The most frequently visited destinations are Machu Picchu, Lima, Lake Titicaca, and Cuzco.
Machu Picchu is the most popular tourist destination in Peru, located to the south. These Incan ruins are high in the mountains and provide incredible views. To get there many take the Inca Trail, a beautiful five-day hike past other Incan ruins and through many terrains.
Lima, along the west coast of Peru, is the country's capital and largest city. It is the most modern city in Peru but still has an atmosphere that is both traditional and laid-back. In Lima you can find all sorts of museums, food, and nightlife, as well as scenic beaches.
Lake Titicaca is the largest lake in South America and is located on Peru's eastern border. The lake is known for its serene sights and wildlife, especially its water birds. The Uru people live in the lake on the Uros, artificial islands made of floating reeds.
Cuzco, a city in south Peru, is situated up in the Andes mountains. Cuzco used to be the Incan Empire capital but was taken over by the Spanish. The city has a unique combination of tradition, religion, and modernity, and is home to an indigenous population.
No medications or vaccinations are required by law to visit Peru, but several are recommended by the Center for Disease Control:Medications:
The most popular tourist destinations of Lima, Cuzco, Lake Titicaca, and Machu Picchu do not require medication for malaria. However, travel to most other places in Peru does require a daily anti-malarial.
There are two options for anti-malaria medication, Doxycycline and Malarone. Both are started three days before leaving for Peru, but Doxycycline is taken for 30 days after returning to a malaria-free zone, while Malarone is taken only for seven days after returning. While both are very effective and insurance most likely covers either, because Doxycycline must be taken for longer it is cheaper and often the best choice for uninsured patients.
In addition to anti-malaria medication, an antibiotic such as Cipro should be brought, which would be prescribed by our doctors. You should also bring an anti-diarrheal such as Imodium.
If you are sure you've received the vaccines before you may not need to receive them again, but many vaccines require a booster or need to be received again after certain amounts of time.
Hepatitis A and hepatitis B vaccinations are different. If you received a hepatitis vaccine but are not sure which it was probably hepatitis B vaccination. The hepatitis B vaccination, often given to children, is three shots for lifetime immunity. Hepatitis A vaccine is usually only received by those traveling abroad and most likely needs to be received. It consists of one shot for one year immunity, or two shots for a lifetime immunity.
Polio vaccine, consisting of four shots for lifetime immunity, needs a booster after the age of 21. The typhoid vaccine consists of one shot for a two year immunity, while tetanus consists of one shot but lasts for ten years. The yellow fever vaccination also consists of one shot for ten years. Rabies vaccine, three shots, lasts for two years.
You should get immunized again in order to assure your safety. There is no risk involved with receiving the vaccines twice.
The yellow fever vaccination is not recommended by the Center for Disease Control for the following areas: Lima, Cuzco, Machu Picchu, the Inca Trail, as well as areas above 2,300 m in elevation. However, if you will be visiting other areas of Peru the vaccine is most likely recommended. This Center for Disease Control map shows in yellow which areas require a yellow fever vaccine: Click Here
Rabies vaccination should only be received if traveling to rural places in Peru, especially if you will be interacting with animals during your trip. To find out if this vaccine is necessary for your trip, it is best to come for a travel health consultation.
You should be vaccinated a few weeks before you leave for Peru, but if you are leaving in less time the vaccines and medications can still protect you. If this is your situation, you should come for a travel consultation with our doctors to decide what would be best for your travel plans.
Be careful with food products, only eating well-cooked foods, and also your water, avoiding tap water, ice cubes, and fountain drinks. Try and keep disease-carrying bugs away by wearing an insect repellent (of DEET concentration 30-50%), long clothing, and perhaps bringing a bug net to sleep in. In addition, since many places in Peru are of high altitude it is extra important to keep your skin safe from the sun by wearing a sunscreen of at least SPF 15.
If you do get sick or are injured in Peru, immediately head to a doctor to ensure that your condition is professionally monitored and given the attention needed to promote a speedy recovery. In particular, you should see a doctor if you start feeling flu-like symptoms such as headache and nausea, which might be altitude sickness from the low air pressure in the Andes mountains.
At the travel health consultation our doctors would review your immunization record with you, and then discuss what steps you can take to stay safe in Peru including any vaccines and medications that are recommended for your specific plans. The travel health consultation is designed to help you make the decision as to what is necessary for your trip, and after the discussion it is up to you what you'd like to receive.
One-time office-visit fee of $65*
Office visit covers administration of all vaccines and prescriptions