Green Light Pharmacy - Travel Health Service
Helpful hints and advice
Visit a GP, nurse, pharmacist or travel clinic at least 8 weeks before your departure date, with a clear itinerary of your trip.
Make sure you have adequate travel insurance and that it covers the sort of holiday you are having - backpacking, adventure, skiing, cruise ship etcIf travelling in the EU, get your EHIC (replaces the E111) card for each family member, thereby ensuring you get the same level of healthcare as a local resident.
For background information on the state of health in the country you are visiting - goto the World Health Orginization's site.
Most diseases can be avoided by taking simple precautions eg:
- Avoid risky activities that may lead to accidents -
- Riding a motorbike or scooter without a helmet
- swimming in unfamiliar seas without life guards - in case of rips and tides
- Overexposure to sun and risking sunburn
- Over indulging in alcohol, or using illegal drugs can cloud your judgment
- Exposing yourself to crime - be aware of your surroundings and keep expensive personal belongs out of sight.
- Practice Safe Sex - use condoms, be careful with drinking alcohol.
Take care with food and water to help prevent diarrhoea, Typhoid and Hepatitis A -
- Use only boiled, sterilised or bottled water - including for washing food, cleaning teeth.
- Drink only bottled water - ensure the seal is not broken before use
- Carbonated soft drinks, beer, wine and hot tea or coffee are usually safe
- Avoid ice in drinks, unless you know the source of the water is safe
- Ensure food is freshly prepared and still piping hot (avoid warmed food)
- Avoid uncooked food especially (shell)fish - except food you can peel or shell yourself
- Avoid ice cream and drinks from kiosks and street vendors
- Avoid milk which may be unpasteurised
- Wash hands after visiting toilet, and before preparing or eating food
Have any vaccinations and anti-malarials you need
Avoid insect bites -
- Using a good quality insect repellant - like one containing up to 50% DEET applied on top of sunscreen, and for added protection sprayed onto cotton clothing.
- DEET is safe in children over 2 months of age, up to 50% in all pregancy stages, and breastfeeding.
- Covering up - especially after dusk
- Sleep under a mosquito net (impregnated with repellant or permethrin)
- Wearing light, loose clothing that covers as much as possible eg arms and legs
- use plug-in vapourisers or burning coils to keep insects away
- Consider taking Vitamin B1 - 1g per day starting two weeks before - as the smell in your sweat discourages insects biting (evidence is lacking)
Avoid Deep Vein Thrombosis (DVT) by -
- Move and bend legs and feet (including toes) every half hour.
- Take occasional walks once "seat belt sign" off
- Drink plenty of water, but avoid alcohol which dehydrates and reduces mobility (as does sleeping pills)
- sit comfortably without pressure points
- Consider compression stockings or taking low dose aspirin (check with doctor or pharmacist first) if at risk of DVT
Elderly Travellers
- Get Flu and Pneumococcal vaccinations if traveling in winter in that particular part of the world
- Take all medications needed for the length of the journey, plus a 'buffer' to cover emergencies (carry half in hand luggage and half in hold luggage)
- Take a note from your doctor listing (generically) the medicines you take and the conditions you have
- Check about a "fitness to fly" certificate if you suffer cardiac or respiratory conditions
- Check with the airline/shipping company if you have any special needs
- Make sure your insurance cover is adequate, and lists pre-existing conditions.