When we went to Manaus we were advised to have protection from Yellow Fever and Malaria and we did have these. If your itinerary includes Devil's Island in French Guiana then you were not allowed to go on the cruise unless you had been given a Yellow Fever Jab even if you intended to stay on the ship. I don't think things have changed. .... Neil.
We are travel agents and cruise fans - not trained medical advisors - please ask your doctor. Surely P&O also advise whether this is mandatory or not?
You are in the yellow fever zone so you should have the vaccine. See this site for details. http://www.nathnac.org/ which details requirements for every country in the world. However you should each definitely book an appointment with your GP practice nurse as there are other vaccinations you will need depending on your medical history. A yellow fever jab will cost around £50 per person. There is a high risk of malaria in the Amazon basin. However there is no vaccine, just tablets. Here again your practice nurse will advise.
With diseases such as malaria and yellow fever, you would be quite insane to take advice from anyone other than a qualified medical practitioner.
Where is the confusion? Get protected by asking advice at your local Dr's surgery. Have an enjoyable cruise.
When we travelled to Manaus a couple of years ago with P & O, if you did not have a Yellow Fever innoculation certificate you were not allowed to go ashore. On advice from the Travel Clinic in the UK we did take tablets for malaria.
Yes you do need to have a yellow fever inoculation . you need to go a a doctor in your area we had to pay some £60 each the certificate cover you for any tropical areas.
Malaria we took the tablets with us taking them as advised . again I seem to remember you have to pay for them . If you go on a 3 day trip into the jungle/forest you should take them
Our cruise with P&O old Arcadia .was fantastic manus is a one off!! the opera house Magnificent built inside with 36.000 ceramic tiles colors to the national flag
Also don,t miss the meeting of the waters , where two rivers meet.