South America
Reviewed by Alexander Webber, Chief Epidemiologist · Updated 2026-08
Bolivia presents a complex health risk profile driven by its dramatic altitude variation, from high-altitude Andean cities to lowland tropical regions. Altitude sickness is a significant concern for visitors to La Paz and other highland areas above 3,500 meters. Tropical diseases including malaria, dengue, and yellow fever are present in the lowland departments of Beni, Pando, and Santa Cruz. Food and waterborne illnesses are common, and tap water is not safe to drink throughout the country.
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Malaria (predominantly P. vivax, with some P. falciparum) is present in the lowland tropical departments of Beni, Pando, and Santa Cruz below 2,500 meters. No malaria risk in La Paz or the Altiplano.
Drink only bottled or properly boiled water. Avoid raw vegetables, unpeeled fruit, and street food from vendors with questionable hygiene. Traveler's diarrhea is very common.
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