Check with your own travel doctor for expert advice to confirm what you require. It is a good idea to confirm that tetanus and diphtheria are up-to-date. Yellow fever vaccinations are recommended when entering the Peruvian Amazon. You may also consider other vaccinations like hepatitis A and typhoid. Some health professionals also recommended rabies vaccinations when travelling in South America. http://wwwnc.cdc.gov/travel/destinations/traveler/none/peru:*