Flooding in Thailand
November 9, 2011
The World Health Organization has warned that persistent
flood conditions around Bangkok could lead to increased
outbreaks of infectious diseases. Sporadic cases of
leptospirosis and diarrheal illness have occurred, but no
major outbreaks have yet been reported. Authorities have
also reported growing pharmaceutical shortages in many
areas. Observe strict food and water precautions. Drink only
boiled or bottled water; ensure that the seal on bottle
water has not been tampered with prior to use and that the
bottle has been well-cleaned to remove potential external
contaminants. Eat well-cooked foods served hot. Wear gloves
and boots if working in flooded areas. Wash hands
frequently. Antibiotic prophylaxis or standby treatment for
several waterborne diseases may be advisable. Consider
carrying an antibiotic in case you develop gastroenteritis
while traveling. Antibiotics (doxycycline) can also prevent
or treat leptospirosis.
Before traveling to flooded areas, get vaccinated against
typhoid and hepatitis A. Make sure routine vaccinations,
such as measles, mumps, and rubella (MMR) and tetanus are
also up-to-date. Always
take precautions to prevent mosquito bites; wear long
sleeves and pants whenever possible, and use insect
repellent containing at least 30 percent DEET. Although
malaria is generally not a risk in Bangkok, the disease is
present in other areas of the country. Prophylactic
anti-malaria medication taken before your departure, during
your stay, and for a short period after your return can
prevent infection should outbreaks occur.