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Ecuador Travel Health Guide

Moderate risk

Ecuador carries a CDC Level 1 travel health notice. Malaria risk exists in certain provinces below 5,000 feet elevation. Key travel vaccines: COVID-19, Hepatitis A, Hepatitis B. Required for entry (applies below 2300m)

Overall risk

Moderate risk

Malaria

Present

Best time to visit

Year-round

Recommended vaccines

Routine vaccines

Make sure all your routine vaccines are up to date, including chickenpox, tetanus, flu, MMR, polio, and shingles vaccines.

Recommended

COVID-19

Stay up to date with your COVID-19 vaccines before traveling.

Recommended

Hepatitis A

Hepatitis A vaccine is recommended for all travelers to Ecuador who haven't been vaccinated. Infants 6-11 months should also get vaccinated.

Recommended

Hepatitis B

Hepatitis B vaccine is recommended for unvaccinated travelers under 60. Those 60 and older may also consider getting vaccinated.

Recommended

Measles

Measles cases are increasing worldwide. All travelers should be fully vaccinated with MMR vaccine at least 2 weeks before travel. Infants 6-11 months need an early dose.

Recommended

Typhoid

Typhoid vaccine is recommended for most travelers to Ecuador, especially if you're staying with friends/relatives or visiting smaller cities or rural areas.

Recommended

Chikungunya

Chikungunya vaccine is generally not recommended. Focus on preventing mosquito bites instead.

Situational

Rabies

Rabies is present in dogs and bats in Ecuador. Consider pre-exposure vaccination if you'll be around animals or in remote areas where treatment might not be readily available.

Situational

Yellow Fever

Yellow fever vaccine is recommended if you're going to areas east of the Andes Mountains below 7,550 feet elevation. It's required for entry if you're coming from certain South American countries or have been in DRC/Uganda.

Situational

Disease risks

Malaria

Malaria risk exists in certain provinces below 5,000 feet elevation. Take antimalarial medication if visiting Cotopaxi, Esmeraldas, Morona-Santiago, Orellana, Pastaza, or Sucumbíos provinces. No risk in Quito, Guayaquil, or Galápagos Islands.

Moderate risk

Altitude Sickness

Quito (2,850m), Papallacta (3,300m); volcanic highlands; hydrate and avoid alcohol first days.

Moderate risk

Traveler's Diarrhea

Amazon region, Esmeraldas; low risk in Quito, Guayaquil, Galápagos.

Moderate risk

Malaria risk

Malaria is present in this destination. Prophylaxis medication is recommended.

Malaria risk exists in certain provinces below 5,000 feet elevation. Take antimalarial medication if visiting Cotopaxi, Esmeraldas, Morona-Santiago, Orellana, Pastaza, or Sucumbíos provinces. No risk in Quito, Guayaquil, or Galápagos Islands.

Emergency numbers

Police

911

Medical / Ambulance

911

Fire

911

U.S. Embassy

+57-1-275-2000

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Sources: CDC Travelers' Health · WHO International Travel and Health. Last updated 2026-07-31. Health conditions and entry rules change — verify with the CDC, WHO and your destination’s authorities before travel. This page is informational and not a substitute for advice from a travel-medicine provider.