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How to Stay Well on Vacation
Charles B. Inlander
People's Medical Society

Special from Bottom Line/Health
May 1, 2007

I 'm always amazed when people devote hours and hours to planning their itineraries for vacations, while virtually ignoring any special measures for ensuring their health while they are away. Whether you are traveling to an exotic foreign destination, taking a cruise or simply spending a few weeks at the seashore, here's what you need to know to protect yourself -- and your family...

Plan for your health before you go. Pre-trip planning -- as far ahead as possible -- is crucial. If you are going overseas, for example, you may need vaccinations and preventive medications. To find out what shots and medicines are recommended, check the Web site of the Centers for Disease Control and Prevention (CDC) at www.cdc.gov/travel/. Regardless of where you are traveling -- even if it's in Canada or Europe -- check this Web site.

Important: Don't wait until the last minute. Some antimalarial drugs, if needed, should be started three to four weeks before your trip, and some shots, such as those for hepatitis B, should be started about six months in advance.

Pack your medications. The Transportation Security Administration now recommends that prescription and over-the-counter (OTC) medications be kept in their original dispensers to help with the airport screening process. Also, pack everyday OTC health products that you may take for granted at home but that may not be easy to find if you get sick while abroad or even in a remote rural area of the US. This includes medications like Pepto Bismol or Imodium AD for diarrhea, contact lens supplies and any other medicines your doctor might recommend.

Use precautions on the way. Airplanes, which are often packed with runny-nosed kids and coughing adults, are prime areas for contracting an illness. But don't blame the airplane air. Studies have shown that the filters airlines use are terrific at weeding out viruses and other germs in the air. The problem is what you touch! Passing a cup, reaching for the handle in the airplane bathroom or touching the traytop at your seat can expose you to a multitude of germs. Wash your hands often, carry antibacterial wipes when you don't have access to soap, and keep your hands away from your mouth, nose and eyes. By taking these steps, you will dramatically lower your chances of getting sick. Follow these same strategies on cruise ships.

Staying well when you're there. Jet lag is the number-one complaint among international (and even long-haul domestic) travelers. Take it easy for the first few days at your destination. Your body is still operating on its normal schedule. Also, watch what you eat when traveling, even here in the US, because sometimes food you're not accustomed to can cause gastrointestinal upset. And pack light. One of the most common travel injuries is "traveler's back," a painful condition caused by hauling heavy suitcases and other travel bags. Finally, bring a list of your medical conditions and medications in case you need medical attention while you are away. Major hotel chains and travel agencies usually can provide a list of qualified physicians and hospitals available in the local area.


Bottom Line/Health interviewed Charles B. Inlander, a Fogelsville, Pennsylvania-based consumer advocate and health-care consultant. He was the founding president of the nonprofit People's Medical Society, a consumer advocacy organization credited with key improvements in the quality of US health care in the 1980s and 1990s, and is the author of 20 books, including Take This Book to the Hospital with You: A Consumer Guide to Surviving Your Hospital Stay (St. Martin's).

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