Ecuador Travel Health Advice
A yellow fever certificate is required for those arriving from infected areas, and is recommended for everyone entering Ecuador, particularly for those travelling to the Amazon basin. Vaccinations are recommended for hepatitis A and hepatitis B. There is a high risk of malaria and dengue fever in areas below 5,000 feet (1,500m) in Ecuador. There has been a dramatic increase in the number of reported cases of dengue fever primarily in coastal and Amazon regions. The best prevention is to cover up and use mosquito repellent liberally throughout the day. High altitude can affect some people's health so visitors to Quito (6,500 feet/2,800m), for example, are advised to take it easy for the first few days. It is advisable to take seasickness tablets on a Galapagos boat cruise. Tap water should not be consumed; bottled water is available. Milk is unpasteurised so it is best to avoid dairy products. Medical facilities are often inadequate, especially outside of Quito, and comprehensive medical insurance is highly recommended.
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