Ecuador, Including the Galápagos Islands

Yellow Fever

  • Requirements: None
  • Recommendations:
  • Recommended for all travelers ≥9 months of age traveling to areas <2,300 m (7,546 ft) in elevation in the following provinces east of the Andes Mountains: Morona-Santiago, Napo, Orellana, Pastaza, Sucumbios, and Zamora-Chinchipe (see Map 3-25).
  • Generally not recommended for travelers whose itineraries are limited to areas <2,300 m (7,546 ft) in elevation in the following provinces west of the Andes mountains: Esmeraldas, Guayas, Los Rios, Santa Elena, Santo Domingo de los Tsachilas, and designated areas of Azuay, Bolivar, Canar, Carchi, Chimborazo, Cotopaxi, El Oro, Imbabura, Loja, Pichincha, and Tungurahua (see Map 3-25).
  • Not recommended for travelers whose itineraries are limited to all areas >2,300 m (7,546 ft) in elevation, the cities of Guayaquil and Quito, or the Galápagos Islands (see Map 3-25).

Malaria

  • Areas with malaria: Areas at altitudes <1,500 m (4,921 ft) in the provinces of Carchi, Esmeraldas, Morona Santiago, Orellana, and Pastaza. Rare cases in other provinces in areas <1,500m (4,921 ft). Not present in the cities of Guayaquil and Quito or the Galápagos Islands (see Map 3-26).
  • Estimated relative risk of malaria for US travelers: Very low.
  • Drug resistance 4: Chloroquine.
  • Malaria species: P. vivax 66%, P. falciparum 34%.
  • Recommended chemoprophylaxis: Areas with malaria in Carchi, Esmeraldas, Morona Santiago, Orellana, and Pastaza Provinces: Atovaquone-proguanil, doxycycline, or mefloquine.
  • Other areas with rare cases of malaria: Mosquito avoidance only.
Map 3-25. Yellow fever vaccine recommendations in Ecuador 1
Map 3-26. Malaria in Ecuador
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