1. Don’t fall in the sewer & other matters of medical importance Mark Wise M.D., D.T.M. & H. (London) Don’t fall in the sewer … and other health advice

2. How can you tell an HIV positive person from one who is not?

3. How can you tell a rabid dog from a healthy one?

4. How can you tell if your salad is clean or infected?

10. www.drwisetravel.com

32. What a day! I got robbed on the beach, hit by a bus, got drunk and had unprotected sex. I’m feeling a bit depressed … and tired. I can’t stand those Namibians anymore. I miss home.

40. Pre-travel inoculations REQUIRED RECOMMENDED ROUTINE TdP MMR TB skin test Yellow Fever Hepatitis A Typhoid fever Hepatitis B Meningococcus (ACYW-135) Rabies Cholera - Dukoral BCG

42. Boil it, bottle it, peel it, cook it or forget it … wash your hands … be selective!

55. Pre-travel inoculations REQUIRED RECOMMENDED ROUTINE TdP MMR TB skin test Yellow Fever Hepatitis A Typhoid fever Hepatitis B Meningococcus (ACYW-135) Rabies Cholera – Dukoral JEV

64. Malaria

70. 38.5

88. Stop worrying about the potholes in the road and celebrate the journey!

98. Both diarrheal illness and febrile illnesses will be treated on speculation Understand the appropriate treatment and medications for these problems.

102. Don’t swim in fresh water

103. If you’re climbing Kilimanjaro, call me or read Chapter 10!

106. www.drwisetravel.com

117. Doctor, it is me again. I woke up at 4 in the morning with a high fever, my body was shaking, I had a horrible headache and a temperature of 102 o F/ 40 O C. I have been taking my malaria pills. You must have malaria young man. Here, take these seven pills. Can you do a malaria test, Doctor. Maybe I have something else, like typhoid or dengue. We do not have such tests. They are too expensive. If you aren’t getting better, you will come back to see me. Which one is artemesinin, or quinine? The little package called Coartem/ Riamet / Alaxin / Artesunate …. Thank you Doctor. My fever is coming down already!

118. Hello Doctor. I can’t stop running to the latrine. I have fever, chills and cramps. Thank you Doctor. The cramps are getting better already! Sounds like you have diarrhea. Why don’t you take these seven different pills. Which one is ciprofloxacin, Doctor, as Doctor Mark told me that this is probably caused by a bacteria? Ah, you must be with VSO. The white one is Cipro. Take that for 3 days, drink lots of clear fluids or ORS, and maybe take an Imodium.

119. Two weeks later …. Hello again Doctor. I felt better after our last visit. But now, for the past 3 weeks, my stools have been loose on and off, I have lots of gas and I can’t stop farting. Thank goodness! Here, take these 7 pills and you will feel better. Which one is metronidazole or tinidazole, Doctor, as Dr. Mark said that persistent symptoms like this might be due to a parasite? Oh yes, the VSO guy. It is the yellow one. Take it for 7 days, and you will feel better. Forget the rest. Thank you Doctor, the farting is letting up already.

125. chloroquine mefloquine doxycycline Malarone

133. The greatest risk? 1% snakes 2% alcohol 4% diet 5% safety 4% nothing 4% pollution 4% STD / HIV 4% stress 11% malaria 8% medical care 14% food and water 41% roads

136. What to do when you’re sick … local doctors local consulate air ambulance service local NGO office head NGO office family