connected Peru | Melbourne City Travel Vaccine Clinic

Peru

Pandemic Influenza

Influenza is a common infection in travellers. All travellers should be immunised against influenza provided there are no contra-indications. Please check prescribing guidelines.


Measles

Many measles outbreaks occur when travellers become infected while overseas and then spread the virus when they return to Australia. Travellers should know their measles immune-status. Unless there is a history of confirmed measles in the past, or documentary evidence of two measles vaccinations, then measles vaccination is recommended for all travellers, providing there are no contra-indications to having the vaccine.


Hepatitis A

Vaccination recommended for protection against disease.


Hepatitis B

Concerning hepatitis B vaccination: even if it is not included in the country recommendation below, certain activities (e.g. sexual contact, some sporting activities, tattoos, skin piercing, health care work and others) may place the traveller at risk of hepatitis B irrespective of the prevalence of hepatitis B in the countries to be visited, so an individual assessment of risk for all travellers should be undertaken.


Typhoid

Vaccination recommended for protection against disease.


Malaria

Chloroquine & Antifolate (eg Paludrine, Fansidar) resistant malaria.
Short stay prophylaxis - Doxycycline 100mg daily OR Mefloquine (Lariam) 250mg weekly OR Malarone 1 tablet daily.


Cholera

There may be a risk of cholera on your journey. Severe illness due to cholera is rare in travellers. For most traveller’s safe food and water precautions alone usually are enough to prevent cholera. The following are at higher risk of cholera and should consider cholera vaccination more strongly: health care and aid workers likely to have close contact with the local population; persons travelling or working in rural areas of a cholera endemic country who may be in a remote location away from reliable medical care; those more likely to acquire infection (e.g. achlorhydria); those with significant cardiovascular disease, poorly controlled or complicated diabetes, immunosuppression including HIV/AIDS, inflammatory bowel disease.


Yellow Fever

Yellow Fever risk only occurs in PARTS of this country (see below). NOTE: Australian authorities only require a valid yellow fever vaccination certificate from travellers over 1 year of age within 6 days of returning from this country, having stayed overnight or longer in areas of risk for yellow fever transmission. For Argentina, risk areas are taken to be limited to Misiones province in Argentina.




SIGNIFICANT RISK AREAS
Yellow Fever Risk occurs in this country but significant risk is generally restricted to the following regions only: the following areas at altitudes below 2300m - the Regions of Amazonas, Cuzco, Huanuco, Junin, Loreto, Madre de Dios, Pasco, Puno, San Martin and Ucayali, and designated areas of the following regions: far-north-eastern Ancash; far north of Apurimac; northern and north-eastern Ayacucho; northern and eastern Cajamarca; far-northern Huancavelica; eastern La Libertad; and eastern Piura.
Significant Yellow Fever Risk occurs in the above areas & vaccination is recommended for all travellers to these areas aged 9 months and over unless there is a contraindication to having the yellow fever vaccine.
LOWER RISK AREAS
Yellow Fever Risk is generally so low in the following areas that yellow fever vaccination is not generally recommended, but may be required for certain individuals in whom risk of yellow fever infection may justify vaccination (eg long term travel and exposure to mosquitoes in these areas). For such individuals, one should balance the risk of yellow fever against the risks of serious adverse effects from the yellow fever vaccination: Travel that is limited to the following areas west of the Andes - the Regions of Lambayeque and Tumbes - and designated areas of central, south and west Cajamarca and western Piura.
MINIMAL or NIL RISK AREAS
Yellow fever vaccination is NOT recommended for travel limited to all areas above 2300m altitude, areas west of the Andes not listed above, the city of Cuzco, the capital city of Lima, Machu Picchu, and the Inca Trail.
CONTRA-INDICATIONS to YELLOW FEVER VACCINE
For travellers aged less than 9 months and other persons who are unable to have the yellow fever vaccine, specialist advice should be sought because travel to areas, where yellow fever vaccination is recommended, is not advised for unvaccinated travellers. See website or Short Travel Guide 'Yellow Fever' for Yellow Fever Vaccination and Risk Assessment.
AUSTRALIAN CUSTOMS & IMMIGRATION COUNTRY REQUIREMENT: This is an area from which persons arriving in Australia within 6 days of leaving, may require a valid yellow fever vaccination certificate (or a valid exemption certificate if yellow fever vaccination is contra-indicated).