Archive for the ‘Travel Tips’ Category

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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Emerging Antimalarial Drug Resistance – Cause for Alarm

Tuesday, February 9th, 2010 by

A report released yesterday by a United States Pharmacopeia program, in partnership with the World Health Organization, cited an increasing level of resistance to Artemisinin – the last affordable drug in the global arsenal against malaria.  The drug resistance is emerging in Uganda, Senegal, Madagascar, Cambodia, Thailand and Vietnam, and is thought to be due in large part to the sale of poor quality versions of Artemisinin in those countries.

The report indicated that between 16 and 40 percent of the drugs marketed as Artemisinin had impurities or did not contain enough active ingredient to be effective.  Drugs will typically lose effectiveness and allow parasites to develop resistance if not given at full strength or for the full recommended course. In the case of malaria, there is no useful replacement for Artemisinin currently available, and many could die or become gravely ill if the current trend continues.

“It is worrisome that almost all of the poor quality data that was obtained was a result of inadequate amounts of active ingredient or the presence of impurities in the product” said Patrick Lukulay, the director of the study.  Senegal had the most disturbing results, with over 40% of the Artemesisin based samples failing quality testing. Lukulay added “There are some countries where donated medicines are not subjected to quality controls, they are just accepted”.  This includes countries in Africa where Chinese products have been given and found later to be unacceptable.

Although results from other countries in the ten country study have not been released, preliminary evidence from the other countries surveyed – Cameroon, Ethiopia, Ghana, Kenya, Malawi, Nigeria and Tanzania suggest that failure rates in at least three of those countries were also high. 

Traditional antimalarial drugs such as malarone, doxycycline, chloroquin and mefloquin are still effective in many parts of the world where the malaria parasite is endemic.  In recent years, Artemesinin has been the last resort in areas where the parasite has developed resistance to these medications. However, for those travelling to sub Sahara Africa or southeast Asia, the risk of contacting Artemesinin resistant malaria is growing.  Although resistance is not yet widespread, it behooves the careful traveler to make sure that any Artemesinin based medication taken for treatment of a malaria infection is of good quality.

Photo info: http://www.flickr.com/photos/lonqueta/ / CC BY-NC-SA 2.0
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Thin Air Way Up There: Take the Risks Seriously

Friday, February 5th, 2010 by

If you are planning a mountain climbing, hiking, skiing or snowboarding trip, you may have your sights set on a high altitude destination such as the Peruvian Andes or the ski resorts of Colorado.  These destinations carry with them the thrill of a tingling physical challenge as well as the risk of developing altitude sickness (also known as mountain sickness).

Altitude sickness results from your body’s decreasing ability to absorb the oxygen necessary to convert nutrients to energy because of the thinning of the air as you ascend.   This change results in symptoms that can hit anyone regardless of his fitness level.  In fact, it often strikes younger, more fit members of climbing expeditions and may be less common in those over the age of 50. Tolerance to high altitude varies tremendously between individuals, and can vary from trip to trip for the same individual, though cold weather seems to worsen the effects.

Anyone with chronic medical conditions or a history of asthma, lung or heart problems should discuss travel to a high altitude destination with a physician well in advance of travel. Individuals who suffer from the following chronic medical conditions should never travel to high altitude destinations:

  • Chronic Obstructive Lung Disease (including Emphysema and Chronic Bronchitis)
  • Congestive Heart Failure
  • Sickle Cell Anemia
  • Pulmonary Hypertension

It is common for those visiting a high altitude destination to breathe more frequently and experience increased heart rate and pulse. Dryness of the skin and mucous membranes occurs, as does a minor headache. These are normal characteristics of a body adapting to high altitude.

Severe symptoms such as these, occurring within the first 36 hours at altitude could be indicators of the onset of altitude sickness:  

  • Extreme increase in breathing frequency, with shortness of breath and/or cough
  • Very rapid heart rate with palpitations, chest discomfort or a perception of pulses in the neck and head
  • Severe headache
  • Nausea and/or vomiting
  • Fatigue and sleeplessness

Severe cases of altitude sickness can result in death, so it should be taken seriously. Mild symptoms of altitude sickness can be treated with rest at a stable altitude and acetaminophen or other analgesic (pain medicine).  If symptoms persist for more than 24 hours, seek medical attention. If possible locate a physician who is experienced in high altitude medicine.  Descent to a lower altitude is crucial. Never ascend if your symptoms are getting worse.  Some physicians will prescribe medications such as dexamethasone and/or nifedipine prophylactically for travelers to high altitudes, but this practice is controversial. 

To avoid altitude sickness, allow your body time to adapt to the thinning air, stay hydrated and follow all the normal safe-travel tips.  Food poisoning, jet lag and other situations manageable at regular altitudes will be much worse in high altitudes.

Don’t be up in the air about taking care of yourself; make sure you are grounded with good information and preparation.  Otherwise, you may be grounded longer than you planned.

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Vaccination Recommendations for Travelers

Friday, February 5th, 2010 by

In a recent Wall Street Journal post, Avoiding Illness on the Road, Dr. Phyllis Kozarsky, a travel health expert for the Centers for Disease Control (CDC), offered some good advice for travelers, particularly business travelers. 

In this piece Dr. Kozrsky correctly to advises those who are travelling overseas to get immunized, even if coincident with departure.  However, nascent travelers should be aware that protection is not immediate. In the case of the hepatitis A and B vaccines, for instance, full immunity cannot be guaranteed for everyone who receives the vaccine for at least one month.  Long lasting immunity requires a second vaccination anywhere from one month to one year after the first. 

According to the CDC, the only vaccine that is required by international health regulations is yellow fever for those travelling to sub-Saharan Africa and tropical South America. The CDC recommends that this vaccine be obtained at least ten days prior to arriving in an area where yellow fever is endemic.  In addition, the vaccine must be administered at an approved center that can provide the vaccinee an authentic “International Certificate of Vaccination”.  The yellow fever vaccine must be repeated at ten year intervals to remain effective.

Meningitis vaccinations are required in for those travelling to the “meningitis belt” across the middle of the African continent and parts of Saudi Arabia.  The vaccine provides protective antibodies after a week to ten days, with immunization lasting only three to five years.  There are vaccines for encephalitis, an infection of the brain, which must also be administered at least a week or two before travel in order to be protective. 

Those travelling abroad should consult with an infectious disease or travel medicine specialist at least one month prior to trip departure to insure adequate protection against infectious diseases.  Destination specific vaccination requirements can also be found on mPassport.com.

Photo info: http://www.flickr.com/photos/darwinwins/ / CC BY-NC-ND 2.0
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Headed for the slopes?

Friday, January 29th, 2010 by

Does talk of the upcoming winter Olympics have you channeling your inner Lindsey Vonn or Shaun White? Skiing and snowboarding are great winter activities — fun meets fitness.  Regardless of where in the world you decide to visit to participate in these types of winter sports, there are some safety issues to consider:  protect your head and face, keep warm and know your own abilities and your surroundings. 

Protect your head.  Regardless of how well you ski or snowboard, there are other factors on the slopes that could cause a serious fall.  Other skiers, random patches of ice or just dumb luck can knock you down and knock you out. To limit the seriousness of injuries that you could sustain during such a fall, wear a helmet!

Protect your face. While you are outside on a mountain covered in snow, the elements are constantly attacking your skin. The wind and the sun can burn and dry out your face and lips.  Apply sunscreen to your face every few hours and lip balm as often as necessary.  The glare of the sun off the snow can be blinding, so wear sunglasses or goggles with UV protection.

Keep warm.  If you’re a strong skier or snowboarder, you might feel that the extra layers of clothing are cumbersome and limit your free styling ability.  However, frostbite could take you (or your hands or feet) off the slopes permanently.  Warm gloves, hats, long underwear and socks are remarkably thin and warm these days, so if you don’t like bulk, check out your local REI or ski or snowboard shop.  You want the layer of clothing closest to your body to be made of wool, silk or polyester.  These materials will wick the sweat away from your body instead of trapping it on your skin and making you feel colder.  Trails.com provides a realistic plan for layering that you might want to consult while planning what to pack.

Know your own abilities.  While you will likely challenge yourself during your outing, you don’t want to overdo it.  Going from the bunny slope to a black diamond is not safe, nor is it a good idea to leave your snowboarding lesson and immediately go attempt to perfect the Backside 720. Use your head and plan your progression based on realistic advances.   Regardless of how well you can perform in the snow, even the most talented of us can’t call for help while knocked out cold. So don’t ski or snowboard alone. Always go with someone who you can check in with at regular intervals. 

Know your surroundings.  Before you leave for your outing, do a quick survey of local hospitals or urgent care facilities.  If you do need to be taken for medical assistance, you’ll want to know you’re headed for the best treatment available.  (For a global database of hospitals, check out mPassport.com.) 

Have a great trip! Let us know how it goes.

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Mudslides in Machu Picchu

Tuesday, January 26th, 2010 by

The heaviest rains to hit Peru in the past fifteen years have caused mudslides with serious consequences today — 4 people have been killed and 2,000 tourists have been stranded in and around Machu Picchu.

Reports from our contacts at Pardo Medical Center based in Cusco, Peru indicate that the heavy rain is not letting up and that is causing problems for transportation.  The trains are not running and the Cusco airport is closed until at least tomorrow, so the only way out is by helicopter.  The clinics are open for anyone who can get to them. 

Like many natural disasters, mudslides cannot be predicted.  If you are visiting or planning to visit a mountainous — or even just hilly — region that has recently experienced heavy rainfall or snowmelt, you may want to reconsider your plans.  

Ideally, you will never be in the path of a mudslide, but just in case, it’s a good idea to note these instructions from the Red Cross:

  • Quickly move out of the path of the mudslide or debris flow.  Moving away from the path of the flow to a stable area will reduce your risk.
  • If escape is not possible, curl into a tight ball and protect your head.  A tight ball will provide the best protection for your body.

Though you don’t want to spend time dwelling on worst case scenarios while preparing for vacation, a few minutes of planning can prove to be invaluable.

Photo info: http://www.flickr.com/photos/comprock/ / CC BY-SA 2.0
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Planning a winter road trip?

Friday, January 22nd, 2010 by

Whether you’re planning a road trip in your own car or flying to a cold climate and renting a car this winter, you should assemble a winter emergency kit for your travels. In addition to the possibility of getting snowed in there is also a risk for getting stranded on the road.  Because we live in an area prone to snow and ice, my co-workers offer suggestions on what to keep in your trunk for your daily commute and road trips in the winter:

First Aid Kit/Flashlight/Flares – Include these items in your winter emergency kit, and keep them in your car through the rest of the seasons.

Blankets – You’ll want one if you get stranded in the cold somewhere due to an accident or a break down and your car loses power and can’t provide heat.

Boots, Gloves – These will be handy if you have to get out of the car for ANY reason, like walking to get help or if you drift off the road into a snow bank.

Snow Brush/Ice Scraper– Be prepared for whatever visible evidence of winter sticks to your car.

Shovel – Find one that is easy to store (with a short or retractable handle), you’ll find it useful if you get snowed in or plowed in anywhere.

Rock Salt/Sand/Kitty Litter – Put any of these items behind your tires to create traction to help you get out of slippery situations.

Jumper Cables – These are always a good idea, but are especially valuable in the winter when your battery may succumb to the freezing temperatures.

Portable Battery Charger - This is a step-up from just jumper cables; you can charge your battery without the help of another car.  Some models include an outlet so you can use it to charge your cell phone or other devices.  It’s worth the price because you can also use it to plug in small home appliances indoors if the power goes out.  

Windshield Wiper Fluid – Snow, ice and the dust from salt on the roads can constantly coat your windshield as you’re driving down the road.  Make sure that you have a full reservoir of fluid before you set out on your journey and bring a refill so you never have to worry about limited visibility on the road. 

Food and Drinks – Pack items like granola bars, cookies, or trail mix that won’t be affected by the extreme cold and will provide a fair amount of nourishment if you get stuck somewhere. Keep water in your car as well, it may freeze, but will melt eventually and will help you avoid dehydration.  

Did I forget anything?  Share your tips with us.

Photo by: http://www.flickr.com/photos/genista/ / CC BY-SA 2.0

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Jet Lag — the Target of the Latest Lifestyle Drug

Friday, January 8th, 2010 by

If you could take a pill to manage your jet lag, would you?  Would it be worth the possibility of dealing with headaches, nausea, dizziness or insomnia as side effects?   Would you be willing to pay more than $9 per dose for this remedy?

Healthy travel takes more than packing a first aid kit and getting the destination-specific vaccinations that you need.  It also includes putting into practice some preventative measures that will keep the journey from wearing down your body and immune system.  This is particularly important if you are traveling overseas, as jet lag can leave your mind fighting to catch up with your body’s cycle the whole duration of your trip.

Now, pharmaceutical company, Cephalon, Frazer, PA, has submitted a jet lag solution to the Food and Drug Administration (FDA) for approval.  The drug is an existing product, Nuvigil, which is used to treat serious sleep disorders and requires a prescription.  According to a news release from Cephalon, this drug offers “improved wakefulness in patients with excessive sleepiness associated with jet lag disorder due to eastbound travel.”   The New York Times reports that clinical trials did show improved levels of wakefulness for those given Nuvigil and that Cephalon is only seeking approval for this as a solution for eastbound travelers because the adjustment for westbound travelers is generally easier.  

Those travelers who only occasionally take an overseas flight might fight the effects of jet lag by following the common practices of upping their post-flight caffeine intake and taking melatonin supplements.  Business travelers and others who frequently travel overseas, however, might see Nuvigil as a valuable traveling companion.  The FDA is expected to complete its review by March 29, 2010; stay tuned for updates.

Photo by Heart Industry http://www.flickr.com/photos/heartindustry/ / CC BY-NC 2.0

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Airline Safety for the Educated Consumer

Wednesday, December 16th, 2009 by

airline safety2009 has not been a great year for air travel anywhere in the world.  Too often the headlines told of tragic accidents and not enough miracles.  This news is surely weighing on millions of global citizens booking flights for their holiday visits and vacations. 

We’ve offered perspective on travel associated risks in the past and the Book of Odds reminds us that the likelihood of being involved in any plane accident, let alone a fatal one, is extremely low.  However, the events of this year have even the most reasonable people wondering if there is something they should know before choosing their air carrier.

For those people, the Wall Street Journal recently published the results of the aviation safety reports published by the European Union (EU) and by the U.S. Federal Aviation Administration (FAA).  The data collection and evaluation processes are very different for each of these organizations. For instance the EU rates the safety of individual airlines, while the FAA evaluates countries as a whole. Overall, both reports take into account the history of accidents, policies and procedures, equipment and maintenance, but their criteria in each of these areas differ.

So if you want to feel like you have a little more control of your destiny, check the reports and book your flights accordingly. The Encyclopedia Britannica Blog reports, “airline safety declining, but still good.”  But it’s statistics like these that lead to the safety improvements necessary to create a safer product for everyone.  Remember that as you book your next trip.  By the way, if you happen to be planning a flight on British Airways for the holiday, you might want to monitor the status of the rumored strike set to take place December 22nd.

Photo by Tristan in Ottawa http://www.flickr.com/photos/tsmith22/ / CC BY-NC-ND 2.0
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