Peru
Country Specific Information
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November 15, 2011

COUNTRY DESCRIPTION: Peru is a developing country with an expanding tourism sector. A wide variety of tourist facilities and services is available, with quality varying according to price and location. Read the Department of State Background Notes on Peru for additional information.

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SMART TRAVELER ENROLLMENT PROGRAM (STEP) / EMBASSY LOCATION: If you are going to live in or visit Peru, please take the time to tell our Embassy or Consulate about your trip. If you check in, we can keep you up to date with important safety and security announcements. It will also help your friends and family get in touch with you in an emergency. Here’s the link to the Smart Traveler Enrollment Program.

Local embassy information is available below and at the Department of State’s list of embassies and consulates.

U.S. Embassy Lima, Peru
Avenida Encalada, Block Seventeen
Surco, Monterrico, Lima
Telephone: 51-1-618-2000
Emergency after-hours telephone: 51-1-618-2000
Facsimile: 51-1-618-2724

Appointments must be made through the online appointment system for most non-emergency passport and citizenship services. An individual appointment should be made for each family member seeking a service related to passports. To request emergency services from the Embassy, please call (51-1) 618-2000.

Note: The local equivalent to the “911” emergency line in Peru is 105. For life-threatening emergencies, citizens should contact the national emergency number.

The U.S. Consular Agent in Cuscomay be reached at 51-84-231-474; or by email at CoresES@state.gov. The Consular Agency can provide information and assistance to U.S. citizen travelers who are victims of crime or need other assistance in Cusco.

Walk-in services are Monday to Friday 8:00 a.m. – 2:00 p.m. (51) (84) 231-474 at Av. Pardo 845, Cusco. For emergency services from the Embassy, dialing from Peru: 984-621-369, dialing from the United States: 011 (5184) 984-621-369.

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ENTRY / EXIT REQUIREMENTS: A valid passport is required to enter and depart Peru. Tourists must also provide evidence of return or onward travel. Travelers to Peru will receive a card from Peruvian Immigration upon arrival stating the length of approved stay (usually 90 days). Extensions are not available, and overstays will result in fines. Visit the Embassy of Peru Website for the most current visa information. Peru does not require any immunizations for entry, although it recommends vaccination against Yellow Fever.

The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to or foreign residents of Peru.

Information about dual nationality or the prevention of international child abduction can be found on our website. For further information about customs regulations, please read our Customs Information sheet.

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THREATS TO SAFETY AND SECURITY: The Shining Path (Sendero Luminoso) terrorist group is still active, and sporadic incidents of Shining Path violence have occurred in the recent past in rural provinces of Ayacucho, Huancavelica, Huanuco, Junin, and San Martin. The Shining Path has previously targeted U.S. interests and there are indications that it continues to do so. Other incidents have included attacks by large, heavily armed groups believed to be members of Shining Path on Peruvian army and police patrols in remote areas, as well as kidnappings of Peruvian and foreign aid workers. None of these incidents occurred in areas normally visited by tourists. Mining prospectors, adventure travelers, and others considering travel to remote areas of Peru are strongly advised to contact the U.S. Embassy in Lima for current security information.

The Peruvian government is working to remove mines and unexploded ordnance left over from the Peru/Ecuador border conflict, but crossing or approaching the Peru-Ecuador border anywhere except at official checkpoints can still be hazardous. The entire Peru/Colombia border area is very dangerous because of narcotics trafficking and the occasional incursions of armed guerrilla forces from Colombia into Peru’s remote areas.

Political demonstrations and labor-related strikes and marches regularly occur in urban and some rural areas and sometimes affect major highways. They can also cause serious disruptions to road, air, and rail transportation. Demonstrations are often – but not always – announced in advance. While these activities are usually peaceful, they can escalate into violent confrontations. As a general rule, it is best to avoid large crowds and demonstrations. Visitors are encouraged to keep informed by following the local news and consulting hotel personnel and tour guides.

Embassy employees are prohibited from nighttime overland travel anywhere outside major urban areas because of the risks posed from robbery and unsafe road conditions. The only exception is nighttime travel by commercial bus on the Pan-American Highway. Road travel along this route by means other than commercial bus service and nighttime travel via commercial bus service along other routes anywhere in Peru continue to be prohibited for Embassy employees.

The U.S. Embassy restricts travel of U.S. government employees where terrorist groups and narcotics traffickers have recently resorted to violent actions. Overland travel in or near these areas, particularly at night, is risky. The list below is under continuous review, and travelers may contact the U.S. Embassy for updated information:

Ayacucho:Restricted: Provinces of La Mar, Huanta, and Sivia. Road travel from Ayacucho to San Francisco.
Permitted: Daylight road travel from Ayacucho City to the city of Huanta. Staying within the city limits of Huanta. Daylight road travel from Pisco to Ayacucho City.

Cusco: Restricted: 20-kilometer swath of territory contiguous to the Apurimac River and Ayacucho Department(specifically the Kimbiri, Pichari, and Vilcabamba provinces).
Permitted: Everywhere else, including Machu Picchu area and the city of Cusco.

Huancavelica: Restricted: Provinces of Pampas, Churcampa, Acobamba and Tayacaja.
Permitted: Train travel from Huancayo to Huancavelica City. Daylight road travel from Pisco to Ayacucho City.

Huánuco: Restricted: All zones; no ground travel is permitted. 
Permitted: Flying into and staying within the city limits of Huánuco and Tingo María.

Junín: Restricted: Provinces of Satipo and Concepcion east of the Rio Mantaro.
Permitted: Daylight travel from La Merced to Satipo.

Loreto: Restricted: 20-kilometer swath of territory contiguous to the Colombia border. Travel on the Putumayo River.

San Martín: Restricted: Province of Tocache, Mariscal Caceres, Huallaga, Bellavista.
Permitted: Flying only into and remaining within the city limits of Tocache, Saposoa, Juanjui, and Bellavista.

Ucayali: Restricted: Provinces of Padre Abad and Coronel Portillo west of Pucallpa City and west of Ucayali River. Road travel from Pucallpa to Aguaytia and all cities west of Aguaytia.
Permitted: Flying into and remaining within the city limits of Pucallpa and Aguaytía. The province of Coronel Portillo east of the Ucayali River.

The U.S. Embassy in Lima has put the tours over the Nazca Lines in Nazca, Peru, off-limits to its direct-hire personnel if the flights originate out of Nazca’s Maria Reiche Airport, due to potential safety hazards of small commercial aircraft based at that airport. Air tours operating out of the Ica or Pisco airports are not off limits. The Embassy is aware of at least 11 different airplane emergencies resulting in 17 deaths since December 2007, most recently in October 2010. Other incidents involving flights out of Nazca included emergency landings on the Pan American highway and the hijacking of a plane by unknown individuals.

At least 19 assaults on rivers in the Amazon jungle have been reported since 2009. In July 2009, a group of bandits assaulted 24 tourists, including six U.S. citizens, on a luxury vessel. The thieves reportedly boarded the vessel and stole cash and valuables. River pirates continue to operate on tributaries of the Amazon. Inca Trail hikers are significantly safer if they are part of a guided group trail hike. To protect natural resources along the Inca Trail, the Peruvian government charges fees for hiking the trail and instituted limits on the numbers of hikers permitted on the trail. Hikers in peak season (June–August) are advised to make reservations for the Inca Trail well in advance via a travel agency. The Inca Trail is closed for maintenance each year from February 1st to the end of the month. Visitors should always register when entering national parks. Hikers should exercise extreme caution in steep or slippery areas, which are neither fenced nor marked. Several climbers have died or suffered serious injuries after falling while climbing Huayna Picchu, a peak near Machu Picchu. Only very basic medical assistance is available at Machu Picchu.

The historic site of Machu Picchu has a daily visitor limit of 2500 guests. This limit is now being strictly enforced. The government of Peru recommends purchasing tickets in advance to avoid possible disappointment if the maximum has been reached for the day of an intended visit. The website of iPeru, Peru’s tourist information and assistance agency, has detailed information on how to obtain tickets. It is possible to reserve and pay online, although the website may be slow to load.

Adventure travelers should be aware that rescue capabilities are limited. Few rescue helicopters are in service, and cell phone service may be unavailable. U.S. citizens who plan to visit mountainous areas in Ancash province should contact the Peruvian National Police's High Mountain Rescue Unit ("USAM") at telephone 51-1-575-4696, 51-1-575-4698, 51-1-575-1555; fax 51-1-575-3036, or e-mail: ceopol_diravpol@hotmail.com. Some USAM officers read and/or speak English.

Swimmers, surfers, rafters, and boaters should be aware of strong currents in the Pacific Ocean and fast-moving rivers. Seasonal rains can exacerbate the already dangerous conditions in Peru. Those considering white-water rafting should consult local authorities about recent weather and the impact on white-water rafting conditions. Be cautious in relying on those with a commercial interest in gauging conditions. Companies offering white-water rafting in Peru, their guides, and their equipment may not be held to the same standards as similar companies in the United States. Travelers are advised to seek advice from local residents before swimming in jungle lakes or rivers, where large reptiles or other dangerous creatures may live; caimans, resembling alligators, are found in most jungle areas of Peru. All adventure travelers should leave detailed written plans and a timetable with a friend and with local authorities in the region, and they should carry waterproof identification and emergency contact information. Due to cell phone and internet limitations in remote areas, communication with family and friends may not always be possible, and travelers should plan accordingly.

Travelers to all remote areas should check with local authorities about geographic, climatic, and security conditions.

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CRIME: Of the approximately 375,000 U.S. citizens who visit Peru each year, a small but growing number have been victims of serious crimes. The information below is intended to raise awareness of the potential for crime and suggest measures visitors can take to avoid becoming a victim.

Violent crime, including carjacking, assault, sexual assault, and armed robbery is common in Lima and other large cities. The Embassy is aware of reports of women being sexually assaulted in their place of lodging, or after their drinks were drugged while visiting bars or nightclubs. Women travelling alone should be especially careful to avoid situations in which they are vulnerable due to impaired judgment or isolation. Resistance to violent crime often provokes greater violence, while victims who do not resist usually do not suffer serious physical harm. "Express kidnappings," in which criminals kidnap victims and seek to obtain funds from their bank accounts via automatic teller machines, occur frequently.

Passengers who hail taxis on the street have been assaulted. Following the April 2007 armed robbery of a U.S. Embassy employee by a taxi driver, the Embassy’s Regional Security Officer advised all Embassy personnel not to hail taxis on the street. It is safer to use telephone-dispatched radio taxis or car services associated with major hotels.

Thieves often smash car windows at traffic lights to grab jewelry, purses, backpacks, or other visible items from a car. This type of assault is very common on main roads leading to and from Lima's Jorge Chavez International Airport, specifically along De la Marina and Faucett Avenues and Via de Evitamiento, but it can occur anywhere in congested traffic, particularly in downtown Lima. Travelers are encouraged to put all belongings, including purses, in the trunk of a car or taxi.

Travelers should guard against the theft of luggage and other belongings, particularly U.S. passports, at the Lima airport. Passengers arriving at Lima’s Jorge Chavez International Airport should be cautious in making arrangements for ground transportation. Upon exiting the airport, travelers may be approached by persons seeming to know them, or who claim that a pre-arranged taxi has been sent to take them to their hotel. Some travelers have been charged exorbitant rates or been taken to marginal hotels in unsafe parts of town. Travelers who are not being met by a known party or by a reputable travel agent or hotel shuttle are advised to arrange for a taxi inside the airport. At least two taxi companies maintain counters inside the international arrival area (between immigration clearance and baggage claim). An additional two companies have agents at the information kiosk just before the exit from the passenger arrival area.

The threat of street crime is greatest in areas that attract large crowds, particularly crowds of tourists or wealthy Peruvians. A crowd allows a thief (or thieves, since petty thieves often operate in a group) the opportunity to select and approach the potential victim without attracting attention. Visitors should be especially careful when visiting tourist areas in Lima such as the Plaza de Armas (Government Square), the Plaza San Martin, Acho Bullring, Pachacamac, and any location in downtown Lima. Additionally, visitors to municipal markets as well as the Gamarra textile district of La Victoria should be extremely cautious.

Street crime is also prevalent in cities in Peru's interior, including Cusco, Arequipa, Puno, and Juliaca. American citizens traveling alone or in unescorted groups are more vulnerable to street crime. The Embassy is aware of “express kidnappings” by taxi drivers against foreign tourists in Arequipa and Cusco.

Visitors are advised to keep cash and identification in their front pockets and to limit their cash on hand and unnecessary credit cards. Replacing items such as credit cards, U.S. driver’s licenses, and other identification while in Peru can be difficult and time-consuming. Handbags should not be carried, but if they are, they should be tucked into the crook of an arm or, if carrying a bag with a shoulder strap, do not allow the bag to hang freely, but keep a hand over the clasp. It is generally recommended that all jewelry be removed prior to going to a market or other crowded areas.

Visitors are advised not to carry their U.S. passports if they are not needed. If the police request identification, a copy of the passport is acceptable. A copy of the data page, the page with the Peruvian visa, and a copy of the page with the Peruvian entry stamp should be carried.

Counterfeit U.S. currency is a growing and serious problem in Peru. In many areas of Lima, moneychangers openly change money on the street. These individuals should be avoided as they are a conduit for counterfeit currency, and in many cases, work together with pickpockets by pointing out potential victims. In addition, these individuals have frequently been the victims of violent robberies in which bystanders have been injured. There have also been several reported incidents of counterfeit currency being paid out as winnings by casinos, though the Embassy has not received reports of this happening at larger, well-known casinos.

Incidents of credit card fraud are on the rise. Travelers should keep their credit cards within their sight while making transactions.

In the recent past, there have been a number of cases of armed robbery, rape, other sexual assault, and attempted rape of U.S. citizens and other foreign tourists in Arequipa and in Cuscocity, as well as in the outlying areas in the vicinity of various Incan ruins. These assaults have occurred both during daylight hours and at night.

Some crimes in the city of Cuscoand in Arequipa have involved the drivers of rogue (or unregistered) taxis. Travelers should use only licensed, registered taxis such as those available from taxi stands in Cusco displaying a blue decal issued by the municipal government on the windshield of the vehicle. Visitors should not accept offers of transportation or guide services from individuals seeking clients on the streets. Since 2006 there have been several reports of U.S. citizens falling victim to so-called “express kidnappings” in Arequipa after taking taxis hailed on the street. On occasion, the victim was bound, beaten, and held for over 24 hours as the assailants attempted to empty cash from bank accounts with the victim’s stolen ATM card.

Tourists should be particularly cautious when visiting the Sacsahuayman ruins outside Cusco. They should not travel alone, but rather in as large a group as possible. Visitors should also avoid these areas at dawn, dusk, or nighttime, since roving gangs are known to frequent these areas and prey on unsuspecting tourists. There have also been reports of tourists hiking near the ruins of Choquequirao being robbed by armed men who may be affiliated with politically motivated terrorist groups. U.S. citizen backpackers have also been victims of armed robbery while hiking on trails other than the Inca Trail.

Crime also occurs on roads, particularly at night and outside urban areas. Clandestine, impromptu roadblocks can appear on even major highways, where bus and automobile passengers are robbed. The risk is even greater on rural roads after dark. In addition, numerous Americans have reported the theft of passports, cameras, and other valuables on overnight bus rides, by thieves who take advantage of sleeping passengers or their stowed luggage in the cargo area underneath when opened during scheduled stops for passengers to disembark or enter the bus.

Don't buy counterfeit and pirated goods, even if they are widely available. Not only are the bootlegs illegal in the United States, you may also be breaking local law.

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VICTIMS OF CRIME: If you or someone you know becomes the victim of a crime abroad, you should contact the local police and the nearest U.S. embassy or consulate (see the Department of State’s list of embassies and consulates ). We can:

  • Replace a stolen passport.
  • Help you find appropriate medical care if you are the victim of violent crimes such as assault or rape.
  • Put you in contact with the appropriate police authorities, and if you want us to, we can contact family members or friend.
  • Help you understand the local criminal justice process and direct you to local attorneys, although it is important to remember that local authorities are responsible for investigating and prosecuting the crime.

Immediate action may result in the capture of the thieves and the recovery of stolen property. The U.S. Embassy in Lima can be reached at the following telephone number both during business hours, 8:00 a.m. to 5:00 p.m., and for after-hours emergencies: dial 618-2000 if calling from within Lima, and add the prefix 01 if calling from the provinces. Victims of crime in Cuscoshould contact the Consular Agent there (while in Cusco, telephone 984-621-369).

The telephone number for the tourist police in Lima is 51-1-423-3500 (Lima North) or 51-1-243-2190 (Lima South). There are also tourist police offices in 15 other cities, including all major tourist destinations, such as Cusco, Arequipa, and Puno.

Tourists may register complaints on a 24-hour hotline provided by INDECOPI (National Institute for the Defense of Competition and the Protection of Intellectual Property) by calling 51-1-224-7800 or 51-1-224-7777. Outside of Lima, callers should dial the prefix 01, then the aforementioned numbers, or call the toll-free number 0-800-44040 from any private telephone (the 800 number is not available from public payphones). The INDECOPI hotline will assist the caller in contacting the police to report a crime, but it is intended primarily to deal with non-emergency situations such as poor service from a travel agency or guide, lost property, or unfair charges.

The local equivalent to the “911” emergency line in Peru is 105. For tourist assistance and information, iPeru can be reached 24 hours a day at (01) 574-8000 or email if an immediate response is not needed.

Please see our information on victims of crime, including possible victim compensation programs in the United States.

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CRIMINAL PENALTIES: While you are traveling in Peru, you are subject to its laws even if you are a U.S. citizen. Foreign laws and legal systems can be vastly different than our own. In some places you may be taken in for questioning if you don’t have your passport with you. In some places, it is illegal to take pictures of certain buildings. In some places driving under the influence could land you immediately in jail. These criminal penalties will vary from country to country. There are also some things that might be legal in the country you visit, but still illegal in the United States, and you can be prosecuted under U.S. law if you buy pirated goods. Engaging in sexual conduct with children or using or disseminating child pornography in a foreign country is a crime prosecutable in the United States, your U.S. passport won’t help you avoid arrest or prosecution. It’s very important to know what’s legal and what’s not wherever you go.

Based on the Vienna Convention on Consular Relations, bilateral agreements with certain countries, and customary international law, if you are arrested in Peru, you have the option to request that the police, prison officials, or other authorities alert the nearest U.S. embassy or consulate of your arrest, and to have communications from you forwarded to the nearest U.S. embassy or consulate.

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SPECIAL CIRCUMSTANCES: The government of Peru prohibits the exportation of archaeological artifacts, colonial art and some natural artifacts such as fossils. These restrictions include archaeological material from the pre-Hispanic cultures and certain ethnological materials from the colonial period of Peru, which are considered protected Peruvian cultural patrimony. U.S. law enforcement authorities can take action even after importation into the United States has occurred. For more information, contact the Ministeriode Cultura (Ministry of Culture). You can also contact Sra. Paloma Carcedo Murode Mufarech, the Directora Generalde la Direccion Generalde Patrimonio Cultural at 618-9393. Travelers buying art should be aware that unscrupulous traders might try to sell them articles that cannot be exported from Peru. Peruvian customs authorities may seize such articles, and the traveler may be subject to criminal penalties.

Visitors who purchase reproductions of colonial or pre-colonial art should buy only from reputable dealers, and they should insist on documentation from Peru's National Institute of Culture (INC) showing that the object is a reproduction and may be exported. Peruvian customs authorities may retain articles lacking such documentation and forward them to INC for evaluation. If found to be reproductions, the objects eventually may be returned to the purchaser, but storage and shipping charges are the responsibility of the purchaser.

Vendors in jungle cities and airports sell live animals and birds, as well as handicrafts made from insects, feathers, or other natural products. Under Peruvian law, it is illegal to remove certain flora and fauna items from their place of origin to another part of Peru or to export them to a foreign country. Travelers have been detained and arrested by the Ecology Police in Lima for carrying such items.

Information on U.S. regulations for the importation of plant and animal products is available from the Animal and Plant Health Inspection Service (APHIS) of the U.S. Department of Agriculture. Travelers bringing animals to the United States may also wish to consult with U.S. Customs or the Fish and Wildlife Service of the U.S. Department of Interior. Travelers wishing to bring animals from the United States into Peru should consult the Peruvian Servicio Nacional de Sanidad Agraria (SENASA) at 51-1-313-3300. Information regarding current restrictions is available on the SENASA website.

Peruvian customs regulations require that many electronic items or items for commercial use be declared upon entering the country. Failure to make a full and accurate declaration can lead to arrest and incarceration or significant fines. Undeclared items, including personal laptop computers, may be seized and held.

Travelers should be aware that some drugs and other products readily available over the counter or by prescription in Peru are illegal in the United States. The prescription sedative flumitrapezan (Rohypnol) is one such drug; others may come on the market at any time. Although coca-leaf tea is a popular beverage and folk remedy for altitude sickness in Peru, possession of these tea bags, which are sold in most Peruvian supermarkets, is illegal in the United States.

Disaster Preparedness: Peru is an earthquake-prone country. U.S. citizens in areas affected by earthquakes can expect to experience temporary difficulty communicating with family and friends in the United States and in securing prompt onward overland transportation out of the affected areas. You are strongly encouraged to register your trip with the Embassy and to contact your family directly or, if unavailable, the U.S. Embassy following a significant disaster. General information about natural disaster preparedness is available via the internet from the U.S. Federal Emergency Management Agency (FEMA).

Accessibility: While in Peru, individuals with disabilities may find accessibility and accommodation very different from what is available in the United States. Peruvian law prohibits discrimination against persons with physical and mental disabilities in employment, education, access to health care, or the provision of other state services. Peruvian law also provides for the protection, care, rehabilitation, security, and social inclusion of persons with disabilities, and mandates that public spaces be free of barriers and accessible to persons with disabilities. However, the government of Peru has devoted limited resources to enforcement and training, and little effort has been made to ensure access to public buildings and areas.

In general, access to buildings, pedestrian paths, and transportation is difficult for persons with disabilities. Few hotels are equipped for travelers with disabilities, and few restaurants, museums, and means of transportation make any special accommodations. However, with the growing tourism industry in Peru, an increasing number of businesses can be found that offer packages and facilities for travelers with special needs. Visitors are encouraged to research ahead of time to find out if they can be accommodated at the lodgings and tourist sites they intend to visit.

Donations: Philanthropic groups and individuals planning to enter Peru with medical supplies in quantities greater than for personal use are strongly advised to consult with a Peruvian consulate in the United States prior to arrival in Peru. Medical, dental and other kinds of charitable donations are subject to confiscation by Peruvian authorities for failure to comply with Peruvian regulations. Medical teams, non-profit organizations or visitors to Peru who plan to donate medical supplies, medicines or other similar items may wish to review Peruvian regulations governing such donations or contact Agencia Peruana de Cooperacion Internacional (APCI) at the Ministry of Foreign Affairs at 51-1-319-3632 before proceeding. The U.S. Embassy cannot accept such items by mail, assist in evading customs requirements, or provide a broker to secure their release if they are held.

Please see our Customs Information.

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MEDICAL FACILITIES AND HEALTH INFORMATION: Medical care is generally good in Lima and usually adequate in other major cities, but it is less so elsewhere in Peru. Urban private health care facilities are often better staffed and equipped than public or rural ones. Public hospital facilities in Cusco, the prime tourist destination, are generally inadequate to handle serious medical conditions. Although some private hospital facilities in Cuscomay be able to treat acute medical problems, in general the seriously ill traveler should return to Lima for further care as soon as is medically feasible.

Visitors to high-altitude Andean destinations such as Cusco(11,000 feet), Machu Picchu (8,000 feet), or Lake Titicaca (13,000 feet) should discuss the trip with their personal physician prior to departing the United States. Travel to high altitudes could pose a serious risk of illness, hospitalization, and even death, particularly if the traveler has a medical condition that affects blood circulation or breathing. Several U.S. citizens have died in Peru from medical conditions exacerbated by altitude. Tourists or business visitors, particularly those who suffer from cardiac-related problems or high blood pressure, who wish to travel to high-altitude areas in Peru should undergo a medical examination before traveling. New arrivals, even healthy and fit persons, will feel symptoms of hypoxia (lack of oxygen) at high-altitude, and most will need time to adjust to the altitude. Most people will have increased respiration and heart rate. Many will have headaches, difficulty sleeping, lack of appetite, minor gastric and intestinal upsets, and mood changes. To help prevent these complications, consult your personal physician, avoid alcohol and smoking for at least one week after arrival at high altitudes, and limit physical activity for the first 36 to 48 hours after arrival at high altitudes.

In jungle areas east of the Andes mountain range (cordillera), chloroquine-resistant malaria is a serious problem. Cholera, yellow fever, hepatitis, dengue fever, and other exotic and contagious diseases are also present. Yellow fever is endemic in certain areas of Peru; in general, those areas are located on the eastern side of the cordillera and at lower elevations in jungle areas. The U.S. Centers for Disease Control and the Peruvian government recommend that travelers to Peru receive a yellow fever vaccination and carry documentation of the vaccination with them on their trip. Diarrhea caused by contaminated food or water is very common in Peru, and is potentially serious; if suffering from persistent symptoms, seek medical attention. Local tap water in Peru is not considered potable. Only bottled or treated (disinfected) water should be used for drinking. Fruits and vegetables should be washed and/or disinfected with care, and meats and fish should be thoroughly cooked. Eggs, meat, unpasteurized cheese, and seafood are common sources of the bacteria that can cause travelers' diarrhea, and they should be properly prepared or avoided.

Over the last few years, at least five U.S. citizen visitors have died during liposuction operations in Peru. Others have suffered from serious complications including coma. While some of these deaths or complications occurred in ill-equipped, makeshift clinics, travelers are urged to carefully assess the risks of having this type of surgery performed overseas, even when opting for treatment at one of the better-known clinics.

You can find detailed information on vaccinations and other health precautions on the CDC website. For information about outbreaks of infectious diseases abroad, consult the World Health Organization (WHO) website. The WHO website also contains additional health information for travelers, including detailed country-specific health information.

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MEDICAL INSURANCE: You can’t assume your insurance will go with you when you travel. It’s very important to find out BEFORE you leave whether or not your medical insurance will cover you overseas. You need to ask your insurance company two questions:

  • Does my policy apply when I’m out of the United States?
  • Will it cover emergencies like a trip to a foreign hospital or a medical evacuation?

In many places, doctors and hospitals still expect payment in cash at the time of service. Your regular U.S. health insurance may not cover doctors’ and hospital visits in other countries. If your policy doesn’t go with you when you travel, it’s a very good idea to take out another one for your trip. For more information, please see our medical insurance overseas page.

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TRAFFIC SAFETY AND ROAD CONDITIONS: While in Peru, you may encounter road conditions that differ significantly from those in the United States. The information below concerning Peru is provided for general reference only, and may not be totally accurate in a particular location or circumstance.

Driving conditions in Peru are very different from those found in the United States and can be considerably more dangerous. Visitors are strongly encouraged to familiarize themselves with local law and driving customs before attempting to operate vehicles. Road travel at night is extremely dangerous due to poor road markings and frequent unmarked road hazards. Drivers should not travel alone on rural roads, even in daylight. Convoy travel is preferable. Spare tires, parts, and fuel are needed when traveling in remote areas, where distances between service areas are great. Fog is common on coastal and mountain highways, and the resulting poor visibility frequently causes accidents. Inter-city bus travel is dangerous. Armed robbers, who force passengers off buses and steal their belongings, sometimes hold up inter-city buses at night. Bus accidents resulting in multiple deaths and injuries are common, and they are frequently attributed to excessive speed, poor bus maintenance, and driver fatigue. Because of these safety concerns, the U.S. Peace Corps in Peru restricts American Peace Corps volunteers’ use of overnight inter-city buses and requires Peace Corps volunteers who make inter-city bus trips to use certain bus lines with good safety records. Current approved lines are Cruz del Sur, Linea, Movil Tours, CIAL, OLTURSA, Ormeño, TEPSA, and ITTSA. The Peruvian Ministry of Transportation also publishes a list in Spanish of the intercity bus companies with the highest rates of traffic accidents resulting in fatalities and serious injuries. For further information, travelers may contact their nearest automobile club, or (for information in Spanish) the Associacion Automotriz del Peru, 299 Avenida Dos de Mayo, San Isidro, Lima 27, Peru, telephone 51-1-440-0495.

Please refer to our Road Safety page for more information. Also, we suggest that you visit the website for the national tourist office and national authority responsible for road safety in Peru.

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AVIATION SAFETY OVERSIGHT: The U.S. Federal Aviation Administration (FAA) has assessed Peru’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of Peru’s air carrier operations. Further information may be found on the FAA’s safety assessment page.

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CHILDREN’S ISSUES: Please see our Office of Children’s Issues web pages on intercountry adoption and international parental child abduction.

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This replaces the Country Specific Information for Peru dated June 23, 2010, to update paragraphs on Smart Traveler Enrollment Program (STEP)/Embassy Location, Entry/Exit Requirements, Threats to Safety and Security, Crime, Victims of Crime, Criminal Penalties, Special Circumstances, Medical Facilities and Health Information, and Traffic Safety and Road Conditions.

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