Risk is present in two separate geographical areas:
1) Rural and suburban areas of departments in the northern part of the country bordering Ecuador: Tumbes, Piura, Cajamarca, Amazona, and Loreto (foci in eastern Loreto in the areas of Javary and Amazon rivers bordering Brazil).
Main vector: Triatoma dimidiata
2) In the southern half of Peru in areas below 3500 m / 11,483 ft, particularly in the rural and suburban areas of the following coastal departments: Arequipa, Ica, Moquegua, Tacna.
Main vector: Triatoma infestans. The insect is locally known as 'vinchuca' or 'chirimacha'.