Health Tips

Pre-Trip Health Preparations
Make sure you're healthy before you start traveling. That includes being well rested and in shape. A typical day in Malawi will start at 6AM and end at 11PM. You will do a great deal of walking. Don’t wait until you get to Malawi to exercise those “out-of-shape” muscles. Start getting in shape now. 

Make sure your teeth are OK. If you wear glasses or contact lenses take a spare pair and your prescription. 

If you require a particular medication take an adequate supply, as it may not be available locally. Take the prescription or, better still, part of the packaging showing the generic rather than the brand name (which may not be locally available), as it will make getting replacements easier. It's wise to have a legible prescription or a letter from your doctor with you to prove that you legally use the medication to avoid any problems. 

CDC Recommended Inoculations for East Africa (CDC Website)
See your doctor at least 4–6 weeks before your trip to allow time for shots to take effect.

Basic Hygiene
You can go a long way towards avoiding illness by following these basic but important CDC guidelines.

Motion Sickness
Motion sickness (car sickness, sea sickness, air sickness) is not really an illness per se, but rather a collection of symptoms, which occur when your body, inner ear and eyes all send different signals to the brain. When riding in a car, for example, your inner ear will sense motion, but your body is sitting still and your eyes only see the inside of the vehicle. These mixed signals confuse your brain, and the result can be nausea, dizziness, lightheadedness and general malaise. Motion sickness can also be a problem for some people on cruise ships, and in airplanes, during turbulence, takeoffs, and landings.

For most of us, a trip to the drug store to purchase Dramamine, stocking up on ginger tea, or learning acupressure points, is preparation enough to be able to head off any symptoms of motion sickness. But for an unfortunate few, the symptoms refuse to be ameliorated by simple remedies, and can be severe enough to cause real misery. While motion sickness is only rarely life-endangering, the fear of spending several hours aboard a plane, bus or car suffering from nausea and vertigo, may be enough to deter even the most ambitious traveler from taking a prolonged trip.

A large number of prescription medications are available, and may be the only alternative-other than not traveling. Some commonly prescribed medications for motion sickness include antihistamines (including stronger variations of Dramamine) and scopolamine, which is sold under the trade name Transderm Scop, worn as a patch behind the ear. A word of caution-prescription drugs can be more powerful than herbs and over-the-counter medicines, and can cause significant side effects, but they are also more effective. (Additionally, herbal medicines are not regulated by any governmental agency, so quality, purity, and strength are not guaranteed.) While this will vary tremendously, depending on the type of drug and individual, it is something to consider and speak with your doctor about. Make sure that your doctor is also aware of any other medications that you are taking, both over-the-counter and prescription, as drugs can occasionally interact unfavorably with each other.

Traveler’s Diarrhea
Diseases that are transmitted by contaminated food and water pose the number one health risk to travelers. The most common consequence is traveler’s diarrhea. While it has some colorful pet names like “Montezuma’s Revenge” and “Delhi Belly”, persistent diarrhea can lead to serious complications.

There are no foolproof methods for avoiding traveler’s diarrhea, but you may reduce your chances of falling ill by following some common-sense guidelines. Peel all vegetables to make them safe to eat. Peel all fruits, too. High cooking temperatures destroy disease-causing organisms, so food that is served piping hot is generally safe, even if previously contaminated. Eating raw fish or meat in Malawi amounts to a willful act of self-destruction! Dry foods, such as breads and cakes, tend to be safe because they contain too little moisture to promote bacterial growth. As a general rule, remember this colonial slogan – “If you can cook it, boil it or peel it, you can eat it...otherwise forget it.”

Bottled water is your only choice for drinking and brushing your teeth. The Blantyre Partnership Team will have bottled water for each team member every day. Pasteurized dairy products and bottled carbonated beverages are usually safe to drink. Tea or coffee prepared with boiled water should also be OK to drink. By the way, if the water's not safe to drink, the ice made from the same water isn't safe either.

In hot climates like Malawi, make sure you drink enough - don't rely on feeling thirsty to indicate when you should drink. Not needing to urinate or the passing of very dark yellow urine is a danger sign. Always carry a water bottle with you on long trips. Excessive sweating can lead to loss of salt and therefore muscle cramping. 

In Malawi, traveler's diarrhea affects as many as 20 to 30 percent of all travelers. In the event that you do become ill, Pepto-Bismol or Imodium are effective remedies to prevent and relieve diarrhea – two tablespoons (or tablets) are recommended. If vomiting accompanies the diarrhea, lay off food and drink for one hour. Then try a tablespoon of oral hydration serum (i.e. Gatorade) every 5 minutes for one hour. Professional care should be sought (notify the team leader) if the following occurs:

1. Diarrhea or fever lasts for more than 48 hours
2. Blood and/or mucus in your stool
3. Persistent or severe abdominal cramps or pain
4. Vomiting that lasts more that 6 hours
5. Painful urination or discharge