Studies presented at the annual International Society of Travel Medicine Conference offer new preventive measures for avoiding the most common travel illness.
When you run a travel medicine clinic in Kathmandu, Nepal, as David R. Shlim, M.D. has done for several years, it’s tough to avoid developing a keen interest traveler’s diarrhea. Why, he asked himself, do 40-50% of the 60 million travelers who travel each year between a developing country and an industrialized one suffer from the disease? Why, too, do children account for most of the 2.2 millions deaths from diarrhea each year?
In a seminar at the 8th annual Conference of the International Society of Travel Medicine, Dr. Shlim presented some interesting findings: In a 1995 study published in The Pediatric Medicine Journal, a number of children under 15 were observed to see how well they followed the dietary maxim: “Boil It, Peel It, Cook It, or Forget It.” Parents can probably guess the result: only about half of the teens followed by researchers could keep up with the suggested dietary rules.
In many other studies, researchers found that over 95% of travelers could not avoid making dietary errors. Other findings led Dr. Shlim to believe that the risks of eating in a restaurant were much greater than dining at home, but he also noted the effect of the season, proximity of flies, and immunity of the individual on the incidence of illness in travelers to developing nations. After further study, he concluded that traveler’s diarrhea may have some genetic basis and for many travelers, is largely unavoidable.
Preventive Strategies & Remedies
TD remains the most common ailment experienced by travelers who have ever been affected by a travel-related illness, according to a 2008 Harris Poll. Fortunately, only about 5% of travelers surveyed reported experiencing any illness on vacation, but of those, 63% reported incidents of diarrhea and 34% reporting stomach cramping and nausea. Dr. Shlim has a few practical tips to minimize the risks of getting it. He recommends that everyone follow the “Boil It, Peel It, Cook It, or Forget It” rule, even in his or her hometown. Additionally, he notes that selecting from a buffet (a much more likely breeding ground for illness) is riskier than ordering freshly prepared hot food. But he admits that several other important factors, including climate, the environment and even a genetic propensity to succumb to the most common bacteria are beyond the control of the diner.
Therefore, Dr. Shlim suggests that all travelers be prepared with medication (ciprofloxacin is a typical antibiotic treatment) prescribed by a physician or with medication prescribed by a pediatrician for children. In his experience, two doses, taken just 12 hours apart, should be administered at the onset of TD to stop the disease immediately. Hydration is especially important for young children while the illness runs it course.
Another medical viewpoint has emerged, one that focuses on strengthening the body’s own immunity to food-borne illnesses. Patricia Raymond, M.D. at Eastern Virginia Medical School, suggests the use of natural probiotics for preventing TD and other intestinal ailments, a home remedy common in Europe and other parts of the world. Dr. Raymond also cautions against anti-diarrheal medications: “Eliminating the diarrhea is important, yes, but stopping it up and keeping the toxins in your intestine for a length of time is not a good idea.”
Dr. Raymond explains, “Try a probiotic supplement for several days before a trip and during the trip. There has been scientific study showing a reduction in travelers’ diarrhea with a Saccharomyces probiotic species, and I’ve actually used the brand Florastor personally for this purpose with success.”
The main problem affecting the development of a vaccine is the fact that there are so many causes of diarrhea and they are all diverse. As the travel patterns of international travelers continues to change, so too do the cases of traveler’s diarrhea, making it increasingly necessary to have a single vaccine. For more information on traveler’s diarrhea please go to Center For Disease Control.
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hope you all like it!
The Paramount Hotel- http://www.nycparamount.com
BDC- Broadway Dance Center- http://www.broadwaydancecenter.com
Ellen's Stardust Diner- http://www.ellensstardustdiner.com
Capezio store- http://www.capeziodance.com
Amy's Bakery- http://www.amysbread.com
Junior's in Times Square- http://www.juniorscheesecake.com
The Ambassador Theater (Chicago)- http://www.ambassadortheater.com
Al Hirschfeld Theater- http://www.hirschfeldtheater.org
I was the same way. I had my Bat Mitzvah on top of Masadah and was complaining of the heat. I didn't truly recognize what an amazing place I was in. I was fortunate enough to return last summer and had the time of my life. I look forward to seeing your post for when you get to return. I wish you all the best!
one of my all time favorite vacations.
This was one of the best trips I have ever been on.
I am ecstatic that I was able to participate in learning my heritage, history, and my parents past.
My trip to Africa was really an extraordinary experience, and I fell in love with the country Nigeria. I am so happy that my father allowed me to see my heritage and my family.
Truly humbling
I hope you enjoy learning about my experiences in Paris, France!
Thank you so much for this information. Multi-generational travel is an area that I am interested in, but it is not easy to navigate various ages, levels of mobility and interests. These tips are super useful!
This was seriously such a life-changing trip for me. I got to see a whole other way that people live life. It really opened my eyes and made me EVEN MORE eager to learn German and to adopt a more frugal lifestyle.
My experience with traveling to a foreign nation, in the form of a blog.
Going on that trip was the best thing I have done in my life. I learned so much, and experienced many different things, such as food, culture, and people. It was a great opportunity for me, and I highly advise others to travel as well. You will not be disappointed.
I recommend this or a similar trip for any future paleontologists. I have since been to the Field Museum in Chicago and the American Museum of Natural History in New York, and am pleased to have visited all the major paleontological museums in North America.
I hope you have fun on your trips, too!
This is my submission to the young travel writer scholarship
My trip to South Africa transformed my life. I grew closer to my best friend, as well as experience a culture very different from my own. As a result, my knowledge of the world has grown.
I quite enjoy I can feel the passion.
I hope you enjoy the lessons i learned over seas in Spain! I know I will take them with me as I move forward in life. Thank you for reading!
-Rebecca Krivitsky
enjoy my story, i pray it will reveal a new cultural avenue while still providing a humorous tale
This trip was truly life changing. It was the first time I realized that there is a whole other world outside the United States!
Thank you very much for your post! I love it very much! I will bring my family to Florida soon!
Thanks and support
Here is the website documenting my trip: http://madisongoestonewyork.blog.com/
My time in El Salvador changed my life. It is my dream that one day I will be able to return there. I can honestly tell you that my love for the people in El Salvador has remained with me. And I hope the best for that nation.
The summer of my sophmore year in high school I spent a week in El Salvador. This one week changed my life. As I volunteered in El Salvador I gained an amazing view of different cultures and life styles. I developed a love for El Salvador and its people. And my memories there will remain with me through out my life. It is my dream that one day I will be able to return their and give more of my time to those amazing people.
My freshman year of high school I spent a week of my summer in El Salvador. It was a remarkable week that literally changed my outlook on life. I have a huge heart for the people of El Salvador and the country itself. It is my dream that one day I will be able to go back.
My amazing trip
It was definitely a trip to remember that I'd do any day! 🙂
A trip to remember that I'd do again any day
It was a trip to remember. Every spect of it was interesting and something I would do again!
I enjoy traviling with my family and creating new memories.
I enjoy traviling and spending time with my family.
– By Ciara Bri'd Frisbie
Thank you for reading my essay.
-Nathan Shaw
Thank you for taking the time to read my essay I really appreciate it.
-Nathan Shaw.
This trip was one of the most incredible experiences of my life. From the Great Wall to the hospitals of Beijing, I learned so much about myself and other cultures.
I just love traveling. Disney World is my favourite destination. Above all 10 sposts are my favourite. I would love to visit all that destination.
Reading this story has been a stroll down memory lane. I stayed at the Diplomat as a little girl in the 1970's, and still remember how impressed I was with it. So glad to hear that the resort has bounced back to its original glory.
I am very glad to know that Disney Cruise Line is taking health so seriously, yet making cleanliness palatable for kids. These suggestions are also great for air travel, another germy breeding ground. Thanks for the info!
My family loves Cancun, and we have had good stays at the Oasis and the Sol Melia and the Sheraton too. Nice to see a new list of recommendations from you. Thanks
This is a really fun outing, but if you can't get out to the countryside, just visit one of those urban tree sellers. A lot of them in the northeast are staffed by college kids from Canada, who take a break, get into a rental trailer and drive it south, then re-sell trees they have bought on consignment to pay for the next semester.
I always ask (nicely) and I always get (with a smile), the extra boughs that they take off to make the trees look even all around. With some ribbon, maybe the wire from a coat hanger and lots of creativity, it's easy to get the kids helping you turn old boughts into beautiful wreaths for around the house.
Love the photos in this article!
Thanks for having this contest; my family loves Snowmass and it would be great to go back there. We took our son when he was about 7 and it was a great learning adventure for all of us. The instructors are terrific and we had fun, but it's not something we could afford to do right now.
Thanks for giving us another chance to go back!
When Jean Carlisle of Menomonie, Wisconsin heard she won a family of four Galapagos Adventure Cruise, she wrote us:
"YES YES YES!!!!!!!! THIS IS MY DREAM DREAM DREAM VACATION!!!!!!!!!!!!!!! CAN you tell I’m excited??!!!!!!!!!!!!!!!!!!!!
"A Galapagos vacation has always been on my DREAM list!!…add it to a cruise vacation makes it even more special. I accept!!!"
Jean explained that she'd enjoyed playing along the scavenger hunt but was anxious about the random drawing for a winner.
"I didn’t sleep well last night because I was so excited!! LOL I entered the contest because I had seen many publications and shows on national geographic on the Galapagos Islands and always thought that would be a place I’d like to visit. I was first drawn to the beautiful pictures on the website and when I saw the contest, I knew that I just had to enter and would love to win!
"I’d like to thank TakingtheKids.com, TravelingMom.com and Family Travel Forum for this once in a life opportunity!! We are excited to make arrangements and show off photos when we return!"
So glad it's helpful to you with your teens, I've already given the Primland brochure to my own mom and her girlfriend who want to tour the Blue Ridge Parkway and look at the Appalachian handcrafts. This is a great base for lots of exploration. If you go, I know you'll enjoy it!
This sounds like a real find and perfect for my own family. I ma always looking for resorts that will work as destinations with lots to do for my two teens, and Primland sounds excellent. Thanks for spreading the word!
Thanks so much for sharing your dreams about the Galapagos; that's the way we all felt when we learned that the terrific Lindblad team wanted to work on this project. so excited to know that someone's dream will reallyl come true! And a 6th grader is the perfect travel companion.
Don't forget to post your a link to your comment here :
http://www.travelingmom.com/freebies/contests/3917-galapagos-giveaway-contest-entries.html
so you're sure to be recorded as an entry into the grand prize drawing. Hope to see you on Twitter too @familytravel4um @travelingmoms @takingthekids @LindbladEXP
If there are no comments on our blog, does this mean that our blog has been rejected, or that it has not been reviewed yet? thanks!
As noted, thanks to your enthusiasm, there are several thousand posts to read, so the judges will be done by mid October. Check back after that to see your status!
I tried following the steps above for finding out about the scholarship judging, but I'm still lost. Does it show up at the bottom of your blog? Or is it just off to the side when you have the option of clicking on your blog? Like, is it next to the name of your blog, the date it was published and then the word scholarship with either a yes or no? Thanks!
Crystal – you get an email