Care in what you eat
and drink is the most important health rule;
Stomach upsets are the most likely travel health problem (between
30 and 50% of travellers in a two-week stay experience this), but
the majority of these upsets will be relatively minor. Don't become
paranoid; after all, trying the local food is part of the experience
of travel.
Water & Drinks
If in doubt, the number one rule is don't drink the water, and that
includes ice. If you don't know for certain that the water is safe,
always assume the worst. Reputable brands of bottled water or soft
drinks are generally fine, although in some places bottles refilled
with tap water are not unknown. Only use water from containers with
a serrated seal - not tops or corks. Take care with fruit juice,
particularly if water may have been added. Milk should be treated
with suspicion, as it is often unpasteurised. Boiled milk is fine
if it is kept hygienically and yoghurt is always good. Tea or coffee
should also be OK, since the water should have been boiled. Remember
to clean your teeth with purified water rather than straight from
the tap.
Water Purification
The simplest way of purifying water is to boil it thoroughly. Vigorously
boiling for five minutes should be satisfactory; however, at high
altitude water boils at a lower temperature, so germs are less likely
to be killed.
Simple filtering will not remove all dangerous organisms, so if
you cannot boil water it should be treated chemically. Chlorine
tablets (Puritabs, Steritabs or other brands) will kill many pathogens,
but not those causing giardia and amoebic cysts. Iodine is very
effective in purifying water and is available in tablet form (such
as Potable Aqua), but follow the directions carefully and remember
that too much iodine can be harmful.
If you can't find tablets, tincture of iodine (2%) or iodine crystals
can be used. Four drops of tincture of iodine per litre or quart
of clear water is the recommended dosage; the treated water should
be left to stand for 20 to 30 minutes before drinking. Iodine crystals
can also be used to purify water but this is a more complicated
process, as you have to first prepare a saturated iodine solution.
Iodine loses its effectiveness if exposed to air or damp so keep
it in a tightly sealed container. Flavoured powder will disguise
the taste of treated water and is a good idea if you are travelling
with children.
Food
There is an old colonial adage which says: 'If you can cook it,
boil it or peel it, you can eat it...otherwise forget it'. Salads
and fruit should be washed with purified water or peeled where possible.
Ice cream is usually OK if it is a reputable brand name, but beware
of products bought from street vendors in developing countries and
of ice cream that has melted and been refrozen. Thoroughly cooked
food is safest but not if it has been left to cool or if it has
been reheated. Shellfish, such as mussels, oysters and clams, and
undercooked meat, particularly in the form of mince, should be avoided.
Steaming does not make shellfish safe for eating.
If a place looks clean and well run, then the food is probably
safe. In general, places that are packed with travellers or locals
will be fine, while empty restaurants are questionable. The food
in busy restaurants is cooked and eaten quite quickly, and there
is less chance that it has been sitting around for ages and then
reheated.
Nutrition
If the food available is poor or limited, if you're travelling hard
and fast and therefore missing meals, or if you simply lose your
appetite, you can soon start to lose weight and place your health
at risk.
Make sure your diet is well balanced. Eggs, tofu, beans, lentils
(dhal in India) and nuts are all safe ways to get protein. Fruit
you can peel (bananas, oranges or mandarins for example) is always
safe and a good source of vitamins. Try to eat plenty of grains
(rice) and bread. Remember that although food is generally safer
if it is cooked well, overcooked food loses much of its nutritional
value. If your diet isn't well balanced or if your food intake is
insufficient, it's a good idea to take vitamin and iron pills.
In hot climates make sure you drink enough - don't rely on feeling
thirsty to indicate when you should drink. Not needing to urinate
or the passing of very dark yellow urine is a danger sign. Always
carry a water bottle with you on long trips. Excessive sweating
can lead to loss of salt and therefore muscle cramping. Salt tablets
are not a good idea as a preventative, but in places where salt
is not used much, adding salt to food can help. |