Ecuador

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Recommended vaccinations

Routine vaccination:

Vaccinations included in the vaccination schedule to be updated

Hepatitis A

1 injection two weeks before departure, booster 1 to 3 (5) years later. Children: aged ≥1 year.

NB: A yellow fever vaccination certificate is required for all travelers aged ≥1 year arriving from countries with a risk of yellow fever transmission and all travelers who spend more than 12 hours in transit at an airport in a country where there is a risk of yellow fever transmission. 

Yellow fever

Vaccine only available at international vaccination centers

  • Vaccination is recommended for travelers to the following provinces east of the Andes at altitudes below 2,300m: Morona-Santiago, Napo, Orellana, Pastaza, Sucumbíos and Zamora-Chinchipe.
  • Vaccination is generally not recommended for travelers to areas at altitudes below 2,300m in the provinces indicated below unless they risk exposure to mosquito bites: Esmeraldas, Guayas, Los Rios, Santa Elena, Santo Domingo de los Tsáchilas, and designated areas of Azuay, Bolivar, Cañar, Carchi, Chimborazo, Cotopaxi, El Oro, Imbabura, Loja, Pichincha and Tungurahua.
  • Vaccination is not recommended for travelers whose itineraries are limited to areas >2,300m in elevation, the cities of Guayaquil and Quito and the Galápagos Islands.

Vaccination schedule: 1 injection at least 10 days before departure

Children: from 9 months (between 6 and 9 months only in special circumstances)

Protection: lifelong

Following a decision by WHO, the 10-year booster dose is no longer required. However, according to the Opinion of the French High Council for Public Health (HCSP), yellow fever booster vaccinations are still recommended for:

  • children who were vaccinated under the age of 2: a second dose from the age of 6 in the event of further travel to a yellow fever endemic region;
  • women whose primary vaccination was during pregnancy, people with HIV and immunodeficient patients vaccinated in the conditions outlined in the report by the French High Council for Public Health (HCSP): a second dose 10 years later;
  • people who were vaccinated against yellow fever more than 10 years ago: a second dose if an outbreak has been reported in the country visited.

NB: A yellow fever vaccination certificate is required for travelers arriving from countries with a risk of yellow fever transmission.

Based on your travel plans:

Hepatitis B

For long or frequent trips

Two injections one month apart

Booster 6 months later

When protection is needed as early as possible (with almost imminent departure), an accelerated schedule of three injections within a short interval and a fourth dose 1 year later is feasible, in adults only.

Rabies

For long trips to isolated areas.

Children: as soon as they can walk.

Typhoid

For long trips or in conditions of poor hygiene.

Children: aged ≥2 years.

Malaria Prevention

Transmission all year round below 1,500m. The risk of malaria is low in coastal provinces. There is no risk in Guayaquil, Quito and other cities in the inter-Andean region. There is no risk of transmission in the Galápagos Islands.

Prevention:

  • Chemoprophylaxis with atovaquone-proguanil, doxycycline or mefloquine for risk areas during the periods indicated
  • Protection against mosquito bites

Travelers should immediately seek medical attention if fever occurs when traveling or in the months after their return.

Preventive treatments

Go to the Institut Pasteur Medical Center General Recommendations page.

(Source: Weekly Epidemiological Bulletin [BEH] – Health Recommendations for Travelers).

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