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No special vaccinations are required for a trip to Ecuador. Yellow fever and Hepatitis A vaccination are however recommended and if you are travelling to rural areas, you can add vaccinations for typhoid, rabies, and hepatitis B.
Most beaches in Ecuador are safe to swim in although rocks and sea creatures can pose a threat if you get to the shallows of the beaches. Some other beaches have strong undertow so ensure that you are aware of the tide and condition of the beach before going for a swim.
Fruits sold by the roadside in Ecuador are safe to eat as long as they are properly washed so when you buy fruits, ensure that you wash it personally before eating. Vegetables such as salad gotten in restaurants should not be eaten unless it is stated that they wash their vegetables with decontaminated water.
Ecuador has a comprehensive national health system that provides free healthcare to all residents without insurance. In developed cities and urban areas, there are high-quality doctors and appropriate medical facilities but these may be lacking in rural areas. Pharmacies that treat minor illnesses can easily be found in small cities.
If something comes up during your stay in Ecuador, you can dial the emergency numbers available. The numbers vary depending on the region. In Quito and Ibarra, dial 911, in Cuenca, Loja, and Guayaquil dial 112. Everywhere else, dial 101 for police, 102 for an ambulance or firefighters, and 131 for the Red Cross. Most operators only speak Spanish.
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