Travel Reference
In-Depth Information
Ticks are contracted when walking in rural areas. They are commonly found behind the ears, on the belly and in
armpits. If you've been bitten by a tick and a rash develops at the site of the bite or elsewhere, along with fever or
muscle aches, see a doctor. Doxycycline prevents tick-borne diseases.
Leeches are found in humid rainforests. They do not transmit disease but their bites are often itchy for days or weeks
afterwards and can easily become infected. Apply an iodine-based antiseptic to the bite to help prevent infection.
Bee and wasp stings mainly cause problems for people who are allergic to them. Anyone with a serious allergy should
carry an injection of adrenaline (eg an Epipen) for emergencies. For others, pain is the main problem - apply ice to the
sting and take painkillers.
Parasites
Numerous parasites are common in local populations in Thailand, but most of these are rare in travellers. To avoid para-
sitic infections, wear shoes and avoid eating raw food, especially fish, pork and vegetables.
Skin Problems
Prickly heat is a common skin rash in the tropics, caused by sweat being trapped under the skin. Treat by taking cool
showers and using powders.
Two fungal rashes commonly affect travellers. The first occurs in the groin, armpits and between the toes. It starts as a
red patch that slowly spreads and is usually itchy. Treatment involves keeping the skin dry, avoiding chafing and using
an antifungal cream such as Clotrimazole or Lamisil. The fungus
Tinea versicolor
causes small and light-coloured
patches, most commonly on the back, chest and shoulders. Consult a doctor.
Cuts and scratches become easily infected in humid climates. Immediately wash all wounds in clean water and apply
antiseptic. If you develop signs of infection, see a doctor. Coral cuts can easily become infected.
Snakes
Though snake bites are rare for travellers, there are over 85 species of venomous snakes in Thailand. Always wear boots
and long pants if walking in an area that may have snakes.
The Thai Red Cross produces antivenom for many of the poisonous snakes in Thailand.
Sunburn
Even on a cloudy day sunburn can occur rapidly. Use a strong sunscreen (at least factor 30), making sure to reapply after
a swim, and always wear a wide-brimmed hat and sunglasses outdoors. If you become sunburnt stay out of the sun until
you have recovered, apply cool compresses and take painkillers for the discomfort. One per cent hydrocortisone cream
applied twice daily is also helpful.
Travelling With Children
Thailand is relatively safe for children. Consult a doctor who specialises in travel medicine prior to travel to ensure your
child is appropriately prepared. A medical kit designed specifically for children includes liquid medicines for children
who can not swallow tables. Azithromycin is an ideal paediatric formula used to treat bacterial diarrhoea, as well as ear,
chest and throat infections.
