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Ecuador Travel Restrictions

Traveler's COVID-19 vaccination status

Traveling from the United States to Ecuador

Open for vaccinated visitors

COVID-19 testing

Not required

Not required for vaccinated visitors

Restaurants

Not required in public spaces.

Documents & Additional resources

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Can I travel to Ecuador from the United States?

Most visitors from the United States, regardless of vaccination status, can enter Ecuador.

Can I travel to Ecuador if I am vaccinated?

Fully vaccinated visitors from the United States can enter Ecuador without restrictions.

Can I travel to Ecuador without being vaccinated?

Unvaccinated visitors from the United States can enter Ecuador without restrictions.

Do I need a COVID test to enter Ecuador?

Visitors from the United States are not required to present a negative COVID-19 PCR test or antigen result upon entering Ecuador.

Can I travel to Ecuador without quarantine?

Travelers from the United States are not required to quarantine.

Do I need to wear a mask in Ecuador?

Mask usage in Ecuador is not required in public spaces.

Are the restaurants and bars open in Ecuador?

Restaurants in Ecuador are open. Bars in Ecuador are .

Update April 12, 2024

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Ecuador Travel Advisory

Travel advisory april 15, 2024, ecuador - level 2: exercise increased caution.

Updated with information about land border travel restrictions.

Exercise increased caution in Ecuador due to  civil unrest ,  crime , and  kidnapping . Some areas have increased risk. Read the entire Travel Advisory.

Do not travel to:

Guayaquil,  south  of Portete de Tarqui Avenue, due to  crime .

• The cities of Huaquillas and Arenillas in the province of El Oro, due to  crime .
• The cities of Quevedo, Quinsaloma, and Pueblo Viejo in the province of Los Rios, due to  crime .
• The canton of Duran, in the province of Guayas, due to crime .

Esmeraldas city and all areas north of Esmeraldas city in Esmeraldas province, due to  crime .

Reconsider travel to:

• Guayaquil  north  of Portete de Tarqui Avenue due to  crime .

El Oro province outside the cities of Huaquillas and Arenillas, due to  crime .

• Los Rios province outside the cities of Quevedo, Quinsaloma, and Pueblo Viejo, due to  crime .
• All areas south of Esmeraldas city in Esmeraldas province, due to  crime .
• The provinces of Sucumbios, Manabi, Santa Elena, and Santo Domingo due to  crime .

Country Summary: Crime is a widespread problem in Ecuador. Violent crime, such as murder, assault, kidnapping, and armed robbery, is prevalent and widespread. The rate of violent crime is significantly higher in areas where transnational criminal organizations are concentrated.

Demonstrations occur frequently throughout the country, usually motivated by political and/or economic factors. Demonstrators routinely block local roads and major highways, often without prior notice which can lead to disruption in access to critical infrastructure.  

Outside of Ecuador’s major towns and cities, much of the country’s territory is sparsely populated and isolated. Government assistance may be very limited and can lead to significant delays for assistance to U.S. citizens in remote areas.

Land Border Restrictions : All foreign citizens entering the country via land border crossings from Colombia or Peru are required to present an apostilled certificate showing a lack of criminal record. Further information is available on the Ministry of Tourism’s webpage and at Ecuador.Travel . All U.S. citizens planning to enter Ecuador via a land border should comply with this requirement. See Travel.State.Gov ’s Office of Authentications webpage and Criminal Records Check webpage for information on how to obtain a criminal record check and apostille from the United States. The U.S. Embassy and Consulate General in Ecuador cannot assist citizens crossing a land border in obtaining the required documentation.    

Read the  country information page  for additional information on traveling to Ecuador.

If you decide to travel to Ecuador:

• Enroll in the  Smart Traveler Enrollment Program  ( STEP ) to receive Alerts and make it easier to locate you in an emergency.
• Follow the Department of State on  Facebook ,  Twitter , and  Instagram
• Review the  Country Security Report  for Ecuador.
• Prepare a contingency plan for emergency situations. Review the  Traveler’s Checklist .
• Visit the CDC page for the latest  Travel Health Information  related to your travel.

Level 4: Do Not Travel

The cities of Huaquillas and Arenillas in the Province of El Oro, due to  crime .

The cities of Quevedo, Quinsaloma, and Pueblo Viejo in the province of Los Rios, due to  crime.

The canton of Duran, in the province of Guayas, due to crime.

Transnational criminal groups and local gangs regularly engage in violent criminal acts in these areas, including indiscriminate attacks without warning in public spaces. Violent crimes have included murder, targeted assassinations, armed robberies, bombings, kidnappings, and assaults, among others. Violence in these areas has steadily increased in frequency and brutality in recent months, posing an increased security risk to U.S. citizens. U.S. government personnel are prohibited from traveling to these areas without prior authorization. As a result, the U.S. government is limited in its ability to provide emergency services to U.S. citizens in these areas.

Level 3: Reconsider Travel

Guayaquil  north  of Portete de Tarqui Avenue, due to  crime .

Los Rios province outside the cities of Quevedo, Quinsaloma, and Pueblo Viejo, due to  crime .

All areas south of Esmeraldas city in Esmeraldas province, due to  crime.

The provinces of Sucumbios, Manabi, Santa Elena, and Santo Domingo, due to  crime.

Transnational criminal groups and local gangs have sporadically engaged in violent criminal activity in these areas, with violence increasing in recent months. U.S. government personnel are directed to exercise extreme caution and maintain increased vigilance when traveling in and around these areas. 

Visit our website for  Travel to High-Risk Areas .

Travel Advisory Levels

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Travelers with proof of vaccination can now visit Ecuador — including the Galapagos

Travelers visiting Ecuador who show proof of vaccination can enter the country, according to one of the largest daily newspapers in Ecuador, El Universo .

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In October 2020, Ecuador's National Emergency Operations Committee announced that travelers arriving by air to Quito or Guayaquil must carry a negative PCR test. Travelers visiting the remote Galapagos Islands, which reopened to travelers in July, were also required to have a negative PCR test to enter taken no more than 96 hours prior to arrival. According to Travel Daily News , quick tests are not accepted.

Related: Where you can go once you are vaccinated: A country-by-country guide

Ecuadorian authorities have released some guidelines for tourists, including:

• Comply with social distancing, at least two meters (2 yards approx.)
• Use of face masks/masks
• Hygiene measures (constant hand washing and disinfection, covering the nose and mouth when yawning or sneezing with the inside of the elbow flexed)
• Extreme precautions for people over 60 years and for vulnerable groups
• Public events are prohibited, as well as crowds.

As of Jan. 26, 2021, everyone age two and older traveling to the U.S. from Ecuador must show a negative viral COVID-19 test result taken within 72 hours of departure before being allowed to board their flights ; documented proof from a licensed healthcare provider of recovery from the virus within the past 90 days will also be accepted.

As of June 4, Quito and Guayaquil airports resumed operations . American and United resumed services to both cities, while Eastern, JetBlue and Spirit only operate out of Guayaquil.

Related: When will international travel return? A country-by-country guide to coronavirus recovery

The U.S. State Department removed Ecuador from the Global Health Advisory Level 4. Ecuador is now listed as Level 3: Reconsider Travel. Ecuador has reported over 307,000 cases of the novel coronavirus and over 16,000 deaths, according to a Johns Hopkins University coronavirus tracker .

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See the full list of  Travel Health Notices , including:

Level 2 - Practice Enhanced Precautions

• Updated   Chikungunya in Timor-Leste April 05, 2024
• Yellow Fever in Nigeria March 28, 2024
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• Updated   Dengue in the Americas April 18, 2024
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There are no Warning , Alert, Watch, COVID-19 Very High, COVID-19 High, COVID-19 Moderate, COVID-19 Low, COVID-19 Unknown, Level 4, or Level 3 notices currently in effect.

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Ecuador travel advice

Latest updates: The Health section was updated - travel health information (Public Health Agency of Canada)

Last updated: April 17, 2024 17:28 ET

On this page

Safety and security, entry and exit requirements, laws and culture, natural disasters and climate, ecuador - exercise a high degree of caution.

Exercise a high degree of caution in Ecuador due to high levels of crime.

Border areas - Avoid all travel

• Carchi (except for the Panamerican Highway which connects to the official border crossing with Colombia at Tulcán/Ipiales)
• Sucumbíos

Minefields near the southern portion of the border with Peru - Avoid all travel

Esmeraldas province, parts of el oro, guayas and los ríos provinces - avoid non-essential travel.

• the province of Esmeraldas
• Durán
• Bastión Popular
• El Fortín
• Flor de Bastión
• Las Orquídeas
• Monte Bello
• Monte Sinaí
• Nueva Prosperina
• Paraíso de la Flor

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Nationwide energy shortage

On April 17, 2024, the Ecuadorian government declared the closure of all public and private sector offices from April 18 to 19, 2024, due to national energy shortages. Some tourism operators may also limit or suspend operations on those dates.

Power outages are planned for 3 to 6 hours every day. An official schedule provides advance notice of the planned power outages. However, they can also occur with very little notice.

Power outages can affect the following services and businesses:

• public lighting and traffic lights
• telecommunications and security systems
• stores and food supply
• hotels and other accommodations
• banks and ATMs

If you're in Ecuador:

• make sure you always have a complete emergency kit on hand, including several flashlights
• always carry a cell phone, power banks, chargers and a list of emergency numbers
• keep a sufficient supply of water, food and fuel on hand
• monitor local media
• follow the instructions of local authorities

Useful links

• List of planned outages – Quito Electric Company(in Spanish)
• List of planned outages – Guayaquil Electric Company (in Spanish)

State of internal armed conflict

On January 9, 2024, the Government of Ecuador declared a nationwide state of “internal armed conflict” to allow security forces to better respond to a sharp increase in gang violence across the country, including in Guayaquil and Quito. There are reports of small explosions, attacks on businesses, and car burnings.

If you are in Ecuador:

• expect an increased police and military presence, especially near prisons
• carry your ID at all times

Border areas

Border areas often see higher criminal activity and violence.

Criminal groups are active in the border area with Colombia. Criminal activities include:

• drug trafficking
• armed assault

Work to clear landmines in certain areas near the border with Peru is still ongoing. See the Regional Risks, above, for specific locations.

Criminal activity has been reported near the border crossing at Huaquillas, where we advise against non-essential travel. If you do cross the border by land from Peru, do so during daylight hours and ensure that your belongings, including your passport and other travel documents, are secure at all times.

Crime rates are high in Ecuador.

Arrest and detention rates are low and contribute to high levels of criminality. Infiltration within the security forces by local gangs weakens law enforcement even further.

Violent crime

Violent crime is a significant concern throughout Ecuador. Drug trafficking, transnational organized crime and street gang activity is prevalent. Violent incidents include:

• armed robberies
• kidnappings
• home invasions
• sexual assaults
• car-jacking

These crimes occur even during the day in tourist destinations. Tourists, including Canadians, have been assaulted:

• in downtown areas
• on hiking trails
• in public parks
• outside banks

While you're in Ecuador:

• be aware of your surroundings at all times
• ensure that your belongings, including your passport and other travel documents, are secure at all times
• avoid travelling after dark, and in isolated or deserted areas
• avoid showing signs of affluence
• avoid carrying large amounts of cash
• be extra cautious when withdrawing cash from ATMs
• don’t resist if you’re threatened, hand over your cash and valuables immediately

Tourist police officers are present in major cities, including Quito, Guayaquil and Cuenca.

Organized crime

Criminal gang activity has increased in recent years, particularly in the coastal provinces of El Oro, Esmeraldas, Guayas, Los Ríos, Manabí and Santa Elena. Since late 2022, the use of explosives has increased, especially in coastal provinces. Targets have included small businesses, gas stations, government offices, and bridges.

Organized criminal groups and gangs commit crimes such as targeted killings, express kidnapping, and armed robberies. They generally use knives and guns, and occasionally explosives.

Although tourists are not usually targeted, you may find yourself in the wrong place at the wrong time and caught in the crossfire.

Petty crime

Petty crime, such as pickpocketing, bag snatching and car break-ins, occurs daily in major cities.

Thieves often work in teams to divert the victims and snatch their possessions. Groups of street children selling candies are sometimes engaged in this type of team operation.

Thefts commonly occur in:

• popular tourist areas
• public transportation, especially city and inter-city buses
• bus terminals and airports
• shopping malls
• hotel lobbies
• restaurants, including patios

To avoid becoming a victim:

• keep a low profile when walking in public areas
• avoid carrying large amounts of cash or valuable items
• avoid hitchhiking
• be suspicious of recent acquaintances or strangers approaching you
• avoid accepting rides or invitations from strangers

The number of kidnappings, especially express kidnappings, has significantly increased since 2022. Kidnappers mainly target locals, but foreigners have also been targeted. Many victims have been rescued by the police. Some victims are released in exchange for ransom.

While you’re in Ecuador:

• choose accommodation with good security measures
• keep your doors and windows locked at all times
• check your car for suspicious markings after leaving it parked on the street
• if you're kidnapped, comply with the kidnappers’ demands and don’t resist

Express kidnappings

These kidnappings are often committed by organised gangs, sometimes in collaboration with taxi or rideshare drivers. Kidnappers may take their victims to an ATM and force them to make a cash withdrawal, or else hold their victims for a few days and force them to make online bank transfers before releasing them.

• Use only reputable taxi companies
• Avoid hailing taxis on the street
• Use the security features in rideshare apps
• If you’re threatened, don’t resist

Credit card and ATM fraud may occur. Be cautious when using debit or credit cards:

• cover the keypad with one hand when entering your PIN
• pay careful attention when your cards are being handled by others
• avoid using card readers with an irregular or unusual feature
• use ATMs located in well-lit public areas or inside a bank or business
• check for any unauthorized transactions on your account statements

Overseas fraud

Police officers sometimes try to extort drivers by threatening detention or confiscating identity documents.

If police threaten you with a fine:

• remain calm and courteous but firm
• show original documents but keep them in your possession
• try to cooperate by following the instructions of police to avoid escalation
• ask for a clear explanation of the offence and a written fine that can be paid at a police station
• don’t pay a bribe to anyone
• call 911 to report the incident to the National Police

National Police  – Ecuador (in Spanish)

Demonstrations 

Demonstrations occur frequently.

Even peaceful demonstrations can turn violent at any time. They can also lead to disruptions to traffic and public transportation.

• Avoid areas where demonstrations and large gatherings are taking place
• Follow the instructions of local authorities
• Monitor local media for information on ongoing demonstrations

Ecuadorian law prohibits political activities by foreigners. You may face detention if you take part in demonstrations or political activities.

Mass gatherings (large-scale events)

Women's safety

Women travelling alone may be subject to some forms of harassment and verbal abuse.

Incidents of attacks and sexual assault against foreign women, including rape and murder, have been reported throughout the country, particularly in tourist areas. Even women travelling in pairs have been targeted.

• Choose accommodation with good security measures
• Be suspicious of recent acquaintances or strangers approaching you
• Avoid hospitality exchange arrangements, such as couch-surfing
• Avoid accepting rides or invitations from strangers
• Recommendations for female travellers – Ecuador ministry of tourism
• Advice for women travellers

Spiked food and drinks

Snacks, beverages, gum and cigarettes may contain drugs that could put you at risk of sexual assault and robbery. Incidents can occur in various locations, including buses, nightclubs and bars.

• Be wary of accepting these items from new acquaintances
• Never leave food or drinks unattended or in the care of strangers

Scopolamine

Scopolamine is a drug that temporarily incapacitates unsuspecting victims, who become disoriented quickly and are vulnerable to crime.

Thieves may slip the drug into food and drinks, smear it on papers, or blow it into the face of the victim. They often work in teams, with an attractive woman or man who eases their victim into a false sense of security.

Incidents occur in nightclubs, bars and restaurants, on public transportation and in the streets. They occur most frequently in larger cities.

Use extreme caution when dealing with strangers offering pamphlets, requesting information, or selling street wares.

Indigenous shamanic ceremonies

The consumption of ayahuasca is common during indigenous shamanic ceremonies in Ecuador. These ceremonies are not regulated. The safety of the facilities, services, operators, or shamans cannot be assessed. They often take place in remote areas without access to medical facilities, emergency services or telecommunications.

The consumption of ayahuasca has caused serious medical complications, including cognitive and physical impairment. Several tourists, including Canadians, have died while taking part in such ceremonies. Some have also been assaulted or injured.

Water activities

Coastal waters can be dangerous. Riptides are common.

Rescue services may not be consistent with international standards. Most beaches don’t have lifeguards or warning flags.

• Only undertake scuba diving and other water activities with a well-established company
• Don’t swim alone, after hours or outside marked areas
• Consult residents and tour operators for information on possible hazards and safe swimming areas
• Monitor weather warnings

This advice applies to both mainland Ecuador and to the Galápagos Islands.

Water safety abroad

Adventure tourism

Outdoor activities, such as snorkelling, diving, surfing, white water rafting, horseback riding, parasailing, hiking, trekking and other adventure activities, can be dangerous if unprepared. Trails are not always marked, and weather conditions can change rapidly, even in the dry season.

Avalanches pose a risk in Ecuador. They can be fatal, even with light snow accumulations. Tourists, including Canadians, have died in avalanches on Ecuadorian volcanoes.

If you intend to practice adventure tourism:

• never do so alone, and don’t part with your expedition companions
• consider hiring an experienced guide from a reputable company certified by the Ministry of Tourism
• obtain detailed information on your activity and on the environment in which you will be before setting out
• avoid venturing off marked trails
• ensure that your physical condition is good enough to tackle the challenges of your activity
• carry an avalanche beacon, a mobile phone and a fully charged battery pack to generate your position in case of emergency
• inform a family member or friend of your itinerary

If you require emergency assistance in a remote area, find an area with a signal and call 911 so that authorities can geolocate your phone and send help more quickly.

Ministry of Tourism  – Government of Ecuador

Road travel

Road conditions and road safety vary throughout the country. Accidents causing fatalities are common.

Road conditions

Road conditions are generally in fair conditions in urban areas. However, they remain poorly maintained in rural areas.

Heavy rain and mudslides often close or wash out roads. Driving in Ecuador may be hazardous due to:

• unmarked speed bumps
• large pot holes
• poorly maintained vehicles
• traffic lights on major highways
• heavy traffic, especially on weekends and statutory holidays
• stray livestock in rural areas  
• heavy fog in mountainous areas

Driving habits

Drivers don’t respect traffic laws. They may drive at excessive speed and be reckless. Drinking and driving is frequent. 

If you drive in Ecuador:

• always drive defensively and maintain heightened awareness
• plan your trip ahead of time, especially if you plan to visit a rural area
• avoid road travelling alone and at night
• carry a cell phone and a charger
• always keep your gas tank fullkeep your car doors locked and the windows closed at all times
• do not leave valuables within reach or in plain sight and unattended

Public transportation

Many buses are not safe. Some are poorly maintained and often overcrowded. They lack safety equipment. Drivers are reckless. They often make illegal stops to pick up passengers. Robberies and assault occur regularly, especially in the Guayaquil area.

Avoid using local or intercity public buses. 

Taxis are generally safe to take during the day. They are easily available in urban areas.

Ride-sharing apps are also popular in Ecuador. They are usually a safe option to move around.

Incidents of assault and express kidnapping have occurred at night.

• Use official taxis with orange plates only
• Never share a taxi with strangers 
• Make sure the driver doesn’t pick up other passengers along the way to your destination
• Note driver’s name and plate number
• Ask the driver to start the meter or negotiate the fare in advance
• Have small bills ready for payment

Ferries 

Ferry accidents have occurred mostly due to severe weather conditions or poor safety measures. 

Some boats are poorly maintained and overloaded. 

If you decide to travel by ferry:

• use only a reliable company
• make sure appropriate safety equipment is available 
• make sure you have access to a lifejacket at all times 
• don't board a boat that appears overloaded or unseaworthy

Pirate attacks and armed robbery against ships occur.

Take appropriate precautions.

Live piracy report  - International Maritime Bureau

We do not make assessments on the compliance of foreign domestic airlines with international safety standards.

Information about foreign domestic airlines

Every country or territory decides who can enter or exit through its borders. The Government of Canada cannot intervene on your behalf if you do not meet your destination’s entry or exit requirements.

We have obtained the information on this page from the Ecuadorian authorities. It can, however, change at any time.

Verify this information with the  Foreign Representatives in Canada .

entry_restrictions_at_land_and_river_borders_with_peru_and_colombia

Entry restrictions at land and river borders with Peru and Colombia

On January 11, 2024, the Government of Ecuador announced new entry restrictions as part of the ongoing state of internal armed conflict.

All foreigners entering Ecuador at crossing points with land or river borders with Peru and Colombia will need to present a criminal records check from their country of origin or residence. Both the original criminal record check and the Spanish translation must be apostilled and cover the past five years. Minors travelling with their family members will generally be exempt.

The Apostille Convention took effect in Canada on January 11, 2024. An apostille is a standard certificate allowing documents to be accepted in all countries where the convention is in effect.

• Migration information – Ecuador Immigration Agency (in Spanish)
• Changes to authentication services in Canada
• Authentication of documents

Entry requirements vary depending on the type of passport you use for travel.

Before you travel, check with your transportation company about passport requirements. Its rules on passport validity may be more stringent than the country’s entry rules.

Regular Canadian passport

Your passport must be valid for at least 6 months beyond the date you expect to leave Ecuador.

Passport for official travel

Different entry rules may apply.

Official travel

Passport with “X” gender identifier

While the Government of Canada issues passports with an “X” gender identifier, it cannot guarantee your entry or transit through other countries. You might face entry restrictions in countries that do not recognize the “X” gender identifier. Before you leave, check with the closest foreign representative for your destination.

Other travel documents

Different entry rules may apply when travelling with a temporary passport or an emergency travel document. Before you leave, check with the closest foreign representative for your destination.

• Foreign Representatives in Canada
• Canadian passports

Tourist visa: not required for stays up to 90 days per period of 12 months  Business visa: not required Student visa: not required

Entry stamp

Make sure your passport is stamped upon arrival. You may face significant problems if you fail to present an entry-stamped passport when departing Ecuador.  

Many tourists, including Canadians, have not stopped to get their passports stamped when arriving by land from Peru. When they try to leave the country later on, for example by airplane out of Quito, they are often required to return to the Peruvian border to obtain an entry stamp at the place of entry.

Stay extension

You may extend your stay for an additional 90-day period once. If you decide to do so while you are in Ecuador, you must obtain a visa from the immigration authorities before the entry stamp you received upon arrival expires.

If you overstay the initial 90-day period without the required extension or the 180-day period without the required visa, you may face:

• denied entry for one year

Local authorities may also add your name to the immigration records. As a result, you would have to request a visa at an Ecuadorian embassy or consulate before re-entering the country.

• Migration Ecuador  – Government of Ecuador (in Spanish)
• Visas - Government of Ecuador (in Spanish)
• Extension of stay – Ministry of Interior (in Spanish)

Galápagos Islands

To enter the Galápagos Islands, you must present:

• personal identification
• the Galápagos Transit Control Card obtained online at least 24 hours before time of departure
• a return ticket

The maximum stay for tourists is 60 days in a 1-year period.

Guidelines for entering Galápagos  - Galápagos Governing Council (in Spanish)

Amazon region

Some Indigenous groups require permits to enter their territory. If you are planning on visiting the Amazon region, ensure that you have the required documentation prior to entering the area.

Children and travel

To leave the country, children born in Ecuador to a Canadian parent must:

• be registered with the Ecuadorian Civil Registry
• obtain an Ecuadorian passport
• present valid Ecuadorian and Canadian passports

Minor dual citizens - under 18 - travelling alone with both passports must have a letter of consent from both parents. This letter should:

• authorize the travel and stipulate the destination and duration of the intended trip
• be legally certified and translated into Spanish
• be notarized at the Embassy of Ecuador or an Ecuadorian consulate in Canada

Canadian minors travelling alone as tourists with Canadian passports don’t need this authorization letter.

• Travelling with children
• Recommended consent letter for children travelling abroad

Yellow fever

Learn about potential entry requirements related to yellow fever (vaccines section).

Relevant Travel Health Notices

• Global Measles Notice - 13 March, 2024
• Zika virus: Advice for travellers - 31 August, 2023
• COVID-19 and International Travel - 13 March, 2024
• Dengue: Advice for travellers - 8 April, 2024

This section contains information on possible health risks and restrictions regularly found or ongoing in the destination. Follow this advice to lower your risk of becoming ill while travelling. Not all risks are listed below.

Consult a health care professional or visit a travel health clinic preferably 6 weeks before you travel to get personalized health advice and recommendations.

Routine vaccines

Be sure that your  routine vaccinations , as per your province or territory , are up-to-date before travelling, regardless of your destination.

Some of these vaccinations include measles-mumps-rubella (MMR), diphtheria, tetanus, pertussis, polio, varicella (chickenpox), influenza and others.

Pre-travel vaccines and medications

You may be at risk for preventable diseases while travelling in this destination. Talk to a travel health professional about which medications or vaccines may be right for you, based on your destination and itinerary. 

Yellow fever  is a disease caused by a flavivirus from the bite of an infected mosquito.

Travellers get vaccinated either because it is required to enter a country or because it is recommended for their protection.

• There is a risk of yellow fever in this country.

Country Entry Requirement*    

Proof of vaccination is required if you are arriving from Brazil, Democratic Republic of the Congo, or Uganda, or have transited through an airport in one of these countries.

Recommendation          

• Vaccination is recommended depending on your itinerary.
• Contact a designated  Yellow Fever Vaccination Centre  well in advance of your trip to arrange for vaccination.
• Discuss travel plans, activities, and destinations with a health care professional.
• Protect yourself from mosquito bites.

About Yellow Fever

Yellow Fever Vaccination Centres in Canada * It is important to note that  country entry requirements  may not reflect your risk of yellow fever at your destination. It is recommended that you contact the nearest  diplomatic or consular office  of the destination(s) you will be visiting to verify any additional entry requirements.

There is a risk of hepatitis A in this destination. It is a disease of the liver. People can get hepatitis A if they ingest contaminated food or water, eat foods prepared by an infectious person, or if they have close physical contact (such as oral-anal sex) with an infectious person, although casual contact among people does not spread the virus.

Practise  safe food and water precautions and wash your hands often. Vaccination is recommended for all travellers to areas where hepatitis A is present.

Measles is a highly contagious viral disease. It can spread quickly from person to person by direct contact and through droplets in the air.

Anyone who is not protected against measles is at risk of being infected with it when travelling internationally.

Regardless of where you are going, talk to a health care professional before travelling to make sure you are fully protected against measles.

  Hepatitis B is a risk in every destination. It is a viral liver disease that is easily transmitted from one person to another through exposure to blood and body fluids containing the hepatitis B virus.  Travellers who may be exposed to blood or other bodily fluids (e.g., through sexual contact, medical treatment, sharing needles, tattooing, acupuncture or occupational exposure) are at higher risk of getting hepatitis B.

Hepatitis B vaccination is recommended for all travellers. Prevent hepatitis B infection by practicing safe sex, only using new and sterile drug equipment, and only getting tattoos and piercings in settings that follow public health regulations and standards.

Coronavirus disease (COVID-19) is an infectious viral disease. It can spread from person to person by direct contact and through droplets in the air.

It is recommended that all eligible travellers complete a COVID-19 vaccine series along with any additional recommended doses in Canada before travelling. Evidence shows that vaccines are very effective at preventing severe illness, hospitalization and death from COVID-19. While vaccination provides better protection against serious illness, you may still be at risk of infection from the virus that causes COVID-19. Anyone who has not completed a vaccine series is at increased risk of being infected with the virus that causes COVID-19 and is at greater risk for severe disease when travelling internationally.

Before travelling, verify your destination’s COVID-19 vaccination entry/exit requirements. Regardless of where you are going, talk to a health care professional before travelling to make sure you are adequately protected against COVID-19.

 The best way to protect yourself from seasonal influenza (flu) is to get vaccinated every year. Get the flu shot at least 2 weeks before travelling.  

 The flu occurs worldwide. 

•  In the Northern Hemisphere, the flu season usually runs from November to   April.
•  In the Southern Hemisphere, the flu season usually runs between April and   October.
•  In the tropics, there is flu activity year round. 

The flu vaccine available in one hemisphere may only offer partial protection against the flu in the other hemisphere.

The flu virus spreads from person to person when they cough or sneeze or by touching objects and surfaces that have been contaminated with the virus. Clean your hands often and wear a mask if you have a fever or respiratory symptoms.

Malaria  is a serious and sometimes fatal disease that is caused by parasites spread through the bites of mosquitoes.   There is a risk of malaria in certain areas and/or during a certain time of year in this destination. 

Antimalarial medication may be recommended depending on your itinerary and the time of year you are travelling. Consult a health care professional or visit a travel health clinic before travelling to discuss your options. It is recommended to do this 6 weeks before travel, however, it is still a good idea any time before leaving.    Protect yourself from mosquito bites at all times:  • Cover your skin and use an approved insect repellent on uncovered skin.  • Exclude mosquitoes from your living area with screening and/or closed, well-sealed doors and windows. • Use insecticide-treated bed nets if mosquitoes cannot be excluded from your living area.  • Wear permethrin-treated clothing.    If you develop symptoms similar to malaria when you are travelling or up to a year after you return home, see a health care professional immediately. Tell them where you have been travelling or living. 

In this destination, rabies is commonly carried by dogs and some wildlife, including bats. Rabies is a deadly disease that spreads to humans primarily through bites or scratches from an infected animal. While travelling, take precautions , including keeping your distance from animals (including free-roaming dogs), and closely supervising children.

If you are bitten or scratched by a dog or other animal while travelling, immediately wash the wound with soap and clean water and see a health care professional. In this destination, rabies treatment may be limited or may not be available, therefore you may need to return to Canada for treatment.  

Before travel, discuss rabies vaccination with a health care professional. It may be recommended for travellers who are at high risk of exposure (e.g., occupational risk such as veterinarians and wildlife workers, children, adventure travellers and spelunkers, and others in close contact with animals). 

Safe food and water precautions

Many illnesses can be caused by eating food or drinking beverages contaminated by bacteria, parasites, toxins, or viruses, or by swimming or bathing in contaminated water.

• Learn more about food and water precautions to take to avoid getting sick by visiting our eat and drink safely abroad page. Remember: Boil it, cook it, peel it, or leave it!
• Avoid getting water into your eyes, mouth or nose when swimming or participating in activities in freshwater (streams, canals, lakes), particularly after flooding or heavy rain. Water may look clean but could still be polluted or contaminated.
• Avoid inhaling or swallowing water while bathing, showering, or swimming in pools or hot tubs. 

Travellers' diarrhea is the most common illness affecting travellers. It is spread from eating or drinking contaminated food or water.

Risk of developing travellers' diarrhea increases when travelling in regions with poor standards of hygiene and sanitation. Practise safe food and water precautions.

The most important treatment for travellers' diarrhea is rehydration (drinking lots of fluids). Carry oral rehydration salts when travelling.

Typhoid   is a bacterial infection spread by contaminated food or water. Risk is higher among children, travellers going to rural areas, travellers visiting friends and relatives or those travelling for a long period of time.

Travellers visiting regions with a risk of typhoid, especially those exposed to places with poor sanitation, should speak to a health care professional about vaccination.  

Insect bite prevention

Many diseases are spread by the bites of infected insects such as mosquitoes, ticks, fleas or flies. When travelling to areas where infected insects may be present:

• Use insect repellent (bug spray) on exposed skin
• Cover up with light-coloured, loose clothes made of tightly woven materials such as nylon or polyester
• Minimize exposure to insects
• Use mosquito netting when sleeping outdoors or in buildings that are not fully enclosed

To learn more about how you can reduce your risk of infection and disease caused by bites, both at home and abroad, visit our insect bite prevention page.

Find out what types of insects are present where you’re travelling, when they’re most active, and the symptoms of the diseases they spread.

There is a risk of chikungunya in this country.  The risk may vary between regions of a country.  Chikungunya is a virus spread through the bite of an infected mosquito. Chikungunya can cause a viral disease that typically causes fever and pain in the joints. In some cases, the joint pain can be severe and last for months or years.

Protect yourself from mosquito bites at all times. There is no vaccine available for chikungunya.

• In this country,   dengue  is a risk to travellers. It is a viral disease spread to humans by mosquito bites.
• Dengue can cause flu-like symptoms. In some cases, it can lead to severe dengue, which can be fatal.
• The level of risk of dengue changes seasonally, and varies from year to year. The level of risk also varies between regions in a country and can depend on the elevation in the region.
• Mosquitoes carrying dengue typically bite during the daytime, particularly around sunrise and sunset.
• Protect yourself from mosquito bites . There is no vaccine or medication that protects against dengue.

Zika virus is a risk in this country. 

Zika virus is primarily spread through the bite of an infected mosquito. It can also be sexually transmitted. Zika virus can cause serious birth defects.

During your trip:

• Prevent mosquito bites at all times.
• Use condoms correctly or avoid sexual contact, particularly if you are pregnant.

If you are pregnant or planning a pregnancy, you should discuss the potential risks of travelling to this destination with your health care provider. You may choose to avoid or postpone travel. 

For more information, see Zika virus: Pregnant or planning a pregnancy.

American trypanosomiasis (Chagas disease)   is a risk in this country. It is caused by a parasite spread by infected triatomine bugs. The infection can be inactive for decades, but humans can eventually develop complications causing disability and even death.

Risk is generally low for most travellers. Protect yourself from triatomine bugs, which are active at night, by using mosquito nets if staying in poorly-constructed housing. There is no vaccine available for Chagas disease.

Animal precautions

Some infections, such as rabies and influenza, can be shared between humans and animals. Certain types of activities may increase your chance of contact with animals, such as travelling in rural or forested areas, camping, hiking, and visiting wet markets (places where live animals are slaughtered and sold) or caves.

Travellers are cautioned to avoid contact with animals, including dogs, livestock (pigs, cows), monkeys, snakes, rodents, birds, and bats, and to avoid eating undercooked wild game.

Closely supervise children, as they are more likely to come in contact with animals.

Human cases of avian influenza have been reported in this destination. Avian influenza   is a viral infection that can spread quickly and easily among birds and in rare cases it can infect mammals, including people. The risk is low for most travellers.

Avoid contact with birds, including wild, farm, and backyard birds (alive or dead) and surfaces that may have bird droppings on them. Ensure all poultry dishes, including eggs and wild game, are properly cooked.

Travellers with a higher risk of exposure include those: 

• visiting live bird/animal markets or poultry farms
• working with poultry (such as chickens, turkeys, domestic ducks)
• hunting, de-feathering, field dressing and butchering wild birds and wild mammals
• working with wild birds for activities such as research, conservation, or rehabilitation
• working with wild mammals, especially those that eat wild birds (e.g., foxes)

All eligible people are encouraged to get the seasonal influenza shot, which will protect them against human influenza viruses. While the seasonal influenza shot does not prevent infection with avian influenza, it can reduce the chance of getting sick with human and avian influenza viruses at the same time.

Person-to-person infections

Stay home if you’re sick and practise proper cough and sneeze etiquette , which includes coughing or sneezing into a tissue or the bend of your arm, not your hand. Reduce your risk of colds, the flu and other illnesses by:

•   washing your hands often
• avoiding or limiting the amount of time spent in closed spaces, crowded places, or at large-scale events (concerts, sporting events, rallies)
• avoiding close physical contact with people who may be showing symptoms of illness 

Sexually transmitted infections (STIs) , HIV , and mpox are spread through blood and bodily fluids; use condoms, practise safe sex, and limit your number of sexual partners. Check with your local public health authority pre-travel to determine your eligibility for mpox vaccine.  

Tuberculosis is an infection caused by bacteria and usually affects the lungs.

For most travellers the risk of tuberculosis is low.

Travellers who may be at high risk while travelling in regions with risk of tuberculosis should discuss pre- and post-travel options with a health care professional.

High-risk travellers include those visiting or working in prisons, refugee camps, homeless shelters, or hospitals, or travellers visiting friends and relatives.

Medical services and facilities

Good health care is limited in availability. The quality of care varies greatly throughout the country.

Public medical services and facilities remain below Canadian standards, especially in rural areas. Medical facilities lack medical supplies.

Private hospitals and clinics offer better health care, but services are often expensive. Doctors typically require upfront payment. They may only speak Spanish.

Emergency services may not be available outside major cities. In the Galápagos Islands, you will likely require medical evacuation in case of a serious condition. The wait time to be evacuated can be up to 48 hours as there is no air ambulance service based on the islands.

Medical evacuations can be extremely expensive.

Make sure you get travel insurance that includes coverage for medical evacuation and hospital stays.

Travel health and safety

Medications

Some prescription medication may not be available in Ecuador.

If you take prescription medication, you’re responsible for determining its legality in the country.

• Bring sufficient quantities of your medication with you
• Always keep your medication in the original container
• Pack your medication in your carry-on luggage
• Carry a paper and an electronic copy of your prescriptions

Altitude sickness

Some cities and major tourist attractions are located at more than 2700 metres above sea level. In some parts of the country, you may experience health problems due to high altitudes.

Altitude sickness can range from mild to severe symptoms, which in extreme cases can be fatal. It may require immediate medical evacuation.

• Know about the symptoms of altitude sickness
• Find out how to prevent or reduce the effects of altitude sickness

Keep in Mind...

The decision to travel is the sole responsibility of the traveller. The traveller is also responsible for his or her own personal safety.

Be prepared. Do not expect medical services to be the same as in Canada. Pack a   travel health kit , especially if you will be travelling away from major city centres.

You must abide by local laws.

Learn about what you should do and how we can help if you are arrested or detained abroad .

Transfer to a Canadian prison

Canada and Ecuador are signatories to the Convention on the Transfer of Sentenced Persons. This enables a Canadian imprisoned in Ecuador to request a transfer to a Canadian prison to complete a sentence. The transfer requires the agreement of both Canadian and Ecuadorian authorities.

This process can take a long time, and there is no guarantee that the transfer will be approved by either or both sides.

Penalties for possession, use or trafficking of illegal drugs are severe. Convicted offenders can expect lengthy jail sentences and heavy fines.

You may also be found guilty by association if they have criminal associates. For instance, drivers could be held responsible for passengers carrying drugs in their luggage.

• Pack your own luggage and monitor it closely at all times
• Never transport other people’s packages, bags or suitcases
• Avoid picking up hitchhikers

Drugs, alcohol and travel

Identification

Local authorities may request to see your ID at any time.

• Carry valid identification or a photocopy of it at all times
• Keep a photocopy of your passport in a safe place in case it’s lost or seized
• Keep a digital copy of your ID and travel documents

Investments

Disputes related to property acquisition or other investments are costly and take time to resolve.

If you plan to buy property, or making other investments in Ecuador:

• seek legal advice in Canada and in Ecuador before making commitments
• choose your own lawyer
• avoid hiring a lawyer recommended by a seller

Dual citizenship

Dual citizenship is legally recognized in Ecuador.

If you are a Canadian citizen, but also a citizen of Ecuador, our ability to offer you consular services may be limited while you're there. You may also be subject to different entry/exit requirements .

General information for travellers with dual citizenship

International Child Abduction

The Hague Convention on the Civil Aspects of International Child Abduction is an international treaty. It can help parents with the return of children who have been removed to or retained in certain countries in violation of custody rights. The convention applies between Canada and Ecuador.

If your child was wrongfully taken to, or is being held in Ecuador, and if the applicable conditions are met, you may apply for the return of your child to the Ecuadorian court.

If you are in this situation:

• act as quickly as you can
• contact the Central Authority for your province or territory of residence for information on starting an application under The Hague Convention
• consult a lawyer in Canada and in Ecuador to explore all the legal options for the return of your child
• report the situation to the nearest Canadian government office abroad or to the Vulnerable Children’s Consular Unit at Global Affairs Canada by calling the Emergency Watch and Response Centre

If your child was removed from a country other than Canada, consult a lawyer to determine if The Hague Convention applies.

Be aware that Canadian consular officials cannot interfere in private legal matters or in another country’s judicial affairs.

• List of Canadian Central Authorities for the Hague Convention
• International Child Abduction: A Guidebook for Left-Behind Parents
• The Hague Convention - Hague Conference on Private International Law
• Canadian embassies and consulates by destination
• Emergency Watch and Response Centre

You can drive up to 6 months with your valid Canadian driver’s licence.

There is a traffic restriction based on the last digit of the vehicle licence plate number in Quito. You may be heavily fined and your vehicle temporarily seized if you fail to respect the restricted part of the city on the weekday (Monday to Friday) corresponding to your plate number.

If you are involved in a road accident-causing injuries, you will be temporarily detained, regardless of culpability. Detention may last until responsibility for the accident has been assigned and all parties are satisfied.

You should carry an international driving permit.

International Driving Permit

The currency in Ecuador is the U.S. dollar (USD).

Credit cards are accepted by many businesses.

El Niño

The effects of El Niño are expected to begin in November 2023. Severe weather mostly affects places lower than 1500 metres above sea level and could result in problems such as:

• above-average temperatures

Secretariat of Risk Management – Government of Ecuador (in Spanish)

The complex weather phenomenon called El Niño happens at irregular intervals of 2 to 7 years. In Ecuador, El Niño generally generates heavy rainfalls for 6 to 9 months, occurring at the same time as the rainy season from October to May.

• Keep informed of regional weather forecasts before and during your travels, and plan accordingly.
• Ensure you have adequate insurance to cover the consequences of such events, including the disruption of travel plans.

Earthquakes and tsunamis

Ecuador is in an active seismic area. Earthquakes and tremors occur regularly. 

Even minor earthquakes can cause significant damage.

Tsunami warnings may be issued after a strong earthquake. A tsunami can occur within minutes of a nearby earthquake. However, the risk of tsunami can remain for several hours following the first tremor.

If you’re staying on the coast, familiarize yourself with the region’s evacuation plans in the event of a tsunami warning.

• Alerts Ecuador - Risk Management Secretariat (in Spanish)
• Tsunami Early Warning System – Government of Ecuador (in Spanish)
• Earthquakes - What to Do?
• Latest earthquakes  - U.S. Geological Survey
• Tsunami alerts - U.S. Tsunami Warning System

Ecuadorian authorities are closely monitoring multiple volcanoes which are active:

• Chiles-Cerro Negro
• Guagua Pichincha
• Sierra Negra

Access to the Cotopaxi National Park could be restricted at any time without notice.

There are several volcanoes on the mainland and on the Galápagos Islands, including around Quito and the tourist communities of Baños and Riobamba. 

Eruptions could occur at any time.  They sometimes lead to evacuations of surrounding areas on short notice. Volcanic ash fall may also disrupt domestic and international flights and cause the closure of major highways.

Exposure to falling ash and toxic fumes from active volcanoes can affect your health.

 If you are planning to travel near active volcanoes:

• consult a physician in advance to determine associated health risks if you suffer from respiratory ailments
• familiarize yourself with local emergency plans
• avoid restricted areas
• be prepared to modify your travel arrangements or even evacuate the area on short notice

In the event of a volcanic eruption:

• pay careful attention to all warnings issued for national parks
• monitor local media to stay informed of the evolving situation
• follow the instructions of local authorities, including evacuation orders
• Instituto Geofisico  - Ecuador’s geophysical institute (in Spanish)

Rainy season

The rainy season extends from December to May.

Seasonal flooding can hamper overland travel and reduce the provision of essential services. Roads may become impassable due to mudslides and landslides. Bridges, buildings, and infrastructure may be damaged. Underpasses may fill quickly with water.

• Monitor local media for the latest updates, including those on road conditions
• Stay away from flooded areas
• Monitor weather reports
• Follow the instructions of local authorities, including evacuation orders
• National Institute of Meteorology and Hydrology  – Government of Ecuador (in Spanish)
• Road Conditions and Closures  – ECU911 (in Spanish)

Wildfires are common between June and September.

The air quality in areas near active fires may deteriorate due to heavy smoke.

In case of a major fire:

• stay away from the affected area, particularly if you suffer from respiratory ailments
• follow the instructions of local emergency services personnel
• monitor local media for up-to-date information on the situation

National Institute of Meteorology and Hydrology – Government of Ecuador (in Spanish)

Consular assistance

The services of the Honorary Consul of Canada to Ecuador, in Guayaquil, will be limited from April 11 to 19, 2024. The Honorary Consul’s office in Guayaquil will close temporarily to the public from April 20 to 24, 2024. Contact the office by email or telephone before visiting.

For emergency consular assistance, call the Embassy of Canada to Ecuador, in Quito, and follow the instructions. You may also make a collect call to the Emergency Watch and Response Centre in Ottawa at +1 613-996-8885.

The decision to travel is your choice and you are responsible for your personal safety abroad. We take the safety and security of Canadians abroad very seriously and provide credible and timely information in our Travel Advice to enable you to make well-informed decisions regarding your travel abroad.

The content on this page is provided for information only. While we make every effort to give you correct information, it is provided on an "as is" basis without warranty of any kind, expressed or implied. The Government of Canada does not assume responsibility and will not be liable for any damages in connection to the information provided.

If you need consular assistance while abroad, we will make every effort to help you. However, there may be constraints that will limit the ability of the Government of Canada to provide services.

Learn more about consular services .

Risk Levels

  take normal security precautions.

Take similar precautions to those you would take in Canada.

  Exercise a high degree of caution

There are certain safety and security concerns or the situation could change quickly. Be very cautious at all times, monitor local media and follow the instructions of local authorities.

IMPORTANT: The two levels below are official Government of Canada Travel Advisories and are issued when the safety and security of Canadians travelling or living in the country or region may be at risk.

  Avoid non-essential travel

Your safety and security could be at risk. You should think about your need to travel to this country, territory or region based on family or business requirements, knowledge of or familiarity with the region, and other factors. If you are already there, think about whether you really need to be there. If you do not need to be there, you should think about leaving.

  Avoid all travel

You should not travel to this country, territory or region. Your personal safety and security are at great risk. If you are already there, you should think about leaving if it is safe to do so.

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More travel information for Ecuador

From travel safety to visa requirements, discover the best tips for traveling to Ecuador

• Culture and Etiquette in Ecuador
• Eating and drinking in Ecuador
• How to get to Ecuador
• Getting around Ecuador: Transportation Tips
• National Parks in Ecuador
• Sports and Outdoor activities in Ecuador
• Travel Tips Ecuador for planning and on the go
• Best time to visit Ecuador

Ecuador has its fair share of scary-sounding tropical diseases, but there’s no reason to be paranoid. Most are rare and pose much more of a threat to residents – especially those from poorer communities with limited access to clean water and health care – than tourists. The two illnesses you should be especially vigilant against, however, are stomach upsets caused by contaminated food and water, and malaria. You can dramatically cut the risks of getting either through simple, practical steps.

Before you go

Consult your doctor or a travel clinic at least two months before you leave to discuss whether you need vaccinations or malaria prophylaxis. If you’re travelling for more than a few weeks, it’s also worth having a dental check-up. Spectacle and contact lens users should bring spare glasses and their prescription.

The only inoculation you are required to have by Ecuadorian law is for yellow fever – but only if you’re coming from a tropical African or South American country, when (in theory, at least) you’re supposed to show a vaccination certificate. It’s a good idea to have the jab anyway if you’re planning to visit the Oriente, where the disease is rare but present. The vaccination lasts for ten years. You should also make sure you’re up to date with your vaccinations and boosters for polio, tetanus, diphtheria, hepatitis A and typhoid. Also consider jabs for rabies, tuberculosis and hepatitis B if you anticipate spending a long time in rural areas or with animals, if you’re doing work in health care, or if you’re planning on lots of long hikes in the wild; those consistently occupationally exposed to wild rodents for long periods in Loja, Tungurahua or Cañar provinces might also ask their health professionals about a plague vaccine.

Food and water

The traveller’s commonest health complaint is an upset stomach , usually caused by contaminated food or water . Tap water is unsafe to drink in Ecuador; bottled water and soft drinks, widely available in all but the remotest places, are safe alternatives, but always check that the seal is intact. Wash your hands before meals and use bottled or boiled water to clean your teeth. You can also pick up stomach upsets from swimming in unclean water; only use chlorinated swimming pools and avoid beaches near large population centres or sewage outlets.

For food and drink , avoid the following: ice made from tap water; fruit juices with tap water added; raw vegetables and salads; undercooked, partly cooked or reheated fish, crustaceans, meat or eggs; dairy products and ice cream made from unpasteurized milk; and food that’s been lying around uncovered where flies can get at it. Food that’s freshly prepared and hot, and fruit and vegetables that you can peel yourself, rarely cause any harm.

If you plan to visit remote areas or want to avoid relying on bottled water, you may have to purify your water . Bringing water to a good rolling boil for a minute (3min at altitude) is extremely effective, though anyone travelling without cooking equipment will find chemical purification is simpler. Chemical and iodine tablets are small, light and easy to use, and iodine tincture is particularly effective against amoebas and giardia ; iodine is unsafe for pregnant women, babies and people with thyroid complaints. Portable water purifiers give the most complete treatment but are expensive and relatively bulky to carry.

A bout of diarrhoea , sometimes accompanied by vomiting and stomach cramps, is an annoyance most travellers have to suffer at one time or another. In most cases it passes within a couple of days and is best remedied by resting and taking plenty of fluids. Avoid milk, alcohol and caffeine-based drinks; still drinks are preferable to fizzy. Rehydration salts are widely available in Ecuadorian pharmacies and are very helpful in replenishing lost salts. You can make your own solution by adding a generous pinch of salt and three to four tablespoons of sugar to a litre of clean water – aim to drink at least three litres a day if you’re unwell, or a couple of glasses for every loose movement. Current medical opinion is that you should continue to eat normally as opposed to fasting, if you feel like eating. Anti-diarrhoeal drugs only suppress symptoms rather than solving the underlying problem, but can be useful when you’re on the move and don’t know when the next toilet stop might be.

Consult a doctor if symptoms last for longer than five days, there is blood in your stools, you also have a high fever or if abdominal pain is severe and constant. Most towns have facilities for testing stool samples; tests often only take a matter of hours, cost a few dollars and are invaluable for diagnosis. You’ll usually have to buy your own sample pot ( caja de muestra ) from a pharmacy.

Diarrhoea caused by bacteria can be treated with a course of antibiotics like Ciprofloxacin (available over the counter in most Ecuadorian pharmacies). Ciprofloxacin does not work against amoebic dysentery (amoebiasis), which can become very serious if it’s not treated with metronidazole (Flagyl) or giardia , a parasitic infection that induces sudden, watery and extra-bad-smelling diarrhoea, bloating, fatigue and excessive rotten-egg-smelling gas. Symptoms wax and wane but can last for weeks if left untreated with a course of metronidazole or tinidazole (Fasigyn); you should avoid alcohol if taking either of these medications.

Cholera – transmitted through contaminated water – occasionally breaks out in rural areas, but tends to be very localized and restricted to poor communities with inadequate sanitation. It’s unlikely you’ll go anywhere near these places, but if you suspect you’re infected (symptoms include profuse watery diarrhoea, explosive vomiting and fever) it’s easy to treat, provided you get to a doctor immediately and keep rehydrating by drinking large quantities of bottled or boiled water.

Insect-borne diseases

Heavy rains can trigger a sharp increase in insect-borne diseases in Ecuador, particularly malaria and dengue fever in the coastal provinces. The best way of avoiding such diseases is not to get bitten in the first place. Straightforward precautions include using insect repellent, covering up as much skin as possible with light-coloured, loose-fitting but tight-cuffed clothing and sleeping in screened rooms with a mosquito net, preferably treated with permethrin repellent.

Tens of thousands of people contract malaria every year in Ecuador, about a third of them with the very serious falciparum variety. The worst-affected areas are below 1500m, especially in or around population centres and when there’s plenty of stagnant water for the mosquitoes to breed in. Above 1500m the risk falls substantially, and above 2500m the malaria mosquito cannot survive. Quito and the Galápagos Islands are free of malaria, and if you’re keeping to the highlands, the risk is extremely small. The malarial Anopheles mosquito bites between dusk and dawn, so dress and protect yourself appropriately before sunset and sleeping.

Consult your doctor if travelling in malarial areas and follow a course of prophylactic medication . There are chloroquine-resistant strains of malaria in Ecuador, meaning you’ll probably use Lariam (mefloquine), Malarone (atovaquone and proguanil) or Vibramycin (doxycyline). Malarial tablets need to be taken prior to arriving in risk areas and also after leaving them, as directed. These drugs do not completely wipe out the risk of the disease, and you should always take care to avoid being bitten. Symptoms include fever, diarrhoea, joint pain, shivering and flu-like symptoms; if you suspect you’ve caught the disease, see a doctor immediately and have a blood test. Symptoms can appear several months after leaving a malarial area. Dengue fever is a painful and debilitating disease spread by the Aedes mosquito, which bites during the day. There’s no vaccine against dengue fever and there’s not a lot you can do should you contract it, except resting and taking painkillers (avoid aspirin) and plenty of fluids. Symptoms include headaches, severe joint pain (its other name, “breakbone fever”, is indicative) and high fever, though it’s usually only fatal if caught repeatedly.

Avoiding insect bites will also provide you with protection against a number of rarer diseases such as: leishmaniasis , a parasitic disease spread by the bite of infected sand flies present in lowland Ecuador; river blindness (onchocerciasis), spread by the bite of black flies found around fast-moving water, mainly in parts of Esmeraldas province; and Chagas disease (or American trypanosomiasis), which is carried by bugs found in rural mud, thatch and adobe buildings in coastal areas, and transmitted when the bug’s faeces are unwittingly rubbed into its bite wound.

Altitude and hypothermia

If you’ve flown to Quito from sea level, you may feel a bit woozy, sleepless and lethargic – normal symptoms of the acclimatization process the body undergoes over a few days as it adjusts to reduced levels of oxygen at altitude. Symptoms, which might also include breathlessness, needing to urinate frequently, fatigue and strange dreams, will abate naturally if you rest and avoid alcohol and sleeping pills.

Acute Mountain Sickness (AMS), known as soroche in Ecuador, occurs when your acclimatization process does not keep pace with your rate of ascent. It’s a debilitating and potentially dangerous condition caused by the reduced oxygen levels and atmospheric pressure at high elevations, and if you’re going to go much above 3000m you should be aware of the risks. Your gender and fitness have no bearing on whether you will develop AMS, but children are known to be more susceptible to AMS than adults, and, if young, may not be able to tell you they’re feeling sick, in which case they shouldn’t be taken to high altitudes at all. Young adults (in their teens or even early twenties) are also more susceptible and should allow extra days for acclimatization. Symptoms include headaches, nausea and extreme tiredness, dizziness, insomnia, confusion and a staggering gait. The best way to relieve the condition is also the simplest – lose altitude .

You can minimize the risks of developing AMS by ascending to high elevations slowly and allowing yourself to acclimatize – don’t be tempted to whizz straight up the nearest volcano without spending a night or two at altitude first. You should also avoid alcohol and salt, and drink lots of water or try the local remedy for altitude sickness, coca-leaf tea ( mate de coca ). A course of acetazolamide (Diamox) speeds up the acclimatization process, but this is a prescription-only drug in most countries, as it can be dangerous for people with heart conditions. It’s unlikely you’ll need this drug in Ecuador, but if you’re planning to go to very high elevations, you might consider it as a precaution.

If you develop AMS, it is essential you do not ascend any further. Your condition will worsen and may become life-threatening. There are two severe forms of AMS. HAPO (high altitude pulmonary oedema) is caused by a build-up of liquid in the lungs. Symptoms include fever, an increased pulse rate and coughing up white fluid; sufferers should descend immediately, whereupon recovery is usually quick and complete. Rarer, but more serious, is HACO (high altitude cerebral oedema), which occurs when the brain gets waterlogged with fluid. Symptoms include loss of balance and coordination, severe lassitude, weakness or numbness on one side of the body and a confused mental state. If you or a fellow traveller displays any of these symptoms, descend immediately, and get to a doctor; HACO can be fatal within 24 hours.

Decompression sickness is a more oblique problem associated with gaining altitude quickly. If you have been scuba diving in the Galápagos or on the coast, wait at least 24 hours before coming to the highlands or flying.

Another concern for people at altitude is hypothermia , an underestimated enemy responsible for more deaths among trekkers and climbers than anything else. Brought on by exposure to cold and when the body loses heat faster than it can generate it, hypothermia is greatly accelerated when you’re wet, tired and in the wind. Because early symptoms can include an almost euphoric sense of sleepiness and disorientation, your body’s core temperature can plummet to danger level before you know what has happened. Other symptoms are violent shivering, erratic behaviour, slurred speech, loss of coordination and drowsiness, and are much easier to spot in other people than yourself. Victims should be given dry clothes, warm drinks (slowly) and kept awake and warm.

It’s not a good idea to strip off and soak up the rays of the equatorial sun . Serious sunburn and sunstroke are real risks, particularly at altitude, when the temperature is not necessarily that high but the thin air amplifies the harm done by the sun’s ultraviolet rays. Jungle and coastal boat rides can also be dangerous, as cool river or sea breezes disguise the effects of the sun as it is reflected off the water. Use a high-factor sunscreen on all exposed skin, reapplying after bathing or exertion, and wear a wide-brimmed hat. Drink plenty of water, particularly if you’re exercising, and consider taking a rehydration solution or adding more salt to your food to counterbalance the effects of excessive sweating.

At some point you’re bound to come across unfriendly dogs , especially if you’re a hiker, as they’re often used in rural communities to deter thieves. If a dog snarls and bares its teeth at you, back off slowly, without turning your back on it, staring at it, or showing any fear. Picking up a stone and pretending to throw it sometimes works, but you don’t want to provoke an attack either. Rabies , though only a remote risk, does exist in Ecuador, with a couple of hundred cases a year: if you get bitten or scratched by a dog, cat or most other mammals you should wash the affected area thoroughly with soap and clean water and seek medical attention immediately .

Stings and bites from other creatures such as scorpions, spiders and snakes are very uncommon but can be terribly painful and, in rare cases, fatal. It’s good practice to go through your clothes, socks and shoes before dressing, and to check your bedclothes and under lavatory seats. In the rainforests, watch where you put your feet and hands, and don’t lean against trees. Walking around barefoot is an invitation to get bitten or stung and opens the door to hookworm.

Ecuador does have its share of venomous snakes , but bites are rare, and even if they do strike, there’s every chance they won’t inject any venom. In the unlikely event of snakebite, keep still. If possible, get someone to kill the snake for identification purposes, and get medical help as quickly as possible. In remote rainforest communities, following local knowledge may sometimes be better than spending hours getting to a hospital. Village doctors ( curanderos ) may know effective antidotes, and be able to prepare them quickly.

Ecuador has several active volcanoes , some of which periodically belch clouds of ash over the surrounding countryside. In recent years the ones causing most disruption have been Guagua Pichincha near Quito, Reventador in the Oriente, and Tungurahua, which has been threatening the town of Baños for years. These are not the only active volcanoes in the country; you can keep abreast of any volcanic activity at Ecuador’s Instituto Geofísico website w www.igepn.edu.ec (in Spanish), the Smithsonian Global Volcanism Program w www.volcano.si.edu (in English), or through local media, authorities and your embassy.

Other health hazards

Sexually transmitted diseases are as much a threat here as in any country. Condoms ( condones or preservativos ) are not as widely available as in Western countries – it’s a good idea to take your own supply if you’re worried about the safety of unfamiliar brands.

Car crashes cause more injuries to travellers in Ecuador than anything else. Minimize your risks by travelling on roads only during the day, wearing seatbelts in cars or helmets on motorbikes, avoiding overloaded buses and changing vehicle if you think the driver is drunk, fatigued or unduly reckless.

The Rough Guides to Ecuador and related travel guides

In-depth, easy-to-use travel guides filled with expert advice.

Travel advice for Ecuador

Find even more inspiration here.

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• Passports, travel and living abroad
• Travel abroad
• Foreign travel advice

Warnings and insurance

The Foreign, Commonwealth & Development Office ( FCDO ) provides advice about risks of travel to help British nationals make informed decisions. Find out more about FCDO travel advice . 

Areas where FCDO advises against all but essential travel  

Your travel insurance could be invalidated if you travel against FCDO advice.  

Coastal Region

FCDO advises against all but essential travel to the Coastal Region provinces of:

• Santa Elena
• Santo Domingo de los Tsáchilas

This does not apply to airside transit within Guayaquil Airport in Guayas province, including onward or return travel to the Galapagos Islands.

Within 20km of the Ecuador-Colombia border 

FCDO advises against all but essential travel to areas within 20km of the Ecuador-Colombia border, except for these areas in Carchi province: 

• El Ángel Ecological Reserve 
• Rumichaca border crossing 
• the town of Tulcán 
• the Pan-American Highway  

Find out more about why FCDO advises against travel . 

State of Emergency declared

A nationwide 60 day state of emergency (SOE) was declared on 19 April by President Noboa, due to the energy crisis in Ecuador. It will end on 18 June. There may be increased military and police presence around key public buildings, including energy infrastructures to avoid threats or sabotage.

Before you travel 

No travel can be guaranteed safe. Read all the advice in this guide and see support for British nationals abroad for information about specific travel topics. 

Follow and contact FCDO travel on Twitter , Facebook and Instagram . You can also sign up to get email notifications when this advice is updated. 

Travel insurance 

If you choose to travel, research your destinations and get appropriate travel insurance . Insurance should cover your itinerary, planned activities and expenses in an emergency. 

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Latest update

Exercise a high degree of caution in Ecuador overall due to the threat of violent crime.

Higher levels apply in some areas.

Ecuador map Dec 2023.pdf (PDF 755.63 KB)

Americas (PDF 3.25 MB)

Local emergency contacts

Request help in english.

You can request emergency help in English from your smartphone. Use the application ECU 911.

Request help in Spanish

Use the right emergency number for your location:

• Quito and Ibarra: call 911.
• Guayaquil, Cuenca and Loja: call 112.
• all other areas: call 101.

Advice levels

Exercise a high degree of caution in Ecuador overall.

Exercise a high degree of caution  in Ecuador overall due to the threat of violent crime.

Do not travel within 20km of the border with Colombia, except the official border crossing at Tulcan.

Do not travel within 20km of the border with Colombia, except the official border crossing at Tulcan, due to the high risk of kidnapping and violent crime associated with drug-related criminal organisations.

Reconsider your need to travel to Sucumbios and Esmereldas provinces and Guayaquil City.

Reconsider your need to travel to Sucumbios and Esmereldas provinces and Guayaquil City due to the high level of gang-related crime and the threat of kidnapping.

• Ecuador has declared a nation-wide state of "internal armed conflict" due to crime and military efforts to combat it. Demonstrations occur frequently. Even peaceful demonstrations can turn violent at any time. Political activity by foreigners is illegal, including joining protests. If you take part, officials may detain or deport you. Avoid large public gatherings.
• Violent crime and theft are common. The risk of violent crime increases when you travel alone or after dark. Criminals target taxis, buses, transport hubs and crowded areas. Thieves target travellers, and distraction is a common tactic. Female travellers are encouraged to take particular caution. Be careful when using ATMs and credit cards. Avoid going out at night. Keep vehicle doors and windows locked and valuables out of sight, even when moving. 
• There's a high risk of kidnapping and violent crime in the northern regions and Guayaquil City. Areas bordering Colombia and Peru are particularly dangerous. If, despite our advice, you're travelling to these areas, seek professional security advice. Be alert to possible threats.
• There are several active volcanos in Ecuador. Seek updates and follow the advice of the local government. 

Full travel advice: Safety

• Many parts of Ecuador are at high altitudes. You can develop altitude sickness above 2500m. If you're travelling to these areas, consult your doctor before you leave. Ensure your travel insurance covers emergency evacuation from altitude and related medical costs.
• Yellow fever is common. Get vaccinated before you travel.
• In areas below 1500m, there's a risk of other insect-borne diseases. These include malaria and dengue. Ensure your accommodation is insect-proof. Use insect repellent. Consider taking anti-malaria medication.
• Zika virus is widespread. If you're pregnant, discuss your travel plans with your doctor before you leave. HIV/AIDS is common. Take precautions before doing anything that puts you at risk of infection.

Full travel advice: Health

• Don't use or carry illegal drugs. Penalties for drug offences are severe and include long prison sentences.
• Always carry photo ID. Officials may detain you if you don't have it.

Full travel advice: Local laws

• Due to the declaration of a state of "internal armed conflict", when entering via land or river borders from Peru or Colombia, you must present an apostilled police check in Spanish covering the previous 5 years. Minors, diplomats, and people already holding valid visas for Ecuador are exempt.
• You can stay in Ecuador for up to 90 days without a visa. If you want to stay longer, you'll need a visa. If you overstay, you may be fined and barred from future visits.
• Unmarked minefields are in the Cordillera del Condor region near the Peruvian border. Seek local advice before travelling there.

Full travel advice: Travel

Local contacts

• The Consular Services Charter details what the Australian Government can and can't do to help you overseas.
• The Australian Honorary Consul in Guayaquil and the  Canadian Embassy in Quito can issue provisional travel documents.
• For full consular assistance, contact the  Australian Embassy in Chile .

Full travel advice: Local contacts

Full advice

Civil unrest and political tension.

Ecuador has declared a nationwide state of "internal armed conflict", enabling an increased military and police presence in response to the rise in crime and gang violence across the country. 

There's an increased military and police presence. Carry your ID at all times and follow the instructions of local authorities. The Government may announce a state of emergency at any time.

During a state of emergency, police and military can:

• restrict freedom of movement and the right to assembly and association
• monitor correspondence and communications
• enter private properties to conduct searches
• impose curfews with short notice, and travel disruptions may occur.

The security situation in Ecuador could deteriorate with little notice. 

You should be extra vigilant. Avoid demonstrations. Monitor local media and follow official government instructions.

Demonstrations and protests

Demonstrations occur frequently. Even peaceful demonstrations can turn violent at any time. In 2022, there were several violent protests which resulted in a strong government response, including curfews. 

Demonstrations and protests can also lead to disruptions to traffic and public transportation. You should:

• avoid areas where demonstrations and large gatherings are taking place
• follow the instructions of local authorities
• monitor local media for information on ongoing demonstrations
• check for updates on the  Communicacion Ecuador  X (formerly Twitter) page 

Political activity by foreigners is illegal. This includes joining protests or demonstrations. If you take part, authorities may detain or deport you.

To protect yourself during periods of unrest you should:

• remain vigilant
• stay informed by monitoring reputable local and international media
• avoid trouble areas
• maintain contact with family and friends in Australia
• obey instructions from local authorities
• avoid all protests.  

If you're affected by demonstrations and roadblocks, follow the  MinTur (Ministry of Tourism) social media channels , or for information about the state of the roads, see  Consulta de vias  (Spanish).

Provision of food or supplies

If you can't go out safely and don't have access to food and/or supplies, consider using a reputable delivery app.

More information:

• Demonstrations and civil unrest

Due to the high levels of crime and homicides, the Government of Ecuador has imposed curfews in the past.

If you need to travel to or from an airport during the curfew times, you must have a copy of your flight details to show police if requested.

If you're in a state of emergency zone, follow the instructions of local authorities and monitor media for updates. Keep your passport with you at all times, and let your family or friends know where you are.

If you're a victim of a crime, you can:

• Call 911 or the crime emergency line 1800-DELITO (335486) for direct assistance,
• Report the incident using Ecuador Attorney General's Office (Fiscalía General)  online reporting tool  (listed under 'Denuncias online para turistas').
• Complain to Ecuador's Ministry of Tourism via e-mail to  [email protected] . 

Violent crime

Violent crime and theft are common. This includes:

• armed robbery
• car break-ins

Female travellers are encouraged to take particular caution.

Travellers have reported serious assaults and theft in Quito at:

• El Panecillo
• La Mariscal
• the old town
• southern Quito

Outside Quito, thieves target travellers at:

• Guayaquil's downtown, waterfront and market areas
• Cerro Mandango near Vilcabamba Loja
• the Antennas of Pichincha
• Lower Rio Napo's jungle lodges
• Cuyabeno National Reserve areas

Some riverboat tours have been robbed at gunpoint, with passengers left stranded.

Petty crime

Thieves target backpackers and foreigners for bag-snatching and pickpocketing, even in large tour groups. Travellers have been injured when they resist.

Petty crime is common around Quito at:

• La Carolina and El Ejido parks

Theft also occurs:

• after using an ATM or leaving a bank
• through credit card fraud and card skimming

Thieves working in pairs or groups use distraction methods, such as:

• staged fights
• asking for help
• pushing or shoving

To protect yourself from petty crime:

• don't leave your luggage, food or drinks unattended
• be alert when using ATM and credit cards
• don't let your credit or debit card out of your sight

Spiking assaults

Travellers have been robbed and sexually assaulted after accepting 'spiked' drinks and food, as well as chewing gum and cigarettes.

Spikers use drugs, such as scopolamine, including through aerosol sprays and paper handouts, to incapacitate, rob and assault their victims.

Never accept things from strangers or people you have just met.

• Partying safely
• Sexual assault

Road-based crime

Risk of violent crime increases when you travel alone or after dark.

Violent crime and theft occur in:

• city, long-distance and international buses
• transport terminals
• internet cafes
• public markets and crowded streets

Armed criminals have boarded buses to rob passengers.

North of Quito, high risk security situations can develop quickly. Dangerous areas include Ecuador's borders with Colombia and Peru in:

• Sucumbios province
• Esmeraldas province

Armed groups and other criminals engage in kidnapping and other violent criminal activity. Foreigners have been kidnapped in these regions, including in Cuyabeno wildlife reserve.

If you plan to travel there, check warnings issued by local authorities.

The official border crossing town of Tulcán in Carchi province is in a high-risk area but is usually safer than its surrounds.

To protect yourself from crime:

• pay attention to your safety and security
• keep doors locked and windows up, even when moving
• secure your accommodation against intruders
• avoid going out alone, especially at night
• if camping, only stay at authorised campsites

Scams and fraud

Ayahuasca tourism is a growing industry in Ecuador and Peru. It involves shamans guiding visitors through psychedelic rituals, often referred to as 'spiritual cleansing'.

It's not illegal, but serious assaults and robbery can occur. Victims report a range of experiences, from being alert but unable to maintain control of their surroundings, to total amnesia.

Credit card fraud and debit card scams are increasing.

To reduce your risk of scams:

• research ayahuasca tour operators before you sign up
• avoid participating in ayahuasca rituals without a trusted friend present
• always keep your debit and credit cards in sight

Cyber security 

You may be at risk of cyber-based threats during overseas travel to any country. Digital identity theft is a growing concern. Your devices and personal data can be compromised, especially if you’re connecting to Wi-Fi, using or connecting to shared or public computers, or to Bluetooth.

Social media can also be risky in destinations where there are social or political tensions, or laws that may seem unreasonable by Australian standards. Travellers have been arrested for things they have said on social media. Don't comment on local or political events on your social media.

• Cyber security when travelling overseas

Kidnapping occurs across the world with political, ideological, and criminal motives. Foreigners, including Australians, have been kidnapped overseas whilst travelling. Kidnaps can happen anywhere, anytime, including in destinations that are typically at lower risk. 

Kidnapping rates increased in Ecuador in 2023, amid a wider deterioration of the security environment. Kidnaps are usually conducted by financially motivated criminals and tend to last less than a week. Kidnapping gangs have been reported to operate in north-western provinces. Kidnappings have occurred along the northern border with Colombia, with some targeting foreigners.

There is a risk of express kidnappings in Ecuador. Businesspeople and visitors perceived to be wealthy may be targeted by kidnappers in search of payouts.

Kidnappings for ransom happen, including in:

• major cities, such as Quito, Guayaquil and Cuenca
• Esmeraldas, including San Lorenzo
• Cuyabeno wildlife reserve
• areas within 20km of the border with Colombia
• places frequented by foreigners

If, despite our advice, you travel to an area with a high risk of kidnapping, our ability to provide consular assistance in these destinations will be limited. 

To reduce the risk of kidnapping: 

• always be alert to your personal security and surroundings 
• get professional security advice for travel in locations with a heightened kidnap risk 
• check your accommodation has appropriate security measures 
• avoid isolated locations, particularly when travelling alone 
• notify family or friends of planned travel and share your location 
• avoid talking about your money or business affairs 
• use ATMs in public places and during daylight hours 
• avoid giving personal details to strangers online or over the phone 

The Australian Government's longstanding policy is that it doesn't make payments or concessions to kidnappers. Ransom payments to kidnappers have funded further terrorist attacks and criminal activity. Paying a ransom to terrorist groups will likely break Australian counter-terrorism financing laws. 

More information: 

Terrorism is a threat worldwide.

Climate and natural disasters

Ecuador can experience severe weather  and natural disasters , such as:

• flooding and landslides
• earthquakes
• volcanic eruptions

If a natural disaster occurs:

• secure your passport in a safe, waterproof location
• monitor local media and other sources
• follow the advice of local authorities
• keep in contact with your family and friends
• Global Disaster Alert and Coordination System
• Ecuador's  Risk Management Secretariat

Flooding and landslides

Rainy seasons are from:

• December to May in the coastal region
• May to November in El Oriente, east of the Andes

Heavy rain often results in landslides and mudslides. Unseasonable rain can cause flooding outside these times.

Earthquakes and volcanic eruptions

Ecuador is located in a seismic zone. All parts of Ecuador, including the Galapagos Islands, can experience earthquakes. They can affect the country's infrastructure and connectivity. Depending on where it occurs, an earthquake could initiate a tsunami.

Be sure to follow the instructions of local authorities in case of an emergency.

Several volcanoes in Ecuador are active, including:

• El Reventador, 95km east of Quito
• Guagua Pichincha, 11km west of Quito
• Cotopaxi, 50km south of Quito 
• Sangay, 40km south-east of Rio Bamba
• Tungurahua, overlooking the tourist town of Baños, 135km south of Quito

Eruptions can occur at any time and without warning.

If you're in an area prone to volcanic eruption, ensure you know the evacuation procedures and routes.

Falling ash following an eruption can spread over a wide area and can affect air travel.

Exposure to ash, dust and toxic fumes after a volcanic eruption is a major health risk. This is especially the case for those with existing breathing problems.

Before you travel to any areas prone to volcanic activity:

• monitor local media
• check with local authorities for information on volcanic activity

To protect yourself if there's a volcanic eruption:

• stay inside with the windows and doors shut
• place damp towels at door thresholds and other draft sources if ash is falling in your area
• wear a disposable face mask and change it frequently if you need to go outside
• wear long-sleeved clothing, long pants and goggles
• avoid contact with ash
• Servicio Nacional de Gestión de Riesgo y Emergencias  (Spanish)
• Ecuadorean National Geophysical Institute , (Spanish)

Ecuador is at risk of tsunamis. A tsunami can arrive very soon after a nearby tremor or earthquake.

Be alert. Don't wait for official warnings.

Move immediately to high ground if advised by local authorities or if you:

• feel a strong earthquake that makes it hard to stand up
• feel a weak, rolling earthquake that lasts a minute or more
• see a sudden rise or fall in sea level
• hear loud and unusual noises from the sea

Once on high ground, monitor local media and weather services.

Pacific Tsunami Warning Center

Travel insurance

Get comprehensive  travel insurance  before you leave. 

Your policy needs to cover all overseas medical costs, including medical evacuation. The Australian Government won't pay for these costs.

If you can't afford travel insurance, you can't afford to travel. This applies to everyone, no matter how healthy and fit you are.

If you're not insured, you may have to pay many thousands of dollars up-front for medical care.

• what activities and care your policy covers
• that your insurance covers you for the whole time you'll be away

Physical and mental health

Consider your physical and mental health before you travel, especially if you have an existing medical condition. 

See your doctor or travel clinic to:

• have a basic health check-up
• ask if your travel plans may affect your health
• plan any vaccinations you need

Do this at least 8 weeks before you leave.

If you have immediate concerns for your welfare, or the welfare of another Australian, call the 24-hour Consular Emergency Centre on +61 2 6261 3305 or contact your  nearest Australian Embassy, High Commission or Consulate  to discuss counselling hotlines and services available in your location.

• General health advice
• Healthy holiday tips  (Healthdirect Australia)

Medications

Not all medication available over the counter or by prescription in Australia is available in other countries. Some may even be considered illegal or a controlled substance, even if prescribed by an Australian doctor.

If you plan to bring medication, check if ​​it's legal in Ecuador. Take enough legal medication for your trip.

Carry a copy of your prescription or a letter from your doctor stating:

• what the medication is
• your required dosage
• that it's for personal use

Health risks

Altitude sickness.

Many areas of Ecuador are higher than 2500m, including Quito at 2800m. Altitude sickness is a risk.  

The risks increase if you:

• ascend too quickly, especially if you're at a higher altitude
• exercise or drink alcohol before you can adjust
• have breathing problems
• have had altitude sickness before

Altitude sickness can be deadly. It can affect anyone, even if you're physically fit.

To protect yourself if you'll be travelling above 2500m:

• seek advice from your doctor before you travel
• get travel insurance that covers costs relating to evacuation from high-altitude areas

Insect-borne diseases

Yellow fever  is common in Ecuador. Yellow fever is a potentially fatal virus spread by mosquitoes. It's prevented by vaccination. Get vaccinated before you travel.

Other insect-borne diseases are present in areas below 1500m. These include:

• chikungunya
• Chagas disease
• leishmaniasis

Risk of these diseases is lower in Guayaquil.

Zika virus is widespread. The Australian Department of Health advises pregnant women to:

• discuss travel plans with your doctor
• consider deferring non-essential travel to affected areas

To protect yourself from disease:

• check that your accommodation is insect-proof
• use insect repellent
• wear long, loose, light-coloured clothing
• consider taking medicine to prevent malaria

Get urgent medical advice if you have a fever, muscle pain, rash or severe headache.

Infectious diseases

Other health risks

HIV/AIDS is common. Take precautions before you do anything that puts you at risk of infection.

Waterborne, foodborne and other infectious diseases are common. These include:

• tuberculosis

Serious outbreaks sometimes occur.

Gastrointestinal diseases are common during the rainy season.

To protect yourself from illness:

• drink boiled water or bottled water with sealed lids
• avoid ice cubes
• avoid raw and undercooked food, such as salads
• avoid contact with dogs and other mammals

If you're bitten or scratched by an animal, get medical help straight away.

Get medical advice if you have a fever or diarrhoea.

Medical care

Medical facilities.

Some private hospitals have reasonable medical facilities in:

Facilities are limited outside these locations.

Treatment at private clinics and hospitals is expensive. You may need to pay cash before doctors and hospitals will treat you, even for emergency care.

You can access decompression chambers in:

• the Protesub (Sub-aquatic) Puerto Ayora
• Santa Cruz Island of the Galapagos Islands
• Ecuadorian Navy base (San Eduardo Naval Base) in Guayaquil

If you become seriously ill or injured at the Galapagos Islands, you'll need to be moved to the mainland. Medical evacuation can be very expensive.

You're subject to all local laws and penalties, including those that may appear harsh by Australian standards. Research local laws before travelling.

If you're arrested or jailed, the Australian Government will do what it can to help you under our Consular Services Charter . But we can't get you out of trouble or out of jail.

Penalties for drug offences are severe and include long prison terms in local jails.

Minimum sentence for trafficking or consuming 'soft drugs', such as marijuana (cannabis), can be 1 to 2 years in jail.

Carrying or using drugs

Proof of identity

You must always carry photo identification in Ecuador. Authorities may detain you if you don't.

Political activity by foreigners is illegal. This includes joining protests or demonstrations.

If you participate, authorities may detain or deport you.

Australian laws

Some Australian criminal laws still apply when you're overseas. If you break these laws, you may face prosecution in Australia.

Staying within the law and respecting customs

Dual citizenship

Dual nationals younger than 18 years must travel with both passports.

Our ability to provide regular consular assistance to Australian-Ecuadorian dual nationals may be limited in Ecuador.

Dual nationals

Visas and border measures

Every country or territory decides who can enter or leave through its borders. For specific information about the evidence you'll need to enter a foreign destination, check with the nearest embassy, consulate or immigration department of the destination you're entering. 

Visa-free short stays and visitor visas

You can stay in Ecuador for up to 90 days without a visa.

If you want to stay longer, you can pay to request an extension for up to 90 extra days (you can only do this once). Do this before the initial period expires. If you overstay without a visa, you may be fined and barred from future visits.

Visa and other entry and exit conditions can change at short notice. This includes currency, customs and quarantine rules. Contact an  embassy or consulate of Ecuador  and visit the Ecuadorean Migration for details.

Travel to the Galapagos Islands

For visits other than tourism, you must get a visa or special permission from the local authority. You must do this before you arrive in Ecuador.

Travel via the United States

If you travel through the US, you must also meet US entry or transit requirements.

Check your visa requirements with an embassy or consulate of the United States . Do this well before you travel.

Travel advice for the US

Travel via Chile

If you’re travelling via Chile, ensure you meet all current entry or transit requirements.

• Travel advice for Chile

Entry into Ecuador

Get your passport stamped on entry by land or sea. If it isn't stamped, you could face deportation or delays leaving Ecuador.

From 12 January, when entering via land or river borders from Peru or Colombia, you're required to present an apostilled police check in Spanish or an official Spanish translation covering the previous 5 years. The police check from Australia is obtained through the  Australian Federal Police  and can be  apostilled in Australia  or at an Australian Embassy when  overseas . Minors, diplomats and people already holding valid visas for Ecuador are exempt from providing this police check. This police check is not required for travellers entering via air or sea.

If you are entering by land from Colombia or Peru, you must get an entry stamp by an Ecuadorian official at the border. If you're on a shared bus, consider advising the driver that you need to get the stamp, otherwise the driver may not stop at the border, resulting in you not being in Ecuador legally. You'll need the exit stamp from the country you're entering Ecuador from. 

For up-to-date information, follow  Ecuador's Embassy in Canberra .

The  Governing Council of the Special Regime of Galapagos  requires foreign tourists to meet particular criteria, including filling out the  Galapagos Transit Control Card  at least 24 hours before entering, having an outbound flight, and travel insurance. You may be requested to show your hotel booking. See the articles in ' Ingreso a Galápagos ', including the ' Para ingresar ' (to enter), ' Al arribar ' (on arrival), and its  FAQ .

Other formalities

Yellow fever vaccination.

You'll need a valid yellow fever vaccination certificate to enter Ecuador from endemic countries including Brazil, Dominican Republic, Congo and Uganda.  Some airlines may want to see the certificate before departure to Ecuador.

Find out about returning to Australia after exposure to yellow fever .

Countries with a risk of yellow fever

Travelling with children

Children younger than 18 who travel alone or with 1 parent may need to present:

• a letter of consent from non-travelling parents
• a copy of their birth certificate

Both documents must be:

• translated into Spanish
• notarised by the Embassy of Ecuador in Australia

Advice for people travelling with children

Some countries won't let you enter unless your passport is valid for 6 months after you plan to leave that country. This can apply even if you're just transiting or stopping over.

Some foreign governments and airlines apply the rule inconsistently. Travellers can receive conflicting advice from different sources.

You can end up stranded if your passport is not valid for more than 6 months.

The Australian Government does not set these rules. Check your passport's expiry date before you travel. If you're not sure it'll be valid for long enough, consider getting a new passport .

Lost or stolen passport

Your passport is a valuable document. It's attractive to people who may try to use your identity to commit crimes.

Some people may try to trick you into giving them your passport. Always keep it in a safe place.

If your passport is lost or stolen, tell the Australian Government as soon as possible:

• In Australia, contact the Australian Passport Information Service .
• If you're overseas, contact the nearest Australian embassy or consulate .

Passport with ‘X’ gender identifier

Although Australian passports comply with international standards for sex and gender, we can’t guarantee that a passport showing 'X' in the sex field will be accepted for entry or transit by another country. Contact the nearest  embassy, high commission or consulate of your destination  before you arrive at the border to confirm if authorities will accept passports with 'X' gender markers.

• LGBTQIA+ travellers

The US Dollar is the legal currency of Ecuador.

It's useful to have $US1 notes. Many smaller shops and taxi drivers don't change large notes.

ATMs are available around the country.

Credit cards are accepted in hotels, restaurants and tourist facilities in major centres. Contact your bank to check that your card will work.

Local travel

Minefields are a danger in the Cordillera del Condor region near the Peruvian border. These minefields can be unmarked.

Seek local advice before you travel to the Cordillera del Condor region.

Take care when travelling off-road. Look out for landmines in:

• Zamora-Chinchipe
• Morona-Santiago

Transport and tour operators don't always follow safety and maintenance standards. This includes on adventure activities and in the Galapagos Islands. Accredited tourist transport vehicles are not subject to any mobility restriction.

If you plan to do a tour:

• get travel insurance before you go to the Galapagos Islands
• check if your travel insurance policy covers it
• ask about and insist on minimum safety requirements
• always use available safety gear, such as life jackets or seatbelts

If proper safety equipment isn't available, use another provider.

Remote locations

If you're visiting eco-lodges or other remote locations in northern and eastern Ecuador, consider:

• the security arrangements in place
• the travel distance to hospital in the case of an emergency

Reputable eco-lodges have good security, communications and emergency plans.

Driving permit

For the first six months after you arrive in Ecuador you can drive with both:

• a valid Australian driver's licence
• an International Driving Permit (IDP)

You must get your IDP before departing Australia.

Road travel

Main roads are reasonable. Roads in rural areas aren't always well maintained.

Driving in Ecuador can be dangerous, particularly at night.

Hazards include:

• poorly maintained vehicles
• bad driving practices
• heavy rains
• heavy fog in mountainous areas

Ash from volcanic eruptions can clog and stall vehicle engines.

If you plan to drive in Ecuador:

• check you have the right insurance cover
• learn local traffic laws and practices
• be cautious if driving after a volcano has erupted
• seek local advice
• monitor local media and other sources for updates on road conditions

Driving or riding

Motorcycles

Your travel insurance may not cover you when riding a motorbike, quad bike or similar.

Always wear a helmet.

All registered taxis have a panic button and security cameras installed.

Express kidnappings often involve unregistered taxis.

Only use authorised taxis with:

• a taxi registration sticker
• security cameras
• panic buttons
• orange licence plates
• orange and white registration numbers

Ask your hotel to arrange a radio-dispatched taxi.

Public transport

Bus accidents are common.

Violent crime occurs on:

• long-distance buses
• international buses

Armed criminals board buses to rob passengers.

If you plan to use public transport:

• avoid travel by bus
• if you must travel by bus, use a direct route without stops
• don't store anything under your seat or overhead

Transport and getting around safely

Boat travel

Safety standards of boats vary.

Piracy occurs along the coast of Ecuador.

Strikes and disturbances by local fishermen in the Galapagos Islands can disrupt travel.

Get your tour operator to confirm in writing that the boat you'll travel on:

• has certification by the Ecuadorian Navy
• meets the Safety of Life at Sea (SOLAS) Convention standards

Check piracy reports  issued by the International Maritime Bureau.

Travelling by boat

We don't provide information on the safety of individual commercial airlines or flight paths.

Check Ecuador's air safety profile with the Aviation Safety Network.

Emergencies

Depending on what you need, contact your:

• family and friends
• travel agent
• insurance provider
• use the right emergency number for your location:

Always get a police report when you report a crime.

Your insurer should have a 24-hour emergency number.

Consular contacts

Read the Consular Services Charter for what the Australian Government can and can't do to help you overseas.

There's an Australian Consulate in Guayaquil, Ecuador. It can provide limited consular help. The  Canadian Embassy  in Quito, Ecuador gives consular assistance to Australians in Ecuador under the  Canada-Australia Consular Services Sharing Agreement.

For general consular assistance , passports and/or notarial services, contact the Australian Embassy in Chile . If you need urgent help , contact the 24/7 Consular Emergency Centre in Australia, calling to the phone +61 2 6261 3305.

For issue of provisional travel documents, contact the:

• Australian Consulate in Guayaquil
• Canadian Embassy in Quito

Australian Consulate, Guayaquil

Edificio Samborondón Plaza 4th floor, office # 410 Km. 1.5 Vía Samborondón Samborondón, Guayas, Ecuador

Phone: +593 9 5981 1614 (Monday to Friday 8am to 1pm and 1:30pm to 4:30pm) Email: [email protected]

Canadian Embassy, Quito

Av. Amazonas 4153 and Union Nacional de periodistas Eurocentre Building, 3rd Floor Quito, Ecuador

Phone: +011 593 2 2455 499 Fax: +011 593 2 2277 672 Email: [email protected] Website: www.canadainternational.gc.ca/ecuador-equateur/

Australian Embassy, Santiago de Chile

Isidora Goyenechea 3621 13th Floor, Tower B Las Condes Santiago de Chile, Chile

Phone: +56 2 2550 3500 Email: [email protected] Website:  www.chile.embassy.gov.au Facebook:  Embajada de Australia en Chile y Ecuador X:  @AusEmbCL

Check the Embassy website for details about opening hours and any temporary closures.

24-hour Consular Emergency Centre

In a consular emergency, if you can't contact an embassy, call the 24-hour Consular Emergency Centre on:

• +61 2 6261 3305 from overseas
• 1300 555 135 in Australia

Travelling to Ecuador?

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• COUNTRY INFORMATION
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• TOPICS IN BRIEF
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Capital City: Quito

Official Languages: Spanish

Monetary Unit: dollar (U.S.$)

See also:  Galapagos (Ecuador)

• General Information
• Vaccine Recommendations
• Other Risks

TRAVEL RESTRICTIONS ARE IN PLACE FOR THIS COUNTRY

There are entry requirements for anyone who plans to travel to England from this country. Please check here for further information. Advice may vary in Scotland, Wales, and Northern Ireland.

The information on these pages should be used to research health risks and to inform the pre-travel consultation.

Due to COVID-19, travel advice is subject to rapid change. Countries may change entry requirements and close their borders at very short notice. Travellers must ensure they check current Foreign, Commonwealth & Development Office (FCDO) travel advice in addition to the FCDO specific country page (where available) which provides additional information on travel restrictions and entry requirements in addition to safety and security advice.

Travellers should ideally arrange an appointment with their health professional at least four to six weeks before travel. However, even if time is short, an appointment is still worthwhile. This appointment provides an opportunity to assess health risks taking into account a number of factors including destination, medical history, and planned activities. For those with pre-existing health problems, an earlier appointment is recommended.

All travellers should ensure they have adequate travel health insurance .

A list of useful resources including advice on how to reduce the risk of certain health problems is available below.

• Food and water hygiene
• Insect and tick bite avoidance
• Personal safety
• Sexually transmitted infections
• Sun protection

Details of vaccination recommendations and requirements are provided below.

All travellers

Travellers should be up to date with routine vaccination courses and boosters as recommended in the UK . These vaccinations include for example measles-mumps-rubella (MMR) vaccine and diphtheria-tetanus-polio vaccine.

Country-specific diphtheria recommendations are not provided here. Diphtheria tetanus and polio are combined in a single vaccine in the UK. Therefore, when a tetanus booster is recommended for travellers, diphtheria vaccine is also given. Should there be an outbreak of diphtheria in a country, diphtheria vaccination guidance will be provided.

Those who may be at increased risk of an infectious disease due to their work, lifestyle choice, or certain underlying health problems should be up to date with additional recommended vaccines. See the individual chapters of the 'Green Book' Immunisation against infectious disease for further details.

Certificate requirements

Please read the information below carefully, as certificate requirements may be relevant to certain travellers only. For travellers further details, if required, should be sought from their healthcare professional.

• There is a  risk of yellow fever  transmission in parts of Ecuador (see ‘Some Travellers’ section below).
• Under International Health Regulations, a yellow fever vaccination certificate is required for travellers aged 1 year or over arriving from Brazil, Democratic Republic of the Congo and Uganda and for travellers having transited for more than 12 hours through an airport of the same countries.
• According to World Health Organization (WHO), from 11 July 2016 (for all countries), the yellow fever certificate will be valid for the duration of the life of the person vaccinated. As a consequence, a valid certificate, presented by arriving travellers, cannot be rejected on the grounds that more than ten years have passed since the date vaccination became effective as stated on the certificate; and that boosters or revaccination cannot be required.

Most travellers

The vaccines in this section are recommended for most travellers visiting this country. Information on these vaccines can be found by clicking on the blue arrow. Vaccines are listed alphabetically.

Hepatitis A

Hepatitis A is a viral infection transmitted through contaminated food and water or by direct contact with an infectious person. Symptoms are often mild or absent in young children, but the disease can be more serious with advancing age. Recovery can vary from weeks to months. Following hepatitis A infection immunity is lifelong.

All travellers should take care with personal, food and water hygiene.

Hepatitis A vaccination

As hepatitis A vaccine is well tolerated and affords long-lasting protection, it is recommended for all previously unvaccinated travellers.

Hepatitis A in brief

Tetanus is caused by a toxin released from Clostridium tetani bacteria and occurs worldwide. Tetanus bacteria are present in soil and manure and may be introduced through open wounds such as a puncture wound, burn or scratch.

Travellers should thoroughly clean all wounds and seek medical attention for injuries such as animal bites/scratches, burns or wounds contaminated with soil.

Tetanus vaccination

• Travellers should have completed a tetanus vaccination course according to the UK schedule.
• If travelling to a country or area where medical facilities may be limited, a booster dose of a tetanus-containing vaccine is recommended if the last dose was more than ten years ago even if five doses of vaccine have been given previously.

Country-specific information on medical facilities may be found in the 'health' section of the FCDO foreign travel advice pages.

Tetanus in brief

Some travellers.

The vaccines in this section are recommended for some travellers visiting this country. Information on when these vaccines should be considered can be found by clicking on the arrow. Vaccines are listed alphabetically.

Hepatitis B

Hepatitis B is a viral infection; it is transmitted by exposure to infected blood or body fluids. This mostly occurs during sexual contact or as a result of blood-to-blood contact (for example from contaminated equipment during medical and dental procedures, tattooing or body piercing procedures, and sharing of intravenous needles). Mothers with the virus can also transmit the infection to their baby during childbirth.

Hepatitis B in Ecuador

2% or more of the population are known or thought to be persistently infected with the hepatitis B virus (intermediate/high prevalence).

Travellers should avoid contact with blood or body fluids. This includes:

• avoiding unprotected sexual intercourse.
• avoiding tattooing, piercing, public shaving, and acupuncture (unless sterile equipment is used).
• not sharing needles or other injection equipment.
• following universal precautions if working in a medical/dental/high risk setting.

A sterile medical equipment kit may be helpful when travelling to resource poor areas.

Hepatitis B vaccination

Vaccination could be considered for all travellers, and is recommended for those whose activities or medical history put them at increased risk including:

• those who may have unprotected sex.
• those who may be exposed to contaminated needles through injecting drug use.
• those who may be exposed to blood or body fluids through their work (e.g. health workers).
• those who may be exposed to contaminated needles as a result of having medical or dental care e.g. those with pre-existing medical conditions and those travelling for medical care abroad including those intending to receive renal dialysis overseas.
• long-stay travellers.
• those who are participating in contact sports.
• families adopting children from this country.

Hepatitis B in brief

Rabies is a viral infection which is usually transmitted following contact with the saliva of an infected animal most often via a bite, scratch or lick to an open wound or mucous membrane (such as on the eye, nose or mouth). Although many different animals can transmit the virus, most cases follow a bite or scratch from an infected dog. In some parts of the world, bats are an important source of infection.

Rabies symptoms can take some time to develop, but when they do, the condition is almost always fatal.

The risk of exposure is increased by certain activities and length of stay (see below). Children are at increased risk as they are less likely to avoid contact with animals and to report a bite, scratch or lick.

Rabies in Ecuador

Rabies is considered a risk and has been reported in domestic animals in this country. Bats may also carry rabies-like viruses.

• Travellers should avoid contact with all animals. Rabies is preventable with prompt post-exposure treatment.
• Following a possible exposure, wounds should be thoroughly cleansed and an urgent local medical assessment sought, even if the wound appears trivial.
• Post-exposure treatment and advice should be in accordance with  national guidelines.

Rabies vaccination

A full course of pre-exposure vaccines simplifies and shortens the course of post-exposure treatment and removes the need for rabies immunoglobulin which is in short supply world-wide.

Pre-exposure vaccinations are recommended for travellers whose activities put them at increased risk including:

• those at risk due to their work (e.g. laboratory staff working with the virus, those working with animals or health workers who may be caring for infected patients).
• those travelling to areas where access to post-exposure treatment and medical care is limited.
• those planning higher risk activities such as running or cycling.
• long-stay travellers (more than one month).

Rabies in brief

Tuberculosis.

TB is a bacterial infection most commonly affecting the lungs but can affect any part of the body. When a person with TB in their lungs or throat coughs or sneezes they could pass TB on to other people. TB is curable but can be serious if not treated.

The BCG vaccination helps to protect some people, particularly babies and young children who are at increased risk from TB.

Tuberculosis in Ecuador

This country has reported an annual TB incidence of greater than or equal to 40 cases per 100,000 population at least once in the last five years ( further details ).

Travellers should avoid close contact with individuals known to have infectious pulmonary (lung) or laryngeal (throat) TB.

Those at risk during their work (such as healthcare workers) should take appropriate infection control and prevention precautions.

Tuberculosis (BCG) vaccination

BCG vaccine is recommended for those at increased risk of developing severe disease and/or of exposure to TB infection. See UK Health Security Agency Immunisation against infectious disease, the 'Green Book '.

For travellers, BCG vaccine is recommended for:

• unvaccinated, children under 16 years of age, who are going to live for more than 3 months in this country. A tuberculin skin test is required prior to vaccination for all children from 6 years of age and may be recommended for some younger children.
• unvaccinated, tuberculin skin test-negative individuals at risk due to their work such as healthcare or laboratory workers who have direct contact with TB patients or potentially infectious clinical material and vets and abattoir workers who handle animal material, which could be infected with TB.

There are specific contraindications to BCG vaccine. Health professionals must be trained and assessed as competent to administer this vaccine intradermally.

Following administration, no further vaccines should be administered in the same limb for 3 months.

The BCG vaccine is given once only, booster doses are not recommended.

Tuberculosis in brief

Typhoid is a bacterial infection transmitted through contaminated food and water. Previous typhoid illness may only partially protect against re-infection.

Travellers who will have access to safe food and water are likely to be at low risk. Those at increased risk include travellers visiting friends and relatives, frequent or long-stay travellers to areas where sanitation and food hygiene are likely to be poor, and laboratory personnel who may handle the bacteria for their work.

Typhoid in Ecuador

Typhoid fever is known or presumed to occur in this country.

Typhoid vaccination

• Vaccination could be considered for those whose activities put them at increased risk (see above).
• Oral and injectable typhoid vaccinations are available.

Typhoid in brief

Yellow fever.

Yellow fever is a viral infection transmitted by mosquitoes which predominantly feed between dawn and dusk, but may also bite at night, especially in the jungle environment. Symptoms may be absent or mild, but in severe cases it can cause internal bleeding, organ failure and death.

Yellow fever in Ecuador

There is a risk of yellow fever transmission in parts of this country (see below).

Travellers should avoid mosquito bites at all times.

Yellow fever vaccination

• Vaccination is recommended for all travellers aged 9 months or over going to the following provinces east of the Andes below 2,300m: Morona-Santiago, Napo, Orellana, Pastaza, Sucumbios and Zamora-Chinchipe, and the province west of the cordillera, Esmeraldas.
• Vaccination is generally not recommended for travellers whose itineraries are limited to the following provinces west of the Andes including below 2,300m: Guayas, Los Rios, Santa Helena, Santo Domingo de los Tsachilas and designated areas of Azuay, Bolivar, Canar, Carchi, Chimborazo, Cotopaxi, El Oro, Imbabura, Loja, Pichincha, Tungurahua (see map).
• People aged 60 years or older should not be given the vaccine for travel to these areas with low potential for exposure due to a higher risk of life-threatening side effects.
• Vaccination could be considered for a small subset of travellers (aged 9 months to less than 60 years of age) for travel to areas with low potential for exposure to yellow fever who are at increased risk because of:
• prolonged travel.
• heavy exposure to mosquitoes.
• inability to avoid mosquito bites.
• Vaccination is not recommended for travel only to areas above 2,300m, the cities of Quito and Guayaquil and the Galápagos Islands.
• See vaccine recommendation map below.

The yellow fever vaccine is not suitable for all travellers, there are specific undesirable effects associated with it. This vaccine is only available at registered yellow fever vaccination centres . Health professionals should carefully assess the risks and benefits of the vaccine, and seek specialist advice if necessary.

Yellow fever in brief

Yellow fever vaccine recommendation map for ecuador.

• Click on map to open in a new window

Malaria is a serious illness caused by infection of red blood cells with a parasite called Plasmodium. The disease is transmitted by mosquitoes which predominantly feed between dusk and dawn.

Symptoms usually begin with a fever (high temperature) of 38°C (100°F) or more. Other symptoms may include feeling cold and shivery, headache, nausea, vomiting and aching muscles. Symptoms may appear between eight days and one year after the infected mosquito bite.

Prompt diagnosis and treatment is required as people with malaria can deteriorate quickly. Those at higher risk of malaria, or of severe complications from malaria, include pregnant women, infants and young children, the elderly, travellers who do not have a functioning spleen and those visiting friends and relatives.

Travellers should follow an ABCD guide to preventing malaria:

A wareness of the risk – Risk depends on the specific location, season of travel, length of stay, activities and type of accommodation.

B ite prevention – Travellers should take mosquito bite avoidance measures.

C hemoprophylaxis – Travellers should take antimalarials (malaria prevention tablets) if appropriate for the area (see below). No antimalarials are 100% effective but taking them in combination with mosquito bite avoidance measures will give substantial protection against malaria.

D iagnosis – Travellers who develop a fever of 38°C [100°F] or higher more than one week after being in a malaria risk area, or who develop any symptoms suggestive of malaria within a year of return should seek immediate medical care. Emergency standby treatment may be considered for those going to remote areas with limited access to medical attention.

• On mainland Ecuador, there is a low risk of malaria in areas below 1,500m, including the coastal provinces and Amazon basin: awareness of risk and bite avoidance recommended.
• There is no risk of malaria in the Galapagos islands or the city of Guayaquil: bite avoidance recommended.

Special risk groups

In low risk areas, antimalarials may be considered in exceptional circumstances for travellers who are at higher risk of malaria (such as long term travellers visiting friends and relatives), or of severe complications from malaria (such as the elderly [over 70 years], the immunosuppressed, those with complex co-morbidities, pregnant women, infants and young children). The final decision whether or not to advise antimalarials rests with the travel health advisor and the traveller after individual risk assessment.

Travellers with an absent or poorly functioning spleen should be dissuaded from travel to any area with risk of malaria. Where travel is essential, awareness, rigorous bite avoidance and antimalarials should be advised, even for the low risk areas.

For special risk groups, you may wish to seek specialist advice. For the low risk areas in this country/area, atovaquone/proguanil OR doxycycline OR mefloquine would be suitable options.

Antimalarial recommendations map

• Malaria in brief
• Malaria factsheet
• Children's antimalarial dose table
• Malaria prevention guidelines for travellers from the UK

There are some risks that are relevant to all travellers regardless of destination. These may for example include road traffic and other accidents, diseases transmitted by insects or ticks, diseases transmitted by contaminated food and water, sexually transmitted infections, or health issues related to the heat or cold.

Some additional risks (which may be present in all or part of this country) are mentioned below and are presented alphabetically. Select risk to expand information.

There are three syndromes; acute mountain sickness (AMS), high-altitude cerebral oedema (HACE) and high-altitude pulmonary oedema (HAPE). HACE and HAPE require immediate descent and medical treatment.

Altitude illness in Ecuador

There is a point of elevation in this country higher than 2,500 metres. An example place of interest; Quito 2,819m.

• Travellers should spend a few days at an altitude below 3,000m.
• Where possible travellers should avoid travel from altitudes less than 1,200m to altitudes greater than 3,500m in a single day.
• Ascent above 3,000m should be gradual. Travellers should avoid increasing sleeping elevation by more than 500m per day and ensure a rest day (at the same altitude) every three or four days.
• Acetazolamide can be used to assist with acclimatisation, but should not replace gradual ascent.
• Travellers who develop symptoms of AMS (headache, fatigue, loss of appetite, nausea and sleep disturbance) should avoid further ascent. In the absence of improvement or with progression of symptoms the first response should be to descend.
• Development of HACE or HAPE symptoms requires immediate descent and emergency medical treatment.

Altitude illness in brief

Biting insects or ticks.

Insect or tick bites can cause irritation and infections of the skin at the site of a bite. They can also spread certain diseases.

Diseases in South America

There is a risk of insect or tick-borne diseases in some areas of South America. This includes diseases such as American Trypanosomiasis (Chagas Disease), Chikungunya , Leishmaniasis and West Nile virus .

• All travellers should avoid insect and tick bites day and night
• There are no vaccinations (or medications) to prevent these disease

Further information about specific insect or tick-borne diseases for this country can be found, if appropriate on this page, in other sections of the country information pages and the insect and tick bite avoidance factsheet .

Dengue is a viral infection spread by mosquitoes which mainly feed during daytime hours. It causes a flu-like illness, which can occasionally develop into a more serious life-threatening illness. Severe dengue is rare in travellers.

The mosquitoes that spread dengue are more common in towns, cities and surrounding areas.

Dengue in Ecuador

There is a risk of dengue in this country.

• Travellers should avoid mosquito bites particularly during daytime hours.
• A dengue vaccine is licensed in the UK for the prevention of dengue disease in individuals from 4 years of age. The Joint Committee on Vaccination and Immunisation (JCVI) and World Health Organization are in the process of reviewing the product information. Recommendations on the use of this vaccine will be published in due course.

Dengue in brief

Seasonal influenza is a viral infection of the respiratory tract and spreads easily from person to person via respiratory droplets when coughing and sneezing. Symptoms appear rapidly and include fever, muscle aches, headache, malaise (feeling unwell), cough, sore throat and a runny nose. In healthy individuals, symptoms improve without treatment within two to seven days. Severe illness is more common in those aged 65 years or over, those under 2 years of age, or those who have underlying medical conditions that increase their risk for complications of influenza.

Seasonal influenza in Ecuador

Seasonal influenza occurs throughout the world. In the northern hemisphere (including the UK), most influenza occurs from as early as October through to March. In the southern hemisphere, influenza mostly occurs between April and September. In the tropics, influenza can occur throughout the year.

All travellers should:

• Avoid close contact with symptomatic individuals
• Avoid crowded conditions where possible
• Wash their hands frequently
• Practise ‘cough hygiene’: sneezing or coughing into a tissue and promptly discarding it safely, and washing their hands
• Avoid travel if unwell with influenza-like symptoms
• A vaccine is available in certain circumstances (see below)*

*In the UK, seasonal influenza vaccine is offered routinely each year to those at higher risk of developing of severe disease following influenza infection, and certain additional groups such as healthcare workers and children as part of the UK national schedule (see information on vaccination ). For those who do not fall into these groups, vaccination may be available privately.

If individuals at higher risk of severe disease following influenza infection are travelling to a country when influenza is likely to be circulating they should ensure they received a flu vaccination in the previous 12 months.

The vaccine used in the UK protects against the strains predicted to occur during the winter months of the northern hemisphere. It is not possible to obtain vaccine for the southern hemisphere in the UK, but the vaccine used during the UK influenza season should still provide important protection against strains likely to occur during the southern hemisphere influenza season, and in the tropics.

Avian influenza

Avian influenza viruses can rarely infect and cause disease in humans. Such cases are usually associated with close exposure to infected bird or animal populations. Where appropriate, information on these will be available in the outbreaks and news sections of the relevant country pages. Seasonal influenza vaccines will not provide protection against avian influenza.

Avian influenza in brief

Outdoor air quality.

Poor air quality is a significant public health problem in many parts of the world. Exposure to high levels of air pollution over short time periods (e.g. minutes/hours/days) and longer time periods (e.g. years) is linked to many different acute and chronic health problems. These effects are mainly on the respiratory (lungs and airways) and cardiovascular (heart function and blood circulation) systems.

Current information on world air quality is available from the world air quality index project .

Travellers with health problems that might make them more vulnerable to the effects of air pollution who are travelling to areas of high pollution should:

• discuss their travel plans with their doctor, and carry adequate supplies of their regular medication.
• take sensible precautions to minimise their exposure to high levels of air pollution.
• check local air quality data and amend their activities accordingly.
• take notice of any health advisories published by the local Ministry of Health and Department for Environment, and follow the guidance provided.

It is unclear if face masks are beneficial at reducing exposure and may make breathing more difficult for those with pre-existing lung conditions. Those who choose to use one should make sure that the mask fits well and know how to wear it properly.

Outdoor air quality in brief

Zika virus (ZIKV) is a viral infection spread by mosquitoes which predominantly feed during daytime hours. A small number of cases of sexual transmission of ZIKV have also been reported. Most people infected with ZIKV have no symptoms. When symptoms do occur, they are usually mild and short-lived. Serious complications and deaths are not common. However, ZIKV is a cause of Congenital Zika Syndrome (microcephaly and other congenital anomalies) and neurological complications such as Guillain-Barré syndrome.

Zika virus in Ecuador

There is a risk of Zika virus in this country. Details of specific affected areas within this country are not available, but information on current outbreaks where available will be reported on our outbreak surveillance database.

Pregnant women should discuss the suitability of travel and the potential risk that Zika virus may present with their health care provider.

• All travellers should avoid mosquito bites particularly during daytime hours.
• There is no vaccination or medication to prevent Zika virus infection.
• Women should avoid becoming pregnant while travelling in this country, and for 2 months (8 weeks) after their last possible Zika virus exposure* (see below if male partner has travelled).
• If a woman develops symptoms compatible with Zika virus infection, it is recommended she avoids becoming pregnant for a further 2 months following recovery.
• Women who visited this country while pregnant, or who become pregnant within 2 months after their last possible Zika virus exposure*, should contact their GP, obstetrician or midwife for further advice, even if they have not been unwell.

Please note screening of returning travellers without Zika virus symptoms is not available on the NHS. Couples planning pregnancy in the very near future should consider whether they should avoid travel to a country or area with risk of Zika virus, rather than delay conception for the recommended period (see below) after travel. This particularly includes couples in assisted fertility programmes.

Prevention of sexual transmission

Couples should follow guidance on prevention of sexual transmission of Zika virus and avoid conception as follows:

• If both partners travelled, for 3 months after last possible Zika virus exposure*
• Male traveller only, for 3 months after last possible Zika virus exposure*
• Female traveller only, for 2 months after last possible Zika virus exposure*

See further information for pregnant women, their partners and couples planning pregnancy .

*Last possible Zika virus exposure is defined as the later of either the date of leaving a country or area with risk for Zika virus transmission, or the date on which unprotected sexual contact with a potentially infectious partner took place.

See detailed guidance on factors to consider when assessing the risk of Zika virus.

Zika virus in brief

COVID-19 disease is caused by the coronavirus SARS-CoV2. The main symptoms of COVID-19 are a new continuous cough, a high temperature, and a loss of, or change in, normal sense of taste or smell. Symptoms range from mild to life-threatening. Older people and  those with underlying health problems  are more likely to develop severe disease.

COVID-19 is spread through close contact with people who have the virus. It is mainly transmitted from person to person by breathing in droplets produced when someone infected with the virus breathes, speaks, coughs or sneezes. It is also spread by touching the infected droplets on surfaces, then touching the eyes, nose or mouth.

COVID-19 vaccines provide high levels of protection against severe illness, hospitalisation, or dying from the virus. Vaccination against COVID-19 reduces, but does not eliminate the risk of infection, so social distancing and personal and respiratory hygiene remain important interventions, particularly during overseas travel.

Travellers should always check the UK Foreign, Commonwealth & Development Office (FCDO) travel advice and their  country-specific pages  for the latest COVID-19 travel advisories which may include information on travel restrictions, quarantine, COVID-19 testing or vaccination requirements. This includes considering the recommendations and requirements for any transit countries.

Travellers should be aware that COVID-19 case numbers in individual countries/areas can increase rapidly, and healthcare capacity and country requirements can change at short notice.

COVID-19 in Ecuador

Most countries worldwide present a risk of exposure to COVID-19. The risk of COVID-19, public health policy, and travel advice or restrictions may change quickly, therefore travellers should ensure they have access to up to date information on COVID-19 and be prepared for rapid changes in guidance both before and during travel.

All travellers should check the FCDO travel advice and carefully consider their personal situation and risks of COVID-19 before travel to this country. This is particularly important in those at higher risk from COVID-19 who may wish to seek medical advice before travel.

Individuals entering or returning to the UK may be required to follow additional  UK border measures .

If travelling to this country, travellers should:

• Consider the risk at all destinations including any transit countries, and the risk during travel itself.
• Check with the airline/tour operator about preventive measures in place to reduce risk during travel.
• Follow the latest guidance on social distancing and face coverings, including any local requirements and maintain good hand, respiratory, and personal hygiene at all times. This may be particularly important if staying with friends and family.
• Ensure they are up to date with their COVID-19 vaccination courses and boosters as recommended in the UK vaccination programme.

See  guidance on factors to consider when assessing the risk of COVID-19 for travellers .

If travellers develop COVID-19 symptoms while abroad, they should:

• Follow local guidelines on self-isolation, testing and avoiding travel.
• Contact their travel insurance provider.
• Seek medical advice if needed.

COVID-19 in brief

Changes to the Country Information pages: Zika

UK Health Security Agency and NaTHNaC have reviewed and updated country-specific Zika information and prevention advice

Malaria: a reminder for travellers over the winter holiday season

Advice for travellers and health professionals about malaria

Using information collated from a variety of sources, we regularly review and update information on overseas disease outbreaks and other health issues that may affect the UK traveller.

Please note that not all cases of disease or outbreaks are reported ; some diseases may only be reported if they occur outside of the usual recognised risk area or season, or they have been reported in greater than usual numbers.

Further information on the Outbreak Surveillance section.

Foreign travel advice

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UK Health Security Agency

Hospital for Tropical Diseases

Liverpool School of Tropical Medicine

London School of Hygiene and Tropical Medicine

University College London Hospitals NHS Foundation Trust

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