Street, NW, Washington, DC. 20009. Medical care available but varies in quality. Many hospitals take credit cards. Supplemental medical insurance with specific overseas coverage, including provision for medical evacuation, useful in emergencies. Incidents of luggage theft at airport.
Traffic accidents involve buses frequent.
Bus travel particularly dangerous, especially at night, because of crime. Crossing or approaching Ecuador-Peru border anywhere except at official checkpoints dangerous. Business disputes normally handled by civil litigation in US may be converted into criminal proceeding. Rodrigo Paz bureaux de change recommended as reliable. Rainfall high in coastal and jungle areas.