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Great South American Journey - Lima to Rio

68 days | Trip Code: JMR

Countries Visited

Alternative Dates 2009
Joint booking prices (per person)

Local Payments now included on all Gap Adventures

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Available Discounts
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Inca Trail Status
Departures
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International airfare is not included

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Highlights

Peru, Nazca Lines, Colca Canyon, Inca Trail, Machu Picchu, Lake Titicaca, Bolivia, Salar de Uyuni Salt Flats, Chile, Santiago, Argentina, Buenos Aires, Uruguay, Brazil, Iguassu Falls, Rio.

Description

A 68 day South American odyssey spanning 6 countries: Peru, Bolivia, Chile, Argentina, Uruguay and Brazil. From the Andes to the surreal salt flats and the immense Iguassu Falls, this trip provides ample doses of adventure, nature and culture.

Inca Trail Advisory

Read our information page about the regulations and booking procedures for the Inca Trail to Machu Picchu, or learn about the annual Inca Trail Closure in February. Are you hiking Lares? View the Lares Trek route information.

Trip Details
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Map for JMR
  • StartFinish
  • Lima to Rio de Janeiro
  • Combination
  • This trip combines our Andean Discovery JML, Atacama Crossing JLS, Southern Sojourn JSB and In Search of Iguassu JBR tours.
  • What's Included
  • Colca Canyon excursion, Lake Titicaca excursion, Guided tour of Machu Picchu, 4-day Inca Trail hike with a local guide and cook, Uyuni Salt Flats Excursion (Chile/Bolivia), Entrance and visit to Iguassu Falls.
  • Group Size Notes
  • Max 15, Avg 10
  • Reverse Itinerary
  • This trip also runs in reverse - see trip code JRM.
  • Group Leader
  • Tour leader throughout, local guides.
  • Meals Included
  • 5 Breakfasts, 5 Lunches, 5 Dinners.
  • Transport
  • Public bus, Train, Local flight, Hiking, Ferry, 4X4.
  • Accommodation
  • Simple hotels (56 nts), Bus (7 nts), Camping (3 nts), Homestay (1 nt). Note: Accommodation can be quite basic/multi-share at times.
  • Meal Budget
  • Allow USD1120 for meals not included. For additional expenses, see Trip Details.
  • Brochure Notes
  • 1. Last minute bookings of this trip and all trips that include the Inca Trail will be on an "on request" basis only. To make a booking request of a tour which includes the Inca Trail Gap Adventures requires your full name, date of birth, nationality and passport number.

Day 1 Arrive Lima

Arrive in Lima at any time.

Day 2-4 Pisco/Nazca

Pisco is an oasis in a barren land and an important port town. It derives its name from the white grape brandy produced in the region. If you haven’t tried the national drink, Pisco Sour, then this is the place to do it. While the town itself is of considerable historical and archaeological interest, we also use it as a starting point for an optional visit to the Ballestas Islands, where we observe the sea lion colonies, penguins and a variety of other birds. Take an overnight bus on Day 4 to Arequipa.

Day 5-8 Arequipa / Colca Canyon

Peru’s second most important city after Lima, Arequipa, maintains a traditional colonial style and more laid back pace in comparison with the capital. Arequipa is built from a very light coloured volcanic rock called sillar, the older buildings dazzle in the sun, thus the nickname, “the White City.” The main plaza with its cafés and nearby cathedral is a top draw for visitors.

Day 9-16 Cuzco / Ollantaytambo / Inca Trail (3B, 3L, 3D)

Cuzco is the hub of the South American travel network. The city attracts thousands of travellers who come not just to visit a unique destination but also to experience an age-old culture very different from their 20th century way of life; one could easily spend a week just in and around the area. Cuzco is the continent’s oldest continuously inhabited city. Inca-built stone walls line most of the central streets and you don't have to go far to see other Inca ruins. It is a city steeped in history, tradition and legend.

INCA TRAIL:
The 4-day hike on the Inca Trail, to Machu Picchu, is included in the cost of the tour. For those interested in a challenging but worthwhile hike, the Inca Trail is exceptional, however you must be prepared for it! It is a 40-km (25 mile) hike, with 3 high passes to be crossed, one of which reaches an elevation of 4200m (13776 ft). The trail is often steep, and it may rain even during the dry season. The temperatures at night may fall below zero, so it is important to come prepared.

Day 17-19 Puno / Lake Titicaca

Today we travel through the high Altiplano region to get from Cuzco to Puno, on Lake Titicaca. There is an overnight excursion to the Islands on Lake Titicaca. This includes a visit to the Uros floating islands, and an overnight stay with a family on Taquile or Amantani Island. We return to Puno in the late afternoon.

Day 20-22 La Paz

The drive around Lake Titicaca and through the altiplano to La Paz, Bolivia is impressive. Founded by Alonso de Mendoza in 1548, La Ciudad de Nuestra Señora de La Paz (the City of Our Lady of Peace) is a great place to explore on foot. Although Sucre is the official capital, La Paz is the Bolivian centre of commerce, finance and industry, and the de facto capital. This is a busy modern city, with its centre at the base of a canyon 5 km (3 miles) wide, with sprawling impromptu housing all the way up the surrounding hillsides. The city is at nearly 4000 m (13,120 ft) above sea level, so visitors should be prepared for cool evenings and mornings.

Day 23-24 Cochabamba / Night bus

Staying in the highlands, we travel south to the city of Cochabamba, famous for its spring-like climate and for its chicha (fermented maize drink). Explore the museums and this pleasant city before climbing aboard a night bus headed for Sucre.

Day 25-26 Sucre

Often referred to as Bolivia’s White City, the country’s official capital, Sucre, is situated at nearly 2800m (9184 ft) and offers its visitors and inhabitants a more moderate, comfortable climate than cities at higher elevation. Before the conquest, military, religious and political leaders of the local indigenous population made their homes on the present day city site. The site became the headquarters for the Spanish Royal Court, which by the late 1700s ruled over colonial Paraguay, parts of Peru, Argentina, Chile, and most of Bolivia. In 1825, in the wake of the Latin American independence movement, the city was renamed Sucre, after Simon Bolívar’s second-in-command, General Sucre. The city’s fine museums, colonial buildings and ties to the independence movement make it a city of great historical interest, and the city has much to offer during our two day stay. Optional activities include a visit to dinosaur footprints, an old tin baron’s mansion, a textile cooperative, mountain biking and hiking.

Day 27-28 Potosí

Situated at 4070m (13,350 ft), Potosí is the highest city of its size on earth. UNESCO declared it a World Heritage Site in1987 in recognition of its tragic history in the mining of silver during the time of Spanish colonization. Potosí provided a large share of the silver mined and shipped back to Spain until the early 1800s, when both the supply of silver and world market prices began to decline.

Day 29-31 Uyuni / 4x4 Desert Crossing Excursion (2B,2L,2D)

We spend three days in the stunning landscapes between the Salar de Uyuni and the Atacama Desert (Chile), exploring by four-wheel-drive vehicles. Driving across the salt flats is a fantastic experience, particularly for the contrast of piercing blue skies and blinding white salt on the flat lakebed. The area’s unusual landscape of mountains, active volcanoes, and geysers is like nowhere on earth.

Day 32-34 San Pedro de Atacama

Descending almost 3000 metres from the high Bolivian altiplano, we arrive at the edge of the Atacama Desert, and to the small desert oasis of San Pedro de Atacama. There are plenty of optional excursions here, like biking, exploring nearby ruins, horseback riding, and a tour of the Valley of the Moon.

Day 35-37 Night bus / La Serena

A long bus ride takes us down Chile’s northern regions and to the beachside city of La Serena. The city has an attractive, colonial feel to it, with many places of interest outside the city. Take a tour to the Elqui Valley, visit a Pisco factory, or maybe stop by one of the numerous international astronomical observatories scattered throughout the valley. We spend 2 nights here before travelling to Santiago on day 38.

Day 38-40 Santiago

Santiago is Chile’s largest city and capital, with internationally recognized vineyards and Andean ski resorts very close by. Explore the many museums and parks, and visit the vibrant neighbourhood of Bellavista to see some handicrafts and trendy cafés. Optional day-trips include a trip to Valparaiso and Viña del Mar, Chile’s premier beach resort, and to Isla Negra, Pablo Neruda’s seaside home.

Day 41-44 Night bus / Pucón

After a full day exploring the capital city we will board a night bus bound for Pucón, in the Lake District. This is a Mecca for outdoor enthusiasts, with activities galore. Some of these include a volcano climb, hiking in one of the many national parks, rafting, mountain biking and skiing/snowboarding (in season).

Day 45-46 Puerto Montt/ Puerto Varas

A trip further south brings us to the city of Puerto Montt. This is Chile’s most important southern port and it is the gateway for explorers going further south into Patagonia. Take a day trip to the island of Chiloé and sample the seafood!

Day 47-49 Bariloche

After a beautiful journey through the mountains of upper Patagonia we will cross over into Argentina and arrive at Bariloche. Situated on the beautiful shore of Lake Nahuel Huapi, Bariloche is a year-round playground for skiers, hikers and outdoors enthusiasts of all types. A popular resort town for Argentines, the spectacular surroundings of Bariloche offer loads of outdoor options, like hiking, biking, parapenting, lake tours, and skiing/snowboarding (in season). Bariloche is also famous for its quality and quantity of chocolate. So wander around the city, enjoy the landscapes and eat chocolate!

Day 50 Night bus

A long bus journey carries us out of upper Patagonia and to the Argentine capital of Buenos Aires.

Day 51-52 Buenos Aires

Known as the ‘Paris of the Americas,’ Buenos Aires is a vibrant city full of life. Visit the districts of La Boca, Recoleta, and San Telmo or catch a tango show at one of the many famous tanguerías. Wander the pedestrian walkways and see some dancing in the streets. Whatever you do, Buenos Aires is sure to leave lasting memories.

Day 53-58 Colonia / Montevideo / Salto

Cross the Rio de la Plata by ferry to reach the shores of Uruguay. Explore Colonia’s unique culture, rich history and captivating architecture while you stroll down its cobble-stoned streets.

We then travel by bus to Montevideo, founded by the Spanish in 1726. Montevideo is the capital of Uruguay and is by far, the country's largest city. Over half of the population lives there (about 1 million) and the city dominates the commercial and cultural life of the nation. It's very lively and modern with many architecturally interesting buildings, yet the city also maintains a very quiet atmosphere. There are several good museums not to be missed, as well as some very good beaches just outside the city.

Later we travel by day through picturesque settlements and pastures finishing in our last Uruguayan stop of Salto. There you can relax in the thermal baths, enjoy spa treatments or have a blast at the water park.

Day 59-66 Iguassu Falls / Paraty /Ilha Grande

Our visit to Brazil begins with the magnificent Foz do Iguaçu, or Iguassu falls, bordering Brazil, Paraguay, and Argentina. In order to see the falls properly you need to view them from both the Brazilian and the Argentine side. The Brazilian side offers the grand overview, and the Argentine side, a closer look. The best time of the year to see them is from August to November, as from May to July you may not be able to approach the swollen waters on the catwalks. Experience an exhilarating optional boat tour at the falls or simply marvel at nature’s breadth and the roar of the falls.

Next stop is Paraty, a quaint colonial town on the coast renowned for its architecture. This is our kick-off point for a trip by bus and boat to Ilha Grande not far from the coast. Relax and enjoy a cool Caipirinha on the beach, or try the surf before proceeding on to Rio.

Day 67 Rio de Janeiro

Leaving the port after returning from Ilha Grande, a dramatic road then takes us down and north along the coast through superb scenery before rounding the cliffs at Vidigal, where we get our first glimpse of one of the most memorable cities in the world Brazil’s ocean-side jewel, Río de Janeiro.

Day 68 Depart Rio de Janeiro


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  • Guaranteed Departure - Guaranteed departure
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  • Request Space Available - Requested space available
  • Wait List Available - Wait list available


Having spent the three months prior to the trip travelling independently, it was great to be able just to enjoy the countries we visited and not have to worry about organising accommodation, transport etc. I definitely felt like I got to see much more of the countries and experience a lot more of the local culture travelling on the tour than if I had travelled on my own.

- Samantha W British

All the places we went to and the included activities were excellent. I loved the fact that out longest journeys were overnight, or early in a morning so we maximised the time we had in each new destination. Our accommodation was exceptional, surpassing expectations and central!

- Debra P British

It was very well organised tour that aimed to give a real insight to a country, added with an enthusiastic tour leader.

- Claire F British

I had no idea of what to expect but I had the best time. The staff was just great and the atmosphere was so easygoing. Juan did a great job. He was really patient and relaxed. He ensured we had a great time and took really good care of us when we needed, left us alone when we needed and most of all he was fun company and he made me feel safe.

- Elin J Swedish

Great overall experience, good value for money. You see and feel things more like a local not a tourist, always made to feel welcome.

- Elizabeth L Australian

See the rest of the reviews for Great South American Journey - Lima to Rio

This guide content provides general destination information. Events and highlights mentioned may or may not be experienced on your tour. Refer to your Trip Details document for inclusions.

Places To See

Machu Picchu

For many travelers to Peru, a visit to the lost Incan city of Machu Picchu is the whole purpose of their trip. With its awe-inspiring location, it is the best-known and most spectacular archaeological site on the continent. Despite being swamped by tourists from June to September, it still retains an air of grandeur and mystery. Alejandro Toledo, the country's first indigenous Andean president, impressively staged his inauguration here in 2001.

Apart from a few indigenous Quechuas, nobody knew of Machu Picchu's existence until American historian Hiram Bingham stumbled upon it in 1911. When Bingham returned in 1912 and 1915, he also discovered some of the ruins on the so-called Inca Trail.

Knowledge of Machu Picchu remains sketchy. Over 50 burial sites and 100 skeletal remains have been discovered during excavations. Some believe it was founded in the waning years of the last Incas in an attempt to preserve Incan culture, while others think it may have already become a forgotten city at the time of the conquest. A more recent theory suggests that the site was a royal retreat abandoned at the time of the Spanish invasion.

What is obvious from the high quality of the stonework and the abundance of ornamental work is that Machu Picchu must once have been an important ceremonial center.

Parque Nacional Manu

This vast national park in the Amazon Basin covers almost 20,000 sq km (12,427 sq mi) and is one of the best places in South America to see a stunning variety of tropical wildlife. Progressive in its emphasis on preservation, Unesco declared Manu a Biosphere Reserve in 1977 and a World Natural Heritage Site in 1987.

One reason the park is so successful in preserving such a large tract of virgin jungle and its wildlife is that it's remote and relatively inaccessible to people, and therefore has not been exploited by rubber tappers, loggers, oil companies or hunters.

At Cocha Salvador, one of the park's largest and most beautiful lakes, you'll find camping and guided hiking possibilities. With patience, wildlife is seen in most areas. During a one-week trip, you can reasonably expect to see scores of different bird species, several kinds of monkey and a few other mammals. The best time to go is during the dry season (June to November); much of Manu may be inaccessible or closed during the rainiest months (January to April). It is illegal to enter the park without a guide. Going with an organized group can be arranged in Cuzco or with international tour operators.

Cañón del Cotahuasi

This remote canyon is the deepest known canyon in the world - around twice the depth of the Grand Canyon, with stretches dropping down to below 3500m (11,480ft). While the depths of the ravine are only accessible to experienced river runners, the rest of the fertile valley is rich in striking scenery and trekking opportunities.

The canyon also shelters several traditional rural settlements that currently see only a handful of adventurous travelers. Hiring an experienced guide is the most socially responsible way to visit this remote region.

Islas Flotantes

The unique Islas Flotantes (floating islands) of the Uros people are Lake Titicaca's top tourist attraction. Although their popularity has led to massive over-commercialization, there is still nothing quite like them anywhere else in the world. The biggest island has several buildings, including a school, post office and an overabundance of souvenir shops.

Always a small tribe, the Uros began their unusual floating existence centuries ago in an effort to isolate themselves from aggressors. Today, several hundred people still live on the islands and eke out a living with fishing and tourism. The inhabitants of the most touristed islands have also built rickety observation platforms to survey the surroundings. There used to be a problem with begging and, while this has abated somewhat, you are asked not to give candy to the kids. It's worth noting that more authentic reed islands do still exist; these are located further from Puno, through a maze of small channels, and can only be visited with a private boat. The islanders here continue to live in a relatively traditional fashion and prefer not to be photographed.

Nazca Lines

Spread across an incredible 500 sq km (193 sq mi) of arid, rock-strewn land, the Nazca Lines remain one of the world's great archaeological mysteries. Eight hundred straight lines, geometric figures and some spectacular animal and plant drawings, the lines are almost imperceptible at ground level; only viewed from above do they form their striking vision.

So, who made the lines and why? Theories abound regarding their purpose, from a giant astronomical calendar to an extraterrestrial landing site. A more recent (and down-to-earth) hypothesis posits that the lines were part of a water fertility cult that once ruled Peru's southern desert. Entry on foot is prohibited to protect the lines.

Thirty-minute tourist overflights leave from Nazca's airstrip in the morning and early afternoon.

Events

Many of Peru's festivals are based around the Roman Catholic liturgical calendar. These are often celebrated with great pageantry, especially in indigenous highland villages where Catholic feast days are usually linked with a traditional agricultural festival. Some of the major events include Carnaval, which is particularly popular in the highlands and features boisterous water fights; Inti Raymi, the greatest of the Incan festivals with spectacular dances and parades; All Souls Day, celebrated with gifts of food, drink and flowers taken to family graves; and Puno Day, which features flamboyant costumes and street dancing in the Lake Titicaca region.

Pre-Departure Information

When to go?

Peru's climate can be divided into two seasons - wet and dry - though this can vary depending on the region. Temperature is mostly influenced by elevation: the higher you climb, the cooler it becomes.

Peru's peak tourist season is from June to August, which is the dry season in the Andean highlands. It's also the best time to go if you're interested in hiking or mountain climbing. While travelers visit the highlands year-round, the wettest months, December to March, make trekking a muddy proposition. Many of the major fiestas occur around this time and continue undiminished in spite of heavy rain.

On the coast, Peruvians visit the beach during the sunny, humid months from late December through March. The rest of the year, the coast is clothed in mist. In the eastern rain forests, it naturally rains a lot. The wettest months are December to May, but travelers visit year-round; it rarely rains for more than a few hours at a time and there's plenty of sunshine to enjoy.

Travel Visa Overview

With few exceptions (notably some Asian, African and communist countries), most travelers do not need visas when entering Peru. Tourists are permitted a stay of 30 to 90 days, stamped into their passports and onto a tourist card, called a Tarjeta Andina de Migración (Andean Immigration Card), that must be returned upon leaving the country. The actual length of stay is determined by the immigration officer at the port of entry. If you lose your tourist card, you'll have to queue up at an oficina de migraciónes (immigration office) for a replacement. Carry your passport and tourist card on your person at all times, especially when traveling in remote areas (it's required by law on the Inca Trail). Extensions of 30 days cost about 28.00 and can be obtained at immigration offices in Lima, Arequipa, Cuzco, Iquitos Puerto Maldonado, Puno and Trujillo, as well as near the Chilean and Ecuadorian borders. You can keep extending your stay up to 180 days total. When your time is up, you can leave the country overland and return a day later to begin the process again.

Anyone who plans to work, attend school or reside in Peru for any length of time must obtain a visa in advance. Do this through the Peruvian embassy or consulate in your home country.

Electricity

220V

60Hz

Electrical Plugs

American-style plug with two parallel flat blades above a circular grounding pin

Japanese-style plug with two parallel flat blades

European plug with two circular metal pins

Health Information

Cholera

An intestinal infection, cholera is acquired through ingestion of contaminated food or water. The main symptom is profuse, watery diarrhea, which may be so severe that it causes life-threatening dehydration. The key treatment is drinking oral rehydration solution. Antibiotics are also given, usually tetracycline or doxycycline, though quinolone antibiotics such as ciprofloxacin and levofloxacin are also effective.

Cholera occurs regularly in Peru, but it's rare among travelers. Cholera vaccine is no longer required to enter Peru, and is in fact no longer available in some countries, including the USA, because the old vaccine was relatively ineffective and caused side effects. There are new vaccines that are safer and more effective, but they're not available in many countries and are only recommended for those at particularly high risk.

Hepatitis

Several different viruses cause hepatitis; they differ in the way that they are transmitted. The symptoms in all forms of the illness include fever, chills, headache, fatigue, feelings of weakness and aches and pains, followed by loss of appetite, nausea, vomiting, abdominal pain, dark urine, light-colored feces, jaundiced (yellow) skin and yellowing of the whites of the eyes.

There are 6 known types of viral hepatitis: A, B, C, D, E and G. G is not dangerous. A and E are passed on by the fecal-oral route of transmission; there is a vaccine. Seek medical advice, but there is not much you can do apart from resting, drinking lots of fluids, eating lightly and avoiding fatty foods. A and E cause an acute illness, but you will recover fully from it.

B and D are passed on via blood, saliva, semen and vaginal fluids. They can be passed on by close contact, sexual contact, and blood-to-blood contact. The symptoms of hepatitis B may be more severe than type A and the disease can lead to long-term problems such as chronic liver damage, liver cancer or a long-term carrier state. There is a vaccine.

Hepatitis C is only passed on from blood-to-blood contact. There is no vaccine.

Malaria

This serious and potentially fatal disease is spread by mosquito bites. If you are traveling in endemic areas it is extremely important to avoid mosquito bites and to take tablets to prevent this disease. Symptoms range from fever, chills and sweating, headache, diarrhea and abdominal pains to a vague feeling of ill-health. Seek medical help immediately if malaria is suspected. Without treatment malaria can rapidly become more serious and can be fatal.

If medical care is not available, malaria tablets can be used for treatment. You should seek medical advice, before you travel, on the right medication and dosage for you.

If you do contract malaria, be sure to be re-tested for malaria once you return home as you can harbor malaria parasites in your body even if you are symptom free.

Travelers are advised to prevent mosquito bites at all times. The main messages are: wear light-colored clothing; wear long trousers and long-sleeved shirts; use mosquito repellents containing the compound DEET on exposed areas (prolonged overuse of DEET may be harmful, especially to children, but its use is considered preferable to being bitten by disease-transmitting mosquitoes); avoid perfumes and aftershave. Use a mosquito net impregnated with mosquito repellent (permethrin) - it may be worth taking your own.

Rabies

This is a fatal viral infection. Many animals can be infected (such as dogs, cats, bats and monkeys) and it's their saliva that is infectious. Rabies occurs in all South American countries. In Peru, most cases are related to bites from dogs or vampire bats, but any bite, scratch or even lick from a warm-blooded, furry animal should be cleaned immediately and thoroughly. Scrub with soap and running water, and then apply alcohol or iodine solution.

Medical help should be sought promptly to receive a course of injections to prevent the onset of symptoms and death.

Yellow fever

A life-threatening viral infection, yellow fever is transmitted by mosquitoes in forested areas. The illness begins with flulike symptoms, which may include fever, chills, headache, muscle aches, backache, loss of appetite, nausea and vomiting. These symptoms usually subside in a few days, but one person in six enters a second, toxic phase characterized by recurrent fever, vomiting, listlessness, jaundice, kidney failure and hemorrhage, leading to death in up to half of the cases. There is no treatment except for supportive care.

Yellow-fever vaccine is strongly recommended for all those who visit any jungle areas of Peru at altitudes less than 2300m (7546ft). Most cases occur in the departments in the central jungle. Proof of vaccination is required from all travelers arriving in Peru from an area where yellow fever is endemic in Africa or the Americas. Yellow-fever vaccine is given only in approved yellow-fever vaccination centers, which provide validated vaccination certificates. The vaccine should be given at least 10 days before any potential exposure to yellow fever and remains effective for about 10 years.

Reactions to the vaccine are generally mild, though some people may experience severe side effects. While you may not be required to have proof of a yellow-fever vaccination to enter Peru, after visiting a region where yellow fever occurs, you'll need to have the vaccination to get to most other countries - even your home country. So you're better off getting your jab before you leave home.

HIV/AIDS

The Human Immunodeficiency Virus (HIV) may develop into Acquired Immune Deficiency Syndrome (AIDS; SIDA in Spanish). HIV/AIDS has been reported in all South American countries. Exposure to blood or blood products and bodily fluids may put an individual at risk. Be sure to use condoms for all sexual encounters. Fear of HIV infection should never preclude treatment of serious medical conditions as the risk of infection remains very small.

Dengue fever

This is a viral infection found throughout South America. Dengue is transmitted by aedes mosquitoes, which usually bite during the daytime and are often found close to human habitations. They breed primarily in artificial water containers, such as cans, cisterns, metal drums, plastic containers and discarded tires. As a result, dengue is especially common in densely populated, urban environments, including Lima and Cuzco.

Dengue usually causes flulike symptoms, including fever, muscle aches, joint pains, headaches, nausea and vomiting, often followed by a rash. The body aches may be quite uncomfortable, but most cases resolve uneventfully in a few days. Severe cases usually occur in children aged under 15 who are experiencing their second dengue infection. There is no treatment for dengue fever except to take analgesics such as acetaminophen/paracetamol (Tylenol) and drink plenty of fluids. Severe cases may require hospitalization for intravenous fluids and supportive care.

Tetanus

This infection is caused by a germ that lives in soil and in the feces of horses and other animals. It enters the body via breaks in the skin, so the best prevention is to clean all wounds promptly and thoroughly with an antiseptic. Use antibiotics if the wound becomes hot or pus-filled, or throbs. The first symptom may be discomfort in swallowing, or stiffening of the jaw and neck; this is followed by painful convulsions of the jaw and whole body. The disease can be fatal, but is preventable with vaccination.

Bartonellosis

Bartonellosis (Oroya fever) is carried by sand flies in the arid river valleys on the western slopes of the Andes in Peru, Bolivia, Colombia and Ecuador between altitudes of 800m (2625ft) and 3000m (9843ft). (Curiously, it's not found anywhere else in the world.) The chief symptoms are fever and severe body pains. Complications may include marked anemia, enlargement of the liver and spleen, and sometimes death. The drug of choice is chloramphenicol, though doxycycline is also effective.

Chagas' disease

Chagas' disease is a parasitic infection that is transmitted by triatomine insects (reduviid bugs), which inhabit crevices in the walls and roofs of substandard housing in South and Central America. In Peru, most cases occur in the southern part of the country. The triatomine insect drops its feces on human skin as it bites, usually at night. A person becomes infected when he or she unknowingly rubs the feces into the bite wound or any other open sore. Chagas' disease is extremely rare in travelers. However, if you sleep in a poorly constructed house, especially one made of mud, adobe, or thatch, you should be sure to protect yourself with a bed net and a good insecticide.

Leishmaniasis

Leishmaniasis occurs in the mountains and jungles of all South American countries. The infection is transmitted by sand flies, which are about a third of the size of mosquitoes. In Peru, more cases have been seen recently in children aged under 15, due to the increasing use of child labor for brush clearing and preparation of farmlands on mountain slopes of the Andes. Most adult cases occur in men who have migrated into jungle areas for farming, working or hunting. Leishmaniasis may be limited to the skin, causing slowly growing ulcers over exposed parts of the body, or less commonly may disseminate to the bone marrow, liver and spleen. There is no vaccine.

Diarrhoea

To prevent diarrhea, avoid tap water unless it has been boiled, filtered, or chemically disinfected (eg with iodine tablets); only eat fresh fruits and vegetables if cooked or peeled; be wary of dairy products that might contain unpasteurized milk, and be highly selective when eating food from street vendors.

If you develop diarrhea, be sure to drink plenty of fluids, preferably an oral re-hydration solution containing lots of salt and sugar. A few loose stools don't require treatment but, if you start experiencing more than four or five stools a day, you should start taking an antibiotic (usually a quinolone drug) and an antidiarrheal agent (such as loperamide).

If diarrhea is bloody, or persists for more than 72 hours, or is accompanied by fever, shaking chills or severe abdominal pain you should seek medical attention.

Altitude sickness

In the thinner atmosphere above 3000m (9842ft), or even lower in some cases, lack of oxygen causes many individuals to suffer headaches, nausea, shortness of breath, physical weakness and other symptoms that can lead to very serious consequences, especially if combined with heat exhaustion, sunburn or hypothermia. Acute mountain sickness (AMS) can affect anyone and care should be taken to avoid ascending mountain peaks above 3000m too quickly. Sleep at a lower altitude than the greatest height reached during the day, if possible.

Weather Information

The coastal region of Peru is cool for its latitude, and quite dry year-round. Temperatures are warmest during the summer months (January to March), with hot and humid days of around 29°C (84°F) and cool nights of just below 20°C (68°F). Winters are not too cold, but frequent low cloud may cause some to pine for sunshine. Inland, the temperature drops substantially, with less seasonal variation during the day - average highs are about 21°C (70°F) throughout the year and winter nights are chilly, particularly at higher elevations. There is also a moderate wet season here from December until May.

History and Culture

Pre-20th Centure History

The first inhabitants of Peru were nomadic hunter-gatherers who lived in caves in the coastal regions. The oldest site, Pikimachay cave, dates from 12,000 BC. Crops such as cotton, beans, squash and pepper chilis were planted around 4000 BC. Later, advanced cultures such as the Chavín introduced weaving, agriculture and religion to the country before inexplicably disappearing around 300 BC. Over the centuries, several other cultures - including the Salinar, Nazca, Paracas Necropolis and Wari (Huari) - became locally important. By the early 15th century, the Incan empire had control of much of the area, even extending its influence into Colombia and Chile.

Between 1526-28, the Spanish conquistador Francisco Pizarro explored Peru's coastal regions and, drawn by the riches of the Incan empire, returned to Spain to raise money and recruit men for another expedition. Return he did, marching into Cajamarca, in northern Peru, before capturing, ransoming and executing the Inca emperor, Atahualpa, in 1533. Pizarro subsequently founded the city of Lima in 1535, but was assassinated six years later. The rebellion of the last Inca leader, Manco Inca, ended ingloriously, with his beheading in 1572.

The next 200 years proved peaceful, with Lima becoming the major political, social and commercial center of the Andean nations. However, the exploitation of indigenous Peruvians by their colonial masters led to an uprising in 1780 under the self-styled Inca Tupac Amaru II. The rebellion was shortlived and most of the leaders were rounded up and executed. Peru remained loyal to Spain until 1824, when the country was liberated by two 'outsiders': the Venezuelan, Simón Bolívar, and the Argentinian, José de San Martín. In 1866, Peru won a brief war with Spain but was humiliated by Chile in the War of the Pacific (1879-83), which resulted in the loss of lucrative nitrate fields in the northern Atacama Desert.

Modern History

In 1941, Peru went to war with Ecuador over a border dispute. The 1942 treaty of Río de Janeiro ceded the area north of the Río Marañón to Peru, but the decision was contested by Ecuador.

Cuban-inspired guerrilla uprisings in 1965 were unsuccessful. In the 1980s, however, nationwide strikes and a violent insurgency by Maoist Shining Path (Sendero Luminoso) guerrillas caused political instability.

Alberto Fujimori's 1990 presidential election victory over Peruvian novelist Mario Vargas Llosa, and the 1992 capture of MRTA and Sendero Luminoso leaders, buoyed hopes for peace.

Unemployment and poverty remained the main threat to domestic stability, despite Peru's fast-growing economy. Fujimori was re-elected in 1995, beating former UN secretary general, Javier Pérez de Cuéllar. A treaty was signed with Ecuador in 1998, resolving the 57-year-old border dispute and paving the way for increased foreign investment in both countries. However, much of the unexploded ordinance (UXO) along the border has yet to be cleaned up. In November 1999, Peru and Chile settled a territorial dispute over Arica.

In 2000, Alejandro Toledo, an indigenous Andean who became a World Bank economist, gave Fujimori the election run of his life. Though Fujimori was ultimately victorious he resigned in November and fled to Japan following charges of human rights violations and corruption made against his intelligence advisor.

Toledo became the country's first indigenous president in 2001, but the path to bringing Fujimori to justice was torturous. It was revealed that some 69,000 Peruvians died during decades of fighting between rebel and government forces.

In 2002, a car bomb exploded near the US Embassy in Lima, killing 10 people. It was thought to have been detonated by the Shining Path guerrilla group.

Recent History

By 2003, the currency was strong but Peruvians faced unemployment, stagnant wages and a higher cost of living - and Toledo's popularity was at an all-time low. In November 2005, Fujimori returned to South America, announcing plans to run for the presidency once again. He was quickly arrested in Chile on an extradition warrant. With Fujimori out of the way, the 2006 presidential elections narrowed to a face-off between the populist nationalist Ollanta Humala, and ex-president lan García. Voters elected the more conservative García.

However, though Peruvians may be better off now than they were under Fujimori, the seemingly intractable problems of poverty and unemployment remain.

Labor strikes for higher wages and political protests happen quite often. This unrest can be tiresome for travelers, who may find their trip suddenly delayed. It's not really a big deal to Peruvians, though, who are used to accepting such disturbances as facts of life.


© 2009 Lonely Planet Publications Pty Ltd. All rights reserved.

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