
Bali's uninhabited Isle de Menjangan, like every else in Bali is well-worth the visit, but Bali has a growing problem with feral dogs, rabies--and worse--with a chronic shortage of vaccinations. With more than 30,000 dog bites in the first half of 2010, the risk is real, and tourists should know to get to a pharmacy in order to buy the vaccination before heading to the hospital, which may not have the vaccination readily available. Photo by Eric Bajart/courtesy of Wikimedia commons.
When it comes to vacations spots even high-end or marquis-name vacation destinations can come with hidden risks. While some, such as stomach illness from unclean water, are a given, other destinations carry with them not only the possibility of a chronic infection but the disheartening possibility of accident, crime or impotent health systems that can make a bad situation get worse quick.
Below is World Travelers current “go prepared for trouble” list of typical and popular tourists destinations (high-risk/third-world destinations are already ruled out on this list). This is not created to criticize the destination as such, but to inform otherwise unwary travelers of risks well known to locals—and the facts on how to protect yourself, which are not always publicized.
1) Bali. Highlighted in a recent article by the Associated Press, the Indonesian paradise has a serious problem with rabies and packs of mangy, basically feral dogs. Seventy-eight people have died in two years, officially, thanks to rabies, but the number is likely far higher. More troubling, there have been about 30,000 people bitten by feral dogs in the first six months of 2010. Packs of mangy dogs are often seen on beaches, and, according to the Associated Press, a “handful” of tourists have been bitten, none of them fatally. If bitten, head first to a local pharmacy, where you can purchase a rabies vaccination—and then go to the hospital. Keep it cool (packed in ice, but not frozen) and get to a doctor as soon as possible. Do not go to the hospital first (unless, of course, the bite is so severe that you have no choice) as rabies vaccination shortages in public hospitals are chronic, and you may simply be wasting time. Pharmacies have the vaccination for sale at prices beyond many Bali natives, so there you go. Moreover, depending on the location of the bite, it symptoms can arrive almost immediately or lie dormant for up to a year. Once symptoms appear—these include flu-like symptoms, agitation, fear of water, paralysis, shock or coma—it is too late. Also, know that you may need to extend your stay to complete the vaccination process. This correspondent, after being once bitten by a rat, suffered through seven such shots (in one typical vaccination series) over a period of weeks. It was no fun to be sure, but absolutely necessary.
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