Travelers looking to travel to the Philippines, should be aware of the destination’s main health issues and risks. The Philippines is a popular travel destination in Southeast Asia. If you are headed there soon, there are several health risks that you need to be aware of. Consult a doctor before departure. Your doctor or health-care provider will determine what you will need, depending on factors such as your health and immunization history, areas of the country you will be visiting, and planned activities. Here’s a list of the three most common health risks in the Philippines and how to avoid them Dengue-fever is a mosquito-born disease and is often common during the wet season, which lasts from May to November. Its symptoms include high fever, body rash, headache and vomiting, which may be complicated by hemorrhage or shock. If you contract the disease, you will need a lot of fluids so as to avoid dehydration. Dengue fever can be deadly and very painful. Unlike the mosquitoes that cause malaria, dengue mosquitoes bite during the day. There is no vaccine to prevent dengue. Prevention centers on avoiding mosquito bites when traveling to areas where dengue occurs. Prevention: Make sure to use insect or mosquito repellent on your skin, especially uncovered parts. Choose air-conditioned accommodation and use mosquito nets. When outdoors during times that mosquitoes are biting, wear long-sleeved shirts and long pants tucked into socks. Diarrhea-Bad sanitation is a cause of diarrhea, so always bring anti-diarrheal meds with you. While it’s fun to go to wet markets and try out food at holein-wall eateries, some of them may not be well sanitized. Use your common sense when trying out street food, i.e. does the food look freshly cooked, has it been cooked at high temperature? Prevention: Remember to wash your hands before eating, preferably with soap, to minimize risks. Do not eat fruits or vegetables unless they have been peeled or cooked. Avoid cooked foods that are no longer hot. Cooked foods that have been left at room (or sun) temperature are particularly hazardous. Avoid drinking tap water, unless boiled, filtered or chemically disinfected. Avoid drinks with ice cubes. Influenza and Pneumonia-World Health Rankings provides that Influenza and Pneumonia deaths in the Philippines account for nearly 10 percent of deaths in the Philippines annually. Influenza and Pneumonia are not the same thing. Influenza is a very contagious virus that produces flu-like symptoms, while pneumonia is an infection that causes your lungs to fill up with fluid and puss. Both can be deadly if left untreated. The best ways to avoid becoming ill with influenza and pneumonia include avoiding close contact with those that are sick, staying home when you’re sick, washing your hands frequently, and avoid touching your eyes, and nose. Avoiding pneumonia specifically requires catching your symptoms early since pneumonia often follows other respiratory infections. If your symptoms persist for more than a few days, make sure to see a doctor right away. Tuberculosis- often referred to as TB, is responsible for 5% of deaths in the Philippines each year. TB is an extremely contagious infection that attacks the lungs, but has the ability to spread to other parts of the body such as your brain and spine. The symptoms of TB are similar to those of the cold and flu, and must be diagnosed with either a skin or blood test. General symptoms of TB include: a cough that lasts more than three weeks, persistent chest pain, coughing up blood, excessive tiredness, night sweats, chills, fever, loss of appetite, and weight loss. The World Health Organization estimates that onethird of the world’s population is infected with the bacteria that cause TB. Thankfully, there are things you can do lessen your chances of getting infected with TB such as reducing the amount of time you spend in stuffy enclosed rooms with anyone who has TB, using protective measures such as a face mask if you work in a medical setting, and getting vaccinated against TB. + HIV/Aids-While the prevalence of HIV and AIDS in the Philippines is still low, the country is one of only seven countries globally where the number of new HIV cases has increased by over 25 per cent from 2001 to 2009. New infections are largely concentrated among key populations with specific risk behaviors, such as unprotected male-to-male sex, transactional sex and intravenous drug use. Primary prevention of HIV infection for key populations has to start in adolescence mainly because infections now occur at a younger age: 20– 29. On average, the initiation to sex and drug use is between 14 and 19 years old. Further, only five per cent of HIV-positive pregnant women have received antiretroviral medicines to prevent mother-to-child transmission. Very few of those at-risk have taken an HIV test, with the number at zero for those under 18 years. RAFAEL G. ARCANGEL 10A-EXCELLENCE HEALTH CONCERNS IN THE PHILIPPINES