Prepare in advance for health issues in South America.
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My husband and I were in Peru -an Amazon River Cruise and Machu Picchu- about 3 weeks ago. We had numerous shots, took malaria pills plus pills for altitude sickness, which seemed to work well in Cusco and Machu Picchu. We also had bug off clothes and Deet which we wore and used in the Amazon. But somewhere, maybe Iquitos or outside Cusco, my husband got bug bits only where his socks were. They continue to itch and his ankles are still swollen, especially later in the day. I had no problem but my suggestion would be to use the Deet spray anywhere you go!