On NHS Fit for travel we can find the following information about immunisations for:
- Courses or boosters usually advised: Hepatitis A; Tetanus; Typhoid.
- Other vaccines to consider: Hepatitis B; Rabies; Yellow Fever.
- Courses or boosters usually advised: Hepatitis A; Typhoid.
- Other vaccines to consider: Hepatitis B; Rabies; Tetanus; Yellow Fever.
Usually you can get one combined vaccine preparation for both Hepatitis A virus GBM strain and Salmonella typhi (Ty 2 strain) and separate for Tetanus.
In Peru and Ecuador, also Malaria precautions are essential in some areas. So please consider suitable antimalarial tablets, if travelling to high risk malarious areas, remote from medical facilities, carrying emergency malaria standby treatment may be considered. Malaria is a serious and sometimes fatal disease transmitted by mosquitoes and causes symptoms that typically include fever, fatigue, vomiting, headaches (sometimes muscle pains, diarrhoea, generally feeling unwell) and in severe cases it can cause yellow skin, seizures, coma or death.
The risks to health whilst travelling will vary between individuals and many issues need to be taken into account, e.g. activities abroad, length of stay and general health of the traveller. So it is recommended that you consult with your General Practitioner or Practice Nurse 6-8 weeks in advance of travel. They will assess your particular health risks before recommending vaccines and /or antimalarial tablets.
In Peru, Malaria risk throughout the year. Risk is present in rural areas below 2000m. Risk is highest in the department of Loreto in the Amazon. Risk is lower in other areas and low to no risk in areas West of the Andes, except the district of Piura, and at altitude.
In Ecuador, Malaria is present throughout the year below 1500m. There is moderate risk in coastal provinces and no risk in Guayanquil, Quito, other cities in the inter-Andean region and the Galapagos islands.
For full list of high risk areas, please check Peru and Ecuador Malaria Maps at NHS site.
- Malaria Travel Health Advice at Fit For Travel (NHS) including country specific malaria information and malaria maps.
- Malaria and Travelers at Centers for Disease Control and Prevention (CDC) to find out whether malaria is a problem in the country where you will be traveling.