Car rentals in Peru - Specific Health Risks

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Specific Health Risks

SPECIFIC HEALTH RISKS: 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 the high altitude. Tourists or business visitors, especially but not restricted to those who suffer from cardiac-related problems or high blood pressure, and who wish to travel to high-altitude areas in Peru should undergo a medical examination before traveling. All people, even healthy and fit persons, will feel symptoms of hypoxia (lack of oxygen) upon arrival at high-altitude. Most people will have increased respiration and increased heart rate. Many people will have headaches, difficulty sleeping, lack of appetite, minor gastric and intestinal upsets, and mood changes. Most people may need time to adjust to the altitude. To help prevent these complications, consider taking acetazolamide (Diamox) after consulting 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 may affect travelers, and it is potentially serious. If it persists, please seek medical attention. Local tap water in Peru is not considered potable. Only bottled water or treated (disinfected) water should be used for drinking. Fruits and vegetables should be washed 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 two and one-half years, four U.S. citizen visitors have died during cosmetic surgery operations in Lima and another major city. The most recent death of this nature occurred in March 2003. All four patients were undergoing liposuction procedures.