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  Tips when touring
  General advice     Money matters     Health precautions     Luggage & claims     Car security     Travelling with pets     Travel terms  
 

Health precautions
     
 
G ood health is essential for successful travel. Nothing can spoil it more

than becoming ill. Take preventive measures before you leave home. Study the area that you plan to visit - its climate, elevation, humidity, the quality of its water,

  the availability of medical services - to ensure you will have a good trip. Find out what vaccinations you need for the places you plan to visit and get them well in advance in case you get a reaction.

Prescription drugs
  Take along a copy of your prescriptions for necessary medicines. Ask your doctor to include the generic name as some trade name prescriptions may not be available in Australia. Keep medicines in their original labeled container. If you need to take medications containing habit-forming or narcotic drug with you, carry a doctor's certificate attesting to that fact. These precautions will make Australian customs processing easier... To ensure you do not violate Australia's narcotic laws, consult the Australian embassy or consulate.

Medical alert
  Signing up with a medical data service can make travelling less worrisome. If you have allergies, reactions to certain medicines, or other unique medical problems, like diabetes or heart trouble, consider wearing a medical alert bracelet or carrying a medical alert card in your wallet or purse. It;'s a compact card available at most pharmacies stating any special medical conditions, allergies, and your blood type.

Leave a copy of your medical and dental records with your family or other contact person.


Jet lag
  Most travellers can only manage three time zone changes without feeling jet lag. It's best to get plenty of rest before departure and sleep as much as you can on the plane or rest with your eyes closed... For a few days before departure, if you are travelling west, go to bed a few hours later than you normally would. If you are travelling east, go to bed a few hours earlier. Eat lightly on departure day, drink plenty of fluids, and avoid alcohol. Order plenty of fluids, but try to avoid coffee. Try to get some exercise before the flight. Walk around the airport. Avoid sitting down while waiting to board.

Altitude sickness
 

If you live at a low altitude and travel to one that is higher by more than 5.000 feet, you can expect to take 10 to 14 days to adjust to an altitude change. You may tire easily, so reduce physical activity until you become accustomed. Avoid alcohol as it will have more pronounced effects... Altitude sickness symptoms include headache, nausea, fatigue, shortness of breath, and insomnia. Altitude sickness is generally cured by descending to a lower altitude, and if needed, take oxygen. Severe cases can become life threatening. At the fist signs of fatigue, take a break.


Motion sickness
 

Some travellers like to tell their ailing shipmates "it's all in your mind"... If you are prone to motion sickness, you will already know that no one is immune to motion sickness no matter how strong their intestinal fortitude... Given strong enough stimulus, everyone with a normal sense of balance will succumb. The process by which motion sickness occurs centres on the function of the inner ear, an organ that helps us keep our balance... Thankfully, modern cruise ships are equipped with stabilizers to minimize that rolling motion, and most avoid stormy seasons in various regions.

Generally, the first symptom is unusual paleness of the skin. This may be followed by yawning, restlessness, and a cold sweat. As the symptoms progress, malaise and drowsiness may set in, sometimes accompanied by a slightly upset stomach, or "gastric awareness." Then follows excessive salivation, nausea, and vomiting... Vomiting brings relief, if only for a short time. While motion sickness can ruin one's pride, one's suit, or an entire vacation, it seldom causes severe health complications. In extreme cases, though, prolonged vomiting can cause severe headache, prostration, dehydration, and disturbed mineral balance.


Prevention is easier that treating motion sickness once it has begun.

  • In a car, sit in the front seat, looking ahead.
  • In an airplane, choose a seat over the wing.
  • On a ship, remain amidships (preferably on deck), rather than below.
  • Lie on your back, in a semi reclined position, and keep your head as still as possible.
  • Look ahead, at the distant horizon. If that's not possible, it may be better to close your eyes rather than focus on fast-moving scenery or waves. Focus attention on something other than the motion of the vehicle.
  • Overindulgence in food or drink can predispose you to nausea and promote the onset of other motion-sickness symptoms.
  • Tobacco smoke and other odours, particularly from food, should be avoided.
Nonprescription drugs
There are currently three nonprescription drugs for preventing motion sickness. They are cyclizine hyrochloride (trade name Marezine),... meclizine hydrochloride (Bonine),... and dimenhydrinate (Dramamine). They are antihistamines. Take 30 minutes to an hour before travelling. These can cause drowsiness so you shouldn't be driving. Beware if you have glaucoma or prostate problems. If the others don't work for you, you may need a prescription drug called scopolamine; contact your doctor.

Traveller's diarrhoea
 

TD, as it is known, affects 20% to 50% of travellers. In addition to frequent bowel evacuations, its symptoms include abdominal cramps, nausea, bloating, fever, and feeling lousy.

  • Low-risk areas include Canada, northern Europe, Australia, and New Zealand.
  • Intermediate-risk areas include southern Europe and a few Caribbean islands.
  • High-risk areas include most of the developing countries of Latin America, Africa, the Middle East, Asia, and USSR.
The onset of TD is usually within the first week, but may occur at any time during the visit, and even after returning home. You get TD through ingestion of food or water that contains bacteria.

Before leaving home, do not take any antibiotics as preventive measures, since they can foster the growth of antibiotic-resistant bacteria in your body.


Never drink tap water or any drink with ice in it in high risk countries.

Avoiding diarrhoea
To avoid diarrhoea and other internal distresses common to travellers, stay away from fresh vegetable salads, (outside of the low risk countries previously mentioned), which can't be disinfected, and food that has been left out in the sun. In certain countries--but not all--you must never drink tap water or any drink with ice in it. Boil the water before drinking it or using it--even to brush your teeth. Better yet, stick to bottled water. Avoid uncooked vegetables, unpasteurised milk and milk products such as cheese, and eat only cooked food that is still hot, or fruit that you have peeled.

Avoid undercooked and raw meat, fish, and shellfish. Safe beverages include bottled carbonated beverages (especially flavoured beverages), beer, wine, hot coffee or tea, or water boiled or properly treated water. The eating place is important with private homes, restaurants, and street vendors listed in order of increasing risk.

If you get traveller's diarrhoea
--one or two unformed stools within eight hours accompanied by cramps, nausea, and malaise... do not however, succumb to the temptation to immediately swallow some medicine to stop it... Most cases of TD are usually short-term. You will need to replace fluids and salts lost. To treat, prepare one glass (8 oz.) of juice and one of water. Drink alternately from each until thirst is quenched.

  • The first glass should contain orange, apple, or other fruit juice with 1/2 teaspoon of honey or corn syrup plus a pinch of salt.
  • The second glass should contain boiled or carbonated water and 1/4 teaspoon of baking soda.
You also can use carbonated beverages or tea made with boiled or carbonated beverages. Avoid solid foods and milk. Pepto-Bismol tablets taken during your travels may help prevent the problem.

Consult a physician, rather than attempt self-medication, if the TD is severe or does not lessen within several days... if there is blood or mucus in the stool... if fever occurs with shaking chills... or if there is dehydration with persistent diarrhoea


Sight saving tips
  Take an extra pair of eyeglasses in case the first is lost or broken. If you cannot afford a second pair, take along an older pair. Take along enough cleaning solutions for contact lenses and spare lenses. Even if you wear contacts, it is imperative that you take along a pair of conventional glasses. Take eye ointment and a good decongestant eye drop, sunglasses, extra batteries for hearing aids, and other health related items. Carry these and any medications you need in your carry-on luggage.

Sunburn
  Australians are having a hard time letting go of the idea of a "healthy tan". A suntan is not healthy. Exposure to the sun is the primary cause of skin cancer. It also causes long-term skin damage and premature wrinkles. You should stay out of the sun during the middle of the day between 10.00am and 3.00pm or wear protective clothing or a sun block with SPF 15 or higher. It should also be waterproof if you plan to swim. Get one that protects you from different kinds of ultraviolet (UV) rays. Make sure your sunglasses protect your eyes from UV, otherwise you might increase your risk of developing cataracts and retinal damage... also see Sun Safety.

Dressing for travel
  When you know the climate you will know how to dress. For the Central and Northern regions of Australia, you should wear pure cotton and the clothes should be loose-fitting. Light coloured clothes reflect rather than absorb light. Clothes made of cotton/synthetic blends won't crease, are easily washed, and are good for tropical climates. In Australia's alpine regions during winter take long johns, a jumper (sweater), and wool ski pants. wool socks are best. Wear a windbreaker and long-sleeve shirts. Wear a wool cap that extends down over your ears and wear gloves. Consider the wind-chill factor and altitude as the wind combined with the cold makes the body feel it is much colder. Limit the amount of clothing you pack, but make sure it is adequate for the climate... see Australian climates

Sexually transmitted diseases
  To reduce the risk of HIV and AIDS and antibiotic - resistant STD's, travellers should avoid anonymous partners, prostitutes, and other persons who have or could have multiple sex partners... Avoid contact with anyone if you are aware of a genital discharge, warts, herpes lesions or any other suspicious genital lesions, AIDS, or evidence of HIV infection... avoid anal contact and genital contact with oral "cold sores"... Males should use condoms. Females should use diaphragms and spermicide but also insist male partners use condoms... If any symptoms of STD develop, see a physician immediately to receive appropriate treatment.

Health insurance
  For travellers who become seriously ill or injured on a trip to Australia, getting medical care in an Australian hospital can be costly. Make sure your medical insurance policy provides adequate protection for you and your family while in Australia. If you wish to get supplemental medical coverage, consult your health insurance company or contact your state insurance association for information on available protection for travellers.

Travel-specific insurance policies written by major insurers are available through Holidays Allover to cover doctors visits, hospitalisation, and outpatient care costs while in Australia. Air ambulance coverage is a plus in case you need medical assistance to return home from overseas. For a 2-week stay, you'll pay from approximately AU$100 for a single person to AU$220 for a family. Be sure to check maximum payout's, age restrictions, and which services aren't covered.


After you're home
  If you become ill after you return home, tell your doctor where you have been. Most persons who get viral, bacterial, or parasitic infections abroad become ill within 6 weeks after returning. Some diseases may not manifest themselves immediately, such as malaria, so it is advisable if you become ill, to tell your doctor where you have been to aid in the correct diagnosis.


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