Traveler's guide to avoiding infectious diseases

Table of Contents

  • Children
  • Elderly people
  • People with weakened immune systems or HIV
  • Pregnant or breast-feeding women

Check with your health care provider or local travel clinic.

MALARIA PREVENTION

Malaria is a blood parasite transmitted to people by the bite of certain mosquitoes. The disease is a risk mainly in tropical and subtropical climates.

If you are traveling to a region where malaria is common, you may need to take medications that prevent the disease before you travel, during your travel, and for a short period after you return. The effectiveness of these medications can vary, and you may also need to take additional insect precautions.

INSECT PRECAUTIONS

Mosquitoes and other insects can transmit malaria and a number of other infections to people. To protect yourself, wear insect repellant containing DEET or picaridin whenever you are outdoors. You may also need to use a bed mosquito net while you sleep.

FOOD AND WATER PRECAUTIONS

It is possible to catch many infections by eating or drinking contaminated food or water. Undercooked or raw foods pose a significant risk for infection. Avoid the following:

  • Cooked food that has been allowed to cool (such as from street vendors)
  • Fruit that has not been washed with clean water and then peeled
  • Raw vegetables
  • Salads
  • Unpasteurized dairy foods such as milk or cheese

Drinking water that is not chlorinated enough or that is from areas with poor sanitation can lead to infection. Only drink the following liquids:

  • Canned or unopened bottled beverages (water, juice, carbonated mineral water, soft drinks)
  • Drinks made with boiled water, such as tea and coffee

Do not use ice in your drinks. Local water can be purified by boiling, or by treating it with certain chemical kits or water filters.

ADDITIONAL PRECAUTIONS

Frequently clean your hands using soap and water or an alcohol-based cleanser to help prevent infection.

Avoid standing or swimming in fresh-water rivers, streams, or lakes that are contaminated with sewage or animal feces because they can lead to infection. Generally, swimming in chlorinated pools is safe.

Practice safe sex and use condoms to prevent sexually transmitted diseases.

Always use seat belts when driving or riding in a vehicle.

OUTLOOK

Most infections acquired while traveling are minor, but in rare cases, they can be severe or even fatal.

WHEN TO CONTACT A MEDICAL PROFESSIONAL

Travelers' diarrhea is the most common infection caught while traveling. Diarrhea can sometimes be treated with rest and fluids. Your health care provider may prescribe an antibiotic if you get sick with severe diarrhea while traveling.

If the diarrhea continues or you develop a high fever or dehydration, seek immediate medical care. If you were sick with a fever while traveling, contact your health care provider when you return home.



Review Date: 01/10/2010
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)