Due to the recent heavy rains in Bolivia travelers are advised to have up to date Yellow Fever vaccinations. The US Dept of State has issued a "Warden Message" and many, although not all, airlines are requiring proof of current inoculation.
I have had these when needed. They generally last for up to 10 years so it is well worth making the trek to wherever you have to go to get one if you expect to be off the beaten track.
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