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Health

 
A lot of visitors get ill in India, and some of them get very ill. However, if you are careful, you should be able to get through the country with nothing worse than a mild dose of "Delhi belly", an almost obligatory introduction to the country. The important thing is to keep your resistance high and to be very aware of health risks such as poor hygiene, untreated water, mosquito bites and undressed open cuts.

 

What you eat and drink is crucial: a poor diet lowers your resistance. Ensure you eat a balance of protein, energy, vitamins and minerals. Meat and fish are obvious sources of protein for non-vegetarians in the West, but not necessarily in India: eggs, pulses (lentils, peas and beans), rice and curd are all protein sources, as are nuts. Overcooked vegetables lose a lot of their vitamin content; eating plenty of peeled fresh fruit helps keep up your vitamin and mineral intake. With all that sweating, too, make sure you get enough salt (put extra on your food) and drink enough water. It's also worth taking daily multi-vitamin and mineral tablets with you. Above all, make sure you eat enough - an unfamiliar diet may reduce the amount you eat - and get enough sleep and rest: it's easy to get run down if you're on the move a lot, especially in a hot climate.

It's worth knowing, if you are ill and can't get to a doctor, that almost any medicine can be bought over the counter without a prescription

Precautions
The lack of sanitation in India can be exaggerated. It's not worth getting too worked up about it or you'll never enjoy anything, but a few common-sense precautions are in order, bearing in mind that things such as bacteria multiply far more...
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A travellers' first-aid kit
Below are items you might want to take, especially if you're planning to go trekking - all are available in India itself, at a fraction of what you might pay at home: " Antiseptic cream " Insect repellent and cream such as Anthisan for soothing...
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Vaccinations
No inoculations are legally required for entry into India, but meningitis, typhoid, and hepatitis A jabs are recommended, and it's worth ensuring that you are up to date with tetanus, polio and other boosters. All vaccinations can be obtained...
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Medical resources for travellers
For up-to-the-minute information, make an appointment at a travel clinic . These clinics also sell travel accessories, including mosquito nets and first-aid kits. Information about specific diseases and conditions, drugs and herbal remedies is provided at http://health.yahoo.com , as well as advice from health experts. You could also consult the Rough Guide to Travel Health by Dr Nick Jones

What about the water?
One of the chief concerns of many prospective visitors to India is whether the water is safe to drink. To put it simply, it's not, though your unfamiliarity with Indian micro-organisms is generally more of a problem rather than any great virulence in the...
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Malaria
Protection against malaria is absolutely essential. The disease, caused by a parasite carried in the saliva of female Anopheles mosquitoes , is endemic everywhere in India except high-altitude regions of Ladakh, Himachal Pradesh,...
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Dengue fever and Japanese encephalitis
Apart from malaria, another illness spread by mosquito bites is dengue fever , whose symptoms are similar to those of malaria, plus aching bones. There is no vaccine available and the only treatment is complete rest, with drugs to assuage the fever. Japanese encephalitis , yet another mosquito-borne viral infection causing fever, muscle pains and headaches, has been on the increase in recent years in wet rural rice-growing areas. However, there have been no reports of travellers catching the disease, and you shouldn't need the vaccine (which is expensive and has several potentially nasty side-effects) unless you plan to spend much time around paddy fields during and immediately after the monsoons.

Intestinal troubles
Diarrhoea is the most common bane of travellers. When mild and not accompanied by other major symptoms, it may just be your stomach reacting to unfamiliar food. Accompanied by cramps and vomiting, it could well be food poisoning. In either case, it...
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Bites and creepy crawlies
Worms may enter your body through skin (especially the soles of your feet), or food. An itchy anus is a common symptom, and you may even see them in your stools. They are easy to treat: if you suspect you have them, get some worming tablets such as...
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Heat trouble
The sun and the heat can cause a few unexpected problems. Many people get a bout of prickly heat rash before they've acclimatized. It's an infection of the sweat ducts caused by excessive perspiration that doesn't dry off. A cool shower, zinc...
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Altitude sickness
At high altitudes, you may develop symptoms of acute mountain sickness (AMS) . Just about everyone who ascends to around 4000m or more experiences mild symptoms, but serious cases are rare. The simple cure - descent - almost always brings...
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HIV and AIDS
The rapidly increasing presence of AIDS has only recently been acknowledged by the Indian government as a national problem. The reluctance to address the issue is partly due to the disease's association with sex, a traditionally closed subject...
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Getting medical help
Pharmacies can usually advise on minor medical problems, and most doctors in India speak English. Also, many hotels keep a doctor on call; if you do get ill and need medical assistance, take advice as to the best facilities around. Basic medicaments...
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Ayurvedic medicine
Ayurved , a Sanskrit word meaning the "knowledge for prolonging life", is a five-thousand-year-old holistic medical system that is widely practised in India. Ayurvedic doctors and clinics in large towns deal with foreigners as well as their...
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