Top five immunizations for adventure travelers

Spending a lot of money to get poked with a needle may not be at the top of your pre-trip to-do list, but it should be. While some countries require proof of certain immunizations before they theoretically permit entry (details later in this post), there are a couple of vaccinations all travelers should get, barring any prohibitive allergies.

Getting vaccinated greatly reduces or virtually eliminates the odds of contracting certain serious illnesses or travel-related diseases, and helps prevent the spread of contagions. This is especially critical in developing countries, where there is generally little in the way of preventative or active health care, and lack of sanitation provides a fertile breeding ground for disease. As is true at home, infants, children, the elderly, and immuno-compromised are at greatest risk.

I consulted with Dr. John Szumowski, Clinical Fellow of the University of Washington Medical Center’s Division of Allergy and Infectious Disease, for expert advice before compiling the following list. As he pointed out, it’s tricky to generalize which immunizations are most important, since it depends upon where you’re going, and what you’re doing there.

That said, all of the immunizations on this list are a good idea if you travel frequently to developing nations, even if it’s for business or budget travel. They are especially important to have if you eat street food or visit rural areas.

The top five, after the jump.

[Photo credit: Flickr user johnnyalive]1. Flu
With flu epidemics making annual headlines, there’s no reason not to get a flu shot. This is especially true if you fly frequently or use other forms of public transit. Think of an airplane as a flying petri dish; why risk ruining your trip, or exposing others if you’re coming down with something? If you have an underlying health condition such as asthma, diabetes, or other lung or heart disease, it’s of particular importance to get immunized.

2. Tetanus
I grew up on a ranch, so tetanus shots have always been a part of my life. Many people don’t think about getting a tetanus vaccine, however, and as Dr. Szumowski points out, “It’s under-appreciated, and worth getting prior to travel given challenges of obtaining adequate, timely wound care.” Beats lockjaw, any day.

3. Hepatitis A
“Hepatitis A is common and can occasionally be quite serious,” cautions Dr. Szumowski. “For anyone with underlying liver disease (e.g. chronic hepatitis B or C) this is an especially important vaccination.”

4. Polio
Polio hasn’t been fully eradicated in parts of the developing world, so an inactivated poliovirus booster is important when traveling to areas where it’s still a problem, such as Nigeria and India.

5. Typhoid
This vaccine can be taken either orally or by injection. Be aware that you must avoid mefloquine (an anti-malarial) or antibiotics within 24 hours of the vaccine doses.

Additional vaccines
Depending upon your destination, you may also require, by law, a Yellow Fever (tropical South America and sub-Saharan Africa), or Japanese Encephalitis/JE vaccination (parts of Asia and the Western Pacific). Dr. Szumowski recommends JE vaccine if you’re traveling for an extended (over one month) period in rural areas of affected countries.

Rabies vaccine isn’t usually recommended, but if you travel extensively in developing nations or have/expect frequent contact with animals, it’s a good idea. I’ve had a couple of canine-related experiences that have sold me on the idea. Dr. Szumowski notes that “excellent wound care and post-bite medical evaluation are still needed,” even if you’ve had a rabies pre-exposure vaccination.

Tips
It’s critical to allow ample time before your trip to allow the protective effects of the vaccines to establish themselves. Go to the Centers for Disease Control and Prevention’s vaccinations page for more information on what’s required and epidemic updates, if applicable. Often, your GP, internist, or local drugstore can provide some of these vaccinations; others require a specialist. For locations of a travel medicine clinic near you, click here.

Carry your immunization card with you as proof of vaccination, and email yourself a scanned copy, as well. The same goes for copies of your medical insurance cards.

Practice good hygiene and get enough rest, inasmuch as possible, while traveling, to maintain a healthy immune system. Airborne and Emergen-C are great immunoboosters to carry with you.

Consider travel insurance if you’ll be in a remote or sketchy area, or engaging in high-risk outdoor pursuits.

[Photo credits: swine flu, Flickr user ALTO CONTRASTE Edgar AVG. (away); polio, Flickr user Cambodia Trust;

Find your mileage runs with Mileagebrain

It’s never too soon to start planning out your frequent flyer miles earnings, and there’s a new tool out on the interwebs to help you along the way.

The concept of mileage running, to refresh you, has to do with earning *just enough* miles to achieve certain levels of status with a particular airline. If I, fancyeditor of Gadling, for example, fly 97,426 miles on American Airlines in one year, then it actually behooves me to fly another 2,574 to reach 100,000 miles and all of the rewards therein.

What sort of rewards, you ask? Well in this case, 100,000 miles on American Airlines earns me eight system wide upgrades (ie: pay $1200 for a ticket to India and then upgrade to business class, a $12,000 ticket off the shelf) priority boarding, exemption from a full range of fees and a little plastic Executive Platinum card that I can wave menacingly at other passengers.

Anyhow, mileage running is a necessary evil for many frequent travelers, and until now, finding a route to exactly fit the miles you need at the lowest price was a manual endeavour. Draw a circle 1,287 (2,574 divided by two) around your departure airport then find the least expensive ticket outside of that window.

The new robot over at MileageBrain takes much of that manual computation out. All one needs to do to find a good run is plug in departure airport, length of travel and favorite airline — the crawler then automatically finds routes that are the least expensive “per mile”.

Mileagebrain is still in its alpha release and so there’s lots of improvements still coming down the line. Plugging in O’Hare, on American Airlines, for example, yields several routes for over 40 cents a mile (yikes!) but with time and some patience the service often pulls up interesting fares.

You can check the development discussion over at the MileageBrain flyertalk thread. If you want to know more about the art of mileage running, check out Gadling’s guide from 2007.

Biking is easier in the Big Easy

New Orleans is a magnificent city by bicycle. It’s flat, temperate for much of the year, has lots of streets with slow or no traffic, and, as reported in the Times-Picayune, a growing number of bike lanes (about 30 miles and counting). To tap into the local biking scene, start with the Metro Bicycle Coalition. From there you might check out the monthly New Orleans Critical Mass ride, and the racing group New Orleans Bicycle Club.Rent some wheels from any of several services throughout the city. I got a comfy coaster bike from Joy Ride Bike Rentals (504-982-1617). $30 gets you a bike, helmet, and lock-all delivered to and picked up from your hotel or other location anywhere in the city. That was the cheapest and most convenient of the services I looked into, but others include Mike the Bike Guy in the Touro district (4411 Magazine St., 504-899-1344); or in the Faubourg Marigny district, there’s Bicycle Michael’s (622 Frenchman St., 504-945-9505).

Now, what to do once you’re on your bike? There’s ample information online about the city’s famous French Quarter, Garden District, and other areas. For information on these and other districts, visit NOLA.com, or check the comprehensive listings offered by the alternative weekly Gambit New Orleans. That said, let me highlight a couple less well-trafficked neighborhoods, both of which happen to be just north of more famous and touristy areas.

Cruise around Central City (just north of the Garden District) and look for signs for the “I-Witness” project. Dial the main number on the sign (504-265-1116), punch in the code for that spot, and you’ll hear a story from a local about what the neighborhood used to be like, or maybe a jazz funeral that took place there. Stumble upon stories at random, or check the website for a map. (I must reverse myself to say just one thing about the Garden District. A lazy trip on the St. Charles Avenue streetcar line, which runs through the district, is one of the most sublimely pleasant experiences I’ve enjoyed in the city. You might consider taking the streetcar-or your bicycle-all the way out St. Charles Avenue to Audubon Park, which is also home to the city’s zoo.)

Just north of the French Quarter, it’s fun to cycle around the Trem (“Tre-MAY”) district, which is the setting for the HBO series of the same name. I’m a fan of the Backstreet Cultural Museum (1116 St. Claude Ave., 504-522-4806), a house museum about the Mardi Gras Indians and other black New Orleans traditions. Just a few blocks away is the New Orleans African American Museum, with small but strong art and history exhibits (1418 Governor Nicholls St., 504-566-1136). A short ride north of that is a veritable gallery of murals (commissioned by the African American Museum) painted on the pillars supporting the I-10 overpass, on North Claiborne Ave. between Orleans and St. Bernard Avenues. After your exertions riding around, go have a po’ boy sandwich or the all-you-can-eat lunch buffet at Li’l Dizzy’s Café (1500 Esplanade Ave., 504-569-8997).

A ride to the gorgeous City Park is well worth the effort (northwest on Esplanade Ave. from the Tremé, or zigzag on smaller streets). Take a relaxing ride or stroll among the oak trees that populate the park, or take a boat ride (weather permitting), or visit the New Orleans Museum of Art. For cheap eats, visit the Parkview Café. If you’re in the mood for something more upscale, try Ralph’s on the Park (900 City Park Ave. 504-488-1000), a pleasant spot for drinks (I had their tasty lychee margarita) or a meal.

New Orleans, of course, has ample festivals for bicyclists to ride to. Check complete listings here. The Mardi Gras season kicked off on Twelfth Night, January 6, and continues through Fat Tuesday, which falls on March 8 this year. Throughout the season, there are parades and parties for nearly every taste (not just those drawn to the famously raucous French Quarter). For complete Mardi Gras coverage, go here.

Eager to get deeper into the city’s culture? For a street-level look at New Orleans (and some inspiration about places to ride your bike), be sure to pick up one or more of the excellent books published by the Neighborhood Story Project, available online or at many bookstores and other shops throughout the city.

For the soundtrack to your trip, tune in to New Orleans’ “Jazz and Heritage” station, WWOZ, 90.7 FM. For safety’s sake, don’t listen on headphones while biking. Instead, check the website for listings of live music, and don your safety gear for a ride to clubs where some of the city’s superlative musicians will transport you beyond where your bike can go.

Virgin America grows, buys new aircraft

News from the airline nerds yesterday morning was that the brass over at Virgin America was on a secret mission to Toulouse, France, the headquarters of Airbus. The goal? The acquisition of sixty new aircraft for use in the fleet starting in 2013.

Sixty new aircraft! That’s a lot of growth for the fledgling San Francisco based carrier, which is good news for us consumers. As they expand through the US market and even into the far reaches of North America, more competition among carriers means that costs will stay low and that quality will stay high — two great things for any airline passenger.

January’s order includes 30 of the new A320neo configurations, the fancy New Engine Options that burn almost 16% less fuel and have blended winglets. And as usual, all of the aircraft will carry the trademark mood lighting and bang up in flight entertainment.

Hopefully this means that expansion across North America will ramp up through 2011 and 2012 — the Midwest is getting lonely with its legacy carriers!

Five easy ways be a philanthropic traveler

Voluntourism is the newest warm fuzzy of the travel industry. Under ideal circumstances, it’s a sustainable, experiential way to see the world and give back at the same time. Whether you’re helping to build a new school or clearing a trail, a working holiday is, for some, the best possible expenditure of disposable income.

But there’s the rub. Along with multitudinous other factors that make voluntourism a dicey concept, it doesn’t come cheap. Some organized volunteer holidays cost as much as a luxury vacation or adventure trip of the same length. That’s great if you can afford both the time and expense, but many of us don’t have that option.

The good news? You can still be a philanthropic traveler regardless of your income, physical ability, educational background, or destination. Below, five easy ways to make a difference on every trip.

1. Donate.
Clothing, shoes, school supplies, basic medical supplies (Neosporin, aspirin, antidiarrheals, bandages), food (fresh fruit and dry goods such as rice, flour, or beans are often good choices, depending upon where you’re traveling; avoid processed foods and candy).

In regard to donations, I’ve found it’s best to do a bit of research beforehand (even if it just involves talking to some fellow travelers or travel operators in the region, or locals). You don’t want to inadvertently cause offense or shame by giving freebies; on the other hand, don’t be put off if you’re asked to help if you can. Some reputable outfitters may request that clients donate any unwanted items of clothing at the trip’s end. These items significantly help local communities (especially children) or the families of contracted staff such as porters or cooks. Donating gently used clothing and shoes is also a greener way to travel.

[Photo credit: Flickr user Visions Service Adventures]Ask–tour operators, guides, community leaders–before donating medical items, even if they’re OTC; ditto food. Guidebooks, travel articles, and local travel literature often note what items are in short supply in specific destinations.

For example, when I did a farmstay on a remote island on the Peruvian side of Lake Titicaca, my guidebook suggested I bring fresh fruit for my host family, as residents could only purchase it on the mainland. The farm patriarch also let me know at the end of my visit that any clothing donations for his children would be greatly appreciated. Depending upon your cultural and/or economic background, such a request may appear brazen or appallingly rude. Coming from a humble man whose entire family had welcomed me into their single-room home, fed me, and treated me as one of their own (rather than just a fast source of income), it was a request I was only too happy to honor.

2.Volunteer…for free
Voluntourism is something you can do yourself, assuming you ask permission when appropriate, and act in accordance with local and cultural mores (Behave Yourself! The Essential Guide to International Etiquette is an entertaining and informative book I recommend for all travelers). Whether you pick up trash on a beach, offer to work reception at a locally-owned backpacker’s for a few hours or days, or teach useful foreign language phrases to children, you’re giving back to that community.

I realize how colonialist this may sound, but the fact is, English speakers are in great demand worldwide. Even in the most impoverished countries or regions, locals who speak English (or French, Italian, German, etc.), no matter how rudimentary, can find employment or offer their services as guides, taxi drivers, hostel employees, or translators. Fluency in a foreign language(s) gives them an advantage in a competitive market. Think about it. It’s never a bad thing to learn a language other than your own, no matter who you are, where you live, or how much money you make.

3. Buy local handicrafts and food
Just like shopping your farmers market back home, buying local supports a local economy, and usually eliminates the need for a middle-man. A bonus: many specific destinations all over the world are famed for their food, textiles, woodcarving, pottery, etc.. Every time I look at certain items in my home–no matter how inexpensive they may be—I’m reminded of the adventures and experiences that led to their purchase.

4. Immerse yourself
You don’t need to “go native,” but the best travel experiences usually entail a certain amount of surrender to a place or culture. Learn a few key phrases in the local language or dialect; treat the people–even if they’re urbanites in an industrialized nation–with respect and observe their rules or customs when appropriate; be a gracious traveler or guest. Your actions may not provide monetary or physical relief, but giving back isn’t always about what’s tangible.

5. Reduce your footprint.
It’s impossible not to have a carbon footprint, and as recreational travelers, that impact increases exponentially. But there’s no need to eradicate “frivolous” travel; indeed, experiencing other cultures and sharing our own helps foster tolerance and empathy. Rather, we should be mindful travelers, and do our best to conserve natural resources and preserve the integrity of the places we visit. Just as with camping, leave a place better than you found it. Even if the locals aren’t putting these philosophies into practice, there’s no reason you can’t.

[Photo credits: schoolchildren, Flickr user A.K.M.Ali hossain;vendor, Laurel Miller]