Medical Services:
Medical facilities in Kathmandu Valley are sound. All kinds of
medicines, including those imported from overseas are available in
Kathmandu. Kathmandu Valley also offers the services of major general
hospitals and private clinics. Health posts have been set up by the
government in different parts of rural Nepal. However, facilities are
not on par with those found in Kathmandu Valley.
Insurance:
A travel insurance policy that covers theft, loss and medical treatment
is recommended. Make sure the insurance also covers the activities that
you will be undertaking during your stay in Nepal such as trekking,
rafting and all adventures activates
Immunization:
Visitors do not need any particular immunization for visit.
Vaccinations for cholera, meningitis, tetanus and diphtheria, typhoid
and gamma globulin should, however, be considered. It may be a good
idea to get a complete check-up before departure.
Medical Kit:
A simple but adequate medical kit can be very useful while traveling.
The following items are recommended: Aspirin or Panadol - for pain or
fever; Antihistamine - as a decongestant for colds, allergies and to
help prevent motion sickness; Antibiotics - useful if traveling off
beaten track but they must be prescribed; Kaolin preparation
(Pepto-Bismol), Imodium or Lomotil - for stomach upsets; Rehydration
mixture - for treatment of severe diarrhoea; Antiseptic, mercurochrome
and antibiotic powder or similar 'dry' spray - for cuts and grazes.
Other things to be included are:
Calamine lotion to ease irritation from bites or stings, bandages and
band aids for minor injuries, scissors, tweezers, thermometer, insect
repellent, sun block lotion, chopsticks, water-purification tablets,
throat lozenges (Strepsils), moleskin, Sulamyd 10% eye drops,
Acetaminophen (Paracetamol, Antacid tablets).
General Knowledge:
It would be hard to know all aspects of Nepal's health problems.
However, it would be useful to gather information on altitude sickness
(AMS), diarrhoea, giardia, dysentery, cholera, hepatitis rabies,
typhoid, tetanus, meningitis diphtheria, malaria and HIV/AIDS Common
sense can often save lives.
Prevention, the Best Medicine:
Stomach upsets are the most likely travel health problem but the
majority of these cases are minor problems. Thoroughly cooked food is
the safest but not if it has been left to cool. One should be careful
about what one eats and drinks. The number one rule is not to drink tap
water or other water from open sources. Reputable brands of bottled
water or soft drinks are available. While drinking and eating it is
important to make sure that water which may be unsafe has not been
added.
Do not drink unpasteurized milk. Boiled milk is fine if it is kept
hygienically and yoghurt is usually good. Tea or coffee should also be
all right since the water would have been boiled. Salads and fruit
should be washed with purified water or peeled where possible. Food,
drink and snack from reputable sources are usually safe. However beware
of food that has been kept out in the open for long.
Water
Running and tap water is not drinkable in Nepal. Additionally, the
ongoing use of plastic bottles is causing harmful environmental
pollution to the beautiful mountain environment. The solution is to
sterilize existing water supplies prior to consuming. There are a
number of ways to do this, the two main options being:
Boil
all water prior to consuming. This is well known to kill all harmful
bacteria and is the method by which Himalayan Glacier seeks to provide
to trekkers using the facilities of the guest and teahouses.
Alternatively,
using an Iodine solution - either tablets or drops. This is known to
kill most water borne bacteria (not 100%) and has been used widely by
most trekkers effectively in this region. Iodine is particularly handy
when not near or in a lodge and additional water is required to be
purified.
Wash your hands frequently, as it is quite easy to
contaminate your own food. You should clean your teeth with purified
water rather than straight from the tap. Avoid climatic extremes: keep
out of the sun when it is hot, dress warmly when it is cold. Avoid
potential diseases by dressing sensibly. Do not walk bare feet as it is
easy to get worm infections through bare feet. Try to avoid insect
bites by covering bare skin when insects are around, by screening
windows or by using, insect repellents.
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