Please consult your health-care provider 4-6 weeks prior to travel to ensure you are receiving all required vaccinations and that the medication has enough time to take effect. We highly recommend the purchase of travel insurance with medical benefits and that you bring any personal medication with you. Please also check with your health department prior to departure for any changes in health regulations.
Required Immunizations/Vaccinations:
Yellow Fever – all travelers ≥ 1 year old coming from a yellow fever infected country will be required to show a valid Yellow Fever certificate on arrival. It is otherwise not required or recommended. You should be vaccinated at least 10 days before you travel, as this will allow enough time for your body to develop protection against the yellow fever infection. Your proof of vaccination certificate will only become valid after this time.
Recommended Immunizations/Vaccinations:
Malaria prophylaxis – highly recommended for all travelers
Travelers should carry and use insect repellents containing either 20% DEET, picaridin, oil of lemon eucalyptus or IR3535, as well as clothing treated with permethrin, and bed nets, to prevent insect borne illnesses such as malaria, dengue and yellow fever.
For visitors traveling to the Amazon region for several days, precautions against malaria and immunization against typhoid, tetanus, Hepatitis A and yellow fever are sensible.
Malaria
Expert opinion differs regarding the best approach to malaria prophylaxis. It is important to bear in mind that malaria may be contracted despite chemoprophylaxis, especially in areas where chloroquine resistance has been reported.
We strongly recommend you take the following preventative measures:
Use plenty of mosquito repellent. Some properties provide a locally made repellent but please bring your own as there may be skin sensitivity.
Wear long-sleeved shirts and trousers/slacks in the evenings.
Please use the mosquito net over your bed where supplied/available.
If staying in a bungalow or tent, spray with a suitable insecticide to kill any mosquitoes that may have flown into your room.
Mosquito coils are also effective.
There is a six to seven day minimum incubation period before symptoms present themselves. If you become ill on your return, while still on prophylaxis or even once you have stopped taking them, ensure that your doctor does everything to establish that your illness is not malaria. Please remember the best precaution is the preventative kind.
It is inadvisable for pregnant women to visit malarial areas as malaria infection during pregnancy can be detrimental to both mother and child.
Altitude Sickness
Altitude sickness is a risk, particularly if traveling to Quito (elevation of 9,400 feet above sea level) or other highland areas. Altitude sickness can occur at heights of 8,000 feet above sea level. As soon as you pass the 8,000 feet mark, you are at risk of acute mountain sickness (AMS), the mildest and most common form of the condition. More severe forms also exist. The symptoms of mountain sickness include headache, nausea and/or shortness of breath. A slow ascent to become acclimatized is the best defense against altitude sickness, and in all cases, the best treatment is descent. If heading to a lower altitude isn’t an option, stay where you are and rest for a day or two. Acetazolamide (Diamox) tablets can also help. Whatever you do, don’t go any higher. (In most cases, rest and two aspirins will relieve the discomfort.) Drink plenty of water. Note: Persons with heart, circulatory or respiratory problems should seek medical advice prior to traveling to areas of higher elevation. Mountain climbers especially should not disregard the time required to adjust before attempting such elevations.
Drinking tap water is not advisable anywhere in Ecuador, so drink only bottled or boiled water. You should eat well-cooked meat and fish only, and vegetables should be cooked and fruit peeled.
Medical care is adequate in Ecuador’s major cities, especially Quito and Guayaquil – but services are limited in smaller communities, especially rural areas. However, pharmacies are readily available in any city. As acute surgical and cardiac services are not available on the Galápagos Islands, patients may be evacuated to the U.S.A. for more serious illnesses. Note that major or specialized medical care in Ecuador can cost some tens of thousands of dollars. Comprehensive medical insurance (to include emergency repatriation) is highly recommended.