This document provides information and recommendations for staying healthy while traveling. It discusses food and water safety precautions to prevent food poisoning, including avoiding street vendors and raw/undercooked foods. It also recommends getting vaccinations before traveling, packing necessary medications and supplies in a first aid kit, and practicing good hand hygiene. The main message is that taking basic precautions can help prevent common travel illnesses and ensure a healthy trip.

2. Get plenty of sleep.

3. Do not travel if you are sickJyoshna Bagde & Maryflora Samuel Clinical site Monitors, Regional Clinical Operations, BMS (India)

4. Objective Understand & become familiar with Food borne diseases Learn, take food and water precautions. Things to carry while travelling

5. Food Poisoning ‘any illness resulting from consumption of contaminated food’ Food Intoxication Food Infection Presence of bacteria or other microbes which infect the body after consumption Ingestion of toxins contained within the food, including bacterially produced exotoxins, which can happen even when the microbe that produced the toxin is no longer present or able to cause infection Who contaminates food..? Mostly: pathogenic bacteria, viruses, prions or parasites Rarely: chemical or natural toxins (poisonous mushrooms or reef fish ), pesticides or medicines in food

6. Bacterial Pathogens Source of Infection Illness/ Symptoms Viruses: Vibrio and Hepatitis

7. Infectious Disease Risks to travelers Malaria, Diarrhea, Leishmaniasis, Rabies Dengue M. Meningitis, Tuberculosis, Leptospirosis

8. Cysticercosis, or neurocysticercosis

9. Immunizations to Consider for Adult Travelers Travel related Hepatitis A Hepatitis B Typhoid Rabies Meningococcal disease Polio Japanese encephalitis Yellow Fever Routine Diphtheria Tetanus Pertussis Measles Mumps Rubella Varicella Pneumococcus Influenza DPT MMR

10. Food Precautions Avoid: Food from street vendors, dingy restaurants and the ones that are empty. X Improperly cooked food (usually contaminated with dust) X Warm Food X (Danger Zone) Food left sitting (may attract flies and cause major health hazards) X Junk foods like burgers, chowmein, chips, samosas, cold drinks X Salads, raw vegetables and unpasteurized dairy products X Ice X Foods like omelets sandwiches sold by vendors on buses/trains X Sauces, soufflés, prawns, cocktails and mousses X ..cont

11. ..contd Fresh fruit juices from the roadside juice stalls. Go for branded packed juices or unpeeled fruits (wash them before you eat) X 11. Un-cooked meat like salami and ham cold cuts X 12. Food which contains a lot of food coloring or MSG – check with the wait staff about Chinese food and soups in particular X http://foodsafetyindia.nic.in/ Carry packed, healthy dry meals by Directorate General of Health Services, Ministry of Health and Family Welfare

12. Water Precautions Drink only bottled mineral water. If mineral water is not available, ask for boiled water Do not drink beverages with ice. Never ever drink water from roadside vendors, water sold in polythene bags, tap water, at restaurants and other public places. 5. Beware of cheap fake bottled water. Make sure to check that the seal of the bottle is intact. 6. Also, see if there is anything floating in it before buying.

15. Hand washing Most important thing you can do to keep from getting sick ! Correct way to wash hands Wet your hands with warm water, Apply soap. Rub hands together and scrub really well. Be sure to get under fingernails and in between fingers. Scrub for about 10-15 seconds Rinse hands of soap & Dry hands well with a clean paper towel or cloth. Turn off faucet with paper towel.

16. Correct way to use Hand Sanitizer

19. Sources and for further information… http://www.foodborneillness.com/food_poisoning_faq http://www.foodsafetynews.com/ http://wwwnc.cdc.gov/travel/content/health-during-trip.aspx http://www.webhealthcentre.com/HealthyLiving/first_aid_kits.aspx http://healthy-india.org/# http://en.wikipedia.org/wiki/Foodborne_illness

20. Mr. Travy says…… X Prevention is Powerful

21. Have a safe and HEALTHY Journey ahead … Thank you and Good bye !!!