Health Precautions
The health risks in Sri Lanka are different to those encountered in Europe and North America. Watch out for bowel diseases such as diarrhoea and amoebic dysentery, vector borne diseases such as malaria and dengue fever, and a variety of fungal infections. Sri Lanka.s physicians, though, many of whom have trained in the West, are particularly experienced in dealing with locally occurring diseases.
Before You Go
No inoculations are compulsory unless you are coming from a yellow fever or cholera area. (Cholera is very occasionally reported in Sri Lanka, so is not considered a serious risk.) However, the following vaccinations are recommended, particularly if you plan a long trip or intend visiting remote areas:
Typhoid (monovalent), Polio, Tetanus, Hepatitis A, Hepatitis B, Rabies
Children should, in addition, be protected against:
diphtheria, whooping cough, mumps, measles, rubella
Remember to plan well ahead with vaccinations. Allow up to six weeks to receive the full course, for some vaccinations require more than one dose, and some should not be given together.
The risk of malaria exists throughout the whole country apart from the districts of Colombo, Kalutara and Nuwara Eliya. Medication has to start one week prior to travel, continue during the trip, and finish four weeks after your return. Once again, planning is essential, as well as care to ensure the course is followed.
When You are There.....
Upset Stomach
As most stomach upsets are due to the unsanitary preparation of food, it is useful to know what to watch out for. Under-cooked fish (especially shellfish) and meat (especially pork and mince) can be hazardous. Salads can be risky unless purified water has been used to wash the various vegetables. Fruit that has already been peeled should be avoided. Be careful of ice cream, in particular the varieties sold by street vendors and served at cheap restaurants. Sometimes there are power outages Sri Lanka, especially away from urban centres, so it pays to be suspicious of all refrigerated foods if you know there has been a recent outage in your area.
Water
Tap water is not safe to drink, and boiling and filtering is sometimes done too hastily in some hotels and restaurants, so the best solution is to drink bottled water. There are now many brands available, mostly using spring water from the highlands of the island. Make sure that the bottle carries an SLS certification and that the seal is broken only in your presence. Beware of ice unless you are satisfied it has not been made from tap water, and remember the tap water you may be tempted to use to rinse out your mouth after brushing your teeth is unsafe. Keep a bottle of water in your bathroom for this purpose.
Sunburn
When you flop onto the beach or poolside lounger for a spot of sunbathing, always remember to apply a sunscreen product with a sun protection factor of at least 15. Remember you are just 600km from the equator. Even with sunscreen, your sunbathing should be limited in time. If you don't apply sunscreen you are liable to become so sunburnt that it will be painful to move, your skin will peel, you will have to start afresh to get that tan, and most importantly you put yourself at risk of serious dermatological disease.
Heatstroke
Sometimes those who have spent too long in the sun suffer what is termed heatstroke, the most common form being caused by dehydration. This condition can occur if the body's heat-regulating mechanism becomes weakened and the body temperature rises to unsafe levels. The symptoms are a high temperature - yet a lack of sweat - a flushed skin, severe headache, and impaired coordination. In addition, the sufferer may become confused. If you think someone has heatstroke, take that person out of the sun, cover their body with a wet sheet or towel, and seek medical advice. To avoid heatstroke, take plenty of bottled water to the beach, or buy a thambili (king coconut) from an itinerant seller.
Prickly Heat
Prickly heat rash occurs when your sweat glands become clogged after being out in the heat for too long or from excessive perspiration. The rash appears as small red bumps or blisters on elbow creases, groin, upper chest or neck. To treat it, take a cold shower, clean the rash with mild soap, dry yourself, apply hydrocortisone cream, and if possible, a product that contains salicylic acid. Repeat every three hours.
Local Health Care
Minor health problems can always be treated by doctors with practices in the resorts and elsewhere in the country. If you have a more serious problem, Colombo now boasts a selection of modern, well-equipped private hospitals offering the latest in conventional medical and surgical therapies. A growing number of foreigners are taking advantage of affordable, high quality private healthcare in Sri Lanka, and combining it with the chance to take a holiday. Though the medical tourism industry in Sri Lanka is still in its early days, a number of private hospitals in Colombo are geared to provide advanced surgery and other treatment to international clients
(link to Medical Tourism article)
Travellers With Special Needs
Travellers with special needs, especially if they visit Sri Lanka without a companion, should note that the country has relatively few facilities for disabled people, although greater awareness and improvements are evolving. There.s no need to worry at Colombo's Airport as wheelchairs and assistance in boarding and disembarking are available. Buildings, offices, and banks are becoming better-equipped with wheelchair ramps and suchlike. If you arent travelling with a companion, you'll find that Sri Lankans will be only too eager to assist.
