What is the most effective advice to avoid/minimise risk of illness when travelling in Africa?
I'm considering some trips to Africa at some point in the future and a major concern is protecting against illness.
Obviously, as with other places, the continent varies a lot: cities, rural, villages. So the advice would vary as risks will be low in some areas and high in others - as is the case on other developing continents.
And don't get me wrong I'm not singling out this content as being the only one where one should be careful, this would apply to other regions where such risks can occur.
Taking official advice on vaccinations is fairly straightforward and advice on Malaria is well documented (but any points welcome).
My Specific Question
My question is more about other risks. It is perhaps easy to get carried away with over concern about these, particularly as many are quite unpleasant, e.g. parasites in the gut, legs, eyes etc. Various TV programmes and websites can scaremonger. But how much of a risk are these really?
I regard travel.stackexchange.com as quite a high quality forum, where the signal to noise ratio is very high and comments are generally sensible. So I'm looking to see how contributors could answer my question. The decision on risk is ultimately mine of course.
As this site guides questioners to ask solvable questions, then my question is can you provide definitive advice on the risks:
- what risks are current
- where do they occur (rural, urban, semi rural, regions?)
- preventative steps ( vaccinations, avoidance of certain foods (e.g. veggie only, wash foods, hygiene, boil/steriliser tablets to make water safe to drink)
- symptoms to look for
- treatment (though I'd prefer not to get to this stage :) )
Some research I have done so far:
Parasites: how acquired, symptoms and remedies:
(If I'm honest this is the kind of thing I'm most concerned about, perhaps a moderate phobia of, I don't think I'm alone in that. Apart from the risk itself, I think my attitude is also something would have to consider).
Delicious.com stack: http://delicious.com/stacks/view/TelRyi
Some seemingly good advice:
- https://www.lonelyplanet.com/thorntree/thread.jspa?threadID=1441534
- https://www.lonelyplanet.com/thorntree/thread.jspa?threadID=1512030
Others (fairly thought provoking, if sometimes unpleasant stories, a bit more anecdotal):
- https://www.lonelyplanet.com/thorntree/thread.jspa?threadID=1779942
- https://www.lonelyplanet.com/thorntree/thread.jspa?threadID=1480034
- https://www.lonelyplanet.com/thorntree/thread.jspa?threadID=1455845
- https://www.lonelyplanet.com/thorntree/thread.jspa?threadID=1365291
- https://www.lonelyplanet.com/thorntree/thread.jspa?threadID=1908527
- https://www.lonelyplanet.com/thorntree/thread.jspa?threadID=2019005
- https://www.lonelyplanet.com/thorntree/thread.jspa?threadID=1379159
- https://www.lonelyplanet.com/thorntree/thread.jspa?threadID=1466554
Malaria:
Best Answer
Mark gave a pretty comprehensive answer, but I'll add my thoughts as well.
Know where you are going. This doesn't just mean what country you are going to, but a pretty decent idea of your itinerary, and any side trips you have planned. By way of example, a visit to Uganda that involves both a visit to Lake Victoria and some time visiting the Gorillas in the highlands has three utterly different disease risks associated with it.
Talk to your travel doctor. They should be able to give you an idea of what your risks are, and what preventive steps you can take.
Know where your embassy is. This is one you should know anyway going to Africa for all kinds of reasons, but if you find yourself in need of medical help, without a command of the local language or knowledge of the health system, the embassy for your native country could come in handy.
Be Cautious. Get your vaccinations. All of them. Ask your travel doctor if they'd be willing to prescribe you a course of antibiotics useful against a broad range of pathogens - this is especially helpful for the inevitable food related mistake. If something looks sketchy, don't eat it. Don't engage in the commercial sex trade in Africa. Seriously, just don't. Avoid things that can't be peeled or cooked all the way through. This includes (perhaps especially) things like salads and leafy greens. Everyone thinks about meat, but a huge number of GI illnesses can be traced to vegetables.
Don't necessarily trust "nice" places to be problem free. And yes, the TV shows are scary, but consider that they're talking about the disease burden of an entire continent. I could make a pretty scary TV show about North American diseases if I was so inclined. Flesh eating bacteria, horrible respiratory diseases, a good hemorrhagic fever or two, brain eating proteins lurking in meat, Black Plague...
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