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Safety & Health on the Road

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Staying healthy on the road

This section will consist of information recorded from our previous trips, plus other travellers information as we get it, and useful links.

Travel Medical Tips

Diseases caught by eating contaminated food or drink include Hepatitis A, Salmonella, Typhoid and diarrhoea:

  • Do not drink milk or eat dairy products which may be unpasteurized.
  • Avoid salads unless vegetables have been treated
  • Avoid uncooked food unless you prepare it - for example, peel all fruit yourself.
  • Avoid food which has been re-heated, kept warm or exposed to flies.
  • Remember ice is made from local water
  • Drink fizzy bottled water or soft drinks - ensure you open the bottle yourself
  • Boiling water may not be sufficient to kill all bacteria - should filter, then treat with iodine or chlorine (Puritabs) tablets.
  • Strict personal hygiene

Avoid insect and mosquito bites. Cover up, especially after dusk. Use DEET based insect repellents. Take malaria prophylaxis strictly on schedule.

Sun damage is cumulative and can cause skin cancer - Use effective sun block.

Do not play with animals.

Travel Medical Kit - an example

Our travel medical kit actual contents for Africa

First Aid Kit
  • Small pressure dressing
  • Large gauze bandage
  • 3 Spenco Second skin
  • 5 2 Towelettes + 3 abrasion cleaning pads
  • 1 Thermometer
  • 1 Scissors
  • 1 Tweezers
  • 8 Safety pins
  • 1 Matches
  • Assorted small bandaids
  • 1 Elastic bandage
  • 1 Adhesive tape - small rolls
  • Gauze rolls
  • Disposable gloves (sterile)
  • Q-tips
  • 2 2 soakers
  • Triangle bandages
  • 2 Slings
  • 1 SAM splint
  • Wound closure strips
  • Tincture of benzoin (enhances adhesiveness of wound closure strips
  • 1 Sawyer's Extractor snake bite kit
  • 1 Tick kit and instructions
  • 1 Mountaineering Medicine
  • 28g Cortaid 1% hydrocortisone cream
  • 1 Aloe vera gel (burn ointment)-nalgene bottle
  • Blister treatment
  • 1 Dental kit
  • 14g Neomycin ointment
Medicines
  • 56 Malaria prophylaxis - Mefloquine (Lariam) - 28 weeks supply
  • 54 Quinine (48) & fansidar (6) for two courses of malaria treatment
  • 30 Antibiotic - Ciprofloxacin (250 mg)
  • 80 Pain relief - Solpadeine (paracetamol w/codeine)
  • 60 Loperamide / Imodium - 2 mg
  • 2 Scopoderm TTS - motion sickness patches
  • 4 Bonine - motion sickness tablets
  • 20 Cinnarizine (Stugeron) - motion sickness
  • 10 Gastrolyte packages
  • 24 Sudafed (decongestant)
  • 14 Triludan (antihistamine for allergies)
  • 1 pkg. Syringes (with doctor's letter)
  • 24 Sodium dichlorisocyanurate - water purification
  • 10g Potassium permanganate (for cleaning fruits and vegetables)
  • 55g Mycil antifungal powder - 55g
  • 25 g Mycil antifungal ointment - 25 g
  • 10 ml Eye drops for conjunctivitis - 10 ml
  • 3g Antibiotic eye ointment - 3g
  • 11 Acid blockers (antacids)
  • Small tube of Vaseline
  • prescription drugs

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Medical Information

USA: Centers for Disease Control and Prevention

Traveller's Health info and more

Team Orthopedics Racing Research Activities

"A comparison of mechanical properties of off-road motorcycle boots."

Travel Health Online

"Shoreland, the trusted resource of travel medicine practitioners around the globe, created Travel Health Online to help you on your way to a safe, healthy adventure"

Canada Travel Medicine Program

Canada Travel Medicine Program, excellent current information on international disease outbreaks, immunization recommendations for international travel, general health advice for international travellers, disease-specific treatment and prevention guidelines. Recommended.

CIWEC Clinic

"The CIWEC Clinic Travel Medicine Center is the best source of Western medical care in Nepal and one of the most famous destination travel medicine clinics in the world." It is in Nepal.

Malaria maps

"A4 maps of malaria in Windows Bitmap (bmp) format"

Heat Index Table

"The heat index (see chart...) is the "feels like", or apparent, temperature. As relative humidity increases, the air seems warmer than it actually is because the body is less able to cool itself via evaporation of perspiration. As the heat index rises, so do health risks..."

Read all about it, copy the chart and take it with you.

Travel Medicine New item.

"... a leading provider of information and products dedicated to the health and safety of the traveler."

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Medical Insurance

Many insurers consider motorcycling to be a hazardous activity, and you must check the fine print of any online quote for exclusions to ensure you will have coverage. We will be sorting through the various insurers to identify those who provide long-term cover (up to 2 years) which does not exclude motorcycling, and we will document what nationalities they cover, and the rates for various ages and areas so you can determine costs.

The following article is from BootsnAll.com.

Travel Insurance: To Buy or Not to Buy?
By Jill Murphy

"I thought, "It's a waste of money. Every time I've bought it, I've never used it. This time I'll do without.". So off to Australia I went for four months, and not only was I promptly robbed, I got sick as well.

So the question becomes "Would it have been worth getting insurance?" Well, after doing a few calculations and looking at what it cost me to see the doctor and get an antibiotic shot and some antibiotic pills, and what I had lost from the robbery, it would still have cost more to buy the insurance. So it becomes a matter of looking at what it would really cost you if the worst should happen." More on this topic at BootsnAll.com.

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Medical Insurance

Insurance Agencies

 
Medjet Assistance Medical Evacuation Insurance
From Ed Messenger, on the HUBB, re Medical Evacuation Insurance:

"Luckily I never had to use it but I got Medjet Assistance last year. Your first year is $175, they have their own hospital planes or will book you on a commercial flight if you're mobile. They fly you home- not just to the hospital closest to your location. They'll even work with you inside the US if you have an accident 500 miles from home, or need to be flown to Mayo clinic for special treatments.

Their rules are easier to meet than most other companies in terms of getting qualified for evacuation. In a nutshell if you are admitted to any bush hospital and can get a local official to say you need prolonged care, or advanced treatment they'll come get you. I found them through a friend who was very concerned about the best policy and did lots of research before getting it himself. Ed"

Michael Paull adds his endorsement of MedJet (and he DID use their services - twice!):

"... After an additional three days in Beijing, I was deemed stable enough for air evacuation back to the University of Washington Medical Center in Seattle, WA, in the company of my wife Aillene (who had flown in from Japan), and an air transport trauma nurse provided by the company that I had procured medical evacuation insurance from, MEDJET Assistance - without doubt, the best insurance coverage I have ever purchased in my life.

A small plug here - these people were remarkable... If there was ever a better case for '...don't leave home without it.', MEDJET Assistance is at the top of my checklist, no matter where I travel (and I hope to do a LOT more)."

Note: Per the Medjet Assistance site: "... a medical transport between Europe and America can run more than $35,000. Middle East and South American flights range from $60,000 to $80,000. Transport from Asia often exceeds $100,000." Sounds like $175.00 is pretty cheap insurance!

We are VERY pleased to annnounce that we have arranged with MedjetAssist a program especially for Horizons Unlimited people. Click the logo below for USA and Canada citizens to find out more. (NOTE: It's still in progress for the final HU version, but you can get MedjetAssist now!)

Get MedjetAssist for your next trip!

For OTHER nationalities it is currently a little more complicated. There IS a Foreign National Plan, but you can't enroll online. It's a faxable enrollment and subject to underwriting approval. The rates are the same, but transport is restricted to "back to home country - hospital of choice" rather than "anywhere in the world - hospital of choice". We are working on improving that, but at least it IS available! Go here to contact MedjetAssist and inquire about the Foreign National Plan.

Not sure you need insurance? Read this article in Forbes

1 World Insurance

This US site has coverage for US and non-US citizens - The International Citizen Series, which is annually renewable. For coverage which includes US and Canada, or if you want emergency medical evacuation, you must purchase 'Platinum' coverage, otherwise lower cost policies are available. There is no mention of exclusion for motorycles.

Auslandstreff "If you are looking for a long term (or unlimited) full private health insurance (not only a travel insurance) with worldwide coverage you can try www.auslandstreff.de (insurance broker with good service !) The site is in German and the different types of insurance cover are mainly for Germans/Austrian/Swiss citizens." Post by Nannup, a new member on the HUBB, 24 March 2002
Assurantiekantoor Alessie "Assurantiekantoor Alessie is specialized in temporary insurance for automobiles, campers and motorcycles. Whether you are planning a world trip, traveling for pleasure, business, or staying in a foreign country as temporary resident or student, Assurantiekantoor Alessie has the right insurance for you."
Campbell Irvine

"Campbell Irvine are Registered Insurance Brokers who have been established for more than 30 years. We are an entirely independent company, who pride ourselves on quality, professional and above all, a personal service."

Maria Robinson from London, Surrey, Britain said:

"cover motorcycling as activity for an extra 50% of the quoted price. No restrictions on bikes."

Churchill
Challenge Churchill with your Online Travel Insurance. UK residents only.
Council Travel

Coverage is restricted to US citizens or legal residents who are traveling in the US or internationally. A policy specially designed for student and budget travelers, but there is no age limit mentioned. Premium for 12 months (max.) is US$550. Motorcycling is not specifically excluded, but it does exclude losses resulting from: contests of speed, motor sports and motor racing, and while the insured is driving under the influence of alcohol.

Club Direct

"Club Direct's Discovery travel insurance covers you for long trips abroad, anywhere in the world. Trips of 31 days to a year or more, choice of two levels of cover, worldwide, Europe or Australia/New Zealand, flexible cover tailored precisely to your needs, includes work abroad and sports & activities, ability to extend period of cover whilst abroad, premium refunded for early return, multi-lingual medical assistance provided 24 hours a day, variable policy excess and section limits, 14 day no-quibble premium refund guarantee.

Please note that Club Direct travel insurance is only available to UK nationals, or people who have lived in the UK for 2 months or more and have a permanent UK address."

Andy Miller (UK) has used their services and recommends them for reasonable rates (£236 for one year except USA/Canada, with £50 excess, additional premium £91 for 3 months in USA/Canada), prompt reimbursement of medical expenses and general helpfulness.

Maria Robinson from London, Surrey, Britain said:

"bikes restricted to 125cc"

Direct Line Contact Direct Line forHoliday Insurance in the UK. UK Residents only.
Downunder Insurance

"Comprehensive Travel Insurance for the Adventurous Traveller Downunder & World Wide". Offer a range of medical insurance policies for residents of Australia, NZ or UK

Also claim to offer vehicle insurance for non-UK residents, but upon inquiry, they don't include motorcycles in their definition of vehicles. Boo! Hiss! We will be continuing to have discussions with them about this! Website is a work in progress, not all working, but they do have phone numbers listed for their call centres.

Hickok & Boardman Insurance

"Hickok & Boardman Insurance is the oldest and one of the largest retail insurance agencies in Vermont." Offers commercial insurance and personal insurance.

Maria Robinson from London, Surrey, Britain said:

"Quote: Nearly £500 for 6 months worldwide excl. US/CAD (max cover seems to be 6 months. Not sure it can be extended)"

MultiNational Underwriters New!

They have no motorcycle restrictions for ordinary travellers. Evacuation is included in their coverage. Recommended by David McMillan from San Francisco, CA, USA.

Navigator

Coverage restricted to EEC residents, and geared for under-35 (though us ancients can get coverage). Premium for 12 months with no geographical limits is £296.00. Add 20% for ages 36-55. Add 40% for ages 56-64. "Motorcycling is covered under all sections except for Personal Accident and Personal Liability, medical expenses will be covered under the Medical Expenses section".

From Cynthia Milton: Navigator insurance only covers to age 50 for travellers.

Maria Robinson from London, Surrey, Britain said:

"Gold and diamonds policies include motorcycling. Add 25% to the quoted price for >35yr old. Riders must wear helmet at any time and must hold licence- I was quoted £280 (I'm >35!) for 10months worldwide excl. US/CAD and excluding luggage/passport/cash insurance (that gives you a 15% discount)."

Saga Insurance
Saga specialise in over 50's Travel Insurance. UK residents only.
STA Travel

"With STA Travel's Premier insurance you have the most extensive cover available."

From Cynthia Milton: STA "cover up to 64 and include motorcycle touring in the Premier policy. Not a bad price either."

Maria Robinson from London, Surrey, Britain said:

"Their 'Premier' Policy includes motorcycle touring. They confirmed on the phone that there is no restriction regarding engine size etc...
Again quote was £309pp for 10 months for South America 2007"

Bruce, UK, said: "when I queried the STA recently they stated that 'yes motorcycle touring was covered' but up to 125cc!"

Trailfinders

"Trailfinders Tailormade Travel Insurance, developed over some 35 years and effected by AXA Insurance UK Plc, has been specifically designed to cater for all types of traveller on all types of holidays."

Maria Robinson from London, Surrey, Britain said:

"cover motorcycling with no restriction, only add 50% to the quoted premium from their website to include motorcycling- Example £509pp for 10months worldwide exc. CAD/US"

The Travel Insurance Agency

"specialise solely in travel insurance...budget traveller...already travelling" etc. UK based (NO USA citizens) but all others ok. Explorer policy - "Specially for the budget traveller covering yourself for the necessities", maximum age 40, is £181.50 for 12 months worldwide coverage. Motorcycling coverage restricted to under 500cc.

World Nomads

"World Nomads cover is specially designed for adventurous independent travellers.... We cover overseas medical expenses and evacuation in the event of emergencies, and offer luggage cover that can include laptops, digital cameras and iPods."

Maria Robinson from London, Surrey, Britain said:

"restrictions as following. None if you are a US/NZ/Oz/US citizen/resident. If not, they will cover trip including motorcycling, but only if your trip will go via Oz or NZ! They just confirmed this by phone. And yes they will ask prove (like plane ticket) that your trip will cover these countries. Basically I was told they make sure you go to Oz /Nz….."

Bruce, UK, said: "when I queried the STA recently they stated that 'yes motorcycle touring was covered' but up to 125cc! Same goes for World Wide Nomads"

Worldwide Travel Insurance

This is a British site, but it provides insurance for all nationals and coverage up to 24 months. Motorcycling is covered (for an additional premium), but the premium table is confusing as to how much additional per month it would cost.

Maria Robinson from London, Surrey, Britain said:

"Cover motorcycling. Restriction: no compensation payment in case of disability as a result of a bike accident but will cover medical costs resulting from an accident on the bike.
Quote: £400 pp for 10months worldwide excl. US/CAD"

"worldwideinsure" "Cheap travel insurance for worldwide holidays: Annual Multi-trip Travel Insurance - Single trip Travel Insurance"
Bruce, UK, April 2007 said : "Best choice by far has been 'worldwideinsure', they have covered my wife and myself for 4 months in the USA... £248 :-)"

Link Sites

 

Medical Insurance

Links to Travel Medical insurers in USA, Australia and UK. Be sure to check the fine print!

UK Travel Insurance gateway site

"Here is a good link of the better known UK travel insurance offerings. Make sure you read the small print to make sure you're covered as a biker. It might also be a good idea to e-mail them if you have any questions on what is/what's not covered before you buy, to beef up you legal position if you do claim. Some of the people on the helpdesks told me bikes weren't covered, although it said so in the small print." Post by GS George on the HUBB, 19 April 2002


Top Brands at Mountain Gear button

Blood, Sweat & Gears: Ramblings on Motorcycling and Medicine

by flash Gordon, MD

City Bike, December 1995
"Ever wonder what to do if you're on a ride and someone crashes? What's the best remedy for road rash? What should you do if you get hemorrhoids from too much time in the saddle? How can the common cold affect your ability to ride? It's all here. Best of all, flash's medical advice is delivered anecdotally, with incidents gleaned from 33 years as a motorcyclist and not quite so many as an emergency-room physician and staffer at the Haight Street Free Clinic."

Motor Cycle News, November 1995, UK
"Witty, amusing and well written. Dr. Gordon - yes flash IS his real name! - provides a unique insight into biking and medicine".
buy from Amazon USA

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Don't be a Victim - Useful Advice on Crime from the Leningrad Association of Workers

- Make purchases at reputable outlets. Count your change carefully before leaving the cashier or the seller. Recount your change if the seller has recounted it a second time because of a problem to make sure you have not been tricked during the recounting. Check to make sure that the article you believe you have purchased is the one that is packed for you.

- Do not believe that you are getting a bargain. When you believe this, watch out; chances are good that you are being set up. Thieves understand and utilize human emotions such as greed and lust. Situations in which these emotions are most commonly played upon include dealings with vendors of so-called antiquities and in currency exchanges.

- Do not place convenience over your personal security. Street vendors are certainly convenient, but dealing with them necessitates that you subject yourself to the scrutiny of bystanders who will make note of the location of your passport, money and other valuables. In many instances, shortly after making a purchase, the customer falls victim to street thieves.

- Do not invite people you do not know well into your living quarters. Do not open the door to your quarters to unknown individuals. Do not tell strangers where you are staying or your travel plans.

- If you feel you are being followed, apply to the police for help. If you are in trouble, yell pozhar (fire) to attract attention for aid.

- Be constantly aware and on the alert.

- Do not purchase drinks from already-opened bottles, i.e. in bars. Never drink alcoholic beverages without having a trusted friend along who has agreed to remain sober. Even slight intoxication is noted by professional thieves.

- Dress down and do not flash cash or jewelry.

- Avoid crowds.

- When out on the town, leave hard-to-replace, nonessential items such as passports, credit cards, driver's licenses and family pictures with the hotel security office. Disperse your money throughout your garments. Remember the amounts in each location and when making purchases retrieve only the amount of money needed for the purchase. Never display large sums of money.

- Never patronize unmarked taxis or enter any taxi carrying unfamiliar passengers. Agree upon the price and destination prior to entering the vehicle.

- Do not leave any items inside the vehicle when it is parked. Do not park in dark and isolated places.

- When a victim of a crime, be it a violent act or general trickery, do not let your vanity or apathy prevent you from immediately making a report to the police and your embassy or consulate. Others will benefit. In addition, stolen items are routinely retrieved.

 

Country Alerts

U.S. State Department Advisories

Advisories of risks to travelers, including crime, terrorism, road conditions, airline safety & medical, as well as USA consular info. for most countries. You can also subscribe to receive automatic updates by e-mail, but be warned, it is impossible to unsubscribe, so you may wish to give them a Hotmail address!

Canadian Department of Foreign Affairs and International Trade

Canadian Department of Foreign Affairs and International Trade - Advisories, travel info etc.

Foreign Office in London

"The FCO's country-specific Travel Advice notices aim to ensure that British travellers are well prepared before their departure".

Editors note:
We accept no responsibility for any of the above information in any way whatsoever. You are reminded to do your own research. Any commentary is strictly a personal opinion of the person supplying the information and is not to be construed as an endorsement of any kind.
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All text and photographs are copyright © Grant and Susan Johnson, 1987-2008, or their respective authors. All Rights Reserved.