Ecuador Travel Health Advice
A yellow fever certificate is required from those arriving from infected areas, and is recommended for everyone entering Ecuador, particularly for those travelling to the regions of the Amazon basin. There is high risk of malaria and dengue fever in areas below 5,000ft (1,500m). 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 (6,500ft/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 inadequate and medical insurance is highly recommended.
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