Travel Reference
In-Depth Information
Leishmaniasis is a gruesome protozoan disease spread by the bite of the sandfly, common
throughout the Bolivian lowlands. The bites enlarge and ulcerate, causing large lesions that
over months or years can spread to other parts of the body and eat the cartilage around the
noseandmouth.Treatmentinvolvesacourseofinjections,availableinsomeBolivianhospit-
als; the only prevention is to avoid getting bitten. Less serious but still unpleasant is the hu-
man botfly , or boro , which lays its eggs on damp clothes or on the proboscis of a mosquito,
which then transfers them to human flesh. When the eggs hatch, the larvae burrow under the
skin, producing a painful lump as they grow. To remove them, cover with oil or Vaseline to
cut off the air supply, then squeeze the larvae out.
A TRAVELLER'S FIRST-AID KIT
The following list covers some of the items you might want to carry with you, especially if
you're going trekking or travelling in remote rural and wilderness areas.
• Antiseptic cream
• Anti-fungal powder
• Insect repellent
• Sticking plasters
• Anti-blister moleskin (Compeed)
• Lint
• Sealed bandages and surgical tape
• A course of ciprofloxacin and tinidazole
• Imodium diarrhoea medicine
• Oral rehydration salts
• Paracetamol or aspirin
• Water-sterilization tablets or iodine tincture
• Sunscreen, lip salve, sunglasses
• Multivitamins
Other health issues
Bolivia is home to a wide range of venomous snakes ( viboras ), some of which can be lethal.
Most are more concerned with getting away from you than attacking, and, even if they do
strike, there's a good chance they won't inject any venom. Wearing boots, watching where
you step and put your hands, and making a lot of noise when walking through vegetation all
reduce the chances of getting bitten. In the event of a snakebite, keep the victim still and get
medical help as quickly as possible. If possible, kill the snake for identification. Stings and
bites from other creatures such as spiders and scorpions are uncommon but can be very pain-
ful or even fatal. It's a good idea to shake out your shoes and clothes before putting them on,
and to check your bedclothes and under lavatory seats.
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