travelling to Africa

As the weather starts to warm up and the spring flowers begin to bloom, you may be finding yourself getting ready to travel again. But before you pull out the suitcases, it’s time to make a plan. Whether you are looking forward to the majestic Mount Kilimanjaro or the plains of Kenya for a wildlife safari, spend some time making the right preparations to make sure that your vacation is extra-special and not filled with nasty surprises. In this article, we’ll be looking at a general overview of Africa and what you need to know to make this holiday the trip of a lifetime.

When and where are you visiting?

Africa is the world’s second largest continent, according to National Geographic, and given that it spans both the tropics of Cancer and Capricorn with coasts that touch many different seas and oceans, getting your packing, preparation and itinerary right can be quite a challenge. Some of the key attractions that you should consider are:

  • Savannas – these are the vast grasslands that play host to some of the world’s most captivating animal species. Kenya is one such popular destination where you may wish to head out on safari to see giraffes, elephants, and wildebeest. If you were to continue south, you would enter the Ngorongoro Crater in Tanzania. This a vast area filled with wild animals and has been called Africa’s Eden.
  • Nile River – you can take a historical trip down the Nile river (the world’s longest) and explore the area and times of the Pharaohs so many years ago. Make sure you stop and see Valley of the Kings and those epic burial pyramids.
  • Lake Victoria – this large body of water is one of seven great lakes in Africa, and is a hotspot for tourists. Choose between a thatched-roof cottage or a private villa on one of the small islands. Either way, you will get to enjoy all that the beauty and thrills that the destination can offer you.
  • Mount Kilimanjaro – if trekking up to see a dormant volcano and the highest point in Africa is your idea of a vacation, then Mount Kilimanjaro is just for you. This hike should be done with careful planning and consideration as it is not a simple day hike; it is suggested that you plan for a week to help acclimate your body to the changes in elevation and plan for weather.
  • uShaka Marine World & South African Coastline – while this is not the quintessential African destination that comes up for most people, the southern part of Africa offers many different holiday experiences. Children and adults alike will love the large marine park as well as the gorgeous views of the Indian Ocean that the South African coastline can bring.

visit mount kilimanjaroWhen visiting Africa, it is crucial to know where and when you are planning a trip because packing for a holiday in Africa is a more complicated affair than you might think, given that the climate can vary dramatically from region to region. Africa has two seasons, instead of the four we are familiar with in the temperate areas of the Northern hemisphere. They are the dry and rainy seasons. No, you probably won’t need snow boots in May & June, but visiting the northern, eastern, and western side of Africa means that you will almost certainly be rained upon every single day during certain months of the year. If you are visiting Africa in July, you can expect hot and dry weather with extreme temperatures reaching 47 degrees Celsius or 117 F with the night temperatures dipping to -4 degrees Celsius.

What you should know in advance

Rural or urban visit

Holidaying in some parts of Africa can be quite different from a city break or even a rural retreat in Europe. Due to the sheer scale of the continent and the vast unpopulated spaces in many countries, some locations - such as safari holidays - can take you to extremely remote places. If an authentic expedition or adventure holiday is what you are seeking, be prepared for periods of time without Internet, phone signal or even electricity.

In the first instance, you may wish to check with your phone’s internet provider if your contract includes coverage for the country that you’re visiting.

Clothing and culture

When you consider packing clothing for your trip, there are many considerations. It is good to know what your plans entail so you can make the right decisions. If you’re hiking up a mountain, you may want to wear something more than a t-shirt and shorts. The hot days can turn into a cool evening very quickly, so remember to pack a warm sweatshirt or jacket. A hat is very helpful to shade yourself from the hot sun and can also help prevent a nasty sunburn.

Cultural considerations are also important when visiting local areas in Africa. Women may want to pack long skirts or have a sarong ready to cover up bare shoulders depending on the region you are visiting. A head covering is also important if you’re planning to visit local mosques or areas where cultural or religious traditions may differ from your own.

Electricity

Always remember that technology can take on different meanings in different countries of the world. On your packing list, make sure you get a few electrical converters for your electronic equipment. Always get the ones that have surge protectors in them; the electricity output can differ from place to place, and you might just get a nasty surprise and shock when you plug your electronics into the outlet.

Time to eat

Holidaying in a new area might conjure up visions of new delectable treats but, like many parts of the world, you should be cautious about the food that you try in Africa - particularly street food. Nothing can ruin a holiday faster than an upset stomach or food poisoning, so make sure you are extra careful about what you choose to eat.

Food suggestions

African street foodHere are some great tips when eating your next meal:

  • Only eat hot foods when they are hot. Meats should be thoroughly cooked through. Avoid rare and medium-rare cooked meats
  • If the food is served cold, make sure it is a reputable place to ensure that the food has stayed cold the entire time. Do not eat room temperature food; soft or uncooked eggs; rare meats or fish
  • Fresh fruit should only be eaten if you can peel it such as bananas and mangoes.
  • Avoid fresh salad items like lettuce, tomatoes, and celery if you cannot be confident that they have been cleaned properly. Washing salad in dirty water is a prime cause of water-borne diseases.
  • Dry packaged foods are usually safe as long as handled appropriately when opened.
  • Be very cautious about street vendors as they may not have proper food-handling and refrigeration techniques.
  • When on safari, avoid bushmeat (a wild game that is unknown to you). This also means no adventurous eating of bats, rodents or monkeys.

Water and beverages

Living in an industrialised city has many luxuries. Typically, most people in the UK don’t need to worry about the safety of the drinking water from the tap. However, this cannot be assured abroad - as the water from the tap may not be clean. The same also applies when brushing teeth and showering.

Chlorinated and filtered water rarely comes out of the tap in many remote or undeveloped regions of Africa. Freshwater lakes and streams may carry schistosomiasis, a parasitic flatworm, that can cause many stomach complaints and an itchy rash. It is worth remembering that the same rivers and lakes that is used for drinking water may also be used for bathing and laundering clothes. Where sanitation is poor, there is also a chance of waste making its way into the water.

So remember: if it goes anywhere near your mouth, it must be clean and safe for you. Here are some other extra tips to quench your thirst.

  • Bottled or canned drinks are usually considered safe. Use bottled water for drinking and brushing your teeth.
  • Avoid ice cubes in your drinks unless you have seen the water poured from a bottle before freezing.
  • Alcoholic beverages should only be served from sealed containers or well-known bartenders to ensure that you are drinking what is listed on the bottle.
  • Be careful when drinking fresh juices as the fruit and juicing equipment may have been washed with unclean water.
  • Pasteurised milk that is sealed is safe to drink. Avoid unpasteurised or fresh milk.
  • Coffee drinkers beware! While hot coffee made with clean water is fine, be very careful about adding fresh cream.
  • Try not to splash water into your mouth when showering or bathing.

Preparing for your health

Mosquitos

After a long day’s travel, you’ll be wanting to find a relaxing bed to stretch out and get some rest. But before you get that much-needed sleep, check to see if you should be sleeping under a mosquito net. According to the Against Malaria Foundation, mosquitos that carry malaria bite most frequently between 10pm and 2am. The mosquito net should be treated with Permethrin that will kill the bugs as well as protect you from the pests.

Bug Repellant is also another way to protect yourself from mosquitoes and flies. Many travellers choose a product with DEET in it – ranging from 7% for children and all the way up to 50% for the most adventurous travellers. There are also DEET-free options using Lemon Eucalyptus oil that can be purchased. No one wants to get bitten by a bug, so using the highest level of DEET protection may seem an obvious choice. But remember, DEET is a potent and toxic chemical. It can erode plastic coatings on clothing and watches and is harmful to breathe in – you may be coughing and feel like your lungs are on fire if you inhale it in.

Vaccines

Your health is one of the most important priorities when planning a trip to Africa, and while you are planning your trip, it is a great time to stop and check your immunisations. The Centre for Disease Control recommends that everyone who visits other countries to have the standard childhood vaccines and ensure that no boosters are missed. These will include the DTaP, MMR & shingles, Polio, Pneumonia, Meningococcal, and HPV vaccines.

Here are the specific vaccines that are recommended for Africa:

  • Hepatitis A and B vaccines,
  • Rabies
  • Typhoid
  • Yellow Fever
  • Meningococcal
  • Cholera vaccine

Medications for your trip

He who cures a disease may be the skillfullest,

but he who prevents it is the safest physician. Thomas Fuller

As Thomas Fuller so poignantly stated back in the 1800s, preventing disease is very important to your health. Because of this, when planning your trip to Africa, you should sit down with your GP, pharmacist or travel clinician and discuss which preventive and prophylactic medications you are going to need for your trip.

Anti-malarial medications

Remember those mosquitos that the nets and the bug spray help to deter? While those are extremely important and should be used by everyone, you still may want to consider taking oral medication to help prevent malaria.

The disease of malaria is carried by mosquitoes, but only a particular type of mosquito. According to the World Health Organization, the Female Anopheles mosquito acquires the parasite Plasmodium when she bites people to get blood to feed her eggs. Then when she bites again (after being infected), the parasites are put into the person’s blood supply. Her bite is not like the annoying mosquito that is itchy and welted-up; no, her bite is a stealthy bite that doesn’t leave a mark.

Because the Female Anopheles bites in the middle of the night, most people do not even know that they have been bitten until a 10-14 days later when the first symptoms start to appear. These can include fever, headache, severe chills, and vomiting. The parasites can also be deadly as they kill red blood cells and then clog up the blood supply to the brain and vital organs (such as the liver or heart).

You should be concerned about malaria if you are visiting parts of Africa, including Chad, Cameroon, Congo, Ghana, and Kenya. Take some time and look at a malaria countries map and see if your travels intersect any of these areas. The risk in particular regions can vary over time and so consulting the WHO website is a good starting point. Some areas are worse than others, but, for example, the high prevalence of malaria in Ethiopia shows that it is one of the countries in which there is a heightened risk of catching the disease as a traveller.

It is also important to note that if you visit an endemic malaria area, some hospitals will not let you donate blood for up to three years after visiting these areas. Also, if by some terrible chance you do get malaria, you will also not be able to donate blood to those in need.

Preventative anti-malarial medications

Killing the Plasmodium parasite in the bloodstream can also be performed by anti-malarial medications. There are three specific medications that most people choose from to take for their anti-malarial needs. These are Doxycycline, Malarone (atovaquone and proguanil hydrochloride), Lariam (mefloquine).malarone malaria treatment

Some medicines are taken daily, and others are taken once a week. They all have positive and negative things that you should be aware of; so it is vital to speak with your pharmacist, travel clinician or GP about which one is best for you. Your medical history, current medications, planned activities, and specifically, where you will be going all determine which medication you should take. An easy way to help understand this information is the website Fit for Travel; it can help you look which medications may fit the best for you.

Anti-diarrhoeal

In some countries, it’s called Montezuma’s Revenge but the more common term for loose stools and stomach issues while abroad is Traveller’s Diarrhoea. But if you get it, you’ll just call it misery. A miserable time of living on the porcelain throne (toilet) and wishing your stomach would just calm down. Food and water-borne diseases can easily be obtained when travelling to different countries as foods may not be cooked as thoroughly as they should be before eating.

Also, if cups and plates that are not cleaned properly, or if the water is not purified correctly, it can cause you to be ill. The bacteria that cause this can be E-coli, Salmonella, or even parasites such a Giardia.

Traveller’s diarrhoea is different than just an upset stomach from too many spicy foods; it is three or more watery stools in 24 hours or less. You can also have nausea, vomiting, stomach cramps, and many sudden urges to have a bowel movement. Typically, these symptoms are mild-moderate and can last up to five days without treatment. If it lasts more than 5 days, or if you cannot function with the symptoms that are getting worse, then it becomes more severe.

Treatment for diarrhoea

First of all, if you find yourself in this unfortunate position, the primary treatment is treating the possible dehydration. Clear fluids, hydrating drinks (such as Gatorade or Powerade-like drinks that have electrolytes and rehydration salts in them) are the best thing for you. You do need to drink lots and lots of them. Not only with the fluids keep you from getting dehydrated, but they also help to flush out the bacteria.

Secondly, for those who are having the stomach cramping pains, some over-the-counter medications can help calm your stomach down. These would include Loperamide (Immodium) and Bismuth Subsalicylate (Pepto-Bismol).

Lastly, there are prescription medicines that your GP or pharmacist may prescribe for you in case you do have worsening symptoms. These would be Lomotil (diphenoxylate and atropine), Azithromycin, and Ciprofloxacin. Lomotil is a stronger medication that specifically helps the colon spasms to calm down; it contains atropine, which is a controlled substance in some areas, so to obtain this, your GP will need to prescribe it.

The other medications, Azithromycin and Ciprofloxacin, are antibiotics that will fight against the bacteria that causes the traveller’s diarrhoea. These medications are not taken like preventative medications, but should only be taken when your GP instructs you to – typically, this is if specific symptoms appear – so, it is important to write down the instructions and put them with the medications so if you do get sick, you will know what you should take.

Conclusion

Travelling to Africa can be the trip of a lifetime with the right preparations. The more you can plan in advance for your time away, the more enjoyable it can be. So get out that packing list and start checking the things off as you get them done. The mountain of Kilimanjaro and the African safari animals are waiting for you! Bon Voyage!