Lactose is a sugar found in milk and milk products. Under normal circumstances, our bodies digest lactose to promote cell growth in the body. But, lactose intolerance occurs when the body stops producing designed to break down lactose.

To people dealing with lactose intolerance, a glass of milk or bowl of ice cream can cause hours of digestive discomfort. Traveling with dietary restrictions can be challenging. But, it doesn’t have to be the deciding factor in your vacation if you follow these eight simple tips.

Understanding the local flavor

An important first step is researching the local cuisine. Learn which foods contain milk or milk products and in what amounts they appear. Be aware that many foods may not be familiar to you, and could contain lactose in a way you not accustomed to. Some countries have lactose-heavy diets (much of Western Europe, for example), while others rarely include those ingredients in their dishes (most Asian countries). Just like any vacation, understanding the area and the culture you are traveling to is key to having a safe and enjoyable experience.

Prepare for a Variety of Symptoms

Lactose intolerance symptoms range from mild digestive discomfort and bloating to diarrhea and dehydration. Recognizing the signs of a reaction to lactose is the first step to management.

Symptoms typically appear between 30 minutes and 2 hours after consumption. They can vary in length based on the amount of lactose consumed and the amount that the person can tolerate.

Packing well can help you avoid a reaction or frantic trips to foreign pharmacies. Products like rehydration salts can ease dehydration, while lactase can help you prevent symptoms.

Pack Lactase pills

Lactose intolerance come from on a lack of the enzyme lactase. You can add more lactase to your body by taking a lactase pill. These pills are widely available in the United States. They can help to lessen many of the symptoms of lactose intolerance.

If you only have a mild intolerance, these pills can often stop discomfort if taken ahead of time. Make sure to pack plenty of lactase pills, as more rural travel destinations may not have the pills.

Consume Small Amounts of Milk Before Departure

Slowly introducing milk or milk products into your diet before your trip. This can help train your body to handle the presence of lactose.

Building a tolerance starts with consuming anywhere from a ¼ to a ½ cup of milk with meals, two to three times a day for three to four weeks before you leave. This helps protect you from a reaction when you accidentally take in small amounts of lactose. But, everybody’s body and level of tolerance can differ. Be sure to contact your healthcare provider before starting this process.

Know Your Body

Dietary restrictions can vary from person-to-person. Beyond just the type of restriction, there are different levels of sensitivity as well.

For example, somebody with lactose intolerance may be able to eat yogurt and function normally. While another person with lactose intolerance may try to eat the exact same food, yet respond in a completely different way.

The biggest key is to know how your body reacts to different foods, and then eat within your limits. Vacation is not the place to test your tolerance. Cheeses, yogurts, milk, and ice cream all have varying levels of lactose. Eating within your comfort zone can ensure an enjoyable and comfortable trip.

Be Vocal, Express Your Concern

Do not let the fear of being labeled as a tourist deter you from taking care of yourself medically. Now is not the time to be a silent traveler! If you are staying in someone’s home, make sure they are aware of your dietary restriction. Many hosts would rather be aware of your intolerance than accidentally cause a flare up. Lactose intolerance is not something you should be embarrassed about. Over 65% of the population suffers from some level of lactose intolerance. Keeping those that need to know, in the know, provides for a much more rewarding vacation for everyone involved.

7. Be dairy-lingual

Having the courage to say something is only half the battle. Knowing how to express yourself is just as vital. Make sure to memorize phrases that explain your lactose intolerance before your trip.

Learn how to say ‘lactose intolerant,’ ‘no cheese’ and ‘no milk’ in the language of the area you are visiting. Below are a few examples from some widely spoken languages:

Language	Lactose Intolerant	No Cheese	No Milk
Afrikaans	laktose onverdraagsaamheid	geen kaas	geen melk
Chinese	Rǔtáng bù nài zhèng	Méiyǒu nǎilào	Méiyǒu niúnǎi
French	Allergique au Lait	Pas de Fromage	Pas de Lait
Japanese	Nyūtōfutaishō	Nani no chīzumasen	Nani no gyūnyūmasen
Portugese	intolerância a lactose	sem queijo	sem leite
Punjabi	Laikaṭōza asahiṇaśīlatā	Kō’ī panīra	Kō’ī dudha
Spanish	Intolerancia a la Lactosa	Sin Queso	Sin Leche
Thai	Phæ̂ lækh to	Mị̀mī chīs̄	Mị̀mī nm

Be prepared, not scared

Taking simple precautions and avoiding milk-heavy foods can help you dodge the worst of lactose intolerance on your vacation. But the most important thing to remember is that you are on a vacation! Spend your time on the beach, in the forest, exploring, touring, etc. Trying to plan around a dietary restriction like lactose intolerance can be stressful, but take these steps and don’t let it stop you from living the exciting, outward bound life you lead.

Do you have lactose intolerance? What have you found to be the best way to travel with the issue? Comment below or on our Facebook page to share your tips!

The existence of “super-bugs,” or antibiotic resistant bacteria, has become a growing fear among public health experts. Antibiotics have had a near miraculous effect on public health. But, their overuse has created bacteria resistant to many antibiotics.

Antibiotics and Their Uses

Sir Alexander Fleming discovered the first antibiotic, penicillin, in 1928. But it wasn’t developed for medical use until the 1940s. At that time it was used to save the life of a woman dying from a strep infection.

Since that day in 1942, antibiotics have been performing near-miracles. Eradicating some of the deadliest infectious diseases, and dramatically reducing the mortality of others.

Antibiotics are also used to increase profits in the raising of livestock. The widespread application of broad spectrum antibiotics has helped create our current situation.

When antibiotics are unnecessarily used, they wipe out weaker bacteria. This leave the more resistant strains to pass that trait down to the next generation.

What does this mean?

This information may be alarming, but it isn’t the end of antibiotics.

The few resistant bacteria that have been found in the US are not spreading fast. Even though we aren’t in immediate danger, we need to develop better, more targeted ways of attacking infections. This is where vaccines are able to prepare the body to better handle an infection. As opposed to treating everything, vaccines strengthen your immune system.

How can vaccines help?

The use of vaccines to prevent bacterial infections is well known. We have vaccines to prevent typhoid, meningitis, tetanus, and whooping cough. These targeted diseases all contain potentially resistant bacteria. Instead of treating the diseases with antibiotics, we can prevent them through vaccination.

A 2008 study observed drug-resistant streptococcus pneumoniae (pneumonia) in immunized and non-immunized patients. Introducing the pneumococcal conjugate vaccine (PCV) caused a decline in drug-resistant bacteria. Amazingly both vaccinated and non-vaccinated groups were affected.

Both vaccinated and unvaccinated groups were less susceptible to drug-resistant bacteria. The group that did not receive the vaccine received the same benefits because of herd-immunity.

Overview and outlook

We know the existence of super bugs is due in part to the overuse of antibiotics. It is important to remember how valuable antibiotics are when used correctly.

This is not an end for antibiotic usage, but it is a warning against the blanket application we use today.

Scientists are calling for targeted use of antibiotics, and further development of vaccines. This can help stop drug-resistant bacteria from forming in our bodies. Various research efforts are underway to find more ways of tackling this issue.

According to the Director of the CDC’s Antimicrobial Resistance and Emerging Pathogens Team, Alexander Kallen, it is this renewed interest in changing the way antibiotics are used that will fuel change in the future. And who knows? Maybe we can develop some new vaccines along the way.

Are you properly vaccinated for your next trip? Your travel vaccines can have beneficial impacts beyond just protecting you on your trip. Schedule an appointment with one of our travel health specialists today, and make sure you are properly informed before you leave! Call us at or book online now.

What new developments in antibiotic resistant bacteria interest you? Let us know what you think on our Facebook page or via Twitter.

It would be fairly safe to assume that if given a mauve bridesmaid’s dress or mauve curtains, most modern women would be less than enthusiastic. For years, the color mauve’s reputation has been far from fashion-forward, maybe even backward? But this wasn’t always the case.

Mauve enjoyed time in the limelight during the 19th century when the first synthetic dye mauveine, later nicknamed “mauve,” was accidentally and serendipitously discovered during the search for a malaria cure.

Malaria 101

Malaria is a serious, potentially fatal mosquito-borne parasitic disease. It is characterized most by symptoms that resemble a severe flu, including high fever and chills.

Today, about 1, 500 cases are diagnosed annually in the United States. These cases arrive with travelers coming from countries with high malaria transmission rates. Transmission is highest in warm, tropical climates, and especially in areas south of the Sahara desert and in South Asia.

Though still a concern today, malaria problems are incomparable to during 19th century colonialism. As the British marched into more tropical territories, malaria became widespread among colonists. Trade brought the disease back to Europe were it spread quickly.

Though there was a treatment (quinine), availability was limited. The only known natural source of this compound were cinchona trees in South America. Extraction of this compound from these cinchona trees was costly. There was a huge need to synthesize a cheap and more accessible treatment for the growing number of malaria cases.

In the Hands of a Teenager

In 1856, professor August Wilhelm Hoffman at Royal College of Chemistry saw this need as a promising opportunity. The professor gave his young student, William Perkin, the task of coming up with a solution.

Hoffman thought he had the solution to another problem, as well. He wanted Perkin to use the coal waste in the streets, a constant nuisance during the Industrial Revolution, as the main ingredient.

The 18 year-old Perkin set to work in a makeshift laboratory. After trying a couple different compounds to no avail, Perkin began working with a compound called aniline, one of the main byproducts of the coal waste. Again, he found nothing, but this time he was stuck with a tube full of thick, black goop. As he tried to clean out his test tube, he found that it was dyed purple. In fact, everything that touched the goop was stained. Perkin realized that, while he hadn’t discovered a synthetic treatment for malaria, he had discovered the first synthetic dye!

An Unexpected Discovery

Perkin’s discovery of synthetic dye was a welcome alternative to the centuries old natural dyes. Natural dyes were expensive and often difficult to use. This new synthetic dye was more affordable and accessible.

Historically dye, and especially purple dye, was hard to come by and was mostly associated with royalty and wealth. Now, the “common man” was able to use it as well.

Mauve became a fashion fad. French fashion icon Empress Eugenie, wife of Napoleon III, loved the color and had several dresses made using Perkin’s dye. Mauve became one of the most fashionable and sought after colors in Victorian Britain. In fact, the fashion trend spread so quickly that it became known as the “mauve measles.”

The fashion fad didn’t last past the 20th century. But, Perkin’s synthetic dye discovery still had strong implications. We still use synthetic dyes today.

Perkins never discovered a new malaria cure. That didn’t happen until 1934 when a scientist at Bayer laboratories, developed chloroquine. The advancement in other antimalaria drugs helped decrease the number of cases in Europe and throughout the world.

Do you have more questions about malaria or are you traveling to a place where malaria transmission is high? Read more about malaria here. Feel free to contact a Passport Health travel health specialist by calling or book online now.

What do you think about this happy accident? Feel free to comment below or share this article on Facebook or via Twitter.

Written for Passport Health by Adrienne St. Clair

Peru is a top travel destination in the world. With its ruins, trails, and jungles, Peru attracts over 3 million visitors in a year. Like most other excursions, travel to The Land of the Incas requires proper precautions. There are certain health risks to be aware of, such as yellow fever.

What is Yellow Fever?

Yellow fever is a mosquito-borne viral illness. The illness can range from mild to severe with organ damage. Symptoms usually develop 3-6 days after infection. The first developed symptoms usually include:

• Sudden onset of fever
• Chills
• Severe headache
• Body aches
• Nausea and vomiting
• Weakness
• Fatigue

Many people begin to improve after the initial display of infection.

About 15 percent of cases progress into a more severe form of the disease. Serious symptoms such as a hemorrhagic fever and jaundice develop. The infection can lead to shock and organ failure. Death occurs in 20 to 50 percent of severe cases.

There is no specific treatment for yellow fever. It is always best to vaccinate against yellow fever before leaving to be better safe than sorry.

Is the Yellow Fever Vaccine Required for Peru?

A yellow fever certificate of vaccination is not required for entry into any region of Peru. But, some regions are at a much higher risk than others, and yellow fever vaccination is recommended by the CDC.

All travelers 9 months and older going to the following regions of Peru should receive the yellow fever vaccine:

• Amazonas
• Loreto
• Madre de Dios
• San Martin
• Ucayali
• Puno
• Cusco
• Junin
• Pasco
• Huanuco

The vaccine is also recommended in designated areas of some other regions. You can check with your travel health specialist to be certain of your risk before traveling.

Other countries, like as Ecuador and Paraguay, require a yellow fever certificate of vaccination when arriving from Peru or other countries with a high risk of yellow fever infection. Depending on your travel itinerary after leaving Peru, you may need proof of vaccination.

What is the Yellow Fever Vaccine?

The yellow fever vaccine is the most important preventive measure against yellow fever. It is safe, affordable, and effective for 10 years after injection. Reactions to the vaccine are mild, if any are to occur.

If you are considering vaccination, Passport Health is an approved yellow fever vaccination center. After vaccination, you will receive an International Certificate of Vaccination for your travels.

What Other Health Risks Are in Peru?

All travelers going to Peru should be up to date on their routine vaccinations. Other recommended vaccines for Peru include Typhoid, Hepatitis A, Hepatitis B, and Rabies.

Malaria and zika are also present in Peru, so take precautions to avoid these mosquito-borne illnesses. The following are tips to avoid mosquito bites:

• Wear long-sleeved shirts and pants, as well as a hat and boots.
• Use an Environmental Protection Agency (EPA)-registered insect repellent.
• Stay in enclosed places with air conditioning that use window and door screens. If you may be exposed to mosquitoes when sleeping, use a mosquito bed net.

Traveling to Peru?

If you are planning to travel to Peru and are considering vaccination, you can talk to a Passport Health travel specialist about your concerns. Schedule an appointment by calling or booking online today.

Have you ever been to Peru? Tell us about your visit in the comments below, on Facebook, or via Twitter.