Phu Quoc is the largest island of Vietnam. The island is part of Kien Giang province. The district of Phu Quoc includes the island proper and 21 smaller islets. The district seat, Duong Dong, which is located on the west coast, is also the largest town on this island, whose total area is 574 km². Located in the Gulf of Siam, Phu Quoc island lies in front of the Cambodian coast, 62 nautical miles (115 km) from Rach Gia, 15 kilometres (8.1 nmi) from Kampot province of Cambodia, and nearly 290 nautical miles (540 km) from Laem Chabang, Thailand. Roughly triangular in shape the island is 50 km long north to south and 25 km east to west in the north at its widest. Come to Phu Quoc and get close to nature. Nestled in the Gulf of Thailand, Phu Quoc is the paradise to nature lovers. White and sun-kissed beaches here will let you feel the serene delight of a beach vacation, whereas, a number of activities like fishing, diving will make your every moment vibrant and exciting. There are a number of popular places in Phu Quoc. Some of them are like, Duong Dong Riverside Market, Phu Quoc National Park, Dinh Cau Rock and so on. With Phu Quoc Vietnam Hotel, you can easily plan for a holiday in this place. We have covered a wide range of hotels in Phu Quoc. Therefore, with us, choose an appropriate accommodation without any hassle. Furthermore, our secure online service offers easy hotel reservation facility for a wide range of hotels in Vietnam including Phu Quo Hotels. So, reserve the hotel of your choice instantly and stay away from all hassles.

Dr Miles Varn describes steps to protect yourself and your family from swine flu virus when travelling

Even while enjoying paradise or exploring the wonders of the world, life happens. You could break your leg skiing in Vail, develop chest pains while hiking Mt. Kilimanjaro, or realize you forgot your medications upon your arrival to China. When you travel, PinnacleCare Private Health Advisory can help you plan for sickness, lost or forgotten medications, or pandemic outbreaks.

While the world braces for the next potential wave of illness caused by the novel H1N1 (swine flu) virus, it's important to remember to take steps to protect yourself and your family from illness, especially if you have a chronic health condition. With the right knowledge, preparation, and protection there is no need to cancel vacations or delay business.

Preparing for the H1N1 Virus

At the start of the summer, the World Health Organization (WHO) declared the new flu strain, novel H1N1 or swine flu, to be a global pandemic. That declaration was based on the widespread nature of the disease, not its severity. To date, approximately 140 countries have reported cases of this strain of influenza and, according to WHO statistics dated August 6, 2009, the H1N1 virus has caused 1,462 deaths worldwide. As a comparison, the Centers for Disease Control and Prevention (CDC),  estimates that approximately 36,000 people die annually from complications of the "seasonal flu".

All of the prevention tips listed at the end of this report for the seasonal flu can also help lessen the risk of this new strain, although the vaccine for seasonal flu does not protect against novel H1N1. The H1N1 Vaccine will be available in the coming weeks. As with seasonal flu, people with this virus may be contagious from a day before falling ill to five to seven days after symptoms appear.

As vaccine production ramps up, the CDC  announced that vaccination priority should be given to pregnant women, people who live with or care for children under 6 months old, healthcare and emergency medical services personnel, people between the ages of 6 months and 24 years old (because unlike seasonal flu, novel H1N1 seems to cause more serious illness in young people), and people ages 25 through 64 who are at higher risk because of chronic health disorders or compromised immune systems.

Illness with the novel H1N1 flu can range from mild to severe. While most people have recovered without medical treatment, there have been hospitalizations and deaths caused by the disease. Most of those who died had health problems, including diabetes, heart disease, asthma, kidney disease, suppressed immune system, neurocognitive and neuromuscular disease, and pregnancy, that placed them at higher risk.

One difference between this virus and seasonal flu is that, to date, people over the age of 64 do not appear to be at increased risk, perhaps due to the fact that many of them have antibodies to the virus. People younger than 25, however, have been more seriously affected by the H1N1 strain. In general, however, people believed to be at higher risk from this virus are the same as those at increased risk from seasonal flu.

Treatment for the novel H1N1 flu may involve the anti-viral drugs oseltamivir or zanamivir, though health officials have stated those recommendations may change as more data on the effectiveness of these drugs on the virus is gathered. Physicians have been advised to use careful clinical judgment when prescribing these medications for people who are not at increased risk from the flu because the benefits of the drugs may be modest for most people. People at higher risk and groups most likely to be exposed to the virus such as health care workers, may be given these drugs as a preventative measure.

Fast Facts About Influenza

While it's the novel H1N1 influenza virus, also known as swine flu, that has been getting the bulk of the attention from policymakers, health officials and the media, it's important not to lose sight of the importance of protecting yourself and your family from seasonal influenza, especially if members of your family are living with chronic health conditions like asthma, diabetes, heart or kidney disease or immune system problems.

Taking preventive measures including receiving a flu shot and practicing good hygiene are simple steps we can all take to help prevent the spread of the flu These steps are proven measures for reducing the risk of seasonal flu and health officials also recommend many of these easy, common sense practices as potentials tool for slowing the spread of the novel H1N1 influenza which experts predict may become more prevalent in the fall.

The symptoms of influenza can include:

What makes diagnosing the flu more difficult is that many other common infections share some of these symptoms. A definitive diagnosis of influenza can be made through lab tests performed during the first two to three days of the illness.

The Role of the Private Health Advisor

One other thought to bear in mind is that many countries have begun screening travelers for the novel H1N1 virus. If the screening staff believes you may have been exposed to the virus or you have flu-like symptoms, you may be isolated and required to undergo a rapid flu test and medical exam. If you test positive for the virus, you may be hospitalized and/or quarantined.

Extensive international travel can present challenges beyond the knowledge and resources of the most experienced traveler. But as a PinnacleCare member, there need be little concern.

PinnacleCare will research each leg of your itinerary and make certain you are forearmed for any medical emergency.  As a member, you are provided comprehensive international medical insurance,emergency medical evacuation emergency medical support, and detailed travel reports.

PinnacleCare will identify appropriate CDC-recommended vaccinations in advance of travel. We will identify top hospital and physician resources for your specific medical needs.  We will ensure that the physicians profiled in the report are aware of your travel dates and that they are available to see you should a need arise. Finally we will identify pharmacies for medications, embassy locations and healthcare risks in each location.

In the event of crisis or emergency, with one call, PinnacleCare will manage and oversee the situation from beginning to end.. And when needed can transmit all your organized essential health records to the treating physician or hospital. If necessary, translators and emergency airlift evacuation will be arranged.

PinnacleCare Advisors backed by emergency physicians are available 24/7 to address questions or needs.  Traveling members receive complete support and service, regardless of location or time of day. This level of protection of the health and safety of loved ones is no longer beyond reach. PinnacleCare is a passport to guardianship that has no boundaries.

Prevention is the Foundation of your Flu-Fighting Strategy

The most basic form of prevention is to get vaccinated against seasonal influenza. In fact, studies cited by the World Health Organization found that for healthy adults, vaccination can prevent 70 to 90 percent of influenza-specific illness. For the elderly, vaccination reduces the severity of illness and the occurrence of complications by up to 60 percent and deaths by 80 percent. There are some groups of people for whom vaccination is not appropriate, so consult your physician about your specific health situation before you make a decision about getting vaccinated.

In addition to getting an annual flu vaccine, there are a range of steps you can take while traveling the world to guard yourself from the disease.

Some people at higher risk for complications may also be prescribed anti-viral medication proactively to protect against the flu. Anti-viral medications do not cure you, but may limit the severity and duration of your illness.

For most people, treatment for the flu includes bed rest, lots of fluids, and symptom relief with over-the-counter medications to reduce fever, decongest nasal passages and control coughs when appropriate. In some cases, your physician may prescribe an anti-viral medication, but to be effective, you must start taking these drugs within two days of the appearance of your first symptoms.

As with many contagious diseases, the best prevention is often the simplest. Practice good hygiene and, when appropriate, and employ social distancing techniques such as not shaking hands and avoiding crowds.

by Dr. Miles Varn, PinancleCare Chief Medical Officer

For more information, please visit www.pinnaclecare.com. And, be sure to follow us on Twitter at www.twitter.com/pinnaclecare.

Wash your hands frequently

Swine flu protection: wear a mask

Ladies: make the transition from winter to summer easy with a new, fresh, simple beauty routine.

Fresh Face

It’s often a good idea to change you skincare regime during the summer months. You’ll notice your skin gets oilier, so make sure you cleanse and tone properly with alcohol-free, soap-free products – anything too harsh will strip your skin of its natural oils. You may enjoy the initial clean, tight feel, but the skin then overcompensates by producing even more oil, often causing breakouts. If, on the other hand, you have very dry skin, keep using your normal cleanser, but with a cooling, hydrating spritser to combat the sun’s dehydrating effects.

Exfoliating products should get more gentle and moisturising in the summer, and make sure you stay out of the sun for a while afterwards since skin will be extra sensitive. But daytime moisturisers should get lighter and oil-free is a must to prevent clogging pores. To prevent product overload, a tinted moisturiser with an SPF might be best – but remember that if you’re spending hours in the sun, then you’ll need to reapply every 2 hours to be UV protected.

Protect your skin from premature ageing and skin cancer by applying sunscreen every day. It’s not worth risking these just because you’re worried about having a breakout, but in any case you can prevent clogged pores by using oil-free, water resistant formulas that contain antioxidants.

Miracle Makeup

Summer makeup should be light, pretty and simple. If possible, stick to mascara and a slick of gloss. If you need shadows and foundation, choose waterproof products specially formulated for long summer days, and use as little as possible to prevent meltdown! Tinted moisturiser is a good summer bet, but remember that even though it’s light, you still need to match the colour carefully to your skin. Cheek stains and bronzers may work better for you than powder blushers in sticky weather. Eyeshadow colours should be muted and close to your own skin colour, and choose waterproof mascara and liner to prevent looking like Courtney Love if everything does smudge.

Before heading outside, dust on a bit of translucent powder to set everything – it also prevents things getting oily, but if you’re prone to grease, also carry around some blotters for sneaky restroom touch-ups. And whatever you do, don’t attempt to cake a second layer of make-up over the first, it’s a recipe for disaster.

Beautiful Body

To prevent the sun from drying out your skin, slather on a rich moisturiser every day, and drink lots of water to keep your skin hydrated and in tip-top condition. Exfoliators are great for smooth summer skin, but make sure you’re not using a salt-based one – it will dry you out.

Self tanners are a must, but choose the right shade for your skin type – if you’re naturally very pale, then a dark tan will just look artificial and orange.

Happy Hair

The sun, sea and chlorine wreak havoc on your hair and are incredibly drying. On top of that though, summer’s breezy weather often makes it difficult to resist going blonde or sneaking in some highlights, both of which can turn hair into a frizzy, brittle mess.

Fight back by adding an extra moisturising conditioner to your usual routine, patting hair dry gently rather than towelling, and use a hydrating hair masque once a week, always rinsing thoroughly with cold water to seal in natural shine. Anti-frizzing silicon serums should be kept to a minimum though – they quickly coat hair and create more trouble than they’re worth. A leave-in sun-protecting product will also work wonders. If possible, wear a hat or SPF hairspray if you’re planning to spend hours in the sun to prevent frizzling, and have trims every 2 months at the least.

In terms of styling, keep things simple – more beach hair than super-styled; straighteners and curling irons are not a good look in the long run. If you have to, use protective products and leave-in conditioner, or try plaiting your hair while still damp for natural waves that won’t strip your locks. A bun or ponytail with an alice band is another trendy anti-frizz alternative.

Luscious Legs

Summer’s here and you can’t keep your scaly, dimpled white legs under wraps for much longer! Don’t panic though, make the effort to take these simple steps and you’ll be glowing in no time!

First, get rid of dry skin and cellulite by exfoliating regularly and massaging your legs, hips and butt in circles with a bristle brush or special massaging towel, followed by slathering on a rich moisturising cream. For tough dry areas like knees and ankles, massaging with lemon juice mixed with baby oil, or baking soda, may help smooth things over; just make sure you moisturise afterwards. Chapped skin often means your body isn’t getting enough Vitamin C, so up your fruit and veggie intake.

To ban cellulite, you should massage problem areas in circular movements every day. It’s also a good idea to drink plenty of water to flush out toxins and again eat lots of fresh fruit and vegetables for antioxidants to make your skin glow. Swap salty, fried and processed foods for oily fish and spices to up your metabolism and blood circulation.

Keep legs toned by doing 30 lunges and 30 squats a day, and don't forget to use a self-tanning lotion - one that matches your skin colour.

www.keepthedoctoraway.co.uk

Summer Proof Your Body

Many Britons will be booking and looking forward to a skiing trip, cruise or a break on a foreign beach in 2008. But the Electrical Safety Council is advising holidaymakers to be aware of potential electrical dangers when abroad.

Phil Buckle, Director of the Electrical Safety Council particularly wants to draw people’s attention to dangers that may be posed by purchasing electrical products, including games, toys, adaptors and chargers outside of the UK.

Be Careful With Electrical Items

British holidaymakers too worried about cost of healthcare to seek medical treatment abroad. Free EHIC card would give travellers peace of mind

A survey released by the Department of Health revealed that while almost 50% of British travellers have become ill or injured on holiday, 35% of these have delayed, often essential, medical treatment until they return home.  The main reasons given for not seeking treatment abroad are concerns about the potential cost and lack of travel insurance. 

The European Commission has warned holidaymakers not to travel without a European Health Insurance Card this summer, after revealing only a minority of people carry them.The survey also revealed that many travellers have admitted to buying treatment over the counter that they do not understand due to language barriers and unfamiliar terms. However, British travellers are putting themselves needlessly at risk as a valid European Health Insurance Card (EHIC) will entitle them to reduced cost or free healthcare in most European countries.  The research showed that nearly three in five people claim to have an EHIC, but 68% of these don't know when it expires. Almost 3.3 million EHICs will have expired by the end of March 2009. Travellers with out-of-date EHICs who require medical treatment will have to cover the cost themselves or claim on their travel insurance.   Dr Hilary Jones, GMTV's resident GP says: "I'm concerned that so many holidaymakers are needlessly putting their health at risk, when a valid EHIC will provide them with access to reduced cost or even free treatment. By delaying treatment until you return home, you are potentially allowing a condition to worsen in the meantime.  "Nobody should ever take any medicines, even those sold over the counter in a pharmacy, if they don't understand the labelling, dosing guidance or warnings on side-effects.  This is reckless behaviour and could lead to serious harm.  "If you're travelling in Europe, it is vital that you carry a valid EHIC, as well as comprehensive travel insurance. The last thing you want to be thinking about when you're on holiday is paying unnecessary medical bills, which could cost thousands of pounds. The EHIC card will give you peace of mind that you'll be looked after if something does go wrong - but only if it is in date. Check your EHIC now to ensure it has not expired - it's quick and easy to apply for a new card."

For more information on how to renew or obtain an EHIC visit www.nhs.uk/ehic

Health expert Han van de Braak has some top tips for keeping healthy on holiday.

How many people have had their longed for holiday blighted by health problems? Too much sun, poor water quality, rich or unfamiliar food, dehydration and increased alcohol intake can all combine to cause stomach upsets or illnesses which can ruin the holiday for everybody.

Naturopath Han van de Braak has some advice for travellers who want to use more natural remedies to ensure that they are in tip top condition before, during and after their holiday.

Prevention is better than cure“Prevention is always better than cure so put in the groundwork before you go. Taking a suitcase full of pharmaceutical preparations is fine, but it will often only help to relieve the symptoms, when you should be aiming to prevent them occurring in the first place.

Getting there Travel sickness is a miserable start to a holiday for sufferers- and their travelling companions.

The key here is diet: avoid heavy meals less than two hours before travelling, as well as acidic foodstuffs and dairy products which can aggravate the nausea. Keep well hydrated, especially if you are flying, as dehydration will increase any feelings of nausea. Ginger root is thought to be effective in combatting motion sickness and is available in capsule form from most pharmacies and health food shops. Taken prior to, and during your journey, they can significantly ease this debilitating condition- without any of the side effects that you can get from prescription and non prescription remedies.  Tummy trouble Diarrohea and stomach upsets are a really common holiday ailments – and unpleasant for all concerned!  The change in diet, combined with excessive eating and increased alcohol intake can exacerbate the problem. Extract of aloe vera, with its natural anti-inflammatory properties, is used in many products to ease digestive and bowel problems – in fact its use goes all the way back to Ancient Egyptian times. If taken a week prior to travel, the right aloe vera supplement not only helps to prevent diarrhoea, but can also ease the discomfort of stomach problems.

As the only 100% pure aloe vera product on the market, I recommend Aloeride capsules to my clients (www.aloeride.eu).  It contains no additives and can help to ease digestive upsets whilst using the wrong aloe vera product can actually aggravate the problem.

Hydration This is something that we are all aware of, yet is still so often overlooked. Dehydration can lead to a range of unpleasant conditions including headaches, nausea, and dizziness. Basically, we become dehydrated when we lose more water than our bodies take in. In hot climates, we sweat more and so inevitably our bodies need to take in more fluid and keep our sodium balance right. Add the effect of dehydration to the increased alcohol intake that is common on holiday and you can soon have a problem.

The obvious answer is simply to drink more water! The average adult is recommended to drink around 1.5 litres daily, so on holiday, ensure that you increase this to a minimum of 2 litres. If travelling by plane, it’s easy to become dehydrated, so take plenty of water and avoid alcohol if you want to start your holiday as you mean to go on - in good health.

Sun, sun, sun The dangers of overexposure to the sun, particularly in short, intensive bursts, is well documented and the message about the importance of using sunscreen is slowly getting through. The problem now is that there are so many suncreams on the market, how do you know which is right for you? In a nutshell, there are two main types of harmful UV rays: UVB which causes sunburn, and UVA which penetrates deeper into the skin and has an ageing effect. When choosing a suncream, always chose one with a sun protection factor (SPF) of at least 15 which protects you from UVB rays. Although higher factors are available, they aren’t always more effective at protecting your skin from the sun so don’t assume that a cream with an SPF of 50 will offer significantly more protection than factor 15. Broad spectrum suncreams block out both the UVA and UVB rays and are rated with a star system from 0 to 5, so take both factors into account when handing over your pennies!Sunscreens are just that: they deflect sunlight away from the skin, offering around 90% protection at their most effective. They also often include a form of metal such as aluminium, magnesium or titanium in their ingredients which many scientists believe is less than ideal. Logically, it makes sense to build up immunity to the harmful effects of sunshine from within.  Dietary chemicals such as selenium found in Brazil nuts, beta carotene (red peppers, carrots and other red and orange fruits and vegetables), lycopene (tomatoes) can also help to prevent sun damage from the inside out. In addition, aloe vera, which is often used in hot climates to soothe sunburn by being rubbed directly onto the skin, is another natural substance which can protect against the effects of UV exposure. Again, this is best taken in capsule form prior to, and during your holiday – and it can even help to prolong your tan.Get fitYou have worked hard to earn your holiday – particularly in the current economic climate - so make sure that you are fit enough to enjoy it.

Wherever you’re going and whatever you’ll be doing, it pays to be prepared. And, whilst you can’t influence the weather, a delayed flight or your holiday pound, you can control your health with a few sensible precautions.

About the authorHan van de Braak is a chartered physiotherapist, registered acupuncturist and naturopath. He is the founder of the Integrated Medicine Practice in Leicestershire which offers a variety of complementary treatments in homeopathy, physiotherapy, acupuncture, osteopathy, herbalism and diet modification. 

Keep healthy on holiday - naturally

The Cricket World Cup will be held in several Caribbean nations (Jamaica, St Kitts & Nevis, Antigua & Barbuda, St Lucia, St Vincent & Grenadines, Barbados, Grenada, Trinidad & Tobago, and Guyana) March 4

Thousands of people from all over the world are expected to gather for the Cup. Mass gatherings may pose an increased risk of illness or injury so CDC recommends a few safety and travel health tips: BEFORE TRAVELConsult your doctor to be sure you are up to date with all routine vaccinations (e.g., measles, mumps, rubella, tetanus, diphtheria, pertussis, polio and influenza). Diseases such as measles and mumps remain common in many parts of the world, including some developed countries. Arrange to get your vaccinations ideally 4-6 weeks before travel. Yellow fever vaccination is recommended for travel to Guyana and Trinidad and Tobago. Documentation of yellow fever vaccination may be required if you travel to other areas within 6 days of visiting either country. Dengue fever, which is transmitted through the bite of an infected mosquito, may also pose a risk in some areas. If you will be traveling on a cruise ship, review health information on Cruise Ship Travel. Prepare a travel health kit that includes an ample supply of your prescribed medications in their original containers; an antidiarrheal medication; alcohol-based hand gel (containing at least 60% alcohol); an antibiotic for self-treatment of most causes of acute bacterial illness; a thermometer; and insect repellent. DURING TRAVELTo reduce your risk of illness: Use an insect repellent on exposed skin when outdoors, to repel mosquitoes, ticks, fleas and other arthropods. EPA-registered repellents include products containing DEET (N,N-diethylmetatoluamide) and picaridin (KBR 3023). DEET concentrations of 30% to 50% are effective for several hours. Picaridin, available at 7% and 15 % concentrations, needs more frequent application. When using sunscreen, apply sunscreen first and then repellent. Repellent should be washed off at the end of the day before going to bed. If visiting an area where there is risk of malaria, make sure to take your malaria prevention medication before, during, and after your trip, as directed, and wear long-sleeved shirts and long pants if outdoors between dusk and dawn as a barrier to mosquito bites. Practice the same safety measures you would at home: Don’t drink alcoholic beverages and drive Wear your safety belt, and follow the local customs and laws regarding pedestrian safety and vehicle speed. Use helmets when riding bicycles and motorcycles. In crowded settings such as stadiums, avoid fast-moving crowds. Wash your hands often with soap and water for at least 15 seconds, or use an alcohol-based hand gel (containing at least 60% alcohol) to clean your hands. Eat only fully cooked foods that are served hot, and avoid raw shellfish, unpasteurized dairy items, and food from street vendors. Drink only bottled water or carbonated (bubbly) drinks from cans or bottles with intact seals. AFTER YOU RETURNIf you are not feeling well or have been injured, seek medical attention and mention your recent travel. If you are returning from malaria risk areas and become sick with a fever, chills, headache, muscle aches, tiredness, or flu-like illness, get immediate medical attention, and be sure to tell the doctor where you have travelled. Keep in mind that malaria can develop up to 1 year after travel. www.spiritindia.com

Going to The Cricket World Cup? Stay Healthy

Finding The Right Sunscreen For Your Skin Type

Your skin type is in your genes, and it affects the way your skin will react to the sun, and how likely you are to develop cancer. Read on to match your skin type with the perfect sunscreen. By Maire Bonheim.

Every single day in the UK, 200 new cases of skin cancer are diagnosed, and it’s rising faster than any other type of deadly cancer, according to the British Skin Foundation. In 80 per cent of cases, it could have been avoided simply by protecting the skin from the sun. Yet a recent survey found that despite all the health risks, Brits still intend to burn this summer.

Anyone can develop skin cancer, but the paler skin types are far more at risk. The darker your skin is naturally, the more melanin it produces, making it easier for you to tan further and protecting your skin from the sun’s harmful rays. So the lighter you are, the more likely you are to develop skin cancer – and the more important it is for you to resist the urge to sunbathe! Read through these skin types to decide which one applies to you.

Sunscreen Made Simple

SPF stands for Sun Protection Factor, and lets you know how effective the sunscreen is at blocking out the sun’s rays – called UVB and UVA rays. The higher the SPF, the more rays are blocked out. Contrary to popular belief, it has nothing to do with how long you can stay in the sun without reapplying – in fact, no matter what SPF you’re using, you need to put more on at least every two hours.

Pale

You have very pale skin, burn easily and find it difficult to tan. You probably also have fair or red hair, and possibly freckles. If this is your skin type, then unfortunately you’re most at risk of developing skin cancer! You shouldn’t head to the beach without applying a sunscreen with an SPF (Sun Protection Factor) of at least 30, and skin experts say you shouldn’t leave the house without factor 15 on your face, even in winter. There’s no point in even attempting to tan – the only safe option for you is a fake one.

Fair

You also have fair skin and burn with too much sun, but you do gradually tan. You most likely have fair to medium hair and blue or brown eyes. Unfortunately, you’re more likely to develop skin cancer than almost any of the other skin types. You need to choose SPF 30 sunscreen if you’re planning to spend time in the sun, and at least SPF 15 for everyday use. If you absolutely have to tan, opt for somewhere between there.

Medium

You have light olive skin and tan reasonably easily, although you do burn if you spend too long in the sun. You probably have brown or green eyes. Even though you can tan, you’re still risking skin cancer every time your skin burns. Prevent this by applying sunscreen with an SPF of at least 15 for everyday use.

Olive

You tan easily and only burn if you spend hours in the sun without protection. You probably have brown eyes and dark hair. You may think your tanned skin makes you exempt from skin cancer, but be warned – you’re still at risk. Use SPF 15 sunscreen if you’re planning to spend the day at the beach.

Brown

Your skin is naturally brown, and you have dark hair and brown eyes. In the sun, your skin darkens further, and you only burn if you spend absolutely ages in the sun. It’s unlikely you’ll develop skin cancer caused by the sun, but you could still face major wrinkling if you don’t use sunscreen. You can afford to go for SPF 15 or lower.

Dark

You have black skin, black hair and dark brown eyes. Your skin gets darker in the sun, but only burns after extreme exposure. People with your skin type rarely develop skin cancer caused by the sun, but it’s worth using sunscreen anyway to protect you from premature ageing. Sunscreen with SPF 15 if you intend to spend the day in the sun, or even lower for everyday use, will work best for you.

Tips For Avoiding Skin Cancer:

• Stay out of the sun between 11am and 3pm – if you have to be outdoors, head for the shade• Wear at least SPF 15 sunscreen and reapply every two hours – understand that a higher SPF indicates that it provides stronger protection, but not for a greater length of time, so no matter what SPF you use, you’ll still need to reapply at least every two hours• The higher the SPF, the better the sunscreen is at protecting you from skin cancer and ageing. Make sure you’re using one that safeguards you against not only UVB rays, but also UVA – an often-overlooked type of ultraviolet light that scientist say does just as much damage• Apply sunscreen everywhere – don’t miss your ears! And apply generously as you would a moisturiser – research shows that most people only put on half as much as they should• Wear sunglasses and a hat to protect your face, neck and ears – sunscreen alone may not be enough to safeguard these delicate areas. Realise that sunscreen does not protect you completely on its own, so if you’re spending hours in the sun, throw on a loose, light-coloured t-shirt too• Avoid sunbeds, and resist the urge to sunbathe• Remember that self-tanning products, tanning moisturisers and tanning oil do not contain any UV protection at all• Whatever your skin type, don’t let your skin burn• Don’t forget that harmful UVA and UVB rays can still get through the atmosphere and burn you even on a cloudy day• The sun’s rays are especially damaging to children, so make sure kids are protected with sunscreen, hats and clothes at all times and keep babies out of the sun altogether

Some people argue that a high SPF will cut out too much Vitamin D, which the body needs. However, for fairer skinned people the skin cancer risk outweighs the benefits, especially since you can also get Vitamin D through your diet, according to the British Skin Foundation. They recommend sunscreen with a lower SPF to darker skinned people, who are more likely to develop Vitamin D deficiencies.

If you notice any worrying changes in your skin, or if a mole changes colour or shape, contact a doctor, who will refer you to a dermatologist if necessary.

www.keepthedoctoraway.co.uk

Sun Screen Exposed

Malaria, one of the world?s biggest killers, is an infectious disease passed on by a mosquito bite. The following separates facts from myths and answers frequently asked questions.

There are many myths surrounding the disease ranging from, ‘I hardly ever get bitten by mosquitoes so I’m not at risk’ to ‘I am staying in a five star hotel so I’ll be fine’, but the facts are that it only takes one bite from an infected mosquito to contract malaria.

British travellers are increasingly visiting malaria hotspots with a 200% increase in travel in the past ten years and as they visit more exotic locations they are increasingly putting their health at risk by not taking the correct precautions. Travel should be fun but people should be malaria aware.

The Malaria Awareness Campaign is now in its fifth year. Sponsored by GlaxoSmithKline Travel Health and supported by a panel of leading healthcare professionals, ABTA and the Foreign and Commonwealth Office, it aims to encourage travellers to be malaria aware and seek expert medical advice before their journey.

KEY FACTS• The UK is one of the biggest importers of malaria among industrialised countries• Every year approximately 2,000 British travellers return home with malaria• The most severe form of malaria (plasmodium falciparum) is on the increase among British travellers• It only takes one bite from an infected mosquito to contract malaria• Malaria is an infectious disease caused by a tiny parasite that invades red blood cells• Malaria can present from any time from about a week up to a year after exposure • Over 50% of cases among UK travellers were in people aged between 25 and 54• The incidence of malaria in children has tripled over the past 30 years • Malaria is a preventable infection but can be fatal if left untreated – an average of nine people in the UK die each year of malaria• Travellers are at risk when visiting malarious destination areas without taking bite avoidance measures and antimalarial medication

WHERE IN THE WORLDMalaria can be found in over 100 countries that are visited by more than 125 million international travellers every year.9  High risk areas are usually found throughout the equatorial regions where the climate is hot and wet throughout the year. Over two thirds of malaria cases are contracted in Africa10 and protection is still needed in parts of Central South America and South East Asia. Travellers in central and South America, especially areas in the northern Amazon rainforest, should also take precautions.

HOW DOES THE DISEASE SPREAD?The disease is spread by the female Anopheles mosquito, which transfers the plasmodium parasite when it feeds on human blood. This particular mosquito likes to bite between sunrise and sunset. There are four different species of the Plasmodium parasite each developing varying severities of malaria:

• Plasmodium falciparum (the most lethal form)• Plasmodium vivax• Plasmodium ovale• Plasmodium malariae

Once a person is bitten by an infected mosquito, the plasmodium parasite is released into the bloodstream where it makes its way to the person’s liver. The parasite can travel to the liver within 30 minutes where it will rapidly multiply before re-entering the bloodstream to attack the red blood cells.

HOW TRAVELLERS SHOULD PROTECT THEMSELVESAlthough our taste for travel to exotic destinations has grown, unfortunately our attitudes to pre-travel health advice is not quite as adventurous. A survey in 2003 revealed that nearly 60% of respondents failed to seek travel health advice, while a quarter of those surveyed were unaware of the risk.11 As well as misconceptions about how dangerous malaria is, there are also many myths about how people should protect themselves. People may falsely believe that staying in five star hotels will offer protection. The fact is that mosquitoes don’t discriminate between someone staying in five star luxury and someone sleeping rough in the jungle - they will bite you whatever type of accommodation you are in. 

Before travelIt is imperative that travellers know whether or not the country they are visiting is malarious. They should seek advice from their healthcare professional before travelling in order to obtain the right information. Travellers should take their itinerary to their doctor at least eight weeks before they are due to travel but can still seek advice at the last minute. Some advice/protection is better than none.There are different forms of antimalarial medication – a healthcare professional (GP, practice nurse or travel clinic) will be able to advise on the most suitable one.

During travelThe risk of being bitten can be minimised by using insect repellent with 50% DEET (diethyltoluamide) on both skin and cotton clothes. Keep arms and legs covered at night and sleep under an impregnated mosquito net, if possible in an air conditioned room with screens on the windows. If a traveller has been prescribed antimalarials the important thing is to continue to take the medicine as instructed.

After travelIt is vital that travellers complete the prescribed course once they have returned home from their trip as the parasite can lay dormant in the liver for some time. Medical attention should be sought immediately if flu-like symptoms such as: headache, vomiting, fatigue and fever develop. Symptoms of the most deadly form of malaria are usually experienced between one week and three months after infection. Other less dangerous forms of the disease can manifest symptoms more than a year after the person has been bitten.  

MALARIA MYTHSIt is important that UK travellers separate myths from facts when protecting themselves from a deadly disease such as malaria:

Myth: I hardly ever get bitten and barely react to mosquito bites so I don’t need antimalarialsFact: Everyone’s bodies react differently to mosquito bites but this is no indication of whether you have been bitten by a malaria-carrying mosquito. It only takes one bite to contract malaria

Myth: Antimalarials are not 100% effective therefore there is no point taking themFact: Antimalarials tend to be between 90 – 100% effective, and in combination with good bite prevention, can help stop you contracting malaria. Remember, malaria can be deadly

Myth: All antimalarials have bad side-effects, which are worse than catching malariaFact: Catching malaria could put you in hospital and out of action for weeks, or even kill you. There are different types of antimalarials – talk to your healthcare professional about the best one for you

Myth: I’m taking homeopathic medicines to protect against malaria so I don’t need to do anything else to protect myselfFact: There is no evidence that homeopathic or herbal medication will protect you from malaria. Seek advice on antimalarial medication from a healthcare professional before you travel.  

Exposing other common myths:• Garlic, vitamin B and ultrasound devices will not protect you against malaria• Eating Marmite® or other savoury yeast extract spreads will not prevent malaria• Staying in a four or five star hotel, will not stop you getting bitten or contracting malaria. Mosquitoes don’t discriminate• Drinking gin and tonic will not stop you getting bitten

FREQUENTLY ASKED QUESTIONS

Q: Is malaria a real danger to British travellers?A: Unfortunately the answer is yes. Travel figures have revealed an increase of nearly 150% in travel to popular malarious destinations such as Africa and India over the past ten years.2 Every year, some 2000 UK travellers contract malaria and on average nine will die as a result of infection.8  Even if treated, malaria can be painful and debilitating, so it is advisable to protect yourself.

Your healthcare professional will know if you are travelling to an at-risk destination and will be able to offer you advice about preventing the disease.

Q:  How can I contract malaria?A: Malaria is an infectious disease that is transmitted by certain types of mosquito. It only takes one bite from an infected mosquito to contract malaria.  While feeding on your blood, an infected mosquito releases the malaria parasite into your body, which rapidly goes to the liver and reproduces before spreading back into your bloodstream. 

Q: Do I really need to bother taking precautions?A:   Yes, malaria is potentially very dangerous. The good news is that it is preventable by avoiding getting bitten in the first place and by taking antimalarial medication.

In most cases it can be treated if diagnosed quickly enough, so if you suffer from ‘flu-like symptoms having visited a malarious country within the past year, then you should seek immediate medical help from your doctor.

Q: In which countries can I contract malaria? Am I safe if travelling in the dry season?A:  Malaria exists in areas such as Africa, South America, Asia and South East Asia. In some areas mosquitoes may be more active during the wet season, but mosquitoes can bite all year round. You should not assume that by travelling in the ‘dry season’ you are safe as it only takes one bite by an infected mosquito at any time of the year to contract malaria. Your healthcare professional will be able to tell you if your destination is malarious and give you the right advice and medications.

Q:  I have heard that the side-effects of antimalarial medications are unpleasant, even worse than catching malaria. Is this true?A:  Antimalarial medications can cause some side effects, but there are different types available and your healthcare professional will advise you as to which one is right for you. Malaria can put you in hospital for weeks and can be fatal in some cases. It is better to protect yourself against malaria than risk contracting a potentially fatal disease. If you have concerns, speak to your healthcare professional.

Q:   I have heard that some antimalarial medications are ineffective as malaria has become resistant to them, is this true?A: In some parts of the world, some of the older drugs may not give full protection. It is best to speak to your healthcare professional who can give you up-to-date information on all medications and which ones are suitable for you and the countries you are travelling to.

Q: When I have travelled before, other travellers seem to be taking different medication to protect against malaria, why is this?A: There are a number of different medications and different ones suit different people. What’s right for one traveller may not be right for another. Also other travellers may be following a completely different itinerary to you and taking a medication that’s suitable for their particular destination. You should always keep to the advice given to you by your healthcare professional who should have taken your travel itinerary and individual health needs into account. Above all, maintain taking your medication and don’t be swayed into doing otherwise.

Q:   Fellow travellers have told me that I don’t need to use antimalarials, I wonder if I should bother?A:   While fellow travellers are a great source of information for where to go, what to see and how to get about in different countries, they are probably not completely up to speed about travel health. It is strongly recommended that you seek expert pre-travel health advice six to eight weeks before you travel to ensure that you are protecting yourself against malaria and other infectious diseases.

Q:  I am only travelling to a malarious area for two days throughout my entire trip, is it worth taking antimalarial medication for such a short duration?A: Yes, as it only takes one bite from an infected mosquito to contract malaria. Take your travel itinerary to a health care professional six to eight weeks before you travel and explain where you will be travelling to and how long you will be staying. You will be advised whether you need to take antimalarial medication and how long you should take them for. It is important to follow the advice you are given to ensure you are protected against malaria during and after your travels.

Q:  I have been given antimalarial medication which I’ve been told I have to keep taking after I get back from my trip. Is this right? A: All antimalarial medication needs to be taken before, during and after your travels. Taking it everyday and completing the full course is very important. This is because the malaria parasite can sit in the liver long after you’ve left the malarious area. It needs to be eradicated by fully completing the course of medication. Failure to do so could be fatal.

Q: I’ve heard that if I eat garlic this will stop me from being bitten by a mosquito and help prevent malaria. Is this true? A: There are a lot of myths and inaccurate information about protecting yourself from malaria. There is no scientific evidence that eating garlic, Marmite® (or any other savoury yeast extract), or taking vitamin B will protect you from malaria. There is also no scientific evidence that homeopathic or herbal medications are effective against malaria. Seek advice on how to avoid getting bitten and on antimalarial medication from a healthcare professional before you travel.

Q: My friend is from Africa and he is going home to visit his family for three weeks. He says he doesn’t need to take any protection as he was born there and is immune to malaria. Is this true? A: If the endemic population are fortunate enough not to contract malaria in childhood they may develop a natural immunity to the disease. However, if they leave a malarious area for six months or longer that immunity fades. If your friend is returning home then he is potentially at risk of contracting the disease. He is best to take pre-travel advice from a healthcare professional and not to assume he is safe, as it only takes one bite from an infected mosquito to catch malaria.

Q: Where can I get advice about malaria?A: You should book an appointment with your healthcare professional six to eight weeks before your travels.  Many local surgeries operate dedicated travel health clinics managed by a specialist travel nurse. It’s worth telephoning your surgery to find out if they offer this clinic and on what day of the week you will be able to visit the clinic. Pharmacists will be able to offer you some travel health advice, but they will not be in a position to offer you the full range of anti malarial medications as you may need a prescription for these. The other option is a private travel clinic, which can be found in your local directory.

Q:   What happens if I do contract malaria?A: Malaria though potentially fatal, is treatable if diagnosed quickly. If while travelling or within one year of travelling, you develop ‘flu-like symptoms (such as fever, chills, pain, weakness, muscle aches, vomiting, cough, diarrhoea or abdominal pain) you must urgently seek medical attention and tell your doctor that you have been travelling in a malarious area. For more information on malaria visit www.malariahotspots.co.uk

Malaria - Be Aware

In the wake of the hostel fire in Chile that took the lives of young travellers, it"s important to be alert and to know what to do in the event of a fire at your hotel. Robert Carmichael from Flarebrand advises.

PREPARATION FOR A FIRE – SEVEN KEY STEPS

1. When checking into the hotel/hostel, ask the reception desk about fire safety measures. Smoke alarms combined with sprinkler systems are best. 2. Boycott hotels that don’t bother with your safety.3. As soon as you get to your room, take the room key, leave the room and walk the corridor to the exits counting the doors. Work out two escape routes – one might be inaccessible in a fire. 4. In the event of a fire, do not expect to see the exit signs. These are almost always placed near ceiling level, and because smoke rises, they will not be visible. Therefore make a mental note NOW of their location.5. Your other option to escape a fire is through the bedroom window – but that will be impossible if the windows have burglar bars on them. Therefore beware of burglar bars.6. Beware also those rooms on or above the fourth floor. If you have to jump, you stand very little chance of surviving a fall onto concrete or tar from above the third floor.7. Carry a portable smoke detector such as FlareSafe that – when armed – will warn you of a fire.

IF THERE IS A FIRE – TEN KEY STEPS

1. In the event of a fire, the most important thing to remember is this: DO NOT PANIC. Those who panic are far more likely to die. Your chances of survival are much higher if you can keep a clear head. 2. Remember that in a fire it is generally smoke that kills. People are rarely burned to death unless first overcome by smoke. Smoke is your main enemy and you must take all measures to avoid it.3. Assess the situation calmly. Before leaving your room, place your hand against the door and check for heat. If there is excessive heat, this is probably because there is a fire behind the door. In this situation, DO NOT OPEN THE DOOR.4. If you decide it is safe to leave your room, do not take your possessions. However you must take your room key because you may well need to get back into your room to escape smoke or fire in the corridor. NEVER USE THE ELEVATOR.5. When you leave your room, remember that smoke and heat rise and will force oxygen to the floor. Therefore when you are in the corridor you should stay low. You should also stay close to the wall to avoid panicking guests. Count the doors to the exit, and leave that way.6. If the corridor outside your room is filled with smoke, or if the exit corridor is filled with smoke, do not attempt to go through it. Remember that smoke is your enemy – in this case you are better off returning to your room.7. If you have to return to your room or if it was not safe to leave your room in the first place, then fill the bath/basin with water and use dampened bedsheets, towels or clothes wedged in door cracks to stop smoke entering.8. Check the walls and doors for heat. Throw water on them if you can feel heat.9. Do NOT break the window – you may need to close it to stop smoke coming in.10. Signal rescuers from the window using a torch or a white sheet.

www.flarebrands.com

Fire Safety Advice For Travellers

Department of Health issues reminder to all British holidaymakers travelling in Europe this summer: Brits are putting themselves at risk by not carrying in-date documents.

A new survey released today by the Department of Health reveals that we are forgetting to check the validity of documents like car tax, bankcards and even our passports, which means they may have expired when we need them most… at the check-in desk! When it comes to travelling abroad, 20% of people don’t know when their passport expires. Therefore, it’s hardly surprising to learn that 4.2 million[1] Brits have had to rush to the Passport Office in the weeks prior to their holiday to renew it and 1.2 million[2] have even missed out on their holiday because their passport was out of date.Our forgetfulness is particularly worrying this year as three million European Health Insurance Cards (EHIC) will expire between September 2008 and March 2009, meaning Brits are putting themselves at risk when going on holiday this summer. In addition, 50% of Brits are not aware that the EHIC has a shelf life.Three years ago the EHIC replaced the E111 form. It entitles you to reduced cost or free healthcare in most European countries if you fall ill or have an accident whilst abroad - but only if it is in date. 28 million Britons currently have an EHIC.Dr Hilary Jones, GMTV’s resident GP says: “I’m concerned that so many holidaymakers have no idea that their EHIC will expire. If you're travelling in Europe it's vital that you carry an EHIC, as well as comprehensive travel insurance. If you become ill or get injured on holiday, the last thing you want to be thinking about is paying unnecessary medical bills, which could cost thousands.“Carrying your EHIC will give you peace of mind that you'll be looked after if something does go wrong – but only if it is in date. Many of the EHICs issued in 2005 and early 2006 will need renewing soon, so make sure you check the expiry date on your EHIC today.”The report also reveals that half the population aren’t even concerned about their healthcare whilst abroad even though 2.4million[3] have admitted to needing medical assistance overseas and not having adequate cover. The poll of more than 2,000 adults found that Brits are making life increasingly difficult for themselves by not checking the expiry dates of other important items such as medicines, MOTs and even cosmetics. In fact, 15% of men don’t realise condoms expire and a fifth of women have no idea make-up has a use by date.Paul Siddell, Overseas Healthcare Programme Manager at the Department of Health added: “This report highlights the value of checking all your important documents. If you find your EHIC is out-of-date it is very easy to renew online or over the phone. It can also be done up to six months in advance of expiry.”To renew or obtain an EHIC, log on to www.dh.gov.uk/travellers or call 0845 606 2030. For further information call the EHIC enquiries line on 0845 605 0707.

[1] Tickbox.net research based on a UK population of 60 million and representative of 7% of those polled equates to 4.2 million[2] Tickbox.net research based on a UK population of 60 million and representative of 2% of those polled equates to 1.2 million[3] Ticketbox.net research based on a UK population of 60 million and representative of 4% of those polled equates to 2.4 million

Passport, EHIC.. Brits are so forgetful