Travel Tip: Travel Health Information for Good Health Before,During and After Your Trip
– ice-cream bought from street merchants (industrial ice straight from the deep-freeze is probably safe).
Cooked meals should be served hot. The place where you eat is also important. A meal taken from a stall presents a greater risk than a meal taken in a restaurant. Avoid restaurants where there are a lot of insects. Avoid tap water and ice-cubes. Bottled water and soft drinks are safe. Watch out for bottle caps that have already been used.
It is very important to disinfect drinking-water on adventure trips. Total sterilisation of drinking water is impossible. The following measures considerably reduce the contamination risk and safeguard your travel health:
– Boiling the water is very effective.
– A good alternative is chemical disinfection with chlorine drops (e.g. Hadex®, Drinkwell chloor®; available in sport shops specialized in outdoor activities) or chlorine tablets (Certisil Combina®; chloramine tablets; available at the pharmacy). Their effect can be improved by first filtering unclear water. Silver salts (Micropur®, Certisil Argento®) are not very suitable to disinfect water, but they keep disinfected water germ-free for a long time.
For adventurous travellers conscious to travel health it is best to buy a portable water-filter. The use of antibiotics in order to prevent diarrhoea before it occurs can be dangerous + Also the use of other preventive medications is not recommended.
. How to treat diarrhoea?
It is extremely important to consume sufficient liquid and salt in order to prevent dehydration. You can do this by taking salt solutions, but tea with lemon, broth, soft drinks and fruit juice, supplemented with salt crackers are tastier. Commercial salt products are available on the market (ORS-solution).
Taking an anti-diarrhoea preparation (loperamide, e.g. Imodium®) can greatly reduce the number of bowel movements, with a considerable reduction of the complaints as a result. Imodium® may only be used by adults and older children and only for treating ordinary watery diarrhoea: 1 capsule after every loose movement up to a maximum of 4 per day.
Antibiotics are indicated :
1. If blood, mucus or pus are present in the stools.
2. If after 24 to 48 hours, there is no sign of improvement and the diarrhoea is accompanied by fever (above 38.5 C) or severe abdominal cramps, or if there are more than six stools per 24 hours and especially when these also occur at night.
3. Or if because of travel circumstances a quicker solution is absolutely desirable . Appropriate antibiotics are only to be used on doctor’s prescription
· SEXUALLY TRANSMITTED DISEASES
Casual sexual contacts tend to be higher while on holiday abroad. Sexually transmitted diseases, particularly AIDS, form therefore an important risk for travellers. Quite often unintentional and unsafe sexual contact takes place under alcohol influence. Prevention while on holiday abroad is no different from the precautions you take at home. Adequate use of a condom, preferably bought at home, is absolutely essential. Only a water-soluble lubricant should be used, but it only offers a partial guarantee (e.g. KY gel). Vaccination against hepatitis B is advised. Always consult your doctor if you think you are at risk, even when there are no symptoms.
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