Archive for the ‘Travel Tips’ Category

Going to the beach? Pack some common sense.

Friday, May 28th, 2010 by

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

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

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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Virtual Kidnapping: Advice on How to Handle a Widespread Scam

Wednesday, April 14th, 2010 by

It is the phone call every parent of a child abroad is horrified to receive: “Mom, Dad, please help me!” followed by a concealed voice making monetary demands for the safe return of the kidnapped child.  In years past, this usually meant that the child had indeed been abducted and was being held for ransom.  In recent years, however, many of these calls are placed by “virtual kidnappers” who may be nowhere near the alleged victim.

One of the consequences of the “information age” and social media such as Facebook and My Space is the widespread availability of names, addresses and phone numbers.  The resourceful virtual kidnapper is someone who collects data on prospective victims who have shared details online about upcoming adventures such as a trip down the Amazon, a hike to Machu Picchu, or an African Safari — all places where cell phone reception is spotty or nonexistent, creating the conditions for scams to go undetected.

The calls to the families of the “virtual victims” convey a sense of urgency — that the victim will be executed within the hour unless funds are transferred to a foreign bank account, for instance.  Since the family has no way to determine the veracity of the kidnapping, payment is made.  Sophisticated virtual kidnappers go to great lengths to “fake out” the families of their victims by pretending to be the victims themselves — speaking in short, frantic sentences that are muffled by “poor cell phone reception.”

Because cell phone coverage has grown ever wider– even the remote jungles of sub-Saharan Africa are often reachable today — many virtual kidnappers do not limit their victims to those whose cell phone reception is marginal.  Instead, perpetrators contact prospective victims and tell them that their phones should be turned off for an hour or two for servicing.  The virtual kidnappers take advantage of the window to make their calls back home.

The problem has become so severe in Mexico that the country’s government has set up a hot line for victims of virtual extortion.  The U.S. State Department, in its section on travel precautions for Central and South American countries such as Mexico, Venezuela and Peru www.travel.state.gov/ suggests that families of victims should:  1) not reveal any personal information over the phone, 2) insist on speaking with the victim to corroborate his/her identity and 3) contact the nearest US Embassy or consulate.  Although the temptation to respond immediately to demands is very high, most “virtual kidnappers” will abandon their efforts within an hour or two if payment is not received.

Here are a few imperatives to avoid becoming a victim of “virtual kidnapping”: 

Register with the State Department prior to travel

  • Verify cell phone reception at all proposed locations on the itinerary
  • Do NOT turn off a cell phone at any time- claims that a phone must be disconnected for servicing are universally false
  • Do NOT share any information about an upcoming trip on line
  • Maintain regular contact with family and loved ones back home 
  • Establish a code word to be used to verify any kidnapping claims
  • Never travel alone, particularly in Latin America, Africa and the mid East where both real and virtual kidnappings are epidemic 
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Lactose Intolerant? — No cure for intolerance in France

Friday, March 19th, 2010 by

HTH Worldwide’s COO is in France today and just sent me an urgent email from his BlackBerry.  His daughter needs Lactaid®, but they can’t find it anywhere.  It would seem that a country that is the world’s largest exporter, the third largest producer and, most importantly, the second largest consumer of cheese would have discovered the benefits of Lactaid®, a dietary supplement that contains a natural lactase enzyme that helps you break down lactose. 

From my research, Lactaid® is only available in the U.S. and Canada.  There is a great forum discussion that took place in 2005 on Wordreference.com on the subject.  It talks about the history of Europe and dairy farming, lactose facts (there is more in milk and ice cream, less in cheese, especially hard cheeses), lactose intolerance levels in different geographic regions and even the availability of public restrooms in Paris.  For a much more scientific background, check out the Wikipedia lactose intolerance page.

I am now more aware than ever of lactose intolerance and even learned that February is Lactose Intolerance Awareness Month.  I will try not to miss the exciting events next year (things like “Be kind to your bloated, uncomfortable, and sometimes odoriferous workmate” or “Promote a no-cone zone in your lunchroom”). 

If you have no tolerance for lactose, don’t leave the U.S. and Canada without your own supply of Lactaid!

Photo info: http://www.flickr.com/photos/annamatic3000/ / CC BY-NC-ND 2.0
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Spring Break Healthy Cruise Tips – You may not be green with envy

Friday, March 19th, 2010 by

I admit that I am prone to seasickness.  Even though I once participated in competitive sailing, it seems that any time I am on a boat that isn’t moving a whole lot, or is stuck in an ocean of swells, I turn green.  Being seasick is one of the worst feelings, mostly because there is no place to go for relief.  You are stuck on the boat and literally need to ride it out.  Due to this history of mine (I once got sick the night before a fishing trip just dreaming about the day ahead), I was a little hesitant to jump on board the decision to take a family cruise to the Caribbean for spring break.  Also contributing to this hesitancy is the fact that I had read the late David Foster Wallace’s title essay in “A Supposedly Fun Thing I’ll Never Do Again” many years ago.  This decidedly negative piece that he wrote for Harper’s recounted his experiences on a one week trip aboard a cruise ship.

However, after a little research I learned that the large size of the ships and the generally good weather conditions this time of year in the Caribbean drastically reduce the chance of my getting seasick.  I will still be prepared by taking along some Bonine, vitamin B6 and ginger – all common treatments for nausea. There is also scopolamine, which is a prescription drug normally used in the form of a small, circular, transdermal patch worn behind the ear.  It is also available in pill form.  I am not worried enough to go that route, however.

What worries me far more is a little thing called norovirus.  It seems that as soon as we booked our trip, I started reading about horrible outbreaks of illness on cruise ships.  Doing a quick Google News search for “+norovirus +cruise” turns up 859 hits in the last day!  A small sampler of headlines:

  • More than 300 fall sick on Caribbean cruise
  • Stomach bug hits cruise ships
  • Outbreaks of stomach illness hit four cruise ships in one week
  • Charleston cruise returns early after third norovirus outbreak
  • Sick ships: cruises see rise in norovirus cases

Countering this concern was information from the CDC that outbreaks had been dropping in recent years: 34 in 2006, 21 in 200, and 15 each in 2008 and 2009.  However, 2010 is tracking about 50% ahead of those last two years.  The CDC has a web page listing the outbreaks by ship.  I won’t jinx our ship by naming it here, but it had an outbreak in 2006.  Luckily, it was the only one listed.  I will be going over all of the cruising tips provided by the CDC with my family repeatedly and keeping my fingers crossed.  I also will be packing some Purell with my Bonine.

I will be sure to follow up with a post on how the trip went.  Hopefully, the post will focus on non-health related issues.

Photo info: http://www.flickr.com/photos/stjone/ / CC BY-NC-SA 2.0
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Means to End Chikungunya Menace? Report Raises Hope

Friday, February 19th, 2010 by

New Scientist magazine is reporting a scientific advance that may hold the key to defeating  a mosquito-borne virus that turned dangerous and deadly and has been spreading across the world for the past five years. Carried by the tiger mosquito and driven by the forces of global commerce, chikungunya  virus causes fever, headache, nausea as well as excruciating pain in smaller joints, earning it the nickname “knuckle fever.”  This virulent form first appeared in the islands of the Indian Ocean but has since invaded every continent by way of airports and sea ports.   The CDC highlights some specific reports of recent activity in Indonesia, Thailand and Malaysia on their website, where they also offer advice to clinicians and travelers. 

Now the U.S.  National Institutes of Health (NIH) are reporting a breakthrough in the search for a vaccine by using genetic engineering to create virus-like particles which perfectly mimic the virus without being infectious. Tests with Rhesus monkeys have shown the vaccine to be completely effective against chikungunya. Testing in humans is likely to begin in one to three years.

The NIH’s work with chikungunya  may have ushered in a new era of vaccine production that could prove to be safer and more effective than the many live virus vaccines that are in use today.  It may only be a matter of time before vaccines created from pieces of viruses will replace those derived from whole, live viruses. Diseases such as Kala Azar, sleeping sickness and Dengue fever that afflict travelers to tropical regions do not currently have effective vaccines.  In principle, the creation of vaccines from virus like particles could someday eliminate that problem.

Photo info: http://www.flickr.com/photos/deadmike/ / CC BY-NC-SA 2.0

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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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Don’t let the cold take a bite from your fun.

Thursday, February 11th, 2010 by

While you are ice skating, skiing, snowboarding, or hiking in the cold you may not feel the chill, but you still need to protect your skin.  Long term exposure to cold temperatures, or even short term exposure to extreme temperatures can lead to frostbite.

Frostbite is the freezing of your body from the outside in – starting on the outer layers of your skin and working its way to your muscles.  The most common areas for the cold to attack first are the toes, feet, the tip of the nose, the tops and lobes of the ears and the fingers. 

As frostbite sets in the skin will turn red then blue, and as the damage gets more severe, the blue will change to white or yellow or maybe even black.  Likewise the feeling will progress from tingling, leading to burning and then throbbing pain. 

The best way to prevent frostbite is to be prepared for it. Know the temperatures your skin will be exposed to (don’t forget to include the wind chill in your calculations) and dress to protect your skin appropriately:  Dress in layers,  wear warm socks and gloves to protect your hands and feet and wear a ski mask and ear muffs to protect your nose and ears.  If you feel warm or hot while you are out in the extreme cold, don’t make the mistake of thinking this is a reflection of the outdoor temperature. It is probably an effect of your body temperature, so don’t remove the layers protecting your extremities.

If you think you have frostbite the best thing to do is call a doctor.  If this is not an option, take steps to restore the frozen areas to normal temperatures. The best way to do this is to soak or wrap them in warm water.  Using hot water could lead to more burning and skin damage.  Do not rub any of the areas affected and do not let fingers or toes rub together, this can cause further damage.  As the skin returns to normal temperatures, it is common for blisters to develop and skin to become very tender. It can take weeks or months for your skin to return to normal after frostbite. 

In some cases, the effects of frostbite will not show up for months, so if you can’t get to a doctor immediately, get to one as soon as you can.

Because good circulation helps deter frostbite, keep hydrated and avoid alcohol when you are going to be out in the cold.  Diabetics, smokers and anyone else with poor circulation should take extra precautions to stay warm and protected as they are more vulnerable to this condition.

For additional information on frostbite, visit Web MD or see what the Ice Road Truckers have to say about it. 

Take the time to protect your skin before you head out in the cold.  65% of the people who get frostbite will suffer long-term effects – you don’t want to be regretting your haste in the winter as you head for the beach in July.

Photo info: http://www.flickr.com/photos/blac/ / CC BY-NC-ND 2.0
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Traveling Gluten Free

Wednesday, February 10th, 2010 by

Recently, a study was released regarding the increased prevalence of celiac disease. The Mayo Clinic in Rochester, MN analyzed about 9,000 blood samples taken in the 1950s and based on the findings reports that 0.2 percent of that population had celiac disease, but today an estimated 1 percent of the population has it. Celiac disease is a severe intolerance to gluten—a protein in wheat, barley, and rye. As more and more people are diagnosed, more organizations, websites, and blogs have been formed to help people find a variety of foods that are both tasty and gluten free.  

Over time those affected acclimate themselves to the labels, guides and menus available to help them navigate options in their favorite restaurants and grocery stores. But what happens when they go abroad? 

Because there is plenty of helpful information available, the celiac diagnosis does not have to deter anyone from traveling.  The National Institute of Health Celiac Disease Awareness Campaign is a good place to start—the travel section provides an outline of how to plan, travel, and then visit a different country. The Celiac Travel website provides even more detail.  One of the best features is free printable cards in 43 language describing celiac disease and the dietary limitations around them. They’re even available as an iPhone app! In addition to the general travel tips and tools, the “Celiac Travel Stories” section offers user-generated anecdotes and restaurant reviews. (For additional “traveling with Celiac” stories check out Celiac.com.)

The book Let’s Eat Out: Your Passport to Living Gluten and Allergy Free has compiled a list of country-specific Celiac organizations and information sources.  Use this information to help plan for and enjoy a worry free trip abroad. 

Do you have any travel-related or country-specific tips you’d like to share?

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