ecuador travel required vaccines

Travel Vaccines and Advice for Ecuador

Ecuador is a country of rich traditions. It is known for its hiking trails and nature, including the famous Galapagos Islands.

The capital city of Ecuador is Quito. Other large cities include Guayaquil, Cuenca, and Santo Domingo.

The country’s varying regions and attractions make it a must visit for many travelers.

On This Page: Do I Need Vaccines for Ecuador? Other Ways to Stay Healthy in Ecuador Do I Need a Passport or Visa for Ecuador? What Is the Climate Like in Ecuador? Is It Safe to Travel to Ecuador? The Galapagos Islands in Ecuador What Should I Take to Ecuador? U.S. Embassy in Ecuador

Do I Need Vaccines for Ecuador?

Yes, some vaccines are recommended or required for Ecuador. The CDC and WHO recommend the following vaccinations for Ecuador: typhoid , hepatitis A , polio , yellow fever , rabies , hepatitis B , influenza , COVID-19 , pneumonia , meningitis , chickenpox , shingles , Tdap (tetanus, diphtheria and pertussis) and measles, mumps and rubella (MMR) .

See the bullets below to learn more about some of these key immunizations:

• Typhoid – Food & Water – Shot lasts 2 years. Oral vaccine lasts 5 years, must be able to swallow pills. Oral doses must be kept in refrigerator.
• Hepatitis A – Food & Water – Recommended for most travelers.
• Polio – Food & Water – Due to an increase in cases globally, an additional adult booster is recommended for most travelers to any destination.
• Yellow Fever – Mosquito – Recommended for travel to regions under 7500 ft. Elevation, excludes Guayaquil, Quito and the Galapagos Islands
• Rabies – Saliva of Infected Animals – Moderate risk country. Vaccine recommended for certain travelers based on destination, activities and length of stay.
• Hepatitis B – Blood & Body Fluids – Recommended for travelers to most regions.
• Influenza – Airborne – Vaccine components change annually.
• COVID-19 – Airborne – Recommended for travel to all regions, both foreign and domestic.
• Pneumonia – Airborne – Two vaccines given separately. All 65+ or immunocompromised should receive both.
• Meningitis – Direct Contact & Airborne – Given to anyone unvaccinated or at an increased risk, especially students.
• Chickenpox – Direct Contact & Airborne – Given to those unvaccinated that did not have chickenpox.
• Shingles – Direct Contact – Vaccine can still be given if you have had shingles.
• Polio – Food & Water – Considered a routine vaccination for most travel itineraries. Single adult booster recommended.
• TDAP (Tetanus, Diphtheria & Pertussis) – Wounds & Airborne – Only one adult booster of pertussis required.
• Measles Mumps Rubella (MMR) – Various Vectors – Given to anyone unvaccinated and/or born after 1957. One time adult booster recommended.

See the table below for more information:

Specific Vaccine Information

• Typhoid – Typhoid, a bacterial infection, is primarily transmitted through contaminated food, water, or direct contact with infected people. Vaccination is a key preventive measure, recommended for travelers to endemic regions and those at risk due to occupation.
• Hepatitis A – Be sure to protect yourself from hepatitis A, a contagious liver infection caused by HAV, through vaccination. The virus spreads through contaminated food, water, and close contact. Along with vaccination, maintaining proper hygiene and avoiding undercooked shellfish are essential for prevention.
• Yellow Fever – Yellow fever, a viral disease transmitted by infected mosquitoes, causes a range of symptoms, including jaundice and bleeding. Preventing it is crucial. The yellow fever vaccine is administered at least 10 days before travel to endemic areas, providing long-lasting immunity and playing a vital role in controlling the virus’s spread.
• Rabies – The rabies virus is a deadly threat that spreads through bites and scratches from infected animals. Preventing rabies involves timely vaccination, avoiding contact with wildlife and seeking immediate medical attention if bitten. The rabies vaccine is instrumental in developing immunity and safeguarding against this fatal disease.
• Hepatitis B – Hepatitis B prevention relies on vaccination as the most effective measure, recommended for all travelers and critical for healthcare workers. Practicing safe sex and using sterile equipment for body modifications are also key in reducing transmission risks.
• Measles, Mumps, Rubella (MMR) – Measles, mumps, and rubella are highly infectious diseases that can lead to complications like pneumonia and encephalitis. To combat these threats, vaccination with the MMR vaccine is imperative. This two-dose vaccine not only shields individuals but also contributes to herd immunity, reducing the risk of outbreaks.

Yellow Fever in Ecuador

Yellow fever vaccination is recommended for travelers to regions in Ecuador that are under 7,500 feet elevation. Travelers are advised to receive the vaccine at least 10 days before arrival in the country. As yellow fever is common in Ecuador, proof of vaccination may be required when entering another country.

Malaria in Ecuador

In Ecuador, malaria is most common in regions under 5,000 feet elevation, especially in the provinces of Carchi, Cotopaxi, Esmeraldas, Morona-Santiago, Orellana, Pastaza and Sucumbios. Rare cases occur in other provinces. Travelers are advised to take antimalarials to protect themselves from infection. Atovaquone, doxycycline, mefloquine and tafenoquine are recommended for travelers to the region. Malaria parasites in Ecuador are resistant to chloroquine. Speak with your travel health specialist to identify which antimalarial is best for your trip and medical history.

Rabid dogs and other animals are common in Ecuador. Pre-exposure rabies vaccination should be considered before a trip to the country. Children are at an increased risk.

Ecuador is home to a few different mosquito-borne diseases. Malaria , dengue , Zika and yellow fever can all be found in the country. Be sure to bring repellents and netting with you. Passport Health clinics carry the yellow fever vaccine and can often prescribe antimalarials for your trip. Contact your local Passport Health clinic to learn more.

See our vaccinations page to learn more about these infections and vaccines. Ready to protect yourself? Book your travel health appointment today by calling or schedule online now .

Other Ways to Stay Healthy in Ecuador

Prevent bug bites in ecuador.

Shield yourself from bug bites with proper attire and EPA-approved repellents such as DEET, picaridin, or oil of lemon eucalyptus. Safeguard your sleep area with bed nets and screens. In case of bug bites, clean the area, resist scratching, and utilize over-the-counter solutions while seeking professional assistance for severe reactions.

Food and Water Safety in Ecuador

When eating abroad, prioritize cooked and hot foods, choose reputable eateries, and practice good hand hygiene. Stick to bottled or sealed beverages, avoid tap water, and enjoy hot drinks or alcohol responsibly. To avoid travelers’ diarrhea , follow these tips: eat well-prepared foods, drink safe water, maintain hand hygiene, consider probiotics, and be selective about local dishes.

Altitude Sickness in Ecuador

Altitude sickness, or acute mountain sickness (AMS), occurs when oxygen levels decrease at high elevations, leading to symptoms like headaches and nausea. Prevent AMS by ascending slowly, staying hydrated, and considering medications like acetazolamide. If symptoms persist or worsen, descend to lower altitudes and seek medical attention if needed.

Infections To Be Aware of in Ecuador

• Chagas disease (American Trypanosomiasis) – Chagas disease, caused by Trypanosoma cruzi and transmitted by kissing bugs, requires prevention through insecticide control and avoiding the kissing bug.
• Dengue – The CDC describes dengue fever as a viral disease transmitted by mosquitoes, presenting symptoms such as rash and joint pain. Prevention strategies focus on reducing mosquito exposure and breeding grounds. Treatment is supportive, emphasizing the importance of mosquito bite prevention.
• Leishmaniasis – Leishmaniasis is transmitted by sand flies’ bites. To prevent its spread, individuals should use insect repellents, wear long-sleeved clothing and limit outdoor activities during sand fly activity periods. Eliminating breeding sites and early diagnosis are crucial for effective prevention.
• Zika – Zika, a mosquito-borne virus, spreads through mosquito bites, sexual contact, and from mother to child during pregnancy. Preventive measures include using repellent, practicing safe sex, and removing mosquito breeding sites.

Do I Need a Passport or Visa for Ecuador?

A passport that is valid for at least six months is required to enter Ecuador. A visa is not required for stays under 90 days within a one year period.

Sources: Embassy of Ecuador and U.S. State Department

Proof of yellow fever vaccination may be required based on your travel itinerary.

What Is the Climate Like in Ecuador?

Ecuador is a country in South America with diverse climates. Here are the weather conditions in some popular tourist destinations:

• Quito: Quito is the capital of Ecuador, and it’s cool because it’s high up in the mountains. The temperature is between 50 to 70 degrees throughout the year. It’s rainy from October to May, and dry from June to September.
• Galapagos Islands: These islands are a popular destination for people who love nature. The temperature is between 70 to 85 throughout the year. It’s rainy from December to May, and dry from June to November.
• Cuenca: This city is famous for its culture and buildings. The temperature is between 50 to 75 throughout the year. It’s rainy from December to May, and dry from June to November.
• Baños: Baños is a place for adventure tourism in the mountains. The temperature is between 60 to 75 throughout the year. It’s rainy from December to May, and dry from June to November.
• Montañita: Montañita is a beach town popular with surfers. The temperature is between 75 to 85 throughout the year. It’s rainy from January to May, and dry from June to December.

Keep in mind that weather can be unpredictable, so it’s a good idea to check the weather forecast before traveling.

Is It Safe to Travel to Ecuador?

Travelers are not permitted to go to northern Ecuador without prior permission due to kidnappings. These areas include Carchi, northern Esmeraldas and Sucumbíos.

Robbery is common in Ecuador, especially in hotel rooms, on beaches and on hiking trails. Use hotel safes, don’t wear valuable items, and always be alert.

Always travel in groups, be alert, and be aware of where your drinks are at all times. Drugging is common.

pick-pocketing and petty theft are common in tourist areas. Be aware of your surroundings and avoid situations that could lead to theft.

The Galapagos Islands in Ecuador

Avoid mosquitoes and other bugs, insect-borne disease are a threat throughout the world., keep the bugs away with passport health’s repellent options .

One of the most famous places in the world for biodiversity are the Galapagos Islands. These islands were studied by Charles Darwin and helped him come up with the theory of evolution.

Although known for their biodiversity, the islands are part of volcanic group of islands and have little vegetation. But, that’s what makes the wildlife so unique. The Galapagos National Park is officially a UNESCO World Heritage Site.

Travelers can access the island by plane or by boat. Most travelers go to the islands from December to January and June to August.

Animals on the Galapagos Islands include: bottle-nosed dolphins, the Galapagos turtles, and Darwin’s finches.

What Should I Take to Ecuador?

Here are some essential items to consider for your trip to Ecuador:

• Mosquito repellent to prevent mosquito-borne diseases like Zika , yellow fever and dengue .
• Raincoat and rain gear is a must, especially if you’re traveling during the rainy season.
• Medications can be hard to find in Ecuador. Make sure you bring everything you need with you.
• Sunscreen and sunglasses to protect against the sun.
• Clothes for layering as the temperature may change from day to night.

U.S. Embassy in Ecuador

The U.S. embassy in Ecuador provides various services to travelers visiting or living in Ecuador. The embassy can help travelers with passport and visa services, give information about travel and safety in Ecuador, and assist with medical emergencies.

If you find yourself in need of help while traveling in Ecuador, there is a U.S. embassy in the capital city of Quito.

U.S. Embassy Quito Ave. Avigiras E12-170 y Ave. Eloy Alfaro Quito, Ecuador Telephone: +(593)(2) 398-5000 Emergency After-Hours Telephone: +(593)(2) 398-5000 Fax: +(593)(2) 398-5100

It’s essential to remember that the services offered by the embassy may differ depending on the embassy’s current operations and policies. Travelers should always check the embassy’s website or contact them directly for the most up-to-date information.

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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 .

Embassy Messages

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Quick Facts

1 page per stamp.

Not for stays less than 90 days in any 12-month period.

Travelers must declare currency in amounts greater than $10,000. See the Ecuadorian customs website.

There is a 5 percent tax on currency taken out of Ecuador above $1200.00. See the Ecuadorian Revenue Service website.

Embassies and Consulates

U.s. embassy quito.

Avigiras E12-170 y  Eloy Alfaro  Quito, Ecuador Telephone: 593-2-398-5000 Emergency After-Hours Telephone: 593-2-398-5000 or 593-9-9788-3222 Email:   [email protected]

U.S. Consulate General Guayaquil Santa Ana St. and Jose Rodriguez Bonin Ave. San Eduardo Sector Guayaquil, Ecuador Telephone: 593-4-371-7000 Emergency After-Hours Telephone: 593-4-371-7000 Email:   [email protected]

Destination Description

See the Department of State’s Fact Sheet on Ecuador for information about U.S.-Ecuador relations.  

Entry, Exit and Visa Requirements

Contact the Embassy of Ecuador in Washington, DC, for the most current visa information.

If you are traveling for  business or tourism, you do not need a visa for stays of up to 90 days  in any 12-month period. You can request an extension through provincial migration offices. Additional information is available on the  Ecuadorian Ministry of Interior website .

• If you are planning a visit longer than 90 days, you must obtain a visa in advance. 
• The Ministry of Tourism provides general information for travelers on its  website .
• You must carry identification, including proof of U.S. citizenship. Carry a photocopy of your passport (including the entry stamp and/or visa) with you at all times.
• If your passport is lost or stolen while you are in Ecuador, you should obtain a police report and apply for a new passport at the U.S. Embassy or U.S. Consulate General. We also recommend obtaining an entry/exit report from an Ecuadorian immigration office before leaving the country. For further information, see the  Ecuadorian Ministry of Interior website .
• U.S. citizens born in Ecuador are required to show an Ecuadorian passport or national ID card upon entering and exiting Ecuador. 
• U.S. citizen children born in Ecuador who are traveling without one or both parents must present a copy of a birth certificate and written authorization from the absent parent(s). If the parent is deceased, a notarized copy of the death certificate is required. For more information, contact the Embassy of Ecuador in Washington, DC.
• While no specific vaccinations are required for entry, the Centers for Disease Prevention and Control (CDC) recommends travelers obtain certain immunizations. See the CDC  website  for more information.

The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to or foreign residents of Ecuador.

Find information on  dual nationality ,  prevention of international child abduction , and  customs regulations  on our websites.

Safety and Security

Exercise increased caution when traveling in Ecuador, and do not travel to the province of Carchi, the province of Sucumbíos, and the northern part of Esmeraldas province, including Esmeraldas city due to crime. U.S. government personnel may travel to the northern bank of the Napo River in Sucumbíos, where tourist lodges are located, an area approximately four miles wide, and to the portion of Esmeraldas province that is south of Esmeraldas city.

All other U.S. government travel to the northern border area is prohibited without prior permission. This region has a high rate of violent crime. U.S. citizens are not targeted, but have been victims of crime there in the past.

Crime:  Crime is a widespread problem in Ecuador.

• Pick-pocketing, robbery, and hotel room theft are the most common crimes. Tourists have been robbed at gunpoint on beaches and along hiking trails. Passengers arriving at the Quito and Guayaquil airports have also been targets of armed robberies.
• Use hotel safes if available, avoid wearing obviously expensive jewelry or clothing, and carry only the cash or credit cards that you need. Stay alert in crowds and on public transportation. Be aware that thieves might create distractions to target you.
• Be alert for robberies, in which criminals enter a taxi and force victims to withdraw money from ATMs. Some victims have been beaten or raped. Avoid hailing taxis on the street. Order taxis by phone or use a service affiliated with major hotels. Avoid withdrawing large amounts of cash at one time. Use ATMs in well-protected indoor areas.
• To avoid carjacking or theft from your car while you are stopped at intersections, drive with your doors locked and windows rolled up. Do not leave valuables in plain view.
• Sexual assaults and rapes can occur, even in tourist areas. Travel in groups, do not leave food or drinks unattended, and never allow a stranger to give you a drink.
• Do not let your credit card out of your sight in order to avoid credit card “skimming.”
• Incapacitating drugs, such as rohypnol and scopolamine, have been used to facilitate violent robberies and sexual assaults.

Civil Unrest:  Demonstrations may occur occasionally. They may take place in response to local or international events or on politically significant holidays. Even demonstrations intended to be peaceful can turn confrontational and possibly become violent. Protesters may block roads and sometimes burn tires, throw rocks, and damage property.

• Police may respond using water cannons and tear gas.
• Avoid demonstrations and prepare back-up transportation plans. Even peaceful demonstrations can turn violent with little or no warning.
• A disaster can disrupt food supply, so plan to have at least a 3-day supply of food and medicine on hand.

Check local media for updates and traffic advisories.

International Financial Scams:  See the  Department of State  and the  FBI   pages for information.

Victims of Crime:  U.S. citizen victims of sexual assault are encouraged to contact the U.S. Embassy in Quito or Consulate in Guayaquil for assistance. Report crimes to the local police by calling 911 . In Quito, you can visit an  Ecuadorian Tourist Security Service Attention Center . You can also contact the U.S. Embassy at +593-2-398-5000 or the U.S. Consulate General in Guayaquil at +593-4-371-7000.

Remember that local authorities are responsible for investigating and prosecuting crimes.

See our webpage on help for U.S. victims of crime overseas .

Information about victim’s assistance programs in Ecuador is available on the U.S.  Mission in Ecuador website .

• help you find appropriate medical care
• assist you in reporting a crime to the police
• contact relatives or friends with your written consent
• provide general information regarding the victim’s role during the local investigation and following its conclusion
• provide a list of local attorneys
• provide our information on  victim’s compensation programs in the United States.
• provide an emergency loan for repatriation to the United States and/or limited medical support in cases of destitution
• help you find accommodation and arrange flights home
• replace a stolen or lost passport

Domestic Violence:  U.S. citizen victims of domestic violence are encouraged to contact the Embassy or Consulate General for assistance.

Tourism:  The tourism industry is unevenly regulated, and safety inspections for equipment and facilities do not commonly occur. Hazardous areas/activities are not always identified with appropriate signage, and staff may not be trained or certified either by the host government or by recognized authorities in the field. In the event of an injury, appropriate medical treatment is typically available only in/near major cities. First responders are generally unable to access areas outside of major cities and to provide urgent medical treatment. U.S. citizens are encouraged to purchase medical evacuation insurance. See our webpage for more  information on insurance providers for overseas coverage . 

Local Laws & Special Circumstances

Criminal Penalties:  You are subject to local laws. If you violate local laws, even unknowingly, you may be expelled, arrested, or imprisoned.

• Penalties for possessing, using, or trafficking illegal drugs in Ecuador are severe. Offenders can expect long jail sentences and heavy fines.
• Never agree to carry a suitcase or package through customs for anyone.

Furthermore, some laws are also prosecutable in the United States, regardless of local law. For examples, see the State Department’s website on  crimes against minors abroad  and the  Department of Justice  website.

Arrest Notification:  If you are arrested or detained, ask police or prison officials to notify the U.S. Embassy or U.S. Consulate General immediately. See our webpage  for further information.

Counterfeit and Pirated Goods: Although counterfeit and pirated goods are prevalent in many countries, they may still be illegal according to local laws. You may also pay fines or have to give them up if you bring them back to the United States. See the U.S. Department of Justice website for more information.

Seismic Activity:  There are numerous active volcanoes, and earthquakes are common. Earthquakes can trigger deadly tsunamis. Visit  Ecuador’s National Risk Management Secretariat  and the  Ecuadorian Geophysical Institute  for more information.

• Mud or lava flows from  Tungurahua volcano  could pose a significant and immediate threat to travelers in Baños.
• The town of Latacunga is directly in the path of potential mud or lava flow from the  Cotopaxi volcano . Even small emissions from the volcano can trigger avalanches and landslides. Low lying areas in the greater Quito area could also be affected if Cotopaxi erupts.
• Reventador volcano is located in Napo province and is one of the most active in the country.
• Sangay volcano is located in Morona Santiago province is active and local authorities advise against approaching the volcano and nearby Upano river.
• In the event of a natural disaster, pay attention to the news media for updates. A disaster can disrupt food supply, so plan to have at least a 3-day supply of food and medicine on hand.
• See the  Centers for Disease Control website  for information on emergency preparedness and response.

Hallucinogens:  Traditional hallucinogens, often referred to as ayahuasca or San Pedro, are often marketed to tourists as “spiritual cleansing” and typically contain dimethyltryptamine (DMT), a strong hallucinogen that is illegal in the United States, Ecuador, and many other countries. Health risks are not well understood, and, on occasion, people suffer serious illness or death after taking these drugs. Intoxicated travelers also have been assaulted and robbed. These incidents often occur a great distance from medical facilities, making the risks even greater.

Galápagos   Islands: Be aware of the following challenges:

• Many Ecuadorian tour vessels operating in the Galápagos do not meet international safety standards. Inquire about safety features when boarding vessels.
• The two hospitals on Santa Cruz and San Cristobal Islands do not perform major medical procedures.
• Serious injury or illness in the Galapagos typically requires medical evacuation to the Ecuadorian mainland or the United States. This can cost $60,000 or more and take significant time to arrange.  We strongly recommend you purchase travel insurance that includes health coverage and air evacuation .
• There are limited decompression facilities for scuba divers.
• The Ecuadorian government restricts the entry of certain items into the Galapagos. Visit the  Agency for Biosecurity and Quarantine Regulation and Control for the Galapagos  for more information.

Retiring in Ecuador:  In recent years, Ecuador has become a top overseas destination for retiring U.S. citizens.

• U.S. citizens have reported unethical practices by lawyers, real estate agents, and others, resulting in costly losses and little hope of remedy through the local judicial system.
• Ecuadorian rules governing visas and customs are subject to change with little notice.  The Ecuadorian government publishes little information in English. The U.S. Embassy and U.S. Consulate General cannot give detailed advice about Ecuadorian immigration law.

Faith-Based Travelers:  See our following webpages for details:

• Faith-Based Travel Information
• International Religious Freedom Report
• Human Rights Report
• Hajj Fact Sheet for Travelers
• Best Practices for Volunteering Abroad

LGBTI Travelers:  There are no legal restrictions on same-sex sexual relations or the organization of LGBTI events in Ecuador.

See   our  LGBTI Travel Information   page and section 6 of our  Human Rights report  for further details.

Travelers Who Require Accessibility Assistance:   Travelers with disabilities might have difficulty accessing buildings. Sidewalks in some areas are narrow and poorly maintained.

Students:  See our  Students Abroad  page and  FBI travel tips .

Women Travelers:  See our travel tips for  Women Travelers .

For emergency services in Ecuador, dial 911.

Ambulance services are:

• not present throughout the country and unreliable in most areas except Quito. 
• not equipped with state-of-the-art medical equipment.

Injured or seriously ill travelers may prefer to take a taxi or private vehicle to the nearest major hospital rather than wait for an ambulance, particularly outside of Quito.

Adequate medical and dental care is available in major cities. In smaller communities and in the Galapagos Islands, services are limited, and the quality is generally well below U.S. standards.

• Ambulance service is limited.
• Specialized medical care can cost tens of thousands of dollars or is not available.
• Pharmacies are widely available. However, some medications might not be offered, and brand names will differ from products in the United States. Not all pharmacies purchase medications from pharmaceutical companies that adhere to quality control standards.
• Exercise caution if you explore herbal and folk remedies.
• Quito is 9,400 feet above sea level. Some other tourist destinations in the mountainous region may be higher. Consult your doctor for recommendations concerning medication and lifestyle tips at high altitude.

We do not pay medical bills.  Be aware that U.S. Medicare/Medicaid does not apply overseas. Most hospitals and doctors overseas do not accept U.S. health insurance.

Medical Insurance : Make sure your health insurance plan provides coverage overseas. Most care providers overseas only accept cash payments. See  our webpage  for more information on insurance providers for overseas coverage. Visit the  U.S. Centers for Disease Control and Prevention  for more information on type of insurance you should consider before you travel overseas.

We strongly recommend  supplemental insurance  to cover medical evacuation.

Always carry your prescription medication in original packaging, along with your doctor’s prescription. Check with the government of Ecuador’s  National Customs Service  to ensure the medication is legal in Ecuador.

The following diseases are present:

• Chagas disease
• Chikungunya
• Tuberculosis
• Yellow fever

Vaccinations : Be up-to-date on all  vaccinations  recommended by the U.S. Centers for Disease Control and Prevention.

Further health information :

• World Health Organization
• U.S. Centers for Disease Control and Prevention  (CDC)

Air Quality : Visit  AirNow Department of State  for information on air quality at U.S. Embassies and Consulates.

The U.S. Mission in Ecuador maintains a list of doctors and hospitals on its  webpage . We do not endorse or recommend any specific medical provider or clinic.

Health facilities in general :

• Adequate health facilities are available in Quito and Guayaquil but health care in rural areas may be below U.S. standards.
• Public medical clinics lack basic resources and supplies.
• Hospitals and doctors often require payment “up front” prior to service or admission.
• Private hospitals usually require advance payment or proof of adequate insurance before admitting a patient.
• Medical staff may speak little or no English.

  Pharmaceuticals:

• Exercise caution when purchasing medication overseas. Pharmaceuticals, both over the counter and requiring prescription in the United States, are often readily available for purchase with little controls. Counterfeit medication is common and may prove to be ineffective, the wrong strength, or contain dangerous ingredients. Medication should be purchased in consultation with a medical professional and from reputable establishments.
• U.S. Customs and Border Protection and the Food and Drug Administration are responsible for rules governing the transport of medication back to the United States. Medication purchased abroad must meet their requirements to be legally brought back into the United States. Medication should be for personal use and must be approved for usage in the United States. Visit the  U.S. Customs and Border Protection  and the  Food and Drug Administration  websites for more information.

Assisted Reproductive Technology and Surrogacy:

• If you are considering traveling to Ecuador to have a child through use of assisted reproductive technology (ART) or surrogacy, see our  ART and Surrogacy Abroad page .
• Surrogacy is legal for foreigners in Ecuador.

Water Quality:

• In many areas, tap water is not potable. Bottled water and beverages are generally safe, although you should be aware that many restaurants and hotels serve tap water unless bottled water is specifically requested. Be aware that ice for drinks may be made using tap water.
• Many cities in Ecuador, such as Quito, are at high altitude. Be aware of the symptoms of altitude sickness, and take precautions before you travel. Visit the U.S. Centers for Disease Control and Prevention website for more information about  Travel to High Altitudes .

Adventure Travel:

Visit the U.S. Centers for Disease Control and Prevention website for more information about  Adventure Travel .

Travel and Transportation

Road Conditions and Safety:   Some roads are poorly maintained and may lack crash barriers, guard rails, signs, and streetlights. Heavy fog and rain make conditions more treacherous.

• Due to a lack of sidewalks, many roads are also used by pedestrians.
• Slow-moving buses and trucks frequently stop in the middle of the road unexpectedly.
• In rural areas, you may encounter livestock in the road.
• Many vehicles are poorly maintained, and breakdowns are common.

Traffic Laws:

You may use your U.S. driver’s license for up to 90 days. If you are staying in Ecuador longer, you should contact the  National Transit Agency  to obtain a valid driver’s license.

• Drivers often disobey traffic laws and signals. They rarely yield to pedestrians and cyclists.
• If you are involved in an accident, even if you are not at fault, you may be taken into police custody,  especially if there are injuries or if you do not have insurance. If the injuries or damages are serious, you may face criminal charges.
• You might encounter intoxicated drivers. Chances of a drunk-driving accident are higher on weekends and Ecuadorian holidays.
• If you want to import a vehicle, contact  Ecuador’s National Customs Service  for local regulations. You must pay for local liability insurance, called SPPAT.

Public Transportation: Intra- and inter-city bus passengers are often targets of crime, including robbery and sexual assault.

• Armed criminals have been known to board local city buses and rob passengers.
• Numerous bus accidents occur every year in Ecuador. Many buses are overcrowded, poorly maintained, and lack safety features such as seat belts.

See our  Road Safety page  for more information. Visit the website of Ecuador's  national tourist office  and national authority responsible for road safety.

Aviation Safety Oversight:   The U.S. Federal Aviation Administration (FAA) has assessed the Government of Ecuador’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of Ecuador’s air carrier operations. Further information may be found on the  FAA’s safety assessment page .

Maritime Travel: Mariners planning travel to Ecuador should also check for U.S. maritime advisories and alerts . Information may also be posted to the U.S. Coast Guard homeport website , and the NGA broadcast warnings .

For additional travel information

• Enroll in the  Smart Traveler Enrollment Program (STEP)  to receive security messages and make it easier to locate you in an emergency.
• Call us in Washington, D.C. at 1-888-407-4747 (toll-free in the United States and Canada) or 1-202-501-4444 (from all other countries) from 8:00 a.m. to 8:00 p.m., Eastern Standard Time, Monday through Friday (except U.S. federal holidays).
• See the  State Department’s travel website  for the  Worldwide Caution  and  Travel Advisories .
• Follow us on X (formerly known as "Twitter") and Facebook .
• See  traveling safely abroad  for useful travel tips.

Ecuador was cited in the State Department’s 2022 Annual Report to Congress on International Child Abduction for demonstrating a pattern of non-compliance with respect to international parental child abduction. Review information about International Parental Child Abduction in  Ecuador . For additional IPCA-related information, please see the  International Child Abduction Prevention and Return Act ( ICAPRA )  report.

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Travel Vaccines and Advice for Ecuador

Ecuador is a country of rich traditions. It is known for its hiking trails and nature, including the famous Galapagos Islands.

The capital city of Ecuador is Quito. Other large cities include Guayaquil, Cuenca, and Santo Domingo.

The country’s varying regions and attractions make it a must visit for many travellers.

On This Page: Do I Need Vaccines for Ecuador? Do I Need a Passport or Visa for Ecuador? What Is the Climate Like in Ecuador? How Safe Is Ecuador? The Galapagos Islands In Ecuador What Should I Take To Ecuador? Canadian Embassy in Ecuador

Do I Need Vaccines for Ecuador?

Yes, some vaccines are recommended or required for Ecuador. The PHAC and WHO recommend the following vaccinations for Ecuador: hepatitis A , hepatitis B , typhoid , yellow fever , rabies , meningitis , polio , measles, mumps and rubella (MMR) , Tdap (tetanus, diphtheria and pertussis) , chickenpox , shingles , pneumonia and influenza .

See the bullets below to learn more about some of these key immunizations:

• Hepatitis A – Food & Water – Recommended for most travellers
• Hepatitis B – Blood & Body Fluids – Recommended for travellers to most regions.
• Typhoid – Food & Water – Recommended for travellers to most regions.
• Yellow Fever – Mosquito – Recommended for travel to regions under 2,200 metres elevation, excludes Guayaquil, Quito and the Galapagos Islands
• Rabies – Saliva of Infected Animals – Moderate risk country. Vaccine recommended for certain travellers based on destination, activities and length of stay.
• Measles Mumps Rubella (MMR) – Various Vectors – Given to anyone unvaccinated and/or born after 1957. One time adult booster recommended.
• TDAP (Tetanus, Diphtheria & Pertussis) – Wounds & Airborne – Only one adult booster of pertussis required.
• Chickenpox – Direct Contact & Airborne – Given to those unvaccinated that did not have chickenpox.
• Shingles – Direct Contact – Vaccine can still be given if you have had shingles.
• Pneumonia – Airborne – Two vaccines given seperately. All 65+ or immunocompromised should receive both.
• Influenza – Airborne – Vaccine components change annually.
• Meningitis – Airborne & Direct Contact – Given to anyone unvaccinated or at an increased risk, especially students.
• Polio – Food & Water – Considered a routine vaccination for most travel itineraries. Single adult booster recommended.

See the tables below for more information:

Ecuador is home to a few different mosquito-borne diseases. Malaria , dengue , Zika and yellow fever can all be found in the country. Be sure to bring repellents and netting with you. Passport Health clinics carry the yellow fever vaccine and can often prescribe antimalarials for your trip. Contact your local Passport Health clinic to learn more.

See our vaccinations page to learn more about these infections and vaccines. Ready to protect yourself? Book your travel health appointment today by calling or schedule online now .

Does Ecuador Have COVID-19 Travel Restrictions?

Flights to Ecuador are available, but Guayaquil airport is closed.

Travellers arriving to the country must have completed health and immigration forms and show a negative PCR test for COVID-19 conducted within 72 hours of arrival. Individuals without these will be tested on arrival. All arriving travellers must follow a 14-day quarantine.

While there is not yet a vaccine to prevent COVID-19, vaccines do guard against typhoid and yellow fever, two infections common in Ecuador, as well as medication to prevent travellers’ diarrhea are readily available. Call us at or schedule an appointment online to learn more about protecting your health while travelling in Ecuador.

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Passport health – travel vaccines for ecuador, do i need a passport or visa for ecuador.

Canadians must present a passport which is valid for at least 6 months beyond the expected date of departure from the country. A tourist or business visa is not required for stays less than 90 days. You are required to leave Ecuador before the departure date which is listed on your entry stamp; failure to do so may result in deportation.

Sources: Embassy of Ecuador and Canadian Travel and Tourism

Proof of yellow fever vaccination may be required based on your travel itinerary.

Visit the Canadian Travel and Tourism website for more information on entry and exit requirements.

What Is the Climate Like in Ecuador?

Ecuador’s climate changes depending on the region. The western regions are warm with temperatures as high as 25 degrees. The hot and rainy seasons are between January and April.

Other regions of Ecuador experience a subtropical highland climate. It is usually dry from June to September and wet from October to May. Average temperature stay around 15 to 17 degrees.

How Safe Is Ecuador?

Travellers are not permitted to go to northern Ecuador without prior permission due to kidnappings. These areas include Carchi, northern Esmeraldas, and Sucumbíos.

Robbery is common in Ecuador, especially in hotel rooms, on beaches and on hiking trails. Use hotel safes, don’t wear valuable items, and always be alert.

Always travel in groups, be alert, and be aware of where your drinks are at all times. Drugging is common.

Pickpocketing and petty theft are common in tourist areas. Be aware of your surroundings and avoid situations that could lead to theft.

The Galapagos Islands In Ecuador

One of the most famous places in the world for biodiversity are the Galapagos Islands. These islands were studied by Charles Darwin and helped him come up with the theory of evolution.

Although known for their biodiversity, the islands are part of volcanic group of islands and have little vegetation. But, that’s what makes the wildlife so unique. The Galapagos National Park is officially a UNESCO World Heritage Site.

Travellers can access the island by plane or by boat. Most travellers go to the islands from December to January and June to August.

Animals on the Galapagos Islands include: bottlenosed dolphins, the Galapagos turtles, and Darwin’s finches.

What Should I Take To Ecuador?

Here are some essential items to consider for your trip to Ecuador:

• Mosquito repellent to prevent mosquito-borne diseases like Zika , yellow fever and dengue .
• Raincoat and rain gear is a must, especially if you’re travelling during the rainy season.
• Medications can be hard to find in Ecuador. Make sure you bring everything you need with you.
• Sunscreen and sunglasses to protect against the sun.
• Clothes for layering as the temperature may change from day to night.

Canadian Embassy in Ecuador

If you find yourself in need of help while travelling in Ecuador, there is a Canadian Embassy in the capital city of Quito.

Embassy of Canada in Quito, Ecuador Av. Amazonas 4153 and Unión Nacional de Periodistas Eurocenter Building, 3rd Floor Telephone: (011 593 2) 2455-499

Ready to start your next journey? Call us at or book online now !

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