Whether you are traveling for a few days

or few months…

dealing with illness abroad can put a real damper on plans. Although I have stayed clear of any serious illness abroad, (somehow, knock on wood…), I have witnessed travelers deal with everything from broken bones to kidney infections, and even dengue fever. There’s also the glamorous traveler’s diarrhea, the most common travel-related illness which affects up to 69% of travelers (Vilkman, 2016). Take my word here, I have seen clinics and hospitals throughout Thailand, Vietnam and India. I promise you aren’t missing out by avoiding these.

I am definitely not here to scare you, chances are you will be totally fine but let’s face it- things can and occasionally do go wrong on any trip. It’s best to be prepared in case it does so take it from a nurse:above all we want to prevent illness from happening, but be prepared in case it does.

Please remember these are general tips only. While they are written by a qualified nurse, they are no replacement for a consultation with your travel health nurse or physician. Do not introduce any new medications or supplements without speaking to a qualified healthcare professional, especially if you are pregnant or have pre-existing conditions.

Although all trips are different and may require special precautions (climate, destination, personal health needs), you need to cover your health bases for any trip. To decrease your chances of dealing with any illness and have more peace of mind abroad, here is what you should be considering.

Before Your Leave

Two Months Before you Go

Schedule a visit with your primary care doctor for a travel focused appointment. CVS and Target Clinics can also provide a specialized travel visit and give most vaccinations if you do not have primary care. Cover vaccine bases, stock up on any home meds, and discuss standby meds such as antibiotics if you are prone to infections like UTIs/GI issues, or acyclovir for cold sores.
Prepare for this appointment but checking the CDC and WHO to make sure you are up-to-date on immunizations and any other precautions (i.e. malaria or mosquito-born virus precautions). Some vaccinations need to be timed apart and some take a few weeks to build up immunity, so get on the ball here!
Check with your insurance company about what will be covered abroad and how billing works. No matter what, I highly suggest getting additional traveler's insurance.
Start planning some extra cash into your budget specifically for unexpected illness/injury, just in case.

One Week Before You Go

Start prioritizing your health and get your body ready for a long flight. Start getting adequate sleep and drink plenty of fluids. Don’t save packing and planning details until the last minute, you don’t want to be a stress ball before the trip!
Stock up on your first-aid kit and any supplements you may want to bring.
Start taking any supplements you didn’t take before NOW to make sure your body reacts okay. Again, do not introduce any new medications or supplements without speaking to a qualified healthcare professional.

Night Before the Flight

Vacation starting? Time to celebrate! Before you open that bottle of wine, think ahead before hitting the bars. A hangover on a long flight is not only going to be a miserable way to start your trip, but it will further disrupt your sleep and lower your immune system.

On the Flight

Sanitize your space. Statistics on how often your tray table is wiped down are terrifying. Pack some anti-bacterial wipes are wipe down the tray and armrests.
I also like to bring along a nice hand sanitizer. I love this Dr. Bronners Natural Hand Sanitizer spray because it is gentle and has a soothing lavender scent that is relaxing for the plane.
HYDRATE. HYDRATE. HYDRATE. Low cabin humidity and high altitudes not only dry you out, cause fatigue, and increase jetlag, but can lower your resistance to germs.
Schedule sleep to get on your destination’s time zone, rink plenty of water, and check out other ways to prevent jet lag.
What’s cuter, compression socks or feet so swollen you can’t fit them in your sandals? Rock those sexy compression socks- they improve circulation and decrease swelling during a long flight. Of course get mine from Figs!

You Made it! Things to Consider Now:

Wash Your Hands. Whenever you can. I don’t need to elaborate here, just do it.

Be Smart About What You Eat

E. coli, Shigella, Salmonella, Giardia…mmm no thanks. Undercooked meat and fish are the culprits here so avoid them if you can, unless from a reputable source.
If water is of questionable quality where you are going, avoid fresh fruits and vegetables. I have seen a few people get really sick this way. It’s not the foods themselves, but the unsanitary water they were washed with. Instead go for cooked vegetables and fruit in peels like bananas, oranges, and avocados.
I’m not going to say I haven’t had some questionable street food in my day and have been totally fine. You can find some of the most authentic and tasty options in the streets, just proceed with caution. Look for general hygiene practices among the cooks and where the raw food is stored. Go with your gut - you are the only true judge of your stomach’s tolerance.

Be Smart About What You Drink

Try to drink only bottled water, canned, or sparkling options. Even if the locals drink the tap, as a foreigner you may not have the right gut bacteria to protect you. BYOWB (bring your own water bottle) or consider a bottle with a built-in filter to prevent water bottle waste.
Fill that bottle or grab an extra one or two in the airport before venturing out- just in case your destination doesn’t have bottled water readily available.
Be conscious not just of drinking water, but also the water you shower and brush your teeth with. Try not to ingest too much water and brush teeth with sanitary, bottled water if your destination’s water is unsanitary.
Take caution of drinks that have ice cubes in them- remember these can be unsanitary as well.
Hot coffee and tea should be fine because boiling kills off the bacteria you are worried about, but make sure that tea is hot and not lukewarm.

Consider your Caffeine:

Do you rely on your venti Starbucks once or twice a day? Your religious caffeine may not be as readily available abroad. To avoid a caffeine withdrawal headache, grab some to-go packs you can add to hot water. These may also be helpful to fight that jetlag.

Stay Active

No, you don’t need to go find a gym where you are going, but opt for walking, biking, hiking and trekking when possible! Staying active strengthens your immune system to help fight any potential infections, especially when your normal routine is changed, it’s even more vital.

Prepare for Quality Sleep

Sleep conditions may not always be as expected, so be prepared. Bring layers of clothes you may need depending on temperature. Look ahead to make sure your accommodations have A/C, fans, or heat.

Bring a sleep mask and ear plugs. You may not know what prepare for- in a big city you may need to sleep through ambulances and partying all night. In rural areas you may have constant noise of animals outside.

Scare Away Bugs

Oh mosquitos. Besides the annoying and itchy bites, these guys can transmit a number of diseases including yellow fever, dengue fever, Japanese encephalitis, malaria, and chikungunya. Use preventative measures like wearing long layers, using mosquito spray, sleeping under a mosquito net, and taking malaria pills if necessary and advised by your doctor in your area of travel.

Beat the Sun

Besides sunburn, not handling the sun can lead to heatstroke, heat exhaustion or dehydration. Put on the SPF, cover up, and stay hydrated.

Remember that these are general health tips only. While they are written by a qualified nurse, they are no replacement for a consultation with your travel health nurse or physician. Be sure to discuss individual health concerns based on your personal history with a qualified medical professional before your trip.

For more information visit the World Health Organization and Center for Disease Control travel page.

What are your tips and tricks. to prevent illness abroad? I would love to hear! Leave a comment below or find me on social media.

XO,

Jac

Sources:

Center for Disease Control

Krzysztof Korzeniewski (2017). Travel Health Prevention. International Maritime Health, 68(4), 238-244. doi: 10.5603/IMH.2017.0042

Vilkman, Katri (2016) Travelers’ health problems and behavior: prospective study with post-travel follow-up, BMC Infectious DiseasesBMC, (16)328.doi.org/10.1186/s12879-016-1682-0

World Health Organization