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SEASONAL STRATEGIES:

SUMMER

Stand Up to Summer

Don't Be a Heat Casualty

2003: Summer Health

    and Safety, Part 1

 
 
   
 

HEALTH /DISEASE/OUTBREAK

ALERTS & INFORMATION:

TMVC (Travellers' Medical & Vaccination Centre)

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INTERNATIONAL

EMERGENCY MEDICAL AID:

• U.S. Dept. of State

  (A to Z Resources for

  Americans)

• U.S. Dept of State

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HighwaytoHealth (paid membership required)

 

FIND A TRAVEL-MEDICINE

PHYSICIAN AND/OR CLINIC:

ISTM (International Society of Travel Medicine)

 

PHYSICIAN FINDERS:

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BestDoctors.com (Fee)

HighwaytoHealth (paid membership required)

 

Amer. Dental Assoc. (ADA)

 

 
 
   
 

First Things First: Make Preparation & Good Judgment

Your First Priority

The One Thing You Must Do to Prepare for a Medical Emergency

Change-Your-Life

Travel-Health Makeovers

Stand Up to Summer

How to Avoid Becoming a Heat Casualty

Slumber Strategies for the Sleep-Deprived

Packing Your Personal Medical Kit

Airport Mishaps: Where to Get Help

Should You Be Flying Now?

Eating on the Go: What You Need to Know

Establishing Healthy Habits on the Road

No-Excuse Shape-Up Strategies

Other Columns

 
 
   
 

July 2, 2003

May 15, 2003

March 13, 2003

January 23, 2003

November 14, 2002

October 4, 2002

July 25, 2002

June 13, 2002

 
 
   
 

Take a Breath!

Show 'Em That You Care!

Airplanes Are Not Flying Hospitals!

 
 
 

Contact

The Wellness Concierge®

Got a question, suggestion, or solution?

 

Do you have a road-tested strategy or solution for a healthier life that you'd like to share? Got a travel-health challenge or question?

 

E-mail The Wellness Concierge® and I'll answer your questions and share your stories, suggestions, comments, and feedback on travel-health issues and topics.
 
Copyright© 2002, 2003, Marlene R. Fedin

HOW TO STAND UP TO SUMMER

Tips and Strategies for Staying Healthy—and Comfortable


By Marlene R. Fedin, The Wellness Concierge®

 

Counter Summer’s Sultry Side Effects How to Avoid Becoming a Heat Casualty

Sun-Exposure: Pitfalls, Protection,  and Resources

 

JUNE 27, 2002

In magazines, movies, and our dreams, summer is a fantasyland of sun-splashed days in which we languidly loll around a pool or beach. We wear linen that never wrinkles, have the perfect tan (we never burn or wrinkle), never sweat, and look sexy no matter what we're wearing or what the Heat Index is.

 

In reality, even leisure travelers can't live this fantasy. For business travelers who have been on the road in the last month or been hitting U. S. hotspots (Think Arizona, Florida, and New Orleans for starters.) all year, "summer" is a seemingly endless round of trying to look professional while navigating one's (overdressed) self and (suddenly heavier) luggage through a maze of heat, haze, and humidity.

 

The landscape of travel today is already stressful and physically challenging. Factor in the heat, and it's a rare roadie who survives without feeling withered, toasted,  wilted, or worse. But keeping cool isn't just about trying to ensure some level of physical comfort or maintaining a professional demeanor. It's about staying healthy so we can enjoy the increased activity and outdoor exposure that summer brings. (And maybe even live out some of our fantasies of "how it should be.")

 

Heat Advisories

A big part of staying well when traveling during the summer is simply using your head (planning ahead is critical). But since we're often too hot to think clearly, here's some learned-on-the-job tips to help you stay cool, calm, collected, and healthy from your resident "Heat Counselor."

 

Among my "credentials": numerous trips to factories in southern and western U.S. locales in the depths of summer and a six-week sales trip in Miami in July that was preceded by a whirlwind of appointments in an under-air-conditioned, 90-degree+ Rome that was capped by my scaling at mid-day—in high heels and a tight skirt—the narrow stairs to the top of St. Peters with an Italian client. I drank so much water that I could have served as a buoy but I never fainted or even got dizzy, although several of my traveling companions hit the pavement rather unexpectedly during the Miami sojourn.

 

Check Local Air-Quality Conditions

The impact of poor air quality, which increases in the summer, often goes unnoticed by travelers because many of its symptoms (wheezing; runny, irritated nose and eyes or throat; coughing, etc.) are often mistaken for allergies. But haze and smog pose a health threat for many and the negative effects of exposure to air pollution aren’t limited to those with heart or respiratory problems.

Extended exposure to high levels of pollutants such as ground-level ozone, carbon monoxide and particulate matter, particularly through exercise, can catch anyone off guard and leave even the fit short of breath and coughing, sneezing, and worse. Numerous cities and areas frequented by business travelers have air-pollution levels that persistently exceed established national standards for air quality. (A listing of these areas is provided on the EPA’s Web site.)

The amount of toxic ozone—one of six pollutants monitored in the EPA’s Pollutant Standards Index (PSI)—rises between May and October. This increases the incidence of risk, which now extends beyond cities to the suburbs and even some rural areas.

If you’ve got allergies, local pollen counts can warn when you’ll need to take medication or alter the timing of workouts. Noting which allergens are at the highest levels can help you isolate which culprits are triggering problems.

TIP: Claritin's Web site is filled with helpful allergy-related info. You can check for airborne allergens by region; review its Allergen Guide to learn about specific plants, trees, and mold allergens; and get a pollen forecast. (You can even sign up for a daily pollen e-mail alert for a designated area.)

If you're overweight, have a heart, respiratory or other medical condition that is affected by air quality, be sure to check the daily Air Quality Index for your location and adjust your activity level.

TIP: Many local TV weather reports include PSI and air quality info. You can check the air quality for any U.S. location for the current day (as well as a forecast for the next day) at the EPA's AirNow page, which also provides detailed health alerts and an explanation of how the Air Quality Index affects your health. And if you really want to get the details on the pollutants in an area, you can check out the EPA's Summary Report.

Downsize Your Schedule

Type-A folks may be loathe to accede to the dictates of nature, but energy levels can plummet in hot weather with some undesirable consequences (fainting and heat exhaustion, for example). "Slow down." and "Take it easy." are cautions meant to be heeded.

Trying to do too much, physically overdoing it, and running from icy cold air-conditioned rooms into the blazing sun and hot, open air is a sure-fire way to become a hot-weather casualty. So relax, slow down, pace yourself, and try not to end up in situations where you are running—there's nothing that's worth putting your life at risk.

Modify Your Fitness Routine

Don’t over-exercise or overexert yourself physically, particularly if you’re not in good shape. The temptations are many, but summer isn’t the best time to try to transform yourself into a jock or a fitness buff. However, the more fit you are, the better you’ll be able to deal with summer weather.

CAUTION: In cities with high altitudes, poor air quality, or high heat and humidity, curtail your workout (length and intensity) and give yourself time to acclimate to local conditions.

Ironically, exercising makes people more vulnerable to air pollutants since they breathe in more air and take it more deeply into their lungs. Pollution levels are higher during peak commuting hours, so avoid those times if you run/jog/walk, particularly if you have asthma or chronic respiratory problems.

TIP: The ALA advises avoiding exercising near congested highways or on heavily trafficked streets and staying 30 to 50 fee away from cars—tough to do in most cities, for example! If possible, stay in shaded areas. If you don’t want to run the risk of exposure, take your routine indoors. When outdoor pollution is at a dangerous level, don’t exercise.

The American Lung Association's site details the impact of air pollution on your exercise routine, who is at risk, and how to minimize risks while exercising outdoors during poor conditions.

If you’re an allergy sufferer, take an antihistamine 30 minutes before you work out. Pollen levels soar until around 10 a.m., so don’t take to the road too early and avoid locales such as fields and areas around streams and ponds where ragweed is plentiful. If you’re faced with unhealthy levels of air pollution, work out indoors.

Monitor Your Physical Condition

Heed the body’s warning signals. If you feel disoriented, lightheaded, or dizzy, or if you have a headache, nausea, clamminess, or chills, get out of the heat, cool down, and drink water. If you’ve stopped sweating and your heartbeat is rapid, you’re experiencing the early signs of heat exhaustion and need immediate aid.

TIP: Avoid meltdown: Carry a frozen bottle of water. Roll it over your forehead and neck to chill out and when it thaws, drink it!

If the frozen-water bottle bit isn't your style, consider wrapping your neck (or head) with the Sun Quencher Cool-Down Bandana. (FYI: It's not really a bandana but a thin, long piece of fabric more akin to a skinny tie.) Place the cooling band in water, wrap around your neck, and you should see a drop in body temperature of 10 to 15 degrees. (The maker claims it works by cooling the carotid artery, the main artery in your neck, and offers a money-back guarantee.)

And if that's too messy or unfashionable, there's always the sleek, high-tech looking Personal Cooling System from The Sharper Image (800-344-4444).

Personally, I've tried all three and I'm sticking with the frozen water bottle. I hate anything around my neck when I'm hot, but I know folks who swear by the cooling system and others who love the low-tech cooling bands.

Up Your Fluids Intake—But Watch What You Drink

Dehydration can be a major problem. Increase your intake of water/fluids prior to a flight and drink at least eight ounces of water for each hour of a flight.

Drink up even if you don’t feel very thirsty. By the time you feel thirsty, you’re already dehydrated.

Don’t reach for the ubiquitous iced-tea or coffee. Such caffeine-laden drinks act as stimulants and increase heat production in the body.

Avoid beverages laced with alcohol or caffeine (they’re diuretics, which encourage elimination) and carbonated or salty drinks that only fuel your thirst.

TIP: To prevent overheating, the American College of Sports Medicine advises drinking about two glasses of water two hours before exercising and drinking cool (not cold) liquids throughout a workout.

REMINDER: If you’ve got a fever or an illness that includes diarrhea or vomiting, which can lead to rapid fluid loss, or are taking medications that interfere with sweating (antihistamines, antispasmodics, some antidepressants, to name a few), increase your fluid intake to compensate.

Don't Drink the Water!

No matter how thirsty you are, don’t drink questionable water—on the ground or in the air. Plan ahead to have safe drinking water or other fluids available.

And don’t overlook the water you immerse yourself in. In the heat of summer, many of the same folks who tote bottled water or use water filters blithely hurl themselves into rivers, ponds, and streams that are rife with contaminants such as giardia and cryptosporidia, which can cause gastrointestinal problems.

Lighten Up!

  • Wear lighter, looser, and more comfortable clothes. Look for natural fibers (cotton and linen) or natural-fiber blends with open weaves. Avoid tight or constricting clothing. They'll only increase your discomfort. And unless you're a masochist (or a fashion model), avoid sweat-inducing materials like polyester, nylon and leather.

  • Eat less (but don't skip meals) and cut down on heavy, fat-laden foods. Up your intake of fresh fruits, vegetables, and lean meats. You'll feel better and you'll have more energy.
  • Carry less. Ship luggage ahead or pare down. Everything seems to weigh more in the summer.

COUNTERING SUMMER’S SULTRY SIDE EFFECTS

Sun, heat, and humidity deliver subtle punches that can, if ignored, take out—or slow down—even the fittest road warrior.

 

Unanticipated Sun Sensitivity: Mixing Drugs and Sun Can "Burn" You

Taking a decongestant on a 90-degree day can leave some with a bad case of the shakes because heat, humidity, and sun exposure can affect the way a drug is metabolized. People with certain medical conditions or those taking certain medications, for example, are especially vulnerable to sun exposure. The degree of photosensitivity varies based on a person’s protective pigments and the way they metabolize a drug when exposed to UVA rays.

Some common photo-sensitizing chemicals include acne treatments (Accutane) and anti-wrinkling drugs (Retin-A, Renova), antidepressants, antihistamines, diuretics, oral contraceptives, oral diabetic agents and anti-cancer or anti-seizure medications. Taking common pain relievers such as Ibuprofen (found in Advil and Motrin) or nonsteroidal anti-inflammatory drugs (NSAIDs) also can increase skin’s sensitivity to sun.

Since UVA rays are not absorbed by glass, which does absorb UVB rays, you can get burned while riding in your car. Avoid mid-day exposure, limit overall exposure, use broad-spectrum sunscreens that protect you from both UVB and UVA rays and wear a hat with a wide brim.

Sun-Protection Pitfalls

Sun exposure adds up. Even city-trolling, skyscraper-bound travelers may rack up unprotected sun exposure. If you have a lengthy drive to and from the airport, an unexpected al fresco lunch, an outdoor meeting, a site tour with a client, you may be getting more sun exposure than you anticipated. So unless you literally never see daylight, you should use a sunscreen or sunblock every day—even if you don’t anticipate any extensive sun exposure.

Start the day by slathering on (don't skimp) sunscreen (a minimum SPF of 15; your choice should reflect not only the amount of time you'll be exposed but also your skin type and susceptibility to skin melanomas) on exposed areas such as your face, neck, hands, forearms, and feet.

TIP: If you do a lot of driving, put extra lotion (and reapply frequently) on the exposed areas of your driving arm and hand, as well as the left side of your face and neck.

Did you know?

The higher the SPF (Sun Protection Factor), the greater the protection against aging, cancer, and sunburn you'll receive.

 

Using a high-SPF sunscreen doesn't decrease your risk of a burn if you don't re-apply in a timely manner. According to a recent study, you're less likely to burn if you use a product with an SPF of 15 and reapply it every two hours than if you opted for an SPF 30 product that was reapplied every 2.5 hours!

 

Get Sun Savvy! To avoid over-exposure and better plan your outdoor activities, check the daily UV Index to determine the local risk factor.

Cover Up: Wearable Protection If you’re sun-sensitive, burn quickly, or have a medical condition that requires you to stay out of the sun (but you can’t), consider specially designed clothing. Sun Precautions (800-882-7860) offers comfortable, lightweight sportswear and outdoor clothing, including hats, that blocks more than 97 percent of UVA and UVB rays. Its Solumbra line of men’s and women’s apparel has received FDA approval for its claims of 30+ SPF protection—wet or dry.

Other companies with sun-protective clothing include L.L. Bean (cotton shirts in the Travel Collection) and Sunveil Sunwear.

 

Dye-maker Rit offers Sun Guard. Pop the laundry additive into the wash with the clothes you want to sunproof and you'll have apparel with an SPF of 30.

 

Swipe-On Sun Protection: Who can bother with those tubes and bottles of sunscreen? No wonder most of us don't use sun protection. Lighten your load and protect your skin with pre-moistened, single-use towelettes. Look for SunSwipe Sunscreen Towelettes. The swipes are re-usable, waterproof, and greaseless and available in SPF 30 and 45, and provide UVA and UVB protection. (800-478-6386)

SunBuddy offers five non-allergenic, PABA-free, waterproof products (including a Sunblock SPF 30 version with an insect repellant). You can get a two-packet sample for a $1 SH fee (Phone: 877-786-2831; Fax: 888-478-3674) 

Shades On!

Don't forget to buy—and wear—sunglasses. Check the label to be sure they provide both UVA and UVB protection. (Check out the Washington Post's sunglass-selection and shopping tips.)

 
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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The Wellness Concierge®?

Marlene R. Fedin

 

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Health & Wellness

Resources

These individuals and their companies are personally and professionally  committed  to helping travelers lead healthy and productive lives.
 
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  Deby Harper/
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     Solotrainer Fitness
 

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