Medical Considerations for Travel

All travelers should visit their personal physician 4-8 weeks before departure. Discuss the following with your doctor:

Vaccinations

Hepatitis A
Hepatitis B
Typhoid
Yellow fever
Tetanus
Polio
MMR (measles, mumps, rubella)
Meningococcal Meningitis (Africa/Asia)
Japanese encephalitis (Asian regions)
Malaria pills (equatorial regions)
Altitude sickness/Diamox pills (for high altitude travel/trekking)
Prescriptions you are currently taking
EKG testing

If you require any medication, you must provide your own and be able to administer it yourself, as medical supplies in other countries are not reliable or guaranteed. Bring adequate supplies of all medications in their original containers, clearly labeled. Carry a signed, dated letter from your primary physician describing all medical conditions and listing all medications, including generic names.

Vaccination Certificate

You will need a Yellow Fever Certificate of Vaccination for certain countries. More information can be found here.

Dengue Fever

Dengue Fever has been reported in Dar es Salaam, Tanzania. It is a severe, flu-like illness that seldom causes death. More information on Dengue Fever can be found here.

Malaria

Insect protection measures are essential in all areas where malaria is reported. The number of malaria cases has risen sharply in recent years due to internal migration and the spread of irrigation for rice and cotton farming. Wear long sleeves, long pants, hats, and shoes (rather than sandals). Apply insect repellents containing 20-35% DEET (N,N-diethyl-3-methylbenzamide) or 20% picaridin (Bayrepel) to exposed skin (but not to the eyes, mouth, or open wounds).

Drinking Water

Always drink bottled or treated water.

Trekking

Trekking is a strenuous adventure and should not be undertaken if you have any health conditions that may put you at risk. Consult your physician for a thorough medical check-up and clearance before attempting a trek in the mountains. If you are over 50 years old, discuss with your doctor about doing a “stress EKG”.

Altitude Sickness (for High Altitude Trekking)

Many people will experience the effects of high altitude. Take precautions to avoid altitude sickness if you are prone to it. Try a hot tea or an infusion of coca leaves on arrival at altitude. During your first day, move slowly and eat lightly, resting for the first couple of hours. Travel to high altitudes is generally not recommended for those with a history of heart disease, lung disease, or sickle cell disease. More information on altitude sickness can be found here.

More Information

By taking these medical considerations into account, you can ensure a safer and more enjoyable travel experience.