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John Wargo is a guest contributor to Healthy Travel Blog and a full time employee of HTH Worldwide. He hails from Philadelphia where he enjoys a slew of awesome activities including intramural kickball. His travel experience includes most of Europe, as far as Istanbul. During his college career he also attended the University of Valencia in Spain for two semesters. He received a Bachelor of Arts in Communication from Denison University in Granville, Ohio and hopes one day to be a contestant on the Price is Right.

Fungus Among Us? Don’t Forget Your Flip Flops

Thursday, February 18th, 2010 by

Flurries floated to the ground as my taxi pulled up to the hostel in the Old Town of Stockholm. The facade of the hostel was immaculate and welcoming, unlike other parts of Europe where you truly get what you pay for.

I was stopping over in Sweden to visit my sister who was studying at the University of Stockholm. After a brief stay with her, my itinerary would take me through Finland and the Netherlands all the way down to the boot of Italy where I would catch a plane back to the states. I was pleased that I was able to fit all I needed (or so I thought) in my masterly arranged backpack, a skill inherited from my father.

My room in the hostel was just as expected, simple and efficient, something any Volvo owner would be proud of, with a shared bathroom down the hall. After my red-eye flight I was looking forward to a shower then meeting my sister for lunch. The first thing I looked for was my pair of flip-flops, and my heart dropped. In my mind I could see them sitting on my bedroom floor, across five thousand miles of Atlantic chop. Any (hygienic) college freshman values the flip flop. In the dorms, where 60-70 students share the same 10 showers, the flip flop offers protection from fungi, mycosis, athlete’s foot and any other sort of creepy-crawly hitchhikers that live in bathroom tile city. But I was in Sweden, one of the cleanest countries in Europe. The hostel was tidy and the bathroom looked better than the ones in my college dorm, so it must be okay to go sans flop, right? Wrong. I ended up paying the price in the form of a tag-along all the way to Rome, and he was no “fun-guy.”

Toenail fungus, known by physicians as onychomycosis, will affect 50% of Americans by the age of 70. Fungus infections occur when microscopic fungi gain entry through a small break or abrasion in the nail, then grow and spread in the warm, moist environment inside your socks and shoes. Symptoms of toenail fungus include swelling, yellowing, crumbling of the nail, streaks or spots down the side of the nail, and even complete loss of the nail. It is very difficult to cure so prevention is ideal. It helps to wear protective shoes or sandals in public showers, pool areas and gyms, and to avoid borrowing shoes or sharing socks or towels. Keep your feet dry as much as possible and change socks on a daily basis.

If you do develop a fungus, see a doctor.  You will want to be very clear about your symptoms, especially if you are in a foreign country. The common terms that we use in America don’t always translate well in other languages. For example, “athlete’s foot” in Italian is “il piede d’atleta”, but that won’t mean anything to a doctor; the medically correct translation is “infezione micotica.”  Once your condition is diagnosed, expect some common treatments such as trimming or filing affected areas and in severe cases, oral anti-fungal medication.

In conclusion, don’t let foot fungi uproot your travel plans. As inconvenient and unsightly as it is, fungi are easy to prevent — just think cleanliness. Also, don’t forget your flip flops, anytime you pack for a trip!

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Stop Me If You’ve Heard This One: Where I Met Montezuma

Wednesday, October 21st, 2009 by

fishtacos copyI recently came across a post on Road Junky where the author recounts a valuable lesson taught by a local woman in Guatemala.  Even though he had survived the local waters in several countries around the world, he refrained from sampling the Guatemalan brew.  Thanks to his guide, he witnessed the path the water took on the way to the spigot and made a smart decision.

I wish I had read this post BEFORE I set out on vacation to Los Cabos, on the Baja Peninsula in Mexico. Specifically, before I headed out to the restaurant recommended for its fish tacos and frittatas by a local fishing captain.  The tacos were every little bit of heaven that he described, but later I endured a hellacious experience that still pains me to recall.

Montezuma’s Revenge, the Cairo Two-Step and my personal favorite the Thai-dal Wave are colloquial names for Traveler’s Diarrhea (TD). Each year, an estimated 10 million travelers develop TD. The primary source of infection is ingestion of contaminated food or water.

The dominant risk factor in developing TD is the travel destination. High-risk destinations include Central American countries, the Middle East, South East Asia and Africa. Young adults and individuals with weak immune systems are at higher-risk for contracting TD, and although it usually resolves itself within three to five days, for those who contract a serious infection, TD can be life-threatening.

Prevention Tips

  • Maintain good hygiene and use only safe water for drinking and brushing teeth.
  • Use only bottled water and avoid ice.
  • Avoid raw fruits and vegetables unless peeled by the traveler.

If handled properly, well-cooked and packaged foods are usually safe. Eating raw or undercooked meat and seafood should be avoided. Dairy products, mayonnaise and cake or desert icing are associated with TD, as are foods or beverages purchased from street vendors or other establishments where unsanitary conditions are present.

With recent developments in technology, some resort destinations now have on-site water purification capabilities. It is wise to “know before you go,” so research whether tap water at hotels is considered safe. 

If you are unlucky enough to become a victim, the most important thing to do is to keep yourself hydrated.  There are many over-the-counter medicines available (Pepto-Bismol, Imodium, etc) to help with the symptoms, but don’t overuse them. If your symptoms do not resolve themselves within a few days, if the diarrhea is severe, bloody and/or accompanied by chills, or if you can’t maintain enough fluids in your system, find a doctor who will see you immediately. (And if you need help finding one, check out www.mpassport.com.)

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Advice from a business traveler: Managing the stress of connecting flights

Monday, August 17th, 2009 by

chicagoohare

On my left there is a rather large business man yelling in Dutch on his Blackberry and beginning to perspire. To my right, sits a lady looking slightly claustrophobic. We have been sitting on the tarmac for almost two hours in Charles de Gaulle International Airport (CDG), just outside Paris, France, waiting to disembark.  Unfortunately, CGD is so massive that there are not nearly enough gates for the amount of traffic they see each day. So unless you are on an Air France flight (Air France gets preference) you can expect a long wait when landing there.  As I sit watching other planes heading towards the runway, I realize that one of them is undoubtedly my connecting flight home to Boston.  Oh yeah, did I mention it is my birthday?  

Years ago, I was traveling between Lucerne, Switzerland and Boston, MA quite often for work. We were required to book our own flights, sometimes with two connections. Catching a connecting flight is like walking into a casino. It is always a crapshoot, and the house usually wins.  Finding ways to control the stress of dealing with situations outside of your control will help you enjoy a more successful business trip and a more relaxing stay at home.  Here are some tips to ease the frustration of connecting flights and cool your jets (pun intended).  

Always allow at least two hours between connections. Your first reaction may be to complain about sitting around the Frankfurt, Germany airport for couple of hours with nothing to do. Now think about missing your connection in Frankfurt and having six hours to visit the airport’s main attraction: the restrooms.

  • Use the internet to find a map of an unfamiliar connecting airport. A day or two before your flight, access the terminal floor plans to chart the shortest route between connections to save time. It will also ease the anxiety caused by navigating through a maze of signs, escalators and language barriers.  Of course, you will need to know your arrival and departure gates, but bring the chart with you just in case there are last minute changes.
  •  If possible, avoid airports that have a bad reputation: 
    • United States: ORD (Chicago), JFK (New York City), LAX (Los Angeles), SFO (San Francisco), IAD (Washington DC), ATL (Atlanta), PHL (Philadelphia), BOS (Boston), LGA (New York City)
    • Europe: FRA (Frankfurt, Germany) , CDG (Paris, France) , LHR (London, England), FCO (near Rome, Italy), ATH (Athens, Greece)

This above list is compiled mainly from personal experiences. (If you want some other informed opinions, look at Travel and Leisure, Yahoo, Flightline and even Wikipedia.)  The above airports are both old and inefficient or under constant construction. Airports are always updating their facilities but rarely improving services.

Do you have any advice you’d like to share?

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