The Rural Amazonian Health Initiative
The Rural Amazonian Health Initiative
Trip Planning // Vaccinations //

Vaccination & Medication Requirements

 Vaccination or Disease Recommendations or Requirements for Vaccine-Preventable Diseases
 Routine Recommended if you are not up-to-date with routine shots such as, measles/mumps/rubella (MMR) vaccine, diphtheria/pertussis/tetanus (DTaP) vaccine, polio virus vaccine, etc.
Hepatitis A or immune globulin (IG) Recommended for all unvaccinated people traveling to or working in countries with an intermediate or high level of hepatitis A virus infection (see map) where exposure might occur through food or water. Cases of travel-related hepatitis A can also occur in travelers to developing countries with "standard" tourist itineraries, accommodations, and food consumption behaviors.

Hepatitis B Recommended for all unvaccinated persons traveling to or working in countries with intermediate to high levels of endemic HBV transmission (see map), especially those who might be exposed to blood or body fluids, have sexual contact with the local population, or be exposed through medical treatment (e.g., for an accident).

Typhoid Recommended for all unvaccinated people traveling to or working in Tropical South America, especially if staying with friends or relatives or visiting smaller cities, villages, or rural areas where exposure might occur through food or water. The typhoid shot lasts for 2 years, the oral live vaccine lasts for 10 years.

Yellow Fever CDC yellow fever vaccination recommendation for travelers to Peru: For all travelers ≥9 months of age traveling to the areas east of the Andes Mountains (see map) and for those who intend to visit any jungle areas of the country <2,300 m (<7,546 ft). Travelers who are limiting travel to the cities of Cuzco and Machu Picchu do NOT need vaccination. Vaccination should be given 10 days before travel and at 10 year intervals if there is on-going risk. Find an authorized U.S. yellow fever vaccination clinic.

Malaria Recommended for travelers in Tropical South America, especially if traveling into the jungle regions. Medications recommended would be Doxycycline or Malarone (for lighter skinned people as Doxy can cause skin sensitivity).

Traveler's DiarrheaRecommended for any traveler to developing countries that may come into contact with contaminated water or food. Each year 20-50% of international travelers will experience TD. Avoid street vendor foods, ice, unpasteurized milk, raw or undercooked meat and seafood, and raw fruits and vegetables not peeled by the traveler. Commonly prescribed regimens are 500mg of ciprofloxacin twice a day or 400mg of norfloxacin twice a day for 3-5 days.

Covid-19All travelers must be fully vaccinated against Covid-19 with J&J plus booster or 2 mRNA vaccines (Pfizer/Moderna) plus booster. No exceptions.