General Recommendations before Travelling
Travel first aid kit
The equipment of the travel first aid kit depends on the term of stay, health conditions and areas that the traveller is going to visit. It is also necessary to take into consideration the supposed availability of medical care in given location. More, it is necessary to warn travellers of the fact that quality of medicaments in some countries is doubtful, as medicaments that have not underwent any control may be sometimes sold. In some locations it is difficult to buy wide-spectrum antibiotics or anti-diabetics. When buying a medicament, you always have to check the expiration date (the date by which the medicament is to be used). In case of unsuitable storage, the efficiency of medicaments decreases faster than in case o mild climate. That is why medicaments are not used in mountain climate a few weeks before expiration.
As a standard, the travel first aid kit is equipped for short trips to tropic and sub-tropic regions with suitable bandage material (hydrophilous roller bandage, elastic bandage, mull, sticking plasters of various sizes, alcohol tampons, triangular bandage, rubber bandage), disinfection for treatment of small injuries, freely available analgesics and antipyretics, medicaments against plane, car and possible ship disease, gel with antihistaminics contents against itching rash, bites of arthropods, stinging by sea animals and plants. It is also important to have medicaments against diarrhoea. In case of strong diarrhoea and vomiting it is necessary to add liquids and salts (electrolytes) – that is why the travel first aid kit should contain a mixture for re-hydration solution preparation. Eye drops with disinfection effects are used after removal of foreign objects, in case of conjunctivitis or after an injury up to the moment of medical treatment. An integral part of the travel first aid kit is the anti-mycotic powder or ointment to be applied between the toes after bath and thorough drying so as to avoid frequent mycotic infections in hot climate (the skin between toes becomes white and desquamates). The first aid kit should also include syrettes for individual use and needles, tweezers, scissors and forehead thermometer.
At least one member of the team travelling to climatically and epidemically risky areas must be instructed in detail and he should also take a first aid course. First aid kits are setup for expeditions depending on the number of participants and the areas of their stay.
Those suffering from some chronic disease should visit the specialised doctor before their departure – e.g. diabetologist, alergologist, gynaecologist, dermatologist or internal medicine doctor and ask him for recommendation of medicaments for possible health condition deterioration. Each medicament is completed with an information leaflet, describing use of the medicament, dosing and contraindications. You can find the expiration date on the package of the medicament – it is not allowed to use the medicament after that date.
The travellers leaving for locations with supposedly difficult availability of unavailability of medical care should include even antibiotics to the first aid kit (for example doxycycline or ciprofloxacin), respectively sulphonamides (for example sulphametoxazol-trimetoprim). The traveller should be informed about indications for antibiotic treatment and undesirable effects of antibiotics (photo toxicity – sulfonamides, chinolons and tetracyclines). It is recommended for the traveller to consult – if possible the local doctor before administrating the antibiotics respectively to visit him immediately after unavoidable administration of antibiotics.
It is also recommended to give to the luggage even insecticides for possible necessary use after your arrival. Preparations containing pyretrins and pyretroids have even repellent characteristics. The insecticides are used in the form of aerosol, fumigator and evaporators.
In case of a stay in malarial areas, the first aid is completed with antimalarial drugs according to recommendation of a doctor from the travel medicine centre. The antimalarial drugs serve for chemo prophylaxis, respectively for so called emergency self-treatment.
Sometimes it is difficult to boil water. In such cases it is possible to filter water (it is possible to buy many different types of water filters that are suitable for longer stays) or it is possible to disinfect it in a reliable way by using some suitable preparation being sold. The preparations for chemical treatment of water can be used for washing fruits and vegetables. The first aid kits should also include a preparation for potable water preparation. It is also possible to use potash solution for washing the fruits and vegetables.
Even though it is possible to buy repellents in all the countries, it is recommended to take at least some small quantity along. The most efficient are the means on the basis of N,N-diethyl-m-toluamide (DEET). Preparations in the form of creams are more favourable, as they provide much longer protection compared to liquid preparations.
Never forget of high-factor sunscreen. High protective factor is recommended to individuals sensitive to sunshine effects, blond people and in case of prophylactic administration of doxycycline against malaria. Do not forget to take your sunglasses.
A traveller may encounter problems with customs clearance of medicaments. Import of some medicaments is prohibited to some countries – respectively the custom officers require their customs clearance. The traveller may ask the institution engaged in travel medicine to issue a certificate for the carried medicaments to be designed exclusively for treatment and prevention of traveller´s diseases respectively that they are of life importance.
Other equipment, practical advices
Preparation of luggage
Do not leave preparation of your luggage to the very last day. Carefully consider which luggage to take for your stay and which to an adventure trip. Always put the most important accessories for your trip to your hand luggage / carryon as it is rarely lost.
Selection of clothes
When selecting your clothes and underwear prefer cotton or mixture of cotton with some other suitable material. Your underwear should be washable, the material should allow hot ironing so as to destroy all the microorganisms. The most suitable colour for tropic areas is khaki. Recommended tissues for hot and wet climate are sparsely woven of strong threads, so as the insulation effects are as minimal as possible. You must take along shorts as well as long trousers for your stay in nature. Together with shirts with short sleeve you should also take vests and long-sleeve shirts, partially protecting you from arthropoda, tree leeches, stinging plants and injuries. The clothes should be free, not to cause scratches on macerated skin.
Your shoes should be light, airy and in approximately 1/2 – 1 size bigger than the shoes that you wear at home, the shoes mustn´t cause galls. The shoes should always be closed so s to provide better protection against parasites, bacteria, chignon fleas and mycoses. When bathing in warm seas it is necessary to use bathing shoes or trainers, protecting you from injuries caused by sea animals and your should wear them also in the beach so as to be protected against migrating larvae.
Hotels in tropic and sub-tropic area usually offer installed mosquito curtains, respectively the staff immediately installs them on request. In the course of travels, when it is not possible to guarantee sleeping below a mosquito curtain – it is recommended to buy one´s own. According to the World Health Organization, the mosquito curtains should be impregnated with the insecticide permetrine, respectively deltametrine. In case of leaving to areas, where diseases transferred by flebotomes appear, it is necessary to choose a mosquito curtain with eyes of the size of 0,5 mm. It is also necessary to check meshes in the tents and to try to find holes through which the arthropods could penetrate. For personal protection in nature it is recommended for the mesh to be impregnated with permetrine, which is put over the head and arms while walking, respectively over the whole upper part of the body up to the hands.
Other useful tips:
- It is advisable to buy inner lighting of the tent, respectively lighting that allows evening reading under the mosquito curtain.
- Each traveller should have his own hand torch, which is essential when walking outside after the sunset.
- When travelling to areas high above level above (6000 m and more) it is recommended to have a portable hyperbaric chamber with step-in pump that may rescue one´s life in case of brain oedema or lungs oedema.
- In case of the traveller to be interested in diving, it is recommended to consult a specialised company.
- New guides and maps should be bought in case of travelling in tropic and sub-tropic areas.
- Dictionaries are really successful.