Ecuador


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All travelers should visit either their personal physician or a travel health clinic 4-8 weeks before departure.

Vaccinations†:

Hepatitis A

Recommended for all travelers

Typhoid

Recommended for travelers who may eat or drink outside major restaurants and hotels

Yellow fever Recommended for travelers who go outside urban areas. Required for travelers arriving from a yellow-fever-infected area in Africa or the Americas.

Hepatitis B

For travelers who may have intimate contact with local residents, especially if visiting for more than 6 months

Rabies

For travelers who may have direct contact with animals and may not have access to medical care

Routine immunizations

All travelers should be up-to-date on tetanus-diphtheria, measles-mumps-rubella, polio, and varicella immunizations


† Certain vaccines should not be given to pregnant women, young children, or immunocompromised individuals. Ask your physician or go to MD Travel Health for details.

 

Malaria:

Travelers who will visit only Quito and vicinity, the central highland tourist areas or the Galapagos Islands do not need prophylaxis. There is malaria risk in the provinces along the eastern border and Pacific coast, including Canar Cotopasi, El Oro, Esmeraldas, Guayas (including Guayaquil), Los Rios, Manabi, Morona-Santiago, Napo, Pastaza, Pinchincha, Sucumbios, and Zamora-Chinchipe. Prophylaxis with Lariam, Malarone, or doxycycline is recommended for these areas.

 

Altitude sickness:

Altitude sickness may occur in travelers flying to Quito, which is almost 3000 meters above sea level. Symptoms may be prevented by taking acetazolamide, starting 24 hours before ascent and continuing for 48 hours after arrival at altitude. Travel to high altitudes is not generally recommended for those with a history of heart disease, lung disease, or sickle cell disease.

 

Food and water:

The safest course is not to drink tap water unless it has been boiled, filtered, or chemically disinfected, and not to drink any unbottled beverages or drinks with ice. Fruits and vegetables should not be eaten unless they have been peeled or cooked. Avoid cooked foods that are no longer piping hot. Avoid unpasteurized milk and any products that might have been made from unpasteurized milk, such as ice cream. Avoid food and beverages obtained from street vendors. Do not eat raw or undercooked meat or fish, including ceviche. Some types of fish may contain poisonous biotoxins even when cooked, including barracuda, red snapper, grouper, amberjack, sea bass, and many tropical reef fish.

 

Mosquito protection:

To prevent mosquito bites, travelers should wear long sleeves, long pants, hats, and shoes instead of sandals. Insect repellents containing 25-35% DEET (N,Ndiethylmetatoluamide) should be applied to clothing and exposed skin (but not to the eyes, mouth, or open wounds). For children between 2 and 12 years of age, use preparations containing no more than 10% DEET and apply sparingly. DEET-containing compounds should not be used on children less than two years of age. For further protection, apply permethrin-containing repellents to clothing, shoes, and bed nets. Don’t sleep with the window open unless there is a screen. If sleeping outdoors or in an accomodation that allows entry of mosquitoes, use a bed net, preferably impregnated with insect repellent, with edges tucked in under the mattress.

 

General advice:

Bring adequate supplies of all medications in their original containers, clearly labeled. Carry a signed, dated letter from your physician describing all medical conditions and listing all medications, including generic names. If carrying syringes or needles, be sure to carry a physician’s letter documenting their medical necessity. If you wear glasses or contacts, bring an extra pair. Make sure your health insurance covers you for medical expenses abroad. If not, supplemental insurance for overseas coverage, including possible evacuation, should be seriously considered. If illness occurs while abroad, medical expenses including evacuation may run to tens of thousands of dollars.

Pack a personal medical kit, customized for your trip. The kit should include an antibiotic and an antidiarrheal drug, to be started promptly if significant diarrhea occurs (defined as five or more loose stools in a 24-hour period). On long flights, consider isometric muscle contractions, walking, drinking plenty of fluids, and wearing elastic compression stockings to prevent blood clots in the legs.

Avoid contact with stray dogs and other animals. If an animal bites or scratches you, clean the wound with large amounts of soap and water and contact local health authorities immediately. Wear sun block regularly when needed. Use condoms for all sexual encounters. Ride only in motor vehicles with seat belts. Do not ride on motorcycles.

 

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