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Travel Tips Cusco PERU

There are many ways to love PERU

Whether you prefer the coast for more than 2500 km received  the cool water of the Pacific Ocean, its valleys and snowy mountains or rainforests of the Amazon, and various tourist options to make your enjoy a very pleasant and memorable experience. No matter the season or time of the year, each region of the country offers many opportunities to practice the methods of historical and archaeological tourism, cultural, adventure, nature and ecotourism. Each path will lead to unimaginable natural settings and people who preserve their customs and traditions.
This site offers travel tips and information for all travelers visiting Peru.

SANITARY RECOMMENDATIONS FOR THE TRAVELLER


Before you leave:

• Make sure to be in good health before beginning a long trip, especially to exotic countries.
• The vaccination will depend on your previous immunization status, especially of your destiny and you have the time between administration of vaccines and the start of the journey. The prescribing physicians need to make the international vaccination centers, after a personal consultation. Asked whether there is a need an international certificate of vaccination. In any case, when you leave the developed countries, it is always advisable to be vaccinated against tetanus, typhoid and polio, and sure be immune to measles. Some vaccines achieve their protective effect after 15 days or 1 month.
• A disease widespread in all tropical countries is malaria, which can be serious, this must be prevented with chemoprophylaxis and measures to avoid the bite of the mosquito transmitter.
• We need a kit, which, without self, you can use a range of basic medicines that address many of the usual pathologies.
• People with chronic illnesses must always include in your luggage all the medicines you use regularly (Note the length of the trip). It is also helpful to keep a small doctor's report that mentions the nature of the disease and peculiarities.
• If the trip lasts more than two weeks is recommended to make a dental review.
• For people who need glasses, it is advisable to take 2 sets and their limitations.



GENERAL MEASURES
 


Pre-general visit to the doctor

Medic

It is recommended to make a previous medical visit, who will report on general advice, and in case of suffering some disease that requires a specific drug, apart from passing the timely review, it is recommended that the physician issue a report on it, and prescribe the necessary medication in sufficient quantity to cover the period of time throughout their stay abroad.
Time must be programmed with the health aspects of the trip.
Travelers must acquire some familiarity with the health care system in the country of destination and to know your insurance coverage countries.


Ages over Risks

Ages

When the passengers are elderly or children, special precautions, such as protection against sun and heat in tropical countries because of the risk of sunstroke and dehydration. In shipments or flights of long duration, especially in the elderly, it is convenient to the exercises of mobilization that enables the (postural changes, walking to the service, etc.).
Children are appropriate in general, better than adults at times and changes of weather. But their resistance to disease is lower. A state of severe dehydration can cause death within hours of the child.


Weather

Weather

Nature has endowed Peru with a huge variety of climates, landscapes and ecosystems. On the coast almost never rains, there are generally two seasons: the warm and cold. The hot season runs from November 15 until late March. The cold season is from April until the last 2 weeks of November, this season is plenty of moisture. In the mountains and jungle to the coast, the rainy season is warmer, I I goes from  the half month of November until late March, less warm season is between April and half of November. For information about the temperature in the main cities of Peru go to: www.senamhi.gob.pe


Language

Languages

The Castilian (Spanish) and Quechua are official languages.


Currency and payment

Peruvian Currency

The official currency of Peru is the Nuevo Sol (S /.). It circulates in coins of 5, 10, 20 and 50 cents, 1, 2 and 5 Nuevos Soles and in 10, 20, 50, 100 and 200 Nuevos Soles. The U.S. dollar is accepted in most shops, restaurants and service stations at the current exchange rate. The vast majority of the establishments accept credit cards known: Visa, Master Card, Diners and American Express. Using traveler’s checks is limited, it is recommended to consult on establishing whether they are accepted. 


Electric Power

Plug

220 volts. Most four and five stars hotels offer power of 110 volts.

Vaccines

Vacine

If you are planning to travel to the jungle it is advisable to get vaccinated against yellow fever 10 days before.


Tourist Visas

Passport

Is not required for citizens of most countries in the Americas and Western Europe. Citizens of Bolivia, Ecuador and Chile do not need passports or visas for entry to certain areas of Peru. In these cases, the authorized term of stay is 90 days (extendable by the immigration authorities). Check with the Peruvian diplomatic representation in their country for more information. The addresses and telephone numbers are included in the website of the Ministry of Foreign Affairs of Peru.


First Aid Kit

Doctor

It is always useful to keep a disinfectant and healing material easy to implement. In certain areas are also a basic need sun cream, mosquito repellent, malaria drugs and oral rehydration salts. Travelers should consult their doctor about whether to carry antibiotics or anti preparations.
If you are going to stay for a long period in remote areas should consult any expert who can advise on the contents of your kit. If the intention is to be administered a drug injection, should carry syringes and needles.

MANDATORY VACCINATIONS

Some vaccinations are subject to international regulations and may be required by the Local Authorities of the country being visited, an International Certificate of Vaccination.
This type of vaccination is only given in the International Vaccination Centers authorized and approved by the World Health Organization, where it provides the International Certificate of Vaccination.

Yellow Fever Vaccination

It is a viral disease of obligatory international declaration, which is transmitted by the bite of an infected mosquito.
Vaccination is mandatory for entry into some countries (global health status by country). Only given in the Vaccination Centers authorized and approved by the World Health Organization, which issues the International Certificate of Vaccination.
Regardless of its possible requirement, this vaccination is recommended for all travelers who go to infected areas of Africa and South America.
There are some contraindications for people with immune disorders and in children under 6 months. In the case of pregnant vaccine is not indicated during the first trimester of pregnancy.
Its legal validity is 10 years, from 10 days of the first dose and immediately revaccination.
The vaccine is live attenuated virus grown in chicken embryo.

RECOMMENDED VACCINATIONS


Vaccination is a very important aid in preventing infectious diseases.
Travelers can get vaccinated against certain diseases. The selection of vaccines for a given trip will depend on the specific health situation of the country to visit, endemic diseases affecting them, the characteristics of the trip (not the same risks in adventure travel in one organized and is not the same a trip to a rural area to an urban area), the duration, the overall health situation of the passenger himself and the time available before departure.
Therefore, these preventive measures should be recommended in the medical services on a personalized basis. If you have not relied on this provision must be extremely fulfilling general preventive measures are explained in the "During Travel" and keep it in mind for future trips.


LIST OF VACCINES

  • Cholera
It is an acute intestinal bacterial disease caused by Vibrio cholerae. It spreads through contaminated food and water.
The endemic areas are mainly in Africa, Central and South America and Southeast Asia.
It is a notifiable disease international quarantine.
The cholera vaccination has been discontinued as compulsory for international passenger traffic.
The risk of cholera for travelers is very low and the best way to prevent the disease is hygienic measures for water and food (during the trip).
It is marketed oral inactivated vaccine may be indicated for travelers who go to areas of high endemicity, also for cooperating, NGOs, adventure travel, workers in refugee camps and in the case which involves a contact with the population.
  • Typhoid fever
It is an infectious disease caused by bacteria, Salmonella typhi, is transmitted by contaminated food and water.
Their distribution is worldwide, in developed countries the incidence is very low, but in developing countries is a common disease. The most affected countries are Africa, Central and South America, Middle East and Southeast Asia.
There are two types of oral and injectable vaccine.
Vaccination is recommended for travelers who are traveling to endemic areas, especially if traveling outside the tourist routes and sanitary conditions difficult or extended stays
Since vaccine effectiveness is limited, consider that the best prevention is hygiene precautions with food and drinks (During the trip)
  • Hepatitis A
It is an infectious disease transmitted by the hepatitis A virus, which has a worldwide distribution, appearing in the form of regular epidemics. It is spread from person to person through ingestion of contaminated food and drink.
The high incidence areas are Africa, Asia, Central and South America, Mediterranean and Eastern Europe.
Spain is considered a country with an intermediate-low incidence. Improved hygiene has been a change in the epidemiological pattern, with a reduction of infection in relation to age.
The vaccine is prepared from virus inactivated hepatitis.
It is recommended for travelers under 30 to 35 years, from low-incidence areas (Western Europe, Canada, USA, Japan, Australia and New Zealand), who go to highly endemic countries, always appreciating the journey sanitary and hygienic conditions thereof.
  • Hepatitis B
It is an infectious disease transmitted by the hepatitis B virus, universal distribution. It is transmitted mainly through sexual contact, blood transfusions with contaminated blood or contaminated equipment (needles, tattoos) and vertical mother-child relationship.
Hepatitis B is endemic throughout Africa, much of South America, Eastern Europe, Eastern Mediterranean, Southeast Asia, China and the Pacific Islands, except Australia, New Zealand and Japan. In most of these regions are chronic carriers of the virus 5 to 15% of the population.
Spain has a low or medium impact, with a carrier rate of around 1%. The epidemiology of the disease is changing due to the vaccination of children, adolescents and groups at risk.
Vaccines are currently used by genetic engineering.
The vaccine is recommended for travelers to stay longer than 6 months in endemic areas or who travel frequently, health workers, drug addicts injecting and when providing sex with the local population or may be required healthcare.
  • Meningococcal Meningitis
It is an acute infectious disease of worldwide distribution, which usually occurs endemically with seasonal fluctuations.
The high incidence countries are in Sub-Saharan Africa, have also been outbreaks in Southeast Asia (India, Nepal) and Middle East.
Vaccination is indicated for travelers over 2 years who go to areas of endemic or hyperendemic meningococcal A or C during the dry season (December to June) and will be in direct contact with the population.
Vaccination is mandatory for travel to Saudi Arabia during the pilgrimage to Mecca.
  • Poliomyelitis
Polio is a disease that is nearly eradicated in Western countries, thanks to vaccination, but that still persists in some less developed countries.
Vaccination is recommended for travelers who go to highly endemic countries, which are to be in close contact with people (Africa, Middle East and Southeast Asia).
  • Rabies
It is an acute viral disease that affects the central nervous system and is transmitted to humans through direct contact (bite, drainage) with certain species of animals (dogs, cats, foxes, bats, skunks, etc.).
It is endemic in many developing countries, in one of them becomes a major public health problem as in sub-Saharan Africa Blangladesh, Bolivia, China, Colombia, Ecuador, Ethiopia, Guatemala, India, Mexico, Peru, Sri Lanka , Vietnam or Thailand.
Other countries declared free of the disease: Australia, Bahrain, Bermuda, Cyprus, Denmark, Spain, Finland, Greece, United Kingdom, Ireland, Iceland, Japan, Kawaita, Malta, Norway, New Zealand, Papua New Guinea, Portugal, Sweden and Taiwan.
The most effective vaccine inactivated virus grown in human diploid
Given a concrete, real risk of disease, you can perform a pre-exposure vaccination or post-exposure (after contact with a suspect animal).
We recommend pre-exposure vaccination if traveling more than 1 month to highly endemic rural areas or when performing special activities (hunters, climbers). Laboratory personnel in contact with the virus, risk professionals in endemic countries (veterinarians, espeólogos, zoologists).
  • Tetanus
It is a disease caused by a toxin from the bacterium Clostridium tetani, which enters the body through wounds or abrasions on skin or mucous membranes, especially in wound convolutions so that it is essential that before any wound cleaning and disinfection is thorough. Its distribution is universal.
Vaccination is recommended for all people, especially travelers.
  • Other vaccines

There are other vaccines that are recommended only in special cases where you have to individually assess the nature and duration of travel, the health conditions of the country of destination, age and clinical condition of the traveler.
These include: first summer encephalitis, Japanese encephalitis, pneumococcus, diphtheria, influenza, etc.PREVENCION OF PALUDISMO.  Malaria is a widespread disease that affects virtually all tropical countries. It is transmitted through the bite of a mosquito (Anopheles). Since this disease can be serious, even lethal, it is important to prevention of it. As at present there is no effective vaccine, prophylaxis is based on the combination of the following measures:
• Be aware of the risk. Any traveler who goes to malaria areas should be aware of the risk of infection, namely how to protect yourself and consult a doctor if fever.
• Avoid mosquito bites

Travelers should protect themselves against mosquito bites; this is the first line of defense against malaria. This included the following recommendations:

    • Avoid, if possible, go out between dusk and dawn as mosquitoes usually bite during this period, if it gets out at night wear long-sleeved clothes and long pants and avoid dark colors which attract mosquitoes.
    • Soak the exposed body parts with a repellent containing N, N ¬ m ¬ ¬ diethyl toluamide (DEET) or dimethyl phthalate, following the manufacturer's recommendations, particularly in regard to young children.
    • Stay, if possible, in a building well-constructed and well maintained, with wire mesh in doors and windows. If there is no such protection should close the doors and windows at night.
    • If mosquitoes can enter the room, put a mosquito net around the bed under the mattress and fixing it sure is not broken and that no mosquito has been trapped inside. To further protect the mosquito can be impregnated with permethrin or deltamethrin.
    • Spray insecticides, insecticide use diffusers (electric or battery) which is provided with pads impregnated with pyrethrins or to burn in the rooms overnight mosquito coils containing pyrethrins.
    • Take appropriate chemoprophylaxis.
The different drugs and dosing schedules are based on the recommendations of the World Health Organization.
Since the type of medication varies depending on the area to visit and that none of these drugs is devoid of side effects, prescribing the same should be done by skilled health personnel, in consultation custom.
General warnings:
    • Despite taking any preventive medication, the possibility of contracting malaria disappears absolutely. Also, no medication is free of side effects and should not be prescribed if there is a real risk.
    • To be effective chemoprophylaxis should be continued for four weeks after leaving the malaria’s area, whether the travelers return to their country of origin as if going to a tropical zone free of malaria since the parasite that causes disease can remain stationed in the liver during this period of time.
    • If symptoms occur during the journey of malaria, including fever, sweats and chills, even taking prophylactic drug should consult a doctor promptly.
    • Symptoms of malaria can often be benign and suspect the disease is needed, if a week after arrival in the endemic area is declared an unexplained fever, with or without other symptoms (headache, laziness and pains muscle, vomiting, diarrhea or coughing).
During the journey
BEWARE OF WATER

Keeping in mind that water is an important mediator of infectious diseases, it is advisable to drink only water that provides sufficient guarantees or bottled water that must be opened in his presence.
Do not allow ice cubes in drinks because they can be prepared with contaminated water.
Due to the climate that exists in tropical countries, it is advisable to drink plenty of fluids.
They offer better security and safety of their processing, soft drinks and bottled drinks and hot drinks, tea or coffee, the temperature at which they submit.
In the case of potentially dangerous waters, they can be easily treated as indicated in the table below:

HAZARDOUS WATER TREATMENT

BOILING: For 10 minutes aerate to improve taste

CHLORINATION: 2 drops of bleach * / liter wait 30 minutes before using.
* The bleach (sodium hypochlorite pure) has to be without detergent or perfume.


DIGESTIVE DISORDERS

The changes in food conditions, schedules, housing, etc.. Produced during the journey can trigger digestive disturbances.

Traveler's diarrhea:

Disease that unfortunately occurs too often in travelers, especially those that target underdeveloped areas. The origin is usually food intake in poor condition, so that the best prophylaxis is in good care with food and drinks.
The preventive use of antibiotics is not recommended. Some people with health problems may need it in these cases must take them at doses and dosing regimens prescribed by your doctor.

Constipation:

Violations may result from changes in dietary and eating habits as well as prolonged immobility in the seats of a vehicle.

Stomach aches:

It is usually produced in susceptible people, for abusing spicy condiments, alcoholic drinks and acidic fruits. Just sometimes restore balanced diet with a proper diet to solve the problem.

BEWARE OF BATHS

In fresh water

In the tropics the water courses, canals, lakes, etc.. can be infected by larvae that penetrate the skin and cause diseases. Avoid washing and bathing in water may be contaminated by human and animal excrement as they may be routes of transmission of infections of the eyes, ears and intestines. Only safe are swimming pools with chlorinated water.

In seawater

In principle, bathing in the sea they pose no risk of communicable diseases. However it is advisable that the passenger is informed on the spot if allowed to bathe and not a hazard to health. Jellyfish stings cause severe pain and skin irritations. In some regions swimmers should use some type of footwear to protect them from bites and stings fish against coral dermatitis and against crustaceans, shellfish and sea anemones toxins.

SEXUALLY TRANSMITTED DISEASES

These diseases, including HIV-AIDS and hepatitis B have increased in recent years and exist in almost all countries in the world.
Also is important to remember that the transfer of most of these infections does not occur only by sexual contact, infected mother can also contaminate her child during pregnancy, childbirth or after birth, and certain infections including HIV / Aids, hepatitis B and syphilis can also be transmitted by contaminated blood or blood products and the use of infected needles.
The measures for prevention of sexually transmitted infections are the same abroad that in the place of residence. Sexual contact with multiple individuals or multiple relations can be a hazard.
In sexual relations the most effective way to avoid transmission of these diseases is the use of condoms. If you know the status of a partner, man must use a condom in every relationship, from beginning to the end, and woman must make sure that her partner uses it.
To prevent transmission through blood never share needles, syringes or any other material that may be contaminated (razors, toothbrushes, utensils tattoo or acupuncture, etc.)..
It is necessary to consider also that there is no danger of transmission of AIDS because of using public transportation, contact through the hands, greetings, caresses, by using public restrooms or eating utensils, and that this disease is not is transmitted through the bite of mosquitoes or other insects.

DURING YOUR STAY IN PERU
Tourist Information and Assistance

I Peru

Peru has Information Service and Tourist Assistance called i Peru, where you can ask objective and unbiased tourist information and assistance if the tourist services received were not provided in accordance with the contract.
Contact the service 24 hours a day at the national level:
Tel (01) 574-8000
E-mail: iperu@promperu.gob.pe
For information on the key tips and recommendations for your trip to Peru.

Upon returning
TIPS AFTER TRAVELING
Some diseases do not manifest themselves immediately and may occur long after the return. In the event that you need to see a doctor, must inform you that you have made a trip in the last 12 months in a tropical or developing country.


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