For the classic Lima, Cusco and Machu Picchu trip, CDC recommends neither the yellow fever vaccine nor malaria tablets, and most travelers need only hepatitis A and typhoid. Add an Amazon leg to Iquitos, Puerto Maldonado or Manu and both come back into the picture. We handle either at a single visit at 110 East 55th Street in Midtown East. A pre-travel consultation is $95 per person and each vaccine is priced per dose.
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What we usually give for Peru
| Vaccine | Cost per dose |
|---|---|
| Hepatitis A | $135 |
| Typhoid, oral (Vivotif) | $195 |
| Typhoid, injection (Typhim Vi) | $215 |
| Hepatitis B | $125 |
| Hepatitis A and B combined (Twinrix) | $185 |
| Tdap (tetanus, diphtheria, pertussis) | $115 |
| Yellow fever (YF-Vax), certificate signed and stamped on site | $295 |
| Rabies, for longer or rural stays | $475 |
| Malaria tablets | By prescription |
Your nurse practitioner decides what you need at the consultation. See the full price list or everything we give the same day.
Yellow fever depends on where you go
Peru does not require the certificate to enter. CDC recommends the vaccine for travelers aged 9 months and over going to the lowland regions below 2,300 metres, which includes Amazonas, Cusco region lowlands, Huanuco, Junin, Loreto, Madre de Dios, Pasco, Puno, San Martin, Ucayali and designated parts of several other regions.
CDC specifically does not recommend it for travel limited to the highland tourist areas, naming the city of Cusco, the Inca Trail and Machu Picchu, nor for Lima or ground above 2,300 metres. So the standard highland trip does not call for it, and an Amazon extension does. If you decide to go, we are a designated Yellow Fever Vaccination Center and issue the signed card at the same visit.
Malaria
The same geography applies. CDC lists malaria risk east of the Andes below 2,500 metres, which takes in Iquitos and Puerto Maldonado, with rare cases in Tumbes and Piura. It lists no transmission in Lima, along the Pacific coast, in Arequipa, Ica, Moquegua, Nazca or Tacna, and none in Cusco, at Machu Picchu or at Lake Titicaca.
Preventive tablets are for the eastern lowlands. Everywhere else the advice is bite precautions. More on malaria prevention.
Also worth discussing
- Typhoid if you are going to the Amazon or to rural areas, staying with family, or eating outside hotels and restaurants.
- Rabies for long stays, wildlife work, cycling, caving, and for young children.
- Altitude. Cusco sits around 3,400 metres and most people feel it. Not a vaccine, but we will talk it through and can prescribe for it.
- Routine vaccines brought up to date, measles above all. We do not stock the chickenpox or COVID-19 vaccines, so arrange those with your regular doctor if you need them.
When to come in
Ideally 4 to 6 weeks before you fly, which leaves room for any vaccine that needs more than one dose. It is never too late, so come in anyway if you are leaving sooner. Your pre-travel consultation is with one of our nurse practitioners, who see travelers every day and work alongside our founder and medical director, Dr. Bradley A. Connor.
For the current detail on Peru, including any outbreak notices, see the CDC destination page (opens in a new tab).