Food and Water
The major health risk in the Bahamas is traveler's diarrhea. This is most often caused by ingesting fruits, shellfish, and drinks to which your body is unaccustomed. Go easy at first on new foods such as mangoes, conch, and rum punch. There are rare cases of contaminated fruit, vegetables, or drinking water.
If you're susceptible to digestive problems, avoid ice, uncooked food, and unpasteurized milk and milk products, and drink bottled water, or water that has been boiled for several minutes, even when brushing your teeth.
Drink plenty of purified water or tea; chamomile is a good folk remedy. In severe cases, rehydrate yourself with a salt-sugar solution (½ teaspoon salt and 4 tablespoons sugar per quart of water).
Do not fly within 24 hours of scuba diving. Always know where your nearest decompression chamber is before you embark on a dive expedition, and how you would get there in an emergency. The only chambers in the Bahamas are in Nassau and San Salvador, and emergency cases are often sent to Miami.
Bahamas Hyperbaric Centre (242/362–5765.)
No-see-ums (sand fleas) and mosquitoes can be bothersome. Some travelers have allergies to sand-flea bites, and the itching can be extremely annoying. To prevent the bites, use a recommended bug repellent. To ease the itching, rub alcohol on the bites. Some Out Island hotels provide sprays or repellents but it's a good idea to bring your own.
Basking in the sun is one of the great pleasures of a Bahamian vacation, but because the sun is closer to Earth the farther south you go, it will burn your skin more quickly, so take precautions against sunburn and sunstroke.
On a sunny day, even people who are not normally bothered by strong sun should cover up with a long-sleeve shirt, a hat, and pants or a beach wrap while on a boat or midday at the beach. Carry UVA/UVB sunblock (with an SPF of at least 15) for your face and other sensitive areas. If you're engaging in water sports, be sure the sunscreen is waterproof.
Wear sunglasses because eyes are particularly vulnerable to direct sun and reflected rays. Drink enough liquids—water or fruit juice preferably—and avoid coffee, tea, and alcohol. Above all, limit your sun time for the first few days until you become accustomed to the rays. Do not be fooled by an overcast day. The safest hours for sunbathing are 4–6 pm, but even then it's wise to limit initial exposure.
Medical Insurance and Assistance
The most serious accidents and illnesses may require an airlift to the United States—most likely to a hospital in Florida. The costs of a medical evacuation can quickly run into the thousands of dollars, and your personal health insurance may not cover such costs. If you plan to pursue inherently risky activities, such as scuba diving, or if you have an existing medical condition, check your policy to see what's covered.
Consider buying trip insurance with medical-only coverage. Neither Medicare nor some private insurers cover medical expenses anywhere outside the United States. Medical-only policies typically reimburse you for medical care (excluding that related to preexisting conditions) and hospitalization abroad, and provide for evacuation. You still have to pay the bills and await reimbursement from the insurer, though.
Another option is to sign up with a medical-evacuation assistance company. A membership in one of these companies gets you doctor referrals, emergency evacuation or repatriation, 24-hour hotlines for medical consultation, and other assistance. International SOS Assistance Emergency and AirMed International provide evacuation services and medical referrals. MedjetAssist offers medical evacuation.
Medical Assistance Companies
AirMed International (www.airmed.com.)
International SOS Assistance Emergency (www.internationalsos.com.)
International Medical Group (800/628–4664. www.imglobal.com.)
International SOS (www.internationalsos.com.)
Wallach & Company (800/237–6615. www.wallach.com.)
Pharmacies carry most of the same pain-relief products you find in the United States, but often at a higher price, so pack any over-the-counter medications you regularly use. They also sell a product called 2-2-2, which is equal parts aspirin, caffeine, and codeine. It's an effective painkiller but can cause upset stomach.
Travelers prone to travel-related stomach disorders who are comfortable with alternative medicine might pick up some po chai tablets from a doctor of Eastern medicine or an Asian pharmacy—it's a great stomach cure-all.
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