Vaccinations Before Traveling to Peru

Yellow Fever

Entry Requirements:
Peru does not require the yellow fever vaccine for entry, but it's highly recommended for certain areas.

Vaccination Requirements:
While the yellow fever vaccine is not mandatory for entering Peru, it is required if you plan to travel to the Amazon jungle.

If you decide to get vaccinated, be aware that the vaccination certificate becomes valid 10 days after the vaccine is administered. Therefore, your trip to the jungle should be scheduled at least 10 days after receiving the vaccine.

Recommendations:
If you are traveling to regions below 7,550 feet in elevation, especially in the following regions, a yellow fever vaccine is advised:

- Amazonas, Cusco, Huánuco, Junín, Loreto, Madre de Dios, Pasco, Puno, San Martín, and Ucayali.
- Specific areas of Ancash (far northeast), Apurímac (far north), Ayacucho (north and northeast), Cajamarca (north and east), Huancavelica (far north), La Libertad (east), and Piura (east).

For those visiting Lima, the highland tourist destinations like Cusco, the Inca Trail, and Machu Picchu, or areas west of the Andes, including Lambayeque and Tumbes, the vaccine is generally not recommended.

If your trip involves staying in urban areas or regions above 7,550 feet, such as the city of Cusco, the yellow fever vaccine is usually not necessary.

Malaria Prevention

Transmission Areas:
Malaria transmission occurs in areas below 8,200 feet. This includes the cities of Iquitos and Puerto Maldonado and remote eastern parts of La Libertad and Lambayeque. However, malaria is not present in key tourist destinations, such as:

- Lima Province
- The cities of Arequipa, Ica, Moquegua, Nazca, Puno, and Tacna
- Popular highland tourist areas, including Cusco, Machu Picchu, and Lake Titicaca
- The Pacific Coast

Drug Resistance and Malaria Species:
In Peru, around 80% of malaria cases are caused by Plasmodium vivax, while 20% are due to Plasmodium falciparum, which has shown resistance to chloroquine in some regions.

Recommended Preventive Medications:
- Atovaquone-proguanil
- Doxycycline
- Mefloquine
- Tafenoquine

Consult with your healthcare provider to choose the best preventive medication based on your itinerary.

Additional Tips:

- Always pack insect repellent and wear long-sleeved clothing in areas where mosquitoes are prevalent.
- Stay hydrated, especially in high-altitude regions, and avoid consuming unfiltered water.
- Make sure to consult a travel clinic at least 4–6 weeks before your trip to ensure all vaccinations and medications are up to date.

By staying informed and taking preventive measures, you can enjoy a safe and healthy trip to Peru while exploring its breathtaking landscapes and vibrant culture.

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          Natalia Volchkova
Natalia Volchkova
Travel Consultant, Expert in Peru