Peru

• High in province Loreto, northern regions of the province Amazonas.
  • Prevention: mosquito-repellent measures and preventive malaria tablets

• Moderate in: 
  
  • some areas below 2500m in the provinces east of the Andes . 
  • city center of Iquitos and Leticia.  
  • on overnight river cruises on large ships in high-risk areas
    • Prevention: mosquito-repellent measures. Sometimes in combination wih preventive malaria tablets for people with an increased risk.

• Low in the rest of the country below 2500m east of the Andes , the inter-Andean valleys and  the city Puerto Maldonado. 
  • Prevention: mosquito-repellent measures.

• None in: 
  • regions above 2500m, including tourist destinations like Cusco, Machu Picchu, Lake Titicaca. 
  • regions west of the Andes that are located south of the province Piura. 
  • cities Lima, Arequipa, Ica, Moquegua, Nazca, Puno and Tacna. 

In case of fever during or after your journey, get tested for malaria as soon as possible.

There is risk of yellow fever in:

• Amazonas: Including Bagua and Chachapoyas
• Loreto, Madre de Dios, Huánuco and San Martín
• Cusco region: Areas along the Inca Trail, including Aguas Calientes and Santa Teresa
• Puno: Jungle areas in the eastern lowlands (not Puno city)
• Junín: Including Satipo and La Merced
• Cajamarca: Specifically Jaén and other areas below 2400 m 

The risk of yellow fever is very low to no risk in:

• region son high altitude: Cusco city, Urubamba Valley, Ollantaytambo, Puno city, Juliaca, highland regions of Junín (including Huancay and Tarma), Cajamarca (including Puno city and Celendín),  highland regions in the departments of Ancash, Ayacucho, Apurímac, and Huancavelica 
• the coastal regions of Piura, Tumbes, and La Libertad.

Insects can transmit diseases such as dengue, chikungunya, zika, leishmaniasis oropouche and Chagas disease.

Protect yourself against insects.

Ticks can transmit diseases.

Dogs and other mammals can be infected with rabies.

You may experience altitude sickness in areas above 2500 metres.

Tuberculosis

Read these tips before you leave.

Yellow fever vaccination is recommended for all travellers to a region at risk of yellow fever and must be administered at least ten days prior to arrival by an official yellow fever vaccination centre.

Hepatitis A vaccination is recommended for all travellers.

• Tetanus-diphtheria-pertussis
• Polio
• Measles-mumps-rubella

Discuss with your doctor whether one of the following vaccinations is recommended for you:

• Rabies
• Dengue
• Hepatitis B
• Influenza
• Pneumococci
• COVID-19