Peru, below are some of my favorite resources for your trip.

Peru Guidebooks: Lonely Planet Peru | Fodor’s Essential Peru

Travel Insurance: World Nomads

Researching Hotels:  Lima | Cusco | Aguas Calientes  | Sacred Valley | Arequipa | Puno

Group Tours:  Contiki Peru Panorama | Contiki Peruvian Highlights  | Contiki Peru Uncovered

If you are traveling to Peru, you may also want to read …

• What To Pack For Peru
• Five Must-Have Hygiene Essentials For Women Traveling In Peru
• The Small Town Charms And Delicious Desserts Of Chaclacayo And Chosica,Peru
• Travel Tips For Digestive Health On The Road
• Six Tips for Staying Healthy While Traveling

Save this post to your Peru travel board on Pinterest to reference when you prepare for your Peru trip!

Do you feel prepared for the health risks when visiting Peru?

Please share your concerns or advice for traveling in Peru in the comment section!

Disclaimer:  The information in this post is intended for informational purposes only. You should not rely on this information as a substitute for professional medical advice. If you have any questions or concerns about your health, you should speak with your doctor.

About Erin Klema

Erin Klema is the founder and editor of The Epicurean Traveler, combining her journalism background with her passion for culinary travel. When she isn't exploring the world through unique, local culinary experiences, she enjoys cooking with her husband, planning her next trip, and reading or watching a good rom com.

Reader Interactions

November 1, 2018 at 8:57 pm

I used to get nosebleeds all the time when I lived in Ecuador. Unlike you, my nose would suddenly start to bleed like someone kicked a soccer ball in my face. And this was after I had been there for weeks and had, for the most part, adjusted to the altitude. It was definitely not fun, but luckily I wasn’t too affected by the altitude other than that.

November 1, 2018 at 9:01 pm

Oh, Allison, that sounds rough. It’s strange how altitude affects everyone in different ways. Did your nosebleeds subside eventually on their own? Did you find a remedy that helped at all?

August 12, 2016 at 12:49 pm

Because I have family in Peru, i go there all the time. I wouldn’t worry to much about vaccines unless you are going to the jungle or other small towns. Lima and Cusco are pretty safe, I just have my standard person of 1987 about 30 vaccines and I’ve been fine. But, I have never been to the jungle (that’s another story). Bug spray is important if you are hiking Macchu Picchu. Not necessary at all in Lima.

My main problem is that I always get food poisoning. Never trust anything, even at a fancy restaurant, that was made with any water. No chica morrada, no teas, etc, no nothing, ice, just drink from a bottle, everything bottled. Also, I wouldnt recommend eating anything from street vendors or that really good native Peruvian stuff. I think that’s how my mom got really sick and she was born and raised in Peru. You just don’t know when someone doesn’t wash the product or their hands properly. 🙁

Anyways, there is so much good food in Peru. So many good restaurants. I really love Dpaso – it is out of the way from Lima, but near some ruins. Amazing Lomo Saltado and great dpaso horse show too.

September 6, 2016 at 11:49 am

Thanks for commenting and sharing your experience in Peru! I’m so sorry to hear that you get food poisoning so often during your visits there. 🙁

Luckily, I never had an issue with chicha morada. I unfortunately got food poisoning from a hotel restaurant in the Sacred Valley. I had ordered a dish with an avocado stuffed with a mayonnaise-based salad. Bad call. Our food took a really long time to prepare, which should have been my first indication that eating there was not a smart idea.

Otherwise, the food I experienced in Peru was amazing, so I have to agree with you that there are many great restaurants, especially in Lima. I loved lomo saltado, so I’ll have to keep Dpaso in mind!

December 28, 2015 at 9:56 am

I second Marisa’s comment. This is very detailed and informative! That being said, I think much of your advice can be used for travel to several other countries. As I read this, I found myself nodding in agreement, for I took many of the same steps before my trip to East Africa.

December 28, 2015 at 10:18 am

Right, Francesca. Any time you are traveling from a Western country to a developing nation, you likely have to take precautions such as getting your vaccinations up to date. Now that I have my yellow fever and typhoid vaccines, I’m thinking, “Where should I go in the next three years before I’d have to get a shot again?” I’m not the biggest fan of needles. 😉

December 27, 2015 at 6:10 pm

Luckily, the only issue I had while in Peru was a bit of altitude sickness. I had a dull headache that lasted about a day, but then I was fine. I did have some coca leaf tea, so I’m sure that helped.

December 27, 2015 at 11:20 pm

You are lucky! Compared to some symptoms I and some of my fellow travelers on this Peru trip experienced, a dull headache is not too bad. I really thought I’d be OK with the altitude since I had no problem with it in the Colorado Rockies. Plus, I knew all these tricks to prevent it going into the trip. However, I think traveling at a fast pace, spending only a night or two per destination, was the root cause for why I couldn’t get used to the elevation at first. I was simply not hydrated enough. Regardless, it seems that altitude sickness is rather unpredictable, affecting people in different ways at different times. Better to be prepared with some coca leaf tea and extra water to be safe!

December 27, 2015 at 2:59 am

It is great that you post this sort of information in blog posts because quite often travel advisories on government web sites lack this level of detail. Thanks so much. 🙂

December 27, 2015 at 3:03 am

You’re welcome! I basically rounded up everything I had researched before my trip and everything I (unfortunately) experienced during my trip into one single post. I hope other travelers find this useful and avoid some of the ailments that I experienced. Those mosquito bites were the worst!

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International travel: Don't forget your child's vaccinations, says pediatrician

by Ernie Mundell

Exploring Europe, taking an African safari, going on a trip to the tropics: In many cases, vaccines are needed for travel, and that's doubly true for children.

According to pediatrician Dr. Lauren Nguyen, researching what vaccines are needed and preparing well before your family's departure is crucial.

"I tell my families that it's best to come in about six weeks prior to international travel," said Nguyen, who's based in Torrance, Calif. and is affiliated with the Children's Hospital Los Angeles Care Network.

Meet with your child's pediatrician to review travel plans, figure out what vaccines are required or recommended based on your travel destination and arrange to get any shots needed. That consultation is probably best done with an in-person visit, not a phone call, Nguyen noted.

Not sure what shots the country you're visiting requires? Head to the U.S. Centers for Disease Control and Prevention's Travelers' Health website for up to date info for countries worldwide.

"The CDC website tells you about any current outbreaks, as well as the recommended vaccines for that country," Nguyen said in a hospital news release.

Besides any special vaccines required by the country you're visiting, make sure your child is up to date on routine shots for seasonal infections like COVID, flu and RSV.

Planning ahead is crucial because many vaccines require multiple doses given weeks apart, Nguyen noted. Pediatricians may also not have large supplies of vaccines for diseases like yellow fever or typhoid, and may need time to order them.

Then there's time needed for vaccines to give your child's immune system a full boost. "It takes about two to four weeks to respond to the vaccine and develop the antibodies," Nguyen explained.

And it's not just about needles: Daily dose malaria pills, for example, need to be started up to two weeks before departure, taken the entire period that you're in a malaria zone, and then taken for a month after you return home.

Vaccine schedules also vary by age, Ngyuen noted. Measles outbreaks are occuring worldwide with greater frequency, and measles vaccine recommendations are different for babies versus older children .

Children typically wait to get the first dose of the measles vaccine between the ages of 12 and 15 months and the second dose between 4 and 6 years of age.

However, for infants "that changes for international travel," Nguyen said. "Children between 6 and 12 months of age should get a first dose of the measles vaccine prior to travel." That first dose should still be followed up by a second dose between the ages of 4 and 6, she added.

Hepatitis A is typically contracted through contaminated water or food. Again, routine vaccination recommendations suggest that a child get their first hep A shot between 12 and 23 months of age.

However, "infants 6 to 11 months old should be vaccinated when protection against hepatitis A is recommended for the destination," Nguyen said. And if your baby is very young—under 2 months of age—you probably shouldn't travel internationally unless it's absolutely necessary, she added.

Another key shot is the meningitis A (MenACWY) vaccine. It's easily transmitted and Nguyen suggests that kids be vaccinated against meningitis A before travel, especially when people are circulating in close quarters, such as on cruise ships .

Kids ages 16 and older should also be immunized against the meningitis B vaccine.

Cruise ships can be hotbeds of infection, so don't forget vaccinations even if you aren't docking at exotic locales.

"The people you'll be on the ship with might have been vacationing all over the world," she explained. "Vaccines can protect your children from a wide range of illnesses these passengers might bring on board."

Besides shots and pills, you can take other steps to keep you and your family safe while abroad. According to Nguyen, these include bringing:

• Insect repellent
• Children's acetaminophen, ibuprofen and Benadryl
• Hydrocortisone cream
• Electrolyte-replacement powder (like Pedialyte), to help curb dehydration
• Your health insurance card

Last but not least, make sure you have adequate travel health insurance so you can access care should any health emergencies arise.

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Understanding pre-existing conditions and travel insurance

Choosing the right insurance policy for pre-existing conditions, purchasing travel insurance with pre-existing conditions, pre-existing conditions and travel insurance faq, how to get travel insurance with pre-existing condition coverage.

Affiliate links for the products on this page are from partners that compensate us (see our advertiser disclosure with our list of partners for more details). However, our opinions are our own. See how we rate insurance products to write unbiased product reviews.

• Most travel insurance companies offer waivers for pre-existing stable medical conditions.
• To qualify for a pre-existing condition waiver, you must buy insurance within a certain timeframe.
• Keep in mind that not all policies cover pre-existing conditions, so always double-check your policy.

Medical travel insurance is a great way to protect your health and finances when traveling. If you have a pre-existing medical condition, you might assume you can't get coverage. Luckily, many travel insurance companies offer pre-existing condition coverage in the form of a pre-existing condition waiver.

Here's everything you need to know about pre-existing conditions and travel insurance, including how to find coverage options if you have a pre-existing condition.

Even many of the best travel insurance companies define pre-existing conditions as a change in your medical record that includes tests, examinations, treatment, or changes in medication. The changes in your medical record usually result in a diagnosis, which becomes a pre-existing condition. But you do not have to receive a formal diagnosis for it to be considered a pre-existing condition.

Travel insurance companies consider medical conditions within a specified look-back period, or length of time. The medical condition must be stable to qualify for a claim. Conditions are stable if you do not need additional treatment, medication, or diagnoses.

But even if your medical condition is stable, you likely need a pre-existing condition waiver to get coverage if it suddenly worsens while you're traveling. 

Travel insurance look-back periods for pre-existing conditions

If you file a claim, the insurance company has a right to review your medical record and ensure that you did not have a condition related to the claim. This process is known as a "look-back" period since the insurance looks back through your records. 

The look-back period usually includes 60 to 180 days before you buy the policy. Before approving your claim, the insurance company wants to determine if the condition already existed.

The insurance company may approve or deny your claim based on what it discovers. To avoid dealing with the risk of denial, you can qualify for a pre-existing condition waiver instead. 

Many travel insurance companies offer coverage for travelers with pre-existing conditions. For example, Tin Leg Travel insurance , listed in our guide on the best travel insurance for best pre-existing conditions coverage, offers pre-existing condition waivers for all its plans except Tin Leg Economy. 

While there are many options for pre-existing condition coverage, the challenge is finding the right one for you. 

Comparing policy terms and benefits

When comparing insurance policies, you should pay attention to the coverage limits for emergency medical and acute onset of a pre-existing condition. You should also assess the time window in which you must purchase insurance to receive coverage for pre-existing conditions. If you've already waited a week before purchasing, you may already be ineligible for a waiver with certain companies. 

You can contact individual companies for quotes or work with a travel insurance comparison site like TravelInsurance.com, SquareMouth, or InsureMyTrip . Comparison sites allow you to review multiple quotes at once. You can usually filter results based on companies that offer pre-existing medical condition waivers. 

Regardless of which company you choose, it's important to understand the policies regarding pre-existing conditions and adhere to the requirements.

With a pre-existing medical condition waiver, you disclose your medical conditions to your insurance provider and ensure that the condition does not impact your ability to file a claim. If you have a waiver, you can even bypass the look-back period.

The waivers are set up through the travel insurance company and should not impact the cost of your policy.

Application process and documentation

You must meet the following criteria to qualify for a pre-existing medical condition waiver:

• Stable medical condition: Conditions are stable if you do not need additional treatment, medication, or diagnoses. You also need a letter from your doctor to confirm that you are medically fit to travel on the day of your trip.
• Get coverage within a certain timeframe: You typically need to establish coverage shortly after you make your first payment towards the trip, but timelines vary by provider. 
• Coverage must equal nonrefundable costs: If there are nonrefundable parts of your trip, your travel insurance coverage must equal or exceed that amount. 

For example, if you were diagnosed with high blood pressure a few years ago, but the condition has been stable since — your medication manages the symptoms, and you have not needed additional medical support — then you likely qualify for a pre-existing condition waiver. 

Some companies do not provide coverage if you have certain health conditions, such as depression, dementia, or Alzheimer's disease, but it varies based on the provider. The coverage details of your policy depend on the plan you select. But comprehensive travel insurance usually covers baggage delays, trip cancellations, and emergency medical care. 

No, many of the best travel insurance companies offer pre-existing condition waivers, so you can get coverage with a pre-existing condition as long as you buy ahead of time. 

A company can deny your travel insurance claim based on what it discovers in the look-back period if you do not have a pre-existing condition waiver.

Obtaining travel insurance for a pre-existing condition at the last minute is unlikely, as most insurers require purchasing the policy within a set time frame from your initial trip deposit.

Disclose your pre-existing condition during the application process by providing detailed and accurate medical information as required by the insurer.

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Traveling Abroad with Medicine

Many international travelers carry medicines with them to treat acute or chronic health problems. However, each country has its own laws related to medicines. Medicines that are commonly prescribed or available over the counter in the United States might be unlicensed or considered controlled substances in other countries. While rules vary by country, there can be serious consequences if you violate the laws at your destination. The consequences may include:

• Authorities taking away your medicine
• Penalties, including jail or prison time

Before Travel

Check with your destination’s  embassy and embassies of countries that you have layovers in to make sure your medicines are permitted.

• Many countries allow a 30-day supply of certain medicines, but also require the traveler to carry a prescription or a medical certificate from their health care provider.
• If your medicine is not allowed at your destination, talk with your health care provider about alternatives and have them write a letter describing your condition and the treatment plan.
• You may also want to check the  International Narcotics Control Board  website that provides general information about narcotics and controlled substances, for countries that have information available, for travelers.

Check CDC’s destination pages for travel health information . Check CDC’s webpage for your destination to see what vaccines or medicines you may need and what diseases or health risks are a concern at your destination.

Make an appointment with your healthcare provider or a travel health specialist  that takes place at least one month before you leave. They can help you get destination-specific vaccines, medicines, and information. Discussing your health concerns, itinerary, and planned activities with your provider allows them to give more specific advice and recommendations.

• If you plan to be gone for more than 30 days, talk to your health care provider about how you can get enough medicine for your trip. Some insurance companies will only pay for a 30-day supply at a time.
• If you are a traveling to a different time zone, ask your health care provider about any changes to taking your medicine. Medicines should be taken according to the time since your last dose, not the local time of day.
• Find out how to safely store your medicine while traveling and check whether it needs refrigeration. Keep in mind that extreme temperatures can reduce the effectiveness of many medicines.

Prepare a  travel health kit   with items you may need, especially those items that may be difficult to find at your destination. Include your prescription and over-the-counter medicines in your travel health kit and take enough to last your entire trip, plus extra in case of travel delays. Pack medications in a carry on in case your luggage is lost or delayed.

• Keep medicines in their original, labeled containers. Ensure that they are clearly labeled with your full name, health care provider’s name, generic and brand name, and exact dosage.
• Bring copies of all written prescriptions, including the generic names for medicines. Leave a copy of your prescriptions at home with a friend or relative in case you lose your copy or need an emergency refill.
• Ask your prescribing health care provider for a note if you use controlled substances, or injectable medicines, such as EpiPens and insulin.

Buying Medicine Abroad

Counterfeit drugs  are common in some countries, so only use medicine you bring from home and make sure to pack enough for the duration of your trip, plus extra in case of travel delays. If you must buy drugs during your trip in an emergency, see CDC’s Counterfeit Drugs page.

More Information

• CDC Yellow Book: Avoiding Poorly Regulated Medicines
• Travel Smartly with Prescription Medications (US Department of State)
• Traveling with Prescription Medications (US Food and Drug Administration)

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Change in airport rules: Items that can no longer be taken on plane

Times of India TIMESOFINDIA.COM / TRAVEL NEWS , WORLD / Created : Jun 20, 2024, 14:49 IST

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Previously, travellers were accustomed to carrying essential items like medications in their cabin baggage. However, new regulations now prohibit certain medications from being carried on flights bound for Dubai. It is crucial for … Read more

Previously, travellers were accustomed to carrying essential items like medications in their cabin baggage. However, new regulations now prohibit certain medications from being carried on flights bound for Dubai. It is crucial for passengers to be informed about these changes and to ensure they only pack permitted items as per the updated guidelines. Read less

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Previously, travellers were accustomed to carrying essential items like medications in their cabin baggage. However, new regulations now prohibit certain medications from being carried on flights boun...

Advertisement

171,000 Traveled for Abortions Last Year. See Where They Went.

By Molly Cook Escobar ,  Amy Schoenfeld Walker ,  Allison McCann ,  Scott Reinhard and Helmuth Rosales

Source: The Guttmacher Institute

Orange states had a total or six-week ban in 2023.

More than 14,000 Texas patients crossed the border into New Mexico for an abortion last year. An additional 16,000 left Southern states bound for Illinois. And nearly 12,000 more traveled north from South Carolina and Georgia to North Carolina.

These were among the more than 171,000 patients who traveled for an abortion in 2023, new estimates show , demonstrating both the upheaval in access since the overturn of Roe v. Wade and the limits of state bans to stop the procedure. The data also highlights the unsettled nature of an issue that will test politicians up and down the ballot in November.

Out-of-state travel for abortions — either to have a procedure or obtain abortion pills — more than doubled in 2023 compared with 2019, and made up nearly a fifth of recorded abortions. On Thursday, the Supreme Court rejected a case that would have sharply curtailed access to medication abortion, allowing the pills to remain available to patients traveling from states with bans.

Where patients traveled for abortions

Number of patients

171,300 patients traveled

Total or six-week abortion ban in 2023

73,100 patients traveled

Source: Guttmacher Institute

Note: Map reflects abortion laws as of Dec. 31, except in Wisconsin, where a ban was in place for a majority of the year. Routes with fewer than 100 patients are not shown.

Most traveling patients went to the next closest state that allowed abortions. But those in the South, where 13 states banned or restricted the procedure, had to go farther.

One traveler was a 24-year-old woman from Columbus, Ga., who asked to be identified by only her first initial, A. She flew to New York City last summer after discovering she was past six weeks of pregnancy, when Georgia no longer allows abortion.

She decided to travel over a weekend instead of self-managing with pills at home. “I had to go back to work on Monday,” she said. “I just didn’t have that kind of time.”

Texas, the largest state to ban abortion, had the most residents travel across state lines for the procedure, the data shows.

An exodus from Texas

35,500 Texas patients traveled

2,400 Texas patients traveled

Note: Routes with fewer than 100 patients are not shown.

On the receiving end, nowhere saw more out-of-state patients — and from more states — than Illinois.

An island of access in the Midwest

37,300 patients traveled to Illinois

8,500 patients traveled to Illinois

People in states where the procedure remained legal also traveled for abortions, sometimes because the closest clinic was across state lines or the influx of out-of-state patients made appointments scarce. The data shows that abortions rose in nearly every state where they remained legal.

Many traveling patients faced multiday trips, lost income and child care costs. Some patients were unable to travel. Earlier research found that in the first half of 2023, almost a quarter of women living in states with near-total bans — who may have otherwise sought an abortion — did not get one.

“Abortion is one of the most common procedures in medicine,” said Amy Hagstrom Miller, the founder of Whole Woman’s Health, which runs clinics in Maryland, Minnesota, New Mexico and Virginia.

“We’re having people travel hundreds or thousands of miles for a procedure that typically takes less than 10 minutes and can be done in a doctor’s office setting,” she said. “Nobody does that for any other medical procedure.”

The new estimates of resident and out-of-state abortions come from the Guttmacher Institute, a research organization that supports abortion rights, and they offer the first detailed picture of the interstate travelers who helped push the number of abortions nationwide to a high in 2023. The researchers surveyed a sample of clinics in each state where abortion remained legal to estimate the number of abortions.

For some anti-abortion groups, the feeling of victory after the overturn of Roe has been dimmed by the number of people circumventing abortion bans — and the lack of political will to address the issue in an election year.

“We’re agitating some of the Republicans who would be very comfortable spiking the football, patting themselves on the back, running for re-election, and then focusing on other issues that they’re more interested in,” said John Seago, the president of Texas Right to Life.

“We’ve never had a sense of finality. We’ve only seen the other side escalate their efforts to promote abortion,” he added.

Change in abortions by state

Note: No data was collected from 13 states that had near-total abortion bans for all of 2023. A ban was in place in Wisconsin for a majority of the year.

The availability of abortion pills has significantly blunted the impact of many state bans. But some patients still must travel to see a provider because of a medical condition or how far along they are in pregnancy. Others simply prefer it.

“I didn’t want the pills to get delivered to my school,” said Mia, 20, a college student in Houston who asked to be identified by only her first name. Instead, last August, she drove 12 hours to an Albuquerque clinic. “In case anything went wrong, I didn’t know if I could go to a hospital,” she said. “I figured it would be best to go in person and that way I’d know that it was taken care of.”

The clinic covered the procedure’s cost, but Mia paid around $500 for gas, two nights at an Airbnb and Uber rides to get to and from her appointment.

The explosion of out-of-state travel has been met with support from abortion clinics and abortion funds, which expanded access to services and financial support for patients.

“Now we have places where people who’ve been driving all night can nap in our clinics,” said Ms. Hagstrom Miller. “We have couches. We have waiting rooms specifically for children, with toys. We bring in sandwiches and food.”

States with liberal abortion laws have also played a significant role.

“It looks like the protective policies that the states are enacting do matter,” said Kelly Baden, the vice president for public policy at the Guttmacher Institute. “But we should not be normalizing the reliance on networks of volunteers and donations.”

Illinois has invested upwards of $23 million into expanding abortion access and reproductive health care since 2022. Providers in the state have extended clinic hours and increased staffing and the availability of hospital-based abortion care .

“Things are running along very smoothly,” said Dr. Allison Cowett, the medical director at Family Planning Associates, a Chicago clinic whose patient volume has doubled since 2018. “We’ve caught up to the speed of things. This is our new normal.”

The Chicago Abortion Fund provides, on average, about $880 to each patient seeking an abortion in Illinois, up from around $545 in 2022, thanks to donations and city and state grants .

“It still feels precarious — you don’t know when the priority of a single institution or a single foundation will change,” said Megan Jeyifo, the fund’s executive director.

Despite restrictions, patients traveled across the Southeast

12-week ban

Six-week bans

15-week ban in 2023

Note: Routes shown are for patients traveling into and out of Florida, Georgia, North Carolina and South Carolina. Routes with fewer than 100 patients are not shown.

In Florida, the fight over abortion restrictions is far from over, with consequences for women across the South. The state had an 18 percent rise in abortions last year, including nearly 10,000 out-of-state patients.

A six-week ban that took effect in May has already upended those patterns, and advocates are asking voters to preserve abortion rights in the state’s Constitution in November.

For now, the closest state offering abortions later than six weeks in pregnancy is North Carolina, which requires counseling and a 72-hour waiting period.

“It’s a logistical nightmare,” said Kelly Flynn, the chief executive of A Woman’s Choice, which has clinics in Florida, North Carolina and Virginia. To save patients two trips out of Florida, physicians at her Florida clinic are licensed in North Carolina so that they can perform the mandatory counseling before the patient travels north.

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