June to September is the best months to trek to Machu Picchu, although you can visit all year round. The weather is at its driest and coolest with gloriously sunny days. Trekking to the roof of the Andes is a rewarding experience that many travellers to Peru sign up for. Travellers who are trail-blazing their way on the Inca road to catch a glimpse of the forgotten city should follow our top travel tips to ensure they stay healthy on the road.
All travellers to Peru should ensure that they are up-to-date with measles, diphtheria, tetanus and polio (DTP), and have received vaccinations against Hepatitis A and Typhoid. There is a risk of Rabies and Hepatitis B in Peru, and all travellers attempting the Inca Trail should consider vaccinations against these.
There is no risk of Yellow Fever on the Inca Trail or Cusco. However, the vaccination may be recommended to travellers who are doing further travel in Peru, such as the Amazon rainforest. Those planning to extend their trip to South America may require the Yellow Fever vaccination for personal protection. Additionally, you may require a valid yellow fever certificate to enter some other countries. It is best to book in a travel consultation with our specialist travel nurses to discuss your route.
The highest altitude of the Inca trail is 4,215m, a whopping 1,800m higher than Machu Picchu itself! Most people start the hike from Cusco which lies at 3,400m, meaning trekking this wonder of the world poses a real risk of altitude sickness. Altitude sickness is unpleasant and can develop into something serious and become life-threatening. It is best avoided by taking time to acclimatise. Ideally, if you are arriving from sea level, spend a few days in Cusco before your trek begins to adjust to the different altitude. Choose a longer trek, a slower ascent over more days will reduce your risk considerably. Alternatively, you can get a prescription of acetazolamide (Diamox) to aid the process. Speak to a specialist travel nurse about this at your pre-travel consultation. Don’t let altitude sickness ruin your trip.
Treks on the Inca trail usually last around 5 days, meaning that an average trekker will probably consume at least 15 litres of water over the course of their trek. Unclean and unsafe drinking water can lead to sickness and diarrhoea so it is important that travellers have access to safe water. Carrying 15 litres of water on the trail is a near impossibility so travellers should ensure that they have a way to make water safe to drink. Carrying water purification tablets, or a bottle with a filter can ensure you have access to safe drinking water throughout.
Travellers diarrhoea and other common gastrointestinal infections can put a dampener on any adventure but especially when hiking. Access to toilets is likely to be limited throughout your journey so it is important to stay healthy. Ensure all food you eat is thoroughly cooked. Pack an alcohol hand gel so you can keep your hand clean before you eat and after using the toilet. It is wise to carry medication with you, so, if you do become unwell you have doctor-approved medication available to take. We recommend packing one of our Worldwide Gastro Kits. Inside there is medicine to prevent and treat travellers diarrhoea, dehydration, mild infections, nausea and vomiting. Hopefully, you won’t have to use this kit, however, for peace of mind, it is better to be safe than sorry.
The Inca trail typically consists of between 6-9 hours of walking a day, with shared tent accommodation. Hiking the Inca Trail through the Sacred Valley to Machu Picchu is both arduous and awe-inspiring. Make sure you have good walking boots that are broken in before you start. Book an appointment with a podiatrist and osteopath if you have any niggles or pain before setting off. Take care of your feet throughout your adventure – keep them clean and dry to avoid problems. Any blisters should be cleaned and covered with a dressing to prevent pain and infection. Pack your own first aid kit with some basic medications for pain, allergies and upset stomachs in case you do become unwell. Access to medical supplies will not be until Aguas Calientes at the end of the trek. You can buy a Fleet Street Clinic Essential First Aid Kit online to save you the hassle of assembling yourself. We would recommend considering a medical pedicure upon your return. Treat our feet a little bit of TLC for taking you on an adventure of a lifetime.
We would encourage all those taking on the Inca trail adventure to consider booking a travel consultation with either myself or another of our specialist travel nurses. We all have extensive knowledge on what vaccines and health precautions you should take on an individual basis to remain healthy throughout your adventure. Chances are at least one of us has done a similar adventure so we can give you some first-hand experience on what to expect too!
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By Anna Chapman | Travel Nurse | July 2019
Peru is a fabulous destination for trekking. Whether it be hitting the 2400m mark of the Inca Trail to Machu Pichu or the dizzying heights of Ausangate at 6000m above sea level, preparation for travelling at altitude is key.
At heights of 2500m and above, air pressure is only half of what it is at sea-level, leading to a reduction in the amount of oxygen available. This ascent to high altitude is what causes altitude sickness, or acute mountain sickness. Subsequently, if one rapidly ascends to high altitude, and the body has not had sufficient time to acclimatise, altitude sickness can occur.
Mild symptoms can include:
However, altitude sickness can quickly evolve into more serious forms that affect either the lungs or the brain. Specifically, pulmonary or cerebral odema (a build-up of fluid in the lungs or brain) can develop, which can be fatal.
- Ascend to altitude slowly
- Do not exceed a sleeping altitude of 10,000 feet for the first few nights
- Do not exceed your sleeping altitude by 1000 feet per day
- Ensure you maintain good hydration and nutrition
Is there medicine for altitude sickness?
Many people who are travelling to altitude use DIAMOX (Acetazolomide). These are tablets that can help speed the body’s acclimatisation, and they are available at Fleet Street Clinic. Acetazolomide can be used as both a preventative medicine and as a treatment.
It is recommended that all travellers are up to date with their routine immunisations when travelling to Peru. All travellers should ensure that they have received a vaccination against diphtheria, tetanus, and polio in the last ten years. All travellers are advised to ensure they have been vaccinated against Hepatitis A and Typhoid.
There may be a need for additional immunisations. Depending on the nature of the trip, destinations visited, and the duration of both travel and activities, other vaccinations could be considered. These include:
- Hepatitis B
- Meningitis ACWY
There is a risk of malaria in areas of Peru and antimalarial medication may be advised. Furthermore, prevention against insect bites in Peru is essential.
FLEET STREET TRAVEL CLINIC
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By Anna Chapman | Travel Nurse | July 2018