The best way to avoid getting ill during your trip is to be as well prepared as possible.
19 September 2013
| Last updated on 30 January 2018Stay up to date with your vaccinations! Dr. Devine recommends booking an appointment with your family doctor several weeks before you go away to ensure there is plenty of time to have all the vaccinations required.
“Vaccinations are not foolproof but the risks of contracting something serious are reduced ten fold when you are vaccinated. You also need to make sure you have enough medication for your existing medical requirements as well. Packing a first aid kit that contains basic medicines such as painkillers and antihistamines is also a wise idea. Remember when you visit a new place, your body is not conditioned to the local environment and will succumb to illness more easily than someone who lives there; so basic precautions such as avoiding tap water and using insect repellent and mosquito nets are key.”
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Vaccinations Often Required:
Hepatitis A, B and C
An inflammation of the liver usually caused by a virus, hepatitis can cause mild symptoms or severe liver damage depending on the type you have. Hepatitis A occurs in places with poor sanitation and is caught by consuming food or water contaminated with the faeces of someone already suffering form the condition. While the flu-like symptoms can be unpleasant, it is rarely serious.
Hepatitis B and C can be found in bodily fluids like blood and saliva and can be passed from one person to another through needles, toothbrushes or any implement that has blood on it. While patients recover from Hepatitis B within a couple of months, Hepatitis C can lead to complications such as liver damage and even liver failure.
Prevention: Vaccinations are available for Hepatitis A and B and are recommended for those travelling to affected areas. There is no vaccine for Hepatitis C. Dr. Devine says, “I regularly see people with Hepatitis A and it’s something that will floor you for three months, yet it’s easily prevented with a vaccination.”
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Yellow Fever
A potentially fatal viral disease transmitted by infected mosquitoes in tropical regions of Africa and South America. Yellow fever can affect the sufferer in two stages. In the first stage, patients suffer a high temperature, chills, nausea and loss of appetite and see their condition improve within four days. In the second, more toxic stage, symptoms include jaundice, high fever, kidney failure and bleeding. Up t o 50% of people who enter the toxic stage die within two weeks. Those who recover are immune to the disease for the rest of their life.
Prevention: The condition is easily avoidable with a vaccination and a single dose will protect you for ten years. However, the vaccine is not suitable for pregnant or breastfeeding women and babies under six months. Some countries demand an International Certificate of Vaccination as a condition of entry. “If you fly back from a country where the condition is endemic and you haven’t got your certificate, you could be held in quarantine for a couple of weeks”, explains Dr. Devine.
Typhoid
A potentially fatal bacterial infection, typhoid can be picked up from food contaminated with bacteria called Salmonella typhi. The disease is usually found in developing countries with poor sanitation and the Indian sub-continent has the highest incidence in the world. Symptoms include sudden fever, nausea, headache, abdominal pain, loss of appetite, constipation and diarrhoea. Suffers treated promptly with a dose of antibiotics will recover quickly, but with out treatment, their condition can deteriorate dramatically, leading to internal bleeding, multiple organ failure and death.
Prevention: Vaccination is recommended for travellers visiting high-risk areas. Basic precautions include only drinking bottled water, avoiding raw or uncooked meats, salads, ice cream and ice-cubes.
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Prophylaxis often needed:
Malaria
Malaria symptoms are similar to flu with high fever, muscle pain, diarrhoea and vomiting, but the deadly Falciparum malaria can develop quickly with complications such as fits, breathing problems, liver failure and eventually coma and death.
Prevention: If the country you are travelling to is a malaria area, speak to your doctor about anti-malaria prophylaxis. “Most of the deadly malaria cases are imported from Africa”, says Dr. Devine. He advises using insect repellent, mosquito nets and wearing loose clothing to avoid being bitten in the first place.
Sunburn and Sunstroke
Sunburned skin is red and painful to touch but severe burn can cause blistering, swelling of the skin and fever. There may also be symptoms of sunstroke such as dizziness, headaches and nausea. The long-term danger of too much sunbathing is premature aging and skin cancer. Remember if a small baby or child has been sun burned or is suffering from blisters or fever, head to a hospital immediately.
Bites and Stings
A bite from an infected animal with rabies is also very serious and requires immediate medical attention. Rabies attacks the central nervous system and is potentially deadly.
Traveler’s Diarrhea
Prevention: Parts of the world with poor water hygiene include the Indian sub-continent, southern Africa and Central and South America so make sure you avoid drinking tap water or fruit juices and eating shellfish, eggs, salads, uncooked meats, ice cubes, ice cream or sauces.
Dysentery
Dr. Andrew Devine, GP, The City Hospital, Dubai Healthcare City