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Public bathrooms in Peru?

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This is a weird question, and the concern is due to certain medical needs, so please be considerate. Don’t tell me to “adjust to local conditions” or that I am too pampered, so I need to stay home.

We are planning a 2-weeks trip next summer to Peru , and have some concerns regarding the availability of clean facilities / bathrooms with running water during our day trips. I might just be ignorant in this matter, and this might not be an issue at all, but need confirmation that we can find them in: Lima , Cusco, Sacred Valley , MP. I am not worried about the hotels we will stay in, and we will not track to MP.

Other than restaurants (at lunch time), how feasible is to find clean bathrooms with running water when visiting the towns of Sacred Valley ? I suppose this might not be an issue in Lima and Cusco, but please confirm. What about MP? I heard that the only bathroom is outside the park, not sure about its cleanliness, but would we be allowed to use the one in the hotel there?

Our other Peru destination is Manu – and while I am not worried about the Manu Wildlife Center where we plan to stay, I am worried about the “jungle bathrooms” during day trips. Can we avoid using them? How long are (generally), these trips?

In the end this issue will make or break our planned trip, so I would really appreciate your input. Thanks.

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