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     Volume 4 Issue 9 | August 20, 2004 |


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Health

Fighting Food and Water Borne Diseases

Poor sanitation, faulty plumbing, the use of human excrement as fertilizer and unclean food handling food cause water borne diseases. Food and water precautions are the traveller's first line of defense against all food and water borne illness.

Traveller's Diarrhoea
Montezuma's revenge, Delhi belly, Trotsky trots...The name changes around the world; but the symptoms are the same: diarrhoea with cramps, nausea and a general feeling of illness. Traveller's diarrhoea is usually caused by germs (bacteria, parasites or viruses) which have contaminated your food, water or fingers. Even a change in the environment can cause mild diarrhoea.

Travellers' diarrhoea is the most common sickness in travellers. Luckily, the illness is usually mild and clears up on its own within a few days. The most important treatment is replacing your body's lost fluids and electrolytes(salt, potassium and sugar).

Treatment
1. Replace lost fluids and electrolytes (salt, potassium, and sugars).

Drink clear fluids (at least 3 litres/day for adults). Choose fruit juices rich in potassium (e.g. orange, apple). Add 1/4 teaspoon of salt and 2 teaspoons of sugar. Dilute with boiled or carbonated water if desired. Commercial packets of rehydration salts (e.g. Orsaline) can be used for infants, children or adults.

2. Add solid foods slowly once symptoms subside. Avoid milk for 1-2 weeks. Breastfed infants should continue to breastfeed.

3. Medication prescribed by your doctor
If diarrhoea is severe, antibiotic treatment is needed. Seek medical advice or begin self-treatment.

Symptoms of severe diarrhoea
* persistent diarrhoea (longer than 2-3 days)
* more than 6 stools/day
* fever and shaking chills
* blood, mucus or pus in the stools
* dehydration

Symptoms of dehydration
* small amount of strong smelling, dark yellow urine
* thirst
* absence of tears or saliva
* dry mouth and skin
* fatigue and dizziness
* sunken eyes
* sunken fontanel (soft spot on the head) in infants

Source: The Internet, Travellers Health, Capital Health Authority

 

 

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