Hide Bugs (like mosquitoes, ticks, and fleas) can spread a number of diseases in Sierra Leone. Many of these diseases cannot be prevented with a vaccine or medicine. You can reduce your risk by taking steps to prevent bug bites. What can I do to prevent bug bites? Cover exposed skin by wearing long-sleeved shirts, long pants, and hats. Use an appropriate insect repellent (see below). Use permethrin-treated clothing and gear (such as boots, pants, socks, and tents). Do not use permethrin directly on skin. Stay and sleep in air-conditioned or screened rooms. Use a bed net if the area where you are sleeping is exposed to the outdoors.
Dress in layers and cover heads, hands, and feet properly if you are visiting a cold location. Stay safe around water Swim only in designated swimming areas. Obey lifeguards and warning flags on beaches. Practice safe boating—follow all boating safety laws, do not drink alcohol if driving a boat, and always wear a life jacket.
Fill your malaria prescription before you leave and take enough with you for the entire length of your trip. Follow your doctor’s instructions for taking the pills; some need to be started before you leave. Select safe transportation Motor vehicle crashes are the #1 killer of healthy US citizens in foreign countries. In many places cars, buses, large trucks, rickshaws, bikes, people on foot, and even animals share the same lanes of traffic, increasing the risk for crashes. Walking Be smart when you are traveling on foot.
Consider purchasing travel health and medical evacuation insurance. Carry a card that identifies, in the local language, your blood type, chronic conditions or serious allergies, and the generic names of any medications you take. Some prescription drugs may be illegal in other countries. Call Sierra Leone’s embassy to verify that all of your prescription(s) are legal to bring with you. Bring all the medicines (including over-the-counter medicines) you think you might need during your trip, including extra in case of travel delays.
Ask your doctor to help you get prescriptions filled early if you need to. Many foreign hospitals and clinics are accredited by the Joint Commission International. A list of accredited facilities is available at their website (www. jointcommissioninternational. org). In some countries, medicine (prescription and over-the-counter) may be substandard or counterfeit. Bring the medicines you will need from the United States to avoid having to buy them at your destination. Malaria is a risk in Sierra Leone.
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If you are outside for many hours in heat, eat salty snacks and drink water to stay hydrated and replace salt lost through sweating. Protect yourself from UV radiation: use sunscreen with an SPF of at least 15, wear protective clothing, and seek shade during the hottest time of day (10 a. m. –4 p. ). Be especially careful during summer months and at high elevation. Because sunlight reflects off snow, sand, and water, sun exposure may be increased during activities like skiing, swimming, and sailing. Very cold temperatures can be dangerous.
If soap and water aren’t available, clean hands with hand sanitizer (containing at least 60% alcohol). Don’t touch your eyes, nose, or mouth. If you need to touch your face, make sure your hands are clean. Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing. Try to avoid contact with people who are sick. If you are sick, stay home or in your hotel room, unless you need medical care. Avoid sharing body fluids Diseases can be spread through body fluids, such as saliva, blood, vomit, and semen. Protect yourself: Use latex condoms correctly. Do not inject drugs. Limit alcohol consumption. People take more risks when intoxicated.
Do not share needles or any devices that can break the skin. That includes needles for tattoos, piercings, and acupuncture. If you receive medical or dental care, make sure the equipment is disinfected or sanitized. Know how to get medical care while traveling Plan for how you will get health care during your trip, should the need arise: Carry a list of local doctors and hospitals at your destination. Review your health insurance plan to determine what medical services it would cover during your trip.
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Go to a doctor right away. Tell your doctor about your injury when you get back to the United States. Consider buying medical evacuation insurance. Rabies is a deadly disease that must be treated quickly, and treatment may not be available in some countries. Reduce your exposure to germs Follow these tips to avoid getting sick or spreading illness to others while traveling: Wash your hands often, especially before eating.
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Do not dive into shallow water. Do not swim in freshwater in developing areas or where sanitation is poor. Avoid swallowing water when swimming. Untreated water can carry germs that make you sick. To prevent infections, wear shoes on beaches where there may be animal waste. Schistosomiasis, a parasitic infection that can be spread in fresh water, is found in Sierra Leone. Avoid swimming in fresh, unchlorinated water, such as lakes, ponds, or rivers. Most animals avoid people, but they may attack if they feel threatened, are protecting their young or territory, or if they are injured or ill.
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