Medical considerations and emergencies Yellow Fever InoculationsYellow fever inoculation is required for travel to Tambopata. Leishmaniasis Leishmaniasis is present throughout the rain forests of southeastern Peru. It is a skin lesion caused by a protozoan transmitted by a certain kind of small biting fly. There is no vaccination against it but it is curable in every case.The selected cure, injections of pentavalent antimony (Glucantime), is uncomfortable. Leishmaniasis is also very easy to prevent by wearing long-sleeved shirts, pants, and repellent on exposed skin at all times, and sleeping under mosquito nets. If you are interested in receiving complete information on leishmaniasis contact us before your trip. Malaria Malaria is present but extremely rare. If you wish to take medical precautions against malaria consult your physician or a specialist in tropical medicine. Emergencies In case of emergencies we have a first aid kit that is equipped to deal with most cases that may reasonably arise in the area. Our guides are all certified by the Red Cross, which means they are prepared to deal with foreseeable emergencies (broken bones or snake bites, for example) but not complex emegerencies (such as an appendicitis). For snake bites, an unheard of at Tambopata so far, we have a stun gun, extractors and an anti-venom at the lodges. In case of evacuation, we need to travel by boat by to Puerto Maldonado. During the day, evacuations take about 20% less time than our regular boats. During the night, evacuations take about 30% more. In Puerto Maldonado there is access to a state clinic.