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Peru
Short Term

Immunizations that are NOT REQUIRED for entry by your destination country's government but are STRON !" RE#O$$ENDED by the I$% and U&S& 'ub(ic )ea(th Service *#D#+ to give you im,ortant ,rotectionHepatitis B Hepatitis B is another type of viral hepatitis. This very common infection can cause liver disease such as cirrhosis, failure and/or cancer. The disease is spread sexually (most commonly), by blood, and contaminated equipment such as needles. " !"#!T$%&" '$% (H$%T T)% T%!*)+)%( ,H)" TH)%) -( ! .$((-B-+-T& $' "H!"#( $"" -"*$+*) )"T -" /H-+#/!%) $% )#-/!+/#)"T!+ ,$%0. #o not 1et close to medical/dental 2or3 or used supplies if you have not had this vaccine. 'or other short4term travelers, Hepatitis B vaccination is optional. any travelers 2ill not have time before travel for the full series of three doses 1iven over six months, so a condensed dosin1 schedule may be necessary5 #ay 6, #ay 76, #ay 86 and a1ain at one year. Hepatitis A This very common viral liver infection, spread by unclean food and 2ater, can be debilitatin1 for months. The excellent ne2 (9::;) Hepatitis ! vaccine is 1iven in t2o doses at least six months apart. This replaces the old "1amma 1lobulin". The first dose protects for over a year, and the second for probably <6 years or more. inimum a1e 4 < years. "eeded only for those 1oin1 to >un1le areas. Yellow Fever %)/$ )"#)# for all travelers over : months of a1e outside of urban areas. $nly required if a1e 8 months or above and arrivin1 from an infected country. ! sin1le dose is effective for 96 years. Boosters are needed at 96 year intervals. Typhoid Typhoid is a treatable illness that is seldom fatal in previously healthy persons. The ris3 of becomin1 ill 2ith typhoid on a trip of a couple of 2ee3s is not very hi1h if reasonable precautions can be ta3en about food and drin3. *accination is more important if trip or1ani=ers feel that sanitation of food and drin3 may be especially ris3y. Typhim *- is a ne2er in>ectable vaccine 2ith far less side effects than the older in>ection but 2ith a minimum patient a1e of < years. The oral vaccine (*ivotif) is an option for persons at least 8 years of a1e. There is currently no vaccine bein1 produced for children under < years. Measles This is common in many countries, so it is stron1ly recommended that all individuals born on or after ?anuary 9, 9:;@ have had t2o doses of measles or % vaccine after their first birthday. -f only one dose 2as received as a child, a second one is needed. -nfants 8 months to >ust before their first birthday 1oin1 to hi1h4ris3 measles area should have an initial dose before departure, and later obtain the t2o additional doses needed after their first birthday. .ersons born before 9:;@ are considered to be immune to measles, and thus need no measles vaccine or booster. Tetanus-Diphtheria or Tetanus Toxoid

-f definitely immuni=ed in the past, a booster is recommended every 96 years. 'or those 1oin1 to remote areas or at increased ris3 of in>ury (e.1. construction 2or3), a booster mi1ht be 1iven before departure if ; years have passed since the previous booster. This 2ould prevent the need to find a clean, safe booster dose if in>ured 2hile overseas. Other )ea(th Ris.s Malaria "eeded only for those 1oin1 to >un1le areas. alaria is present in rural areas, and has increased mar3edly recently, especially in +oreto department. "o ris3 in +ima, coastal areas south of +ima, or the hi1hland tourist areas. /hloroquine resistant falciparum malaria is found only in provinces borderin1 Bra=il and )cuador. .reventive measures include mosquito repellents and oral medications.

For additional travel health information, the CDC has an excellent web page at www.cdc.gov, or phone 4040-332-4 !. "eferences# $ealth %nformation for %nternational &ravel, 2003-2004, '.(. Dept. of $ealth and $)man (ervices, *$(, CDC, +tlanta %nternational &ravel $ealth ,)ide, -2th .d., "ose, (., 200-. &ravel /edicine, %nc., 0orthampton, /+, '(+