The Pocket Doctor: A Passport to Healthy Travel PDF
Preview The Pocket Doctor: A Passport to Healthy Travel
THE POCKET DOCTOR A PASSPORTTO HEALTHTYR AVEL 3REDD lTlON StephBeenz rucMh.kDa.,M, P H THE MOUNTAINEERS Publisbhye d TheM ountaineers 100S1W K lickWiat,ySa uti 2t0e1 SeatWtAl 9e8,1 34 © 198189,9129,9b9y S tephBeenz ruchka Alrli ghrtess erved Firesdti t1i9o8nS8 e.c oenddi t1i9o9nT2 h.i redd itfiiorns:t print1i9n9rg9e ,v i2s0e0dr0 e,v i2s0e0ds5 e,c opnrdi nt2i0n0g7 Nop arotft hibso omka yb er eprodiunca endyf oromr,b ya ny electrmoencihca,n oirco atlh,e r mweiatnhsop,ue tr misisni on writfirnogtm h peu blisher. Publisshiemdu ltanienGo ruesBalrtyi tbayiC no rdee, 3aD eMontSftorretLe eti,c eEsntgelra,Ln EdI7, H D ManufactiunCr aenda da EditbeyKd r iFsu lsaas Covedre sibgyKn r isLt.Wy e lch Boodke siagnndl ayobuyPt e ggEyg erdahl LiborCfao rnyg Craetsas/ ogingD-aitna- PubJication BezrucShtkeap,h en. Thep ockdeotc t:o praa ssptoor th ealthIyS tterpahveenl Bezruc-h3kraed.d . p. cm. Inclubdiebsl iogrraepfheirceanlc es. ISB0N- 89886-614-6 1T. ravel-Health aspects-HandbooektscJ,.T. i mtalneu.a ls, RA783.9S19.9B94 613.6'8-dc21 98-52801 CIP o Prinotner de cycplaepde r CONTENTS Pre/a06c e Acknowledg0m6e nts ItlrllolJct0i7o ll AC auti0o7n Howt oU sTeh iBso ok0 8 internet In0f9o rmation / Be/YooruGe o 10 SourocfIe nsf ormoantC iaorAneb roaandAd r ranging Evacuat1i2o ns Immuniza1t4i ons DentCaalr e1 6 Drug1s6 PersoMneadli Rceaclo r1d8 MediKciatl1 9 PrevenMteidviecf ionMrea sl aarniDdai arrh2e0 a StyolfTe r avaenlHd e alotfHh o sPto pula2t3i on CheckolfTi assttk oDs o a tH ome2 4 2 FillMJeJinigcH aep!L AiJr4o0a J 5 GenePrrae!v eHneatLiAt"Jhel" ce4 3 Food4 3 Wate44r Hygie4n9e Bite4s9 Traum5a3 FlyianngJd e Lta g5 4 SexuCaoln taancSdte xuaTlrlayn smDiitsteeads es (STDs5)6 SubstAabnucse5e 7 StraensPdss ycholPorgoibclAaeslms so ciwaittehd Trav5e8l SpecEinavli ronm6e0n ts PeopWlheoN eeSdp ecCiaarle6 3 EmergIinnfge catnidOo tnhse r F6e8a rs TreatLioncPgae lo polnYe o uTrr ave6l9s 4 CommloLn&L .lJneJ70 Cold7s0 Constip72a tion Diarrh72e a MotiSoinc kn7e5s s 5 W.IC omlllLlLIonJnaeu n. Pdr oblem7.71 AbdomiPnaailn7 9 AbsceasnsdWe osu nIdn fect7i9o ns AcheSsp,r aainndSs t,r ai8n0 s AlDS/H8I1V Allergic R8e2 actions Altitluldlen8e 3s s BitaensdS t in8g5s BrokBeonn e8s8 Burn8s9 ChePsati n9s0 ColIdn juHryyp,o thie,aar nmdF rost9b0i te Cough9s2 CutSsc,r aapnedBs l,i st9e3r s DentParlo ble9m5s Disloca9t6i ons EaPrr oble9m7s EyPer oblaenmCdso ntLaecnts 9e8s Feve9r9 FooPdo isoanniTdno gx Iincg est1i0o0n s ForeBiogdni e1s01 GynecolPorgoibclae1lm0 s1 Headac1h0e3 HeaIdn jur1i0e3s Healtl ln1e0s4s Hemorrho1i40 ds Hepati1t0i5s Noseble1e0d5s Rashe1s0 6 SexuaTlrlayn smDiitsteeads1 e07s Sunbuarnn Sdn owblin1d0n7e ss TicaknsdL eech1e0s7 TropDiicsaela s1e08s UrinParroyb le1m0s8 Vomitin1g0 9 6 Li/eT-hreatening1 1E0m ergencle.1 CardiopulRmeosnuasrcyi t1a1t0i on Bleedi11n1g MajTorra um1a1 1 Shoc1k1 2 Comoar U nconscio1u1s3n ess AnimCaoln front1a1t3i on Near-drow1n1i4n g Fire1s1 4 Choki1n1g6 Deat1h1 7 7 ThReet urnTiranvge le1r1 9 PO.Jt.11J9c ript RecommReeanddien1dg2 0 Inde1.21.:3 AbotuhAteu tho1r28 PREFACE Whethyeorua rgeo ionng 3a- dhaoyl itdoaH ya waai i, three-twoeuoerfEk u rooprea t, h ree-tmroetnkht rho Iungh neArs iuan,d ersttahnheda iznagor ftd hste r ainpdt hlei mits ofo neb'osd wyi hlel ltpr avealdearapsnt de njtohyje o urney morTeh.Pe o cDkoectta totre mtpopt rso vyioduwe i tthh ien formattosi toahney a latnhtdyo d eailn itwiiathlhel aypl rtohb lemFse.ef lr eteos ensdu ggesftoiirom npsr oveomfte hnits booaks waespl rla ctiidcetaahlswa otr kfeodyr o tu ot haeu thoirnc, a roeft hpeu bliEsnhdeorr.s eomfae nnpytr oducts othtehrat nh bioso akn odt heIh rasvw er ititdsee nv ooifad n y finanicnitaeolrn me sypt a rt. Acknowledgments ThantkoHs o warBda ckPeert,Be arn yRsa,c hBeils hop, ElaineJ aJKyoe nygs,t Aolnfer,Le edw, My arAyn nMee rcer, KarNle umanGne,oN fefw man-iMnaJ,ro thSni n,sa knydZ u HorowSimtizft ohyr o ur comamnedsn utgsg esftoiirom ns provemKerniFtsu. l saahse lhpiaemsdp roveed itthwiiiostn h hefri need itIic nogn.t itnolu eea mrunc fhr oums eorfts h is book. 6 lNTRODUCT10N Thibso oakt temtpopt rso vtihdteer avweilttehhre e s sen tiianlf ormtaopt rieopnfa oraret ritpos, t ahye alatlhoytn hge journ,ae nytdoi nitciaarotefhe e alptrho bltehmamsti gahrti se enr ouOtteh.be oro dkes awli tthh sisu bjbeucttth ,ea yr e all larvgoel umwehso ssei zmea keislt e lsisk eltyh etwyhi albtle takaelno tnorg e froensemh'e sm orwhye nne edMeadn.vy o l umehsa vwee ll-meaadnviincge aptpoacl liicnasibecltaetl i ng ora m odehmo tbeulot,f l itutslieen s ,a, yH umlNae,p aolr, IquiPteorsIuh, .a vter iteodd e awli tmho sste ttIid nognsa'.lt waytse yloluw hyt od ot hinjgusws,ht a ttod oP.r evenitsi on emphaswihzeersdep ecpirfaiccts iucgagle sctaibnoe gn isv en. Thseu ggesitnti hiobsno soa krd ei retcotweadcr odm mopnr ob lemesn counbtyet rreadv ealnedsr ows a,r rsaenrti coounss id eratIitfoh npe.r obyloemuh a viens o rte vieiwnte hdbi oso ikt, ibs ecaeuisteIh c eargn i vneop ractrieccaolm menodria itts i on rairnet raveFloemrro sri.en formcaotnisotunhlw,eto rlkiss ted inR ecommeRnedaeddai tnt ghb ea cokft hbioso k. Matedreiaallwi intsght riccltalsyss uircvatilov pasiluc csh asb eiandgr oinft tho ec ealno,is ntt hdee seorrtt h,le o nseu r vivoofar m ountainaececriidinesngn o ctto verTehdei. n ter estreeda dsehro uclodn ssupletc iawloirzkoesntd h seu bjects, especiipfal lalnynt iobn eig n volivnse udca hc tivities. Compliwaintschue g gersetgeidm teopn rse vaenntdtr eat travel-driesloartidesqed ur ispt oeo arm ontgh feo llowing groutphse: younogn,l otnhgo setexr pieprsi,te rnacveedl ers, indivitdruaavlea lneder ssp,e ctihaolvslieys iftriinegan ndds relatIinvcersev.ai sgeidli asan pcper opiryfio auft aeil nlo ne oft hocsaet egories. A CAUTION Thibsoo ikns o ats ubtsut it eex pfaeodrrvt i ocbet aifnreodm youorw n doocrst oomre one ivnte hrnees wes dp eciaolftrt ayv el medicIusei nteh.te e r"dm octoirna"g enesenser.i cIn thUen ited Stattehcsio,su bleda p hysincuirapsnre,a ctipthiyosniecri,a n's assisotra nsotot,mh ee r proaftc htheie tailaoirnnteOgsrv . e rseas, 7 8 + Introduction besidtehsef amildioacrt or,m ayyoe un countyeerto thetry pes ofh ealth-pcraarcet itio(nTehrees q.u ivaloefnt th eC hinese barefodootc tor eixnmi asntyso theprl aces.)c aTnhp eryo vide appropricaatraeen dr efeyro ui fn eedb e.S eec hapt2e,rF i nd ingM edicaHle lpA broad. Don'ttr eyaotu rseorlo ft heurnsl etshse riesn oa lternative ort hep robleimss implFea.m ilmye mberasr et hel easqtu ali fietdo t reaotn ea notheErm.o tiofnrse quenctolnyf utshee i s sues amnids takaerse m orec ommon.Th e same fgooers health-wcoarrkee rTsh:ed octowrh ot reahtism -orh ersehlafs af ooflo arp atieSnots .e eoku ta ppropriaadtvei cter,e atment, andc arues intgh eg uidelignievse hne reI.fy ourt raverlesg u larltya kyeo ut op lacwehse rhee alftah ciliatriene osn existent orh ardt or eacthh,e ny ous houlcdo nsutlhtem ored etailed sourciensR ecommendeRde adinatgt heb acokf t hibso oka,n d carrtyh em orec omplemteed ickailt mse ntionientd h osbeo oks. Oneq uestiaosnk ebdy p otenttiraalv elaebrrso aeds,p e cialtlhyo swei thc hroniilcl nesasnedds i sabiliitswi heest,h er iti sa pproprifaotrte h emt oj ournetoyt hep articurleagri on thehya vei nm indT.h iiss a c omplecxo nsideraFtaicotno.ir ns thed ecisisohno ulidn clutdheep ersonw'isl lingtnoea ssss ume risktsh,et ypoef t ravtehle,a vailaboiflm ietdyi craels ouracte s thed estinationp,e rahnadpm,so st importthaedn ett,e rmina tioonft het raveTlheerp .s ychologbiecnaelf oiftp su rsuiynogu r dreaomf a l ifetmiamyef aoru tweitghher isokfh avinagh ealth probleemn r outoer u pona rrivtahlay to uc an'dte awli thb y diali9n1g1S .e ecko unsferlo my ourd octofrr,o mo theerx perts, whom oreo ftetnh anno tm aya dvisaeg ainistat,n de specially fromo thewrist hy ourp roblewmh oh avet ravelteotd h ea rea youw isht og ot oa ndh aveu ndertakseinm ilaacrt ivities. HowT OU SET HIBSO OK Beforyeo ub egiyno urt rispt,u dtyh eo rganizaotfit ohni s books ot hawth eny oun eedi nformatyiooucn a nf inidtq u ick.l y Thef irtshtr eceh aptefrosc uosn p reparatifoinn,d iansgs istance, andp reventBieos nu.r teo r eatdh eseb efoyroeu trr ibpe ginTsh.e nextth receh aptecrosv esrp ecific phreoablltehm s--common, lescso mmona,n dl ife-threatentirnagv-etlhmeaartys h avet o
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