Page 745 - (DK Eyewitness) Travel Guide - India
P. 745

PR A C TIC AL  INFORM A TION      743

       Sexually Transmitted and   summer and monsoon    to drop off is to sprinkle them
       Other Infectious Diseases
                           (Jul–Sep). The parasite is carried   with salt, or touch them with
       Awareness of sexually   by mosquitoes, and symptoms   a lighted cigarette. Clean the
       transmitted diseases such as   include shivering followed    bite and apply an antiseptic.
       HIV, which causes Acquired   by high fever and sweating.     Snake bites are rare, but
       Immune Deficiency Syndrome   Seek medical help immediately.    if you are bitten, tie a tight
       (AIDS), is high in India. For blood   You should take a preventive   crêpe bandage or tourniquet
       transfusions it is best to contact   course of anti-malarial drugs   above the bite to prevent the
       the Indian Red Cross Society   before, during and after    blood flowing. Keep the limb
       (see p741). Hepatitis B is also   your trip. For information    immobile, note the time of
       transmitted through infected   on medication, call a travel    the bite, and seek immediate
       blood, sexual contact,   clinic or MASTA (see p741).  medical help. Scorpion stings
       unsterilized needles, tattoos and    Another serious mosquito-  can also be serious, and
       shaves from roadside barbers.   borne disease is   the victim can
       However, it can be prevented   dengue fever, with   sometimes go
       with a vaccine. Using a condom   symptoms similar    into shock. The
       is essential for protection against   to malaria, including   treatment is
       all sexually trans mitted diseases.  severe pain in the   similar to that
         General precautions to follow  joints and muscles,    of snake bite.
       are: before an inocu lation, buy   and rashes. Seek    If you are stung
       a disposable syringe, or insist   medical treatment    by a jellyfish while
       that a new syringe and needle   if you think     swimming,
       is unwrapped in front of you.   you might        vinegar or lemon
       Never have shaves from roadside   be infected.   juice, calamine
       barbers and stay away from     To guard          lotion and
       seedy-looking beauty parlours,   against yourself   Mosquito repellent coil and cream  antihistamines
       as you can pick up infections   mosquito bites,   help reduce the
       during manicures and pedicures.   use mosquito-repellent   pain and swelling. Clean the
       Any procedure using needles,   devices and a net over the    area with an antiseptic lotion.
       such as tattooing and ear-  bed while sleeping. If you are
       piercing, is best avoided in   outdoors in the evenings, wear
       places where hygiene is dubious.  shoes and clothes that cover   Swine Flu
         Vaccination against tetanus    the arms and legs, and rub   Swine flu is an infection caused
       is essential when travelling.   mosquito-repellent cream    by any one of several types of
       Tuberculosis (TB), though   on exposed skin. As a rule,   swine influenza virus, the most
       common in India, is not a    carry mosquito-repellent   common one being H1N1. The
       great risk for visitors. Meningitis,   cream with you at all times.  virus is highly cont agious. If
       spread through droplet                  there is an outbreak of swine flu,
       infection, is a more real threat –      and you have flu-like symptoms,
       it needs immediate medical   Cuts and Bites  you should consult a doctor.
       attention. Symptoms include   Insect bites are common,
       fever, stiff neck and headache.  especially in areas prone    Altitude Sickness
                           to heavy rainfall, such as the
                           coasts, the Nilgiri Hills, parts    A lack of sufficient oxygen at
       Rabies              of Kerala and the northeastern   altitudes higher than 2,500 m
       Animal bites, especially from   states. To avoid insect and ant   (8,202 ft) can cause Acute
       dogs and monkeys, can cause   bites, it is best not to sleep    Mountain Sickness (AMS);
       rabies. Clean the bite with    on the ground. Ticks, lice and   symptoms are dizziness, severe
       an antiseptic solution and    mites are another problem,   headaches and loss of appetite.
       seek medical help at once, as   since they are carriers of   These often subside within a day
       treatment involves a course    typhus and Lyme’s disease. Use   or two, but if they persist, seek
       of injections, even if you have   insect repellents, avoid staying   medical attention at once.
       been bitten by a pet dog. There   in places with poor hygiene   Though some doctors
       is a vaccination that partially   and, if bitten, apply antiseptic   recommend Acetazolamide
       protects against rabies, but this   cream. An antihistamine is the   (Diamox) and dexamethasone,
       is only advised if you are going   best antidote if you get stung   they are controversial drugs
       to high-risk areas. You should   by a wasp or bee. Rainforests   and should not be used.
       only take this vaccine if your   are usually infested with     A few tips to avoid AMS are:
       doctor advises it.  blood-sucking leeches that   ascend slowly; once above
                           attach themselves to the    3,000 m (9,843 ft), do not
                           skin. Never try and pull them   increase camping altitude by
       Insect-borne Diseases
                           off, since their heads remain   more than 300 m (984 ft) a
       Malaria is prevalent in most   embedded in the skin. A very   day; drink plenty of fluids; and
       parts of India during the   effective way of getting them   avoid alcohol and sedatives.



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