Archive for the ‘Travel Tips’ Category

Mountainous Melanoma! Elevated Erythema! It’s High Altitude Sunburn!

Tuesday, August 31st, 2010 by Guest Author

Beach season may be drawing to a close in the Northern Hemisphere, but it’s not too late to get a really nasty sunburn, especially if you’re traveling to a high altitude area.  A study conducted by the Ronald O. Perelman Department of Dermatology at the New York University School of Medicine suggests an approximate 8 to 10 percent increase in ultraviolet intensity for each 1,000 feet of elevation across the studied altitudes. UV-B intensity decreases as light moving toward the Earth is scattered, reflected and/or absorbed. The higher the altitude, the more intense the UV-B light exposure can damage unprotected skin.

If you are hiking at 8,500 feet, you are exposed to almost 60% more sun than you would be at the beach. It’s no surprise, then, that at higher elevations, people who normally tolerate the sun well, may not, and people who burn easily at the beach are at severe risk. In less than twenty minutes, fair-skinned people may notice their skin becoming red and sore, even if they are a lightly shaded by trees overhead. Reflected light from snow or water aggravates the situation even more, as many vacationing skiers have found to their chagrin.

With the increased exposure to UV-B, the expected annual non-melanoma skin cancer rate for year-round residents at 8,500 feet is estimated to be approximately 115 percent greater than those living at sea level at the same latitude.

So it’s not just leisure travelers who need to take precautions. Expats should know that living at high altitudes and suffering repeated sunburns can have lasting effects. The National Institutes of Health reminds us that living at high altitudes is a definite risk factor for melanoma, or skin cancer.

Take extra precautions when traveling or living at elevations significantly higher than sea level. Be sure to pack sunscreen (SPF 70!), and apply it often and liberally. And don’t forget to pack your sunglasses—intense sunlight is damaging to the eyes too. More on this important issue later.

Author: Melissa Haertsch
Melissa Haertsch, a guest contributor to the Healthy Travel blog, is a freelance writer specializing in healthcare, travel and fine food. She favors outdoor-related journeys, which she launches from her home in the Endless Mountains of Pennsylvania.

Photo by Sicran.

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Take a Vacation! It’s Good for You

Monday, August 30th, 2010 by Guest Author

A recent article in the Wall Street Journal addressed two studies that show the health benefits of planning and taking a vacation.  According to the studies, wellness factors such as health status, mood, and tension, energy and satisfaction levels all improved before and during vacations.  Unfortunately, these factors all dropped back to their original levels or lower after returning to work.  On the other hand, the studies also showed that increased happiness can come just from the anticipation of having a planned vacation in the future.

Many health benefits from vacation have been shown through studies over time.  According to a past article in the New York Times, the Framingham Heart Study, which was published in 1992, found that women who took a vacation once every six years or less were almost 8 times more likely to have a heart attack or develop heart disease than women who took at least two vacations each year.  Over 9 years, the study also followed 12,000 men who were at risk of heart disease, and the men who went on more frequent vacations lived longer.  The article also stated that even two to three days of vacation can lead to more and better quality sleep.

Taking a vacation, however, means checking out mentally, not just physically.  According to a study done by professors at Tel Aviv University, the benefits of a vacation are not the same for people who are constantly checking their work phone or email.  People who are constantly connected to work while away are more likely to experience burn out.  For your health, put the Blackberry away, pick a destination, and start planning your next vacation!

Author: Christie Erdman
Christie Erdman, a guest contributor to the Healthy Travel blog, is a recent graduate of the University of Richmond with a degree in Economics and Marketing.  She enjoys traveling, and had the opportunity to spend a semester studying at Universita Bocconi in Milan, Italy during her junior year.

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Rabies: Little Critters Carry Big Diseases

Thursday, July 22nd, 2010 by Guest Author

Although rabies is rare in the U.S., it is still a risk in both rural and urban areas.  A recent New York Times article, Taking the ‘Wild’ in Wildlife Seriously, reminds us that rabies can occur anywhere and is a very real threat to health and safety.

Outside the U.S., rabies is even more common.  According to the World Health Organization (WHO), 55,000 people die of rabies each year; 95% of these fatal cases occur in Asia and Africa.

Rabies is most often transmitted to humans through a bite from an infected animal. Simply petting or being licked by an infected animal does not generally cause disease. Modern rabies therapy has an extremely high success rate, so it is imperative to get help immediately if bitten, especially because once the flu-like clinical signs of rabies develop in a human, the disease is almost always fatal.

Travelers should be aware of animals wherever they are, particularly those behaving with unusual boldness around humans.  Because any animal – wild or domestic – can pose a threat, contact with any unfamiliar ones should be avoided. 

Although the rabies vaccine is not necessary for most travelers, it is available for high-risk individuals such as field biologists who expect to be handling animals.  It may also be appropriate for those traveling in areas where rabies is still a problem in domestic animals and where prophylactic care may not be readily available, such as for hikers exploring remote rural areas.  If you’re not sure whether you need the vaccine, check out the CDC recommendations for getting the rabies vaccination before traveling.

Author: Melissa Haertsch
Melissa Haertsch, a guest contributor to the Healthy Travel blog, is a freelance writer specializing in healthcare, travel and fine food. She favors outdoor-related journeys, which she launches from her home in the Endless Mountains of Pennsylvania.

Photo by bartmaguire

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U.S. Passport Fees to Increase on July 13th

Thursday, July 8th, 2010 by Andy Orr

Fees for U.S. Passports increase substantially in less than a week.  Currently, adult fees for the standard Passport Book are $100 for a new one and $75 for renewals.  These fees rise to $135 and $110, respectively.  For children the increases are also large.  Current fees are $85 for new passports or renewals; this will go up to $105.

Some other fees are also going up or are being charged for the first time – additional pages for your book used to be free but are now $82, and the file search fee has gone up from $60 to $150.  The file search is required when an applicant is unable to present proof of citizenship.

All of the details can be found at the U.S. Department of State’s web site – new fees and current rates.

We put together a simple chart to highlight the changes (see below). 

The State Department’s main page for passports can answer all of your questions about passports – when you need one, how to get one fast, what to do when you lose one, etc.  Get prepared for your next fun, international trip and save some money by doing it this week!

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Flight Risk: Airline Food

Wednesday, June 30th, 2010 by Moira Bishop

Some people may have been disappointed when many airlines stopped serving meals on flights. However, in light of a new report from the Food and Drug Administration (FDA), this might be good news.

The FDA conducted inspections at three large airline caterers, and the results showed that in some of their kitchens the food had been handled and stored improperly, some conditions were less than sanitary and some locations were lacking in proper pest control. 

Now that attention is being paid to the matter, conditions will likely improve. But in the meantime, you might want to consider buying your meal in the airport and carrying it on board with you.

Have you had a bad experience with airline food? If so, please share your story with us.

Photo by ReneS

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Preparing for Mancation (or just Vacation)

Wednesday, June 23rd, 2010 by Andy Orr

As we start thinking about summer vacation plans (ok, I am a little behind schedule here), I thought it might be helpful to post some links to a couple of interesting articles I read recently.

The first introduced me to the word “mancation,” a term that is new to me, but supposedly coined back in 2002.  My first reaction to the Wall Street Journal article, Guys Just Want to Have Fun, by Sue Shellenbarger, was wondering how many people could actually take an eight-week long cross-country cycling trip and then, what do these people do for a living.

In addition to the normal golfing and fishing trips, the column focused on the more extreme activities that men sometimes pursue – things like simulated dog-fighting in vintage airplanes or shark-diving expeditions.  Here at the Healthy Travel Blog we often write about the risks that travelers may encounter during standard vacations. But mancations offer a whole new realm of danger and risk. What are travelers doing to take precautions against possibly bad outcomes?  More preparation, better knowledge of nearby medical facilities and a more cautious, conservative approach to post-injury care may mean the difference between life and death.  As a person who used to take much greater physical risks, I think that in some cases it was only luck that saved me from more disastrous results.  My takeaway was this: have fun, know your limits and be prepared.

And now for something completely different, as they used to say on Monty Python’s Flying Circus (although originally used by Christopher Trace on the BBC children’s program, Blue Peter):  the second article that caught my eye was not news to me but was a reminder and a good summary of the steps that one can take to economically stay in touch when traveling internationally.  In Tips for Using Your Cellphone Abroad, Jennifer Saranow Schultz of the New York Times helps travelers navigate the confusing world of wireless carriers.

Let us know about your mancations, or even your gender-agnostic extreme vacations and also about your experiences with using your cell phone internationally.  For an extra bonus, tell me how these two articles are connected.  Hint: the answer is in the prior sentence.

Photo by g-na.

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Mosquitoes — Delivering Dengue, Malaria and Chikungunya

Friday, June 18th, 2010 by Moira Bishop

Mosquitoes continue to do the dirty work of spreading dengue fever, malaria and chikungunya virus to people in clustered areas around the world. The rainy seasons and the weather patterns of the past six months have enabled the mosquitoes to breed and spread the viruses that can leave the recipients extremely ill or even dead.

Venezuela seems to be the hardest hit country at this point. They reported 22,880 cases of malaria and 38,174 cases of dengue fever in the past five months.   

The dengue outbreak in Sri Lanka has been so severe that in the capital, Colombo, the Ministry of Health is inspecting homes and public buildings for possible mosquito breeding grounds and spraying pesticides in at-risk areas. 

Because of the monsoon rains that poured down throughout India’s summer (March to May), several cases of dengue and chikungunya are being reported from there.  Also, numerous cases of chikungunya are being reported from Malaysia, Thailand and the French island of Reunion.

If you are traveling to any of these areas, protect yourself from mosquitoes! For destination or disease specific information, there are plenty of resources available on the Centers for Disease Control and Prevention website.

Photo by Marshall Astor.

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Going to the beach? Pack some common sense.

Friday, May 28th, 2010 by Moira Bishop

A disturbing story from England hit the news this week.   A mother took her five month old boy to the beach where the powerful rays of the sun left him severely burned on over 40% of his body.  The fact that several people intervened to get the infant out of the sun and into care shows that most people recognize that the beach is no place for a newborn.  But with summer coming, it’s important for everyone to remember just how powerful the sun can be.  In case you need a reminder, check out CNN’s collage of bad sunburns.  

In addition to the threats of sunburn and sun poison, dehydration is also a serious risk for anyone who spends too much time in the sun. How much sun a person can tolerate depends on their age, their skin and their overall health.   So in addition to the necessary supplies including water, suntan lotion, sunglasses and a hat, be sure to bring your common sense with you when you hit the beach with or without your family this summer.

Photo by Dave Gray.

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Titanic Awards: From blog to book

Friday, May 21st, 2010 by Moira Bishop

Last summer we introduced you to TitanicAwards.com, a blog recognizing the best of the worst in travel disasters.  If you enjoy the comfort that comes from realizing that your own travel disasters may not be unique, you might want to check out their book. It just came out on May 4th and doesn’t have any customer reviews on Amazon, yet.  But if you read it, let us know what you think!

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Well Prepared Travelers Manage Threats with Help From U.S. State Department

Tuesday, May 11th, 2010 by Frank Gillingham, MD

Last month we discussed the risk of “virtual kidnapping”, the practice of extorting funds from the families of those travelling abroad without an actual kidnapping taking place.  We’d like to highlight an important preventive measure. The United States Department of State strongly encourages all those who are travelling abroad, particularly if the itinerary includes underdeveloped or politically unstable countries, to register on their website.  A detailed itinerary in the hands of the State Department will enable local authorities to confirm the location of the alleged “victim” and eliminate the need to pay ransom to the “kidnapper.”

Registration is free and allows the State Department to reach you in the event of an emergency, such as a natural disaster, terrorism, civil unrest, or trouble at home.  Each year U.S. embassies and consulates assist over 200,000 Americans who are victims of accidents, violent crime, sudden illness, or who must be contacted because of a family emergency. By registering on the website, you make it much easier for the U.S. government to locate you. 

The registration process is simple. Create an account by clicking on the ”Create Account” link and following the instructions.  You will be prompted to create a username and password that allows you to enter and access your travel data during your trip and for subsequent trips abroad. The personal information requested includes your name, address, phone number and the names and numbers of emergency contacts. Each time you wish to add a destination or foreign address, you may click the “Add Overseas Residence” button that alerts the appropriate US embassy or consulate of your pending arrival.  The State Department will send you an e mail confirming your registration and updates.

U.S. consular offices supply updates on security issues and assist Americans overseas who encounter financial, medical or legal difficulties.   Although the consular office cannot provide medical care or legal advice, they can recommend local English speaking medical professionals and lawyers.  They are also able to offer emergency loans, help with absentee voting, the filing of U.S. income tax forms, and coordinating federal benefits.  Other services include issuing American birth certificates for the children of U.S. citizens born abroad, notarizing documents, and replacing lost or stolen passports. 

When traveling to destinations where kidnapping or political instability are rife, registration with the U.S. State Department should be part of every U.S. citizens’ plan.

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