Note to self: when traveling in Asia, do NOT look at the CDC website first. Okay, that’s bad advice, but prepare yourself mentally before you type in the name of your destination country, because the laundry list of things that can happen to your body on your travels will make you want to cancel your tickets and stay home, hooked up to a Flintstone vitamin IV drip. I only had vague suspicions that there were that many types of potentially nasty microorganisms out there, much less that they’d be lined up at the airport taxi stand waiting to hop into my body.
Which, of course, they were not. So far, common sense and a bit of caution has prevailed even, and I won’t go into detail here, as far as that frequent source of travel problems, the midsection, is concerned. As with much of life, common sense goes a long way. Unfortunately it comes up short stopping Dengue fever, Japanese encephalitis, malaria, and typhoid.
Therefore, I went to the Chuuk hospital several weeks before vacation started in order to get the proper inoculations, immunizations, and mosquito borne disease prophylaxis. See all the cool words you can learn on the CDC website? Here’s a couple more: amoebic dysentery and hemorrhagic fever, but hey, let’s not dwell. Long story short, when I started trying to get medication and shots, the people at the Chuuk hospital looked at me like I was growing a second head on my shoulder, which is pretty much the only type of extreme circumstance for which you’d want to darken the doorway of said hospital. It’s scary there. Through perseverance and a significant amount of kicking myself for showing up within three hours of lunch, I drilled down to the most qualified and knowledgeable person I could find. The doctor made a good point: we don’t have those diseases here, so why should we have inoculations and prophylaxis against them? Fair enough. Her follow on, though, was classic, and the inspiration for this post.
“You go Asia, you think hepatitis, you think malaria, you no get bit by mosquito, you no eat.” Blink, blink. “I’m, uh, I’m going to be there for a month and a half. I am bound to get hungry at some point.” She clarified her point, telling me to only eat canned and packaged food, a commonly employed practice in Chuuk, but you know I’m eating my way through Thailand with great vigor, so not possible. And as for mosquitoes, swaddle yourself in Eddie Bauer expedition clothing, DEET your skin until it combusts, hotbox your room with mosquito coils, wear one of those crazy noise generators on every limb, but if you are somewhere that mosquitoes lurk, from your local creek to the jungles of SE Asia, the crafty, persistent little bastards are going to get you at some point. So, armed with whatever common sense I’ve been able to scrounge over the years, a couple painful shots in the arm administered by a Bangkok doc in the box, and a packet of pills that may or may not rock my liver as hard as having malaria, I emerge from my mosquito netted bed in a bamboo shack (another story) with less than long sleeves and pants and mesh veiled pith helmet, sometimes, gasp, at dawn or dusk, to eat everything in Thailand that swims, hops, or gets washed if at all then in non-purified drinking water, hoping that these precautions will suffice. If they do not, I can always diagnose myself in full living color and hyper-realistic detail on the CDC website.