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Come Armed with Singles<br />
We recommend coming to <strong>Cambodia</strong> with a large stack <strong>of</strong> dollar bills. You’ll<br />
blow through them quickly while zipping around towns on tuk-tuks and<br />
motos, and the lower cost <strong>of</strong> food and drink means they’ll come in handy.<br />
Larger bills dispensed by ATMs can be harder to break.<br />
against mosquito bites is crucial to preventing<br />
a variety <strong>of</strong> diseases, including malaria.<br />
This means using an effective repellent<br />
(with DEET, or one <strong>of</strong> the newer eucalyptus-based<br />
products) day and night, and<br />
sleeping under a net or in a screened or<br />
sealed room. Wear long trousers and a longsleeved<br />
shirt if you are in a risky area.<br />
Another problem in <strong>Cambodia</strong> can be<br />
the heat and the sun. Use a good sunscreen,<br />
cover your skin, try to stay out <strong>of</strong> the sun<br />
during the hottest part <strong>of</strong> the day, and keep<br />
up your fluid intake. If you can’t avoid<br />
being in the sun, make sure you wear a hat.<br />
Keep properly hydrated with water (beer,<br />
soda, or tea does not do the job). It’s a good<br />
idea to carry rehydration salts with you.<br />
<strong>The</strong>re are big problems with hepatitis<br />
and HIV in <strong>Cambodia</strong> (an estimated 40%<br />
<strong>of</strong> commercial sex workers are HIV-positive).<br />
If you are determined to put yourself<br />
in harm’s way, then be sure to practice<br />
safe sex.<br />
AILMENTS IN CAMBODIA<br />
Like many poor tropical countries, <strong>Cambodia</strong><br />
is a host to a variety <strong>of</strong> ailments that<br />
with proper attention to hygiene and preventative<br />
measures the traveler will avoid<br />
getting.<br />
WORMS & OTHER INTESTINAL PARA-<br />
SITES <strong>The</strong>se can be a problem due to<br />
poor hygiene. Be careful where you eat<br />
and what you eat (especially if it is street<br />
food). Watch out for any meat that looks<br />
uncooked.<br />
GIARDIA, DYSENTERY, & SALMO-<br />
NELLA <strong>The</strong>se are contracted as a result<br />
<strong>of</strong> infected food and poor hygiene. Giardia<br />
is a parasite that, if you are infected,<br />
causes some fairly unsociable symptoms <strong>of</strong><br />
flatulence with the odor <strong>of</strong> rotten eggs. It<br />
is treated through a course <strong>of</strong> prescription<br />
drugs, notably metronidazole (brand<br />
name Flagyl).<br />
DYSENTERY Dysentery is an unpleasant<br />
condition involving stomach cramps,<br />
diarrhea (with blood and mucus in the<br />
stool), and fever. In amoebic dysentery,<br />
the parasites that cause it are dealt with<br />
through a course <strong>of</strong> metronidazole. Bacillary<br />
dysentery can be treated with antibiotics<br />
if very severe, but normally one gets<br />
through it in 1 to 2 weeks, during which<br />
remaining well hydrated is vital. Salmonella<br />
is also bacterial and symptoms begin<br />
with nausea and vomiting and progress to<br />
abdominal pains and diarrhea. Additional<br />
symptoms include fever, chills, and muscle<br />
pains, and it can last anywhere from several<br />
days to 2 weeks. <strong>The</strong>re is no treatment,<br />
and you just have to get through it<br />
by making sure you stay hydrated.<br />
HEPATITIS A Hepatitus A is a viral<br />
infection <strong>of</strong> the liver, also contracted from<br />
bad food or water. <strong>The</strong> best way to avoid<br />
it is (if over 2 years old) to make sure you<br />
are vaccinated, stick to bottled water, and<br />
keep a good eye on what you eat. Symptoms<br />
include fatigue, fever, abdominal<br />
pain, nausea, diarrhea, loss <strong>of</strong> appetite,<br />
depression, jaundice, weight loss, and itching.<br />
Inoculation takes the form <strong>of</strong> a single<br />
shot and a booster after 6 months.<br />
39<br />
PLANNING YOUR TRIP TO CAMBODIA 3<br />
HEALTH