MEDICAL  ADVICES  FOR  THE  RAID  IN  VIETNAM

 

-The medical staff will be present during the whole trip to help you in solving médical problems and to intervene in case of accidents.

 

- It is highly indicated to contact the medical staff before the departure if you are aware of a personal médical problem.

 

-Before departure you will be asked to present a certificate of medical aptitude dating less than 3 months.

 

                        Do not hesitate to contact your medical practitionner if you develop symptoms during the weeks or months following your return journey (e.g fever , diarrhoea) , specially if you have not taken any anti-malarial treatment.

 

                        With the help of your doctod, prepare a medical pack containing :

-          Small materials for a wound dressing (e.g scissors , forceps)

-          Dressings

-          Health products such as insect répulsive sprays,body creams,solar creams)

-          Medication :anti-malaria,pain killers,intestinal medications

 

PREVENTION  AGAINST  MOSQUITOES

 

-mosquito bites from Sunset to dawn for malaria (dinner time)

 

-bites during the day for dengue fever and japanese encephalitis

 

1                     Wear light –coloured long clothes that cover well and are not too thin.

                        Avoid bright colours

2                     Apply repulsive sprays or creams on uncovered parts of the body

                        Read the instructions before using these products

 

3                     Impregnated clothes

The products are colourless, resistent to at least 5 washings and are active during 4 to 5 weeks.

4                     Mosquito nets for the night in Laos

                        You can also add a spray.

5                     Use rather repulsive sprays than creams

 

PROTECTION  AGAINST DISEASES TRANSMITTED BY WATER

 

-          Drink only embottled water

-          Boil water or milk before drinking

-          Do not add ice in your drinks

-          Peel fruits before eating

-          Avoid salads and dressings, minced meat, sea-foods, eggs, raw dairy products

-          Do not swallow water during your showers

-          Be careful while brushing your teeth.

-          Have rigorous and regular washings (hand-wash and hydroalcoholic solutions)

-          Up to date vaccinations

-          Limit alcoholic drinks and spices

BOIL – COOK – PEEL - OR ELSE DO NOT CONSUME

 

VACCINATIONS

For a short trip, vaccinations are recommended against Tetanos, Diphteria , Poliomyelitis and Hepatitis A (after the age of 50, a serologic blood test can be performed before prescribing the vaccination) and Japanese Encephalitis if  the trip is in an endemic region.

 

MALARIA

                        There is actually no medication that offers an absolute protection against malaria. Protection must start at sunset.

                        If you decide to have a prophylactic treatment , you must avoid MEFLOQUINE since side effects are common, specially in athletes.

                        ATOVAQUONE PROGUANIL 1 pill per day as from the date of departure , during the whole trip and 7 days after getting back home.

                        DOXYCYCLINE 100mg 1 capsule per day starting 3 days before departure, during the whole trip and for 4 more weeks after getting back home (this medication can, in rare cases, give a skin rash by photosensibilisation).

 

JAPANESE ENCEPHALITIS

                        This disease is present in northern rural zones with epidemies from may to september during the damp season. It is transmitted by mosquitoes mostly during the day. Thus, at an altitude of 1500 metres, from October to April, the risk is low if you protect yourself against mosquitoes.

                        A vaccine is available.

 

DENGUE  FEVER

                        There is no vaccination or preventive treatment. You need a good protection against mosquitoes, specially during the day.

 

RABIES

                        A vaccination is recommended only for a long trip. You must avoid contacts with dogs and monkeys.

                        In case of a bite, according to the localisation and the depth of the wound, we will quickly organise a vaccination in an Embassy or a registered centre.

 

GENERAL PROTECTION

                        -Avoid swimming in still water even if there in no Bilharziosis in Vietnam.

                        -Avoid walking barefoot as far as possible. Bring a pair of sandals or equivalent shoes to relaxe, to use showers and swimming pools.

                        -Before wearing your shoes, take a close look inside them. Shake your shoes vigorously to get rid of any indelicate guest that might have colonized them.

                        -Do not stay near a poultry farm or poultry market in prevention of bird’s flu, even if the risk is very low.

                        -Do not jump over an obstacle such as a log or a rock if you have not verified what is behind the obstacle. It is wiser to step on the obstacle and to look for where you are stepping down.

                        -Try your equipments and be familiar with them before coming for the raid, specially if you are having new ones.

                        -For women, make sure you are not pregnant, since many drugs are not authorized and all anti-mosquito repulsives are contra-indicated.

                        -Long international flights constitute a risk for venous circulation (position, immobility ,dehydration). It is strongly advised to wear contention socks as from the morning of the departing day when you get out of bed. If you have suffered from venous thrombosis or pulmonary embolism before, or if you have any risk factor for such conditions, you must contact your doctor to consider a preventive treatment against venous thrombosis.

 

FEET

                        Vietnam is a damp country. Many harmless conditions in normal life can become a nightmare, specially for unexperienced raiders. Here are few basic rules :

                        -Shoes must have at least one size more than the normal size you wear habitually.

                        -There is no specific preparation before departure but during the trip, good care should be given to your feet. The best protection for a raider’s feet is the care he will give to them during the race.

                        -Simple attention and care are the more efficient methods.

                        -Systematic drying to avoid maceration. Take off your shoes during relaxation periods to aerate your feet.

                        -Hydration and massage.

 

                        I wish you all a thorough preparation. Here are my personnal address, e-mail and phone number in case you want to contact me :

 

                                               Dr JF BOKAN

                                               2 Rue Dr Baud

                                               25300 PONTARLIER

                                               Tel :              00 33 6 37 89 45 27

                                               Mail :           This email address is being protected from spambots. You need JavaScript enabled to view it.