Cheap and easy travel has shrunk the globe and opened
up all sorts of exciting holiday destinations. But the ability to
reach almost any point on the planet in little more than a day can
bring some tricky problems too, not least for your
health.
So if you want to return rested rather than wrecked, plan well
in advance. Whether you’re heading for Bognor Regis or
Baluchistan, a little preparation can reduce the stress of being
away from home and help you avoid most holiday health
disasters.
First, do some research into the area to find out what the local
health risks are and where you can turn for help. For example, is
the water safe to drink? Are there infections to watch out for or
other hazards such as poisonous insects? Can your hotel find you a
doctor if you need one ? Check what vaccinations you will need.
Your GP’s surgery can direct you to the local travel medicine
clinic which will have the most up-to-date information, including
advice concerning the risk of malaria.
Don’t leave the country without travel insurance. The
price of medical treatment abroad can be a very unpleasant shock.
Fortunately the UK has reciprocal health arrangements with other
European countries and Switzerland. To make the most of these, you
will need a European Health Insurance Card (EHIC), which has
replaced the old E111 form. You can apply for one online or through
the Post Office. However you may need insurance too, for example to
get you back home if you are ill.
Make sure you are as fit as possible before you travel,
especially if you are heading to remote regions. Now is the time to
get nagging problems, such as a toothache, sorted out and top up
your immunity with boosters such as zinc and vitamin C
supplements.
When I travel, I’m always tempted to pack half the
pharmacy but some essentials include:
- All your regular medicines, carefully labelled.
- A supply of first-aid items such as wound dressings, antiseptic
creams, anti-histamine creams for insect bites and an elastic
bandage for sprains.
- Pain killers.
- Medicines for diarrhoea.
- Sun-protection creams.
- Insect repellants (and mosquito net in malaria areas).
- Water-sterilisation tablets.
- Travel sickness treatments.
For very remote locations, you may want to take an emergency
kit, with syringes, needles, sutures and even an intravenous fluid
set.
Finally keep with your passport a printed list of any regular
medication you take in case you lose yours or need more.
To reduce the risk of blood clots in the legs associated with
longdistance travel, especially flights, take an aspirin (or
pycnogenol tablet) before you set out (unless contra-indicated) and
wear antithrombus stockings. Drink plenty of fluid during the
journey and exercise your legs at frequent intervals. Long-distance
travel can also cause jet lag. Exposure to bright daylight, as well
as short bouts of exercise, can help reset the body clock, so get
out for a brisk walk or run when you arrive.
You may have been dreaming about sun-soaked beaches for months
but within a few hours sunburn could ruin your holiday. Build up
your exposure to the sun very slowly, use high-protection creams
and cover up with hats, sleeves and sunglasses.
Another common holiday misery is traveller’s diarrhoea.
Choose food carefully - steaming hot dishes are most likely to be
safe. Avoid uncooked vegetables or salad and choose fruit that you
can peel. Drink water from sealed bottles (fizzy drinks are
reliable) and don’t have ice. You may want to pack a supply
of probiotic supplements. These can help repopulate the intestines
with healthy bacteria and cut down the likelihood and duration of
gastroenteritis.
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