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Travel
Health by the Book
By land or air,
don’t leave home without a packable primer that could save
lives—including yours—and upgrade your general health and comfort
By
Marlene R. Fedin, The Wellness Concierge®
Copyright© 2002 to 2004, Marlene
R. Fedin; no reprint or reuse, on or offline,
without
express permission of the author
The Net is a good resource for information on current
travel-health concerns such as SARS and infectious disease
outbreaks, where news breaks quickly. But when it comes to handling
the day-in, day-out health challenges of life on the road, there’s
nothing like a well-researched, in-depth travel-health book as your
first line of defense.
Remedies and strategies for preventing and handling problems on
the go don’t change every day so you don’t have to worry about
outdated information. (Although you should check the publication
date of books you’re interested in. With notable exceptions, you’ll
want something published recently, say in the last three to five
years. But it depends on the content. I’ve got some well-thumbed and
still-relevant books that date back to the early ‘90s.) And as
frequent travelers can attest, just when you’ve mastered one
challenge, there’s always something else. Toting an "all-in-one"
reference guide is a terrific investment in your health and well
being.
Although there are several terrific general travel-health
books (The 762-page Travellers' Health: How to Stay
Healthy Abroad, Dawood and Palin, 2002 and The
International Travel Health Guide 2001 [12th
Edition] by Stuart Rose, M.D. are the latest editions of two classic
travel-health reference books.) and a slew of books that deal with
specific aspects of travel health, such as jet lag and fitness, I
can’t recommend packing them. The former are too weighty
(literally) while the latter are too narrow in their focus to
warrant take-along status. But do consider them for your at-home
or in-office library. Then you can find what you need and, as
many savvy travelers do, photocopy pages with specific info that
you need or make your own notes to go.
Size Is No Object
Concerned about
cramping your carry-on style or adding to your luggage? Not to
worry. In the last few years, publishers have downsized the physical
dimensions of many tomes—without sacrificing depth of content.
Several of the most comprehensive (including the "I can’t rave about
it enough," 557-plus pages, just-shy-of-12-ounces The Rough Guide
to Travel Health) are palm-size and easily carried (in a
handbag, carryon, or even a trousers or suit jacket pocket) and
packed for quick and ongoing reference. If you’ve got room for a
PDA, there’s really no excuse for not including one or two of
these guides as part of
your personal
medical kit.
Here are a few of my
current recommendations. I’ll be reviewing additional books in
upcoming columns.
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AMA Pocket Guide to Emergency
First Aid
Comprehensive Guide to Wilderness and
Travel Medicine
The
Rough Guide to Travel Health
The Pocket Doctor: A Passport to
Healthy Travel
The Healthy Traveler:
A
Handbook of Easy Solutions for Common Travel Ailments
Travel
Healthy: The Smart Traveler’s Guide to Staying Well Anywhere
First-Aid Basics:
If a medical emergency occurs, you’ll need expert advice—fast. These
pocket-size first-aid guidebooks help you quickly identify what
immediate action to take.
The American Medical
Association’s Pocket Guide to Emergency First Aid
Unless you’re a
trained emergency medical services staffer or someone who has had
extensive experience in handling common emergencies, I strongly
recommend including this book when you fly. (And if you drive, keep
another one in your car.) This slim volume provides illustrated
text and how-tos for handling 30 common medical emergencies and
injuries.
It steps you through the process—very useful when you’re in the
panicked or frozen mode and can’t think or act without prompting.
And if you’re the casualty who needs assistance, it could help the
person who comes to your aid.
TIP: We all think we’re great in
emergencies. And some of us are. But let’s be honest, most of us
forget what we know when an emergency arises and having a
quick-and-easy tool that we can use ups the chances of a successful
outcome.
Comprehensive Guide to Wilderness
and Travel Medicine (Eric A. Weiss, M.D.)
A thorough,
easy-to-read, 198-page manual—perhaps the next best thing to
having a doctor at your side. With sections on the various
medical emergencies that can beset business travelers who never find
themselves anywhere near the outdoors, it's a must-pack item,
particularly for those who travel solo.
Weiss, the Associate Director of Trauma at the Stanford
University Medical Center in Palo Alto, CA, and an authority on
wilderness and outdoor medicine, includes "Weiss
Advice," a series of improvised techniques, the equivalent of
on-site guerrilla medical care for the nonprofessional. Tips
range from the "tame" (how to irrigate an eye to remove foreign
objects or impurities using a plastic bag) to the definitely
not-for-the-fainthearted (how to use your own hair to "suture" a
wound together).
His "When to
Worry" boxes save precious time by quickly alerting you to
conditions and situations that require immediate professional
attention.
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A Must-Have Item for
International Travelers: The Rough Guide to Travel Health
(Dr. Nick Jones)
Of Note: Breadth of content; practical, accessible,
well-packaged and organized information; easy-to-use format;
multiple ways of accessing content; A to Z illness/risk listings;
emphasis on prevention and coping strategies; directory of on- and
off-line resources including entries for disabled and special needs
travelers; women; children; and adventure travelers; glossary
You won’t have to be an international traveler to appreciate—and
use—this amazing travel-health compendium. At a bit under 12 ounces
and 4" by 5 ¾" by 1 ¼", this comprehensive tome is smaller and
lighter than many portable MP3 and CD players. The combo of
pack-easy size and potent content may well make it the only
travel-health reference you’ll need—on or off the road.
From its on-target Intro ("Travel can be fraught with health
hazards, even the most minor of which can seriously hamper your
enjoyment of a trip...But perhaps the biggest danger to the
traveller is the assumption that ‘it can’t happen to me.’ ") to its
index, this book puts a laser-like focus on travel-health
essentials. In four chapters, it manages to cover every conceivable
element (and some inconceivable ones) of travel health. That alone
would net it a strong recommendation.
But it’s the ease of retrieving its valuable info that also
singles it out for attention. Few medical or health books with
such a vast amount of information are as easy to navigate. This
book was clearly designed with the reader/user in mind: You can
quickly find relevant information—even if you’re not sure what
you’re looking for.
At 126 pages (the size of some travel-health tomes), the Being
Prepared section provides advice and strategy on every aspect of
a trip, including recommendations for different types of travelers
(seniors, pregnant women, epileptics, diabetics, etc.). Pick a topic
and it’s sure to be summarized. This includes the basics (first-aid
how-tos, jet lag, fear of flying) as well as specialized topics such
as antibiotics and managing blood sugar.
The A-to-Z section, which lists the various illnesses
besetting domestic and global travelers, includes overviews,
symptoms, diagnosis, and treatment. (Warning: Even a casual perusal
can leave you a bit unnerved. It’s truly amazing how many things you
can pick when you wander afar!)
The section opens with a terrific entry on Making a Diagnosis,
which discusses the key elements of what can be a lengthy and
frustrating process for travelers in terms of identifying the
problem and the source.
The Where in the World? section discusses relative
risks by country/geographic area and offers recommendations for
vaccinations. It’s a quick entry into what can be a confusing
subject. (And if you’re uncertain about an area, it provides a
quick overview of health risks.)
And lest you fear being overwhelmed by the clinical/medical
verbiage, the book is interspersed with personal travel tales of
first-hand encounters with some of the diseases and conditions.
They won’t lull you to sleep (Unless you’ve got a strong stomach,
some of these tales are not a dinner-table read.) but you will know
you’re not alone and feel a sense of kinship—and survival.
Going Natural:
Alternative medicine is more widely known and used in the UK than
the US, so it’s not surprising that homeopathic remedies are
included throughout the book. It’s a welcome inclusion for the many
travelers who prefer these options. An alternative medicine kit
checklist rounds out the traditional recommendations.
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The Pocket Doctor: A
Passport to Healthy Travel (Stephen Bezruchka, M.D.)
The physician author is a world traveler who has first-hand
knowledge of many of the health concerns he details in the latest
(third) edition of this classic reference. If you’ve got little
time (or patience), this 126-page book can get you up to speed
quickly with chapters that include the basics: Before You Go,
Finding Medical Help Abroad, General Health Advice; Common and
Less-Common Illnesses; Life-Threatening Emergencies; and the
Returning Traveler.
If you’re interested
in natural remedies and nontraditional approaches to staying healthy
on the go, these two books are essential reads:
The Healthy Traveler: A
Handbook of Easy Solutions for Common Travel Ailments
(Susan W. Kramer,
Ph.D., AHG, Esq.)
Of Note: Easy-to-read format; inexpensive, natural
remedies (food, herbal, and drugstore); covers common travel
ailments; foreign phrase section; chapter summaries; Missing
Medicines section; multipurpose remedy suggestions; multi-source
research, including medical literature, case studies, and the input
of healthcare professionals
I love this book not only for its content but also because it
blends medically sound advice with the author’s personal experience.
It’s that rare combo: relevant and "real." Reading through it is
like having a really smart, savvy and experienced best friend at
your side dispensing the "how-tos."
The author (a therapeutic herbalist) draws on Western
allopathic medicine and Eastern and Western herbalism and homeopathy
in detailing remedies and resources for handling common travel
ailments (alphabetical starting with Altitude Sickness and
ending with Stiffness). There’s a helpful Foreign Phrases section
that includes translations for traditional (broken, bite,
bleeding, etc.) and select alternative/integrated medicine
references (acupuncture, homeopathic, etc.) in five languages
(German, French, Italian, Spanish, and Portuguese).
The Making a Travel Kit section reviews what you need by
type of natural remedy and why you need it with component lists for
either a comprehensive or mini- travel kit.
Spend time in the wilderness? (Which, for us city folk, is
anyplace without a 24-hour drugstore and a nearby health food
store.) You’ll love the buried nuggets that detail how to cope
with say diarrhea (start looking for a weeping willow tree) or
indigestion (Where are the yellow birch trees?) and other ailments
using nature’s outdoor resources.
TIP: If you want to understand how
natural remedies work and learn more about specific solutions for
what ails you, this is a great introductory primer. (There’s
a Terms section that quickly defines key categories—a real aid for
natural-care novices.)
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Travel Healthy: The Smart Traveler’s
Guide to Staying Well Anywhere (Lalitha Thomas)
Of Note:
symptom-remedy index; emphasis on nutrition and healthy eating;
Buyer’s Guide that makes it easy to locate recommended items;
emphasis on preventive-health measures; Travel Gadgets section;
suggestions on how to use different remedies with children; upbeat,
personal approach to travel health
The author shares her
strategies for achieving her goal of helping you to minimize the
"...heath-negative side effects of travel..." using various natural
remedies and non-toxic methods. The author clearly feels
strongly about following a natural course of treatment and the
book’s tone and contents have a strong healthy living focus.
(Wisely, the author acknowledges that although many of us say we
want to feel better, we may not be ready to implement the changes
needed to embrace a healthier lifestyle. This honesty tempers the
author’s zeal and approach to her subject matter, which makes it a
far less intimidating read for those of us who struggle with
less-than-healthy choices—but who really would like to educate
ourselves about healthy options.)
The opening chapter,
The Smart Traveler’s Health Kit, immediately caught my
attention. I thought I pretty much had a handle on
every
imaginable item to stash. Who knew that I needed clove or
peppermint oils? Activated charcoal? Grapefruit seed extract?
(Did you know? No, I didn’t think so.) Author Thomas details how
these and other items we might not be familiar with can help us cope
with common complaints, inconveniences, and emergencies.
Thomas’ book is
worth noting for many reasons but I found it especially
noteworthy because it delves into topics rarely covered as they
relate to travel. These include:
Drinkable Tonics:
You don’t have to be European, adventuresome, or on the road to
benefit from imbibing the four easy tonics that Thomas includes.
They’re terrific restoratives and far better for you than the
caffeine or alcohol you may be using now to jumpstart your brain and
body when they start to flag.
Comprehensive
Travel-Health Planning: There are pre- (starting 10 days before
you leave) and post-trip health plans to help you "maximize your
strength and stamina." These feature nutrition, supplement, food,
and exercise-based suggestions and strategies.
Healthy Eating:
There’s a section on travel snacks that provides some solid info and
suggestions on healthy alternatives. (Need more stamina? Consider
the recommended Power Carob-Mint Spirulina tablets.)
The section on "superfoods,"
which the author defines as "...live, vegetarian foods with highly
potent and rejuvenative qualities" may not send you rushing to a
health food store for raw herbs, sea vegetables, bee pollen, or
wheat grass juice. Then again, if you really are serious about
upping your strength, stamina, and overall well being, you just
might want to give them a try.◄
Have a favorite
travel-health book?
E-mail me and let me
know how it's helped improve your health and well being.
Copyright© 2002 to 2004, Marlene
R. Fedin; no reprint or reuse, on or offline,
without
express permission of the author
Originally published: JUNE 12, 2003
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UPDATED
LINKS
Every effort is made to provide current, working links. However,
given the nature of the Web and the frequency of change on
individual sites, some links may not be available. If you can't find
a noted resource or you find an error, please
e-mail
The Wellness
Concierge®.
I'll correct errors and
provide you with updated information, where available.
SOURCES
Information is compiled from medical and scientific journals and
related professional publications, which have vetted the research
data that they present. Additional information resources include
medical and other professionals that I have interviewed.
DISCLAIMER
The material you
see here is provided for information purposes only and is not a
substitute for consulting a healthcare professional.
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