10. Boil it, Cook it,Peel it, or…Forget it! Giardia trophozoites No, No 10 4-10 AMLT - Honduras
11. Only 2% of travelers are compliant! 53% use ice in drinks; 71% consume uncooked vegetables; 40-60% get diarrhea! 11 4-10 AMLT - Honduras
12. An Unwanted Part of the Missionary Experience Julie: 9 mo diarrhea 4-5 days per month 10% weight loss Laurie: 1 year Giardia 2 week hospitalization 4-10 12 AMLT - Honduras
13. 4-10 AMLT - Honduras Hepatitis Polio Typhoid fever Protozoa Bacteria Viral enteritis What does Cipro cover? 13
14. Your body is not your own; you were bought with a price. 1 Cor. 6:20 14 4-10 AMLT - Honduras
20. Wash your hands before you eat! Water from any spigot, tube or pipe is considered contaminated! DON’T wash your dirty hands in contaminated water and with contaminated soap; don’t use a contaminated towel for drying! 16 4-10 AMLT - Honduras
21. Water Hygiene Water from spigot is considered contaminated… …you don’t know the source! 4-10 AMLT - Honduras
22. Safe Alternatives for Hand Washing Wash in disinfected “clean” water. Use antibacterial soap. Air dry or use your own “camp towel”. Use jellied alcohol. Much better 18 4-10 AMLT - Honduras
23. Are We Ready to Eat? Eat with “clean hands”! Don’t use dirty utensils, dishes or cups! What’s dirty? What’s clean? 19 4-10 AMLT - Honduras
24. The ‘Tupperware Alternative’ A sealed container with your own utensils inside;A 3-step wash using disinfectant. 4-10 AMLT - Honduras 20
28. More Unsafe Foods Milk products… butter ice cream unpasteurized cheese Raw or undercooked meat & fish 24 4-10 AMLT - Honduras
29. Safe Foods MUST be well-cooked cooked to 158º & hot at serving time MUST be reheated to 158º if previously cooked Jellies & breads (covered - no flies!) AMLT - Honduras 25 4-10
37. What About Fruit? Is the outside of the fruit clean? Was the knife clean that cut the fruit? (2-knife method?) Were the hands clean that prepared the fruit? 33 4-10 AMLT - Honduras
38. Not all Fruit is Created Equal! Best = fruit with rind or skin that can be peeled Easy Very easy AMLT - Honduras
39. Difficult or impossible to clean Difficult Almost impossible 35 4-10 AMLT - Honduras Not all Fruit is Created Equal!
40. Raw vegetables such as lettuce, spinach, tomatoes and onions were responsible for the illness or deaths of nearly 19,000 people nationwide over a 5-year period. 36 4-10 AMLT - Honduras
41. What is Safe to Drink? Hot beverages: boiled water, tea or coffee Soda & carbonated beverages Coconut water or milk Pasteurized milk & juices 37 4-10 AMLT - Honduras
42. The Story on Bottled Water 11 of 14 randomly-selected bottles representing 8 brands in Nepal were contaminated with Coliforms! Poop! 38 4-10 AMLT - Honduras
43. Outbreaks of diarrheal illness are common from “safe” bottled water. [Wisconsin, Lima, Mexico and Peru’s “San Antonio”] 39 4-10 AMLT - Honduras The Story on Bottled Water
44. Is it safe or… Has it been rebottled? …refilled? Safety designation e.g., reverse osmosis Bottle dirty? …wet? Cap secure? …new or replaced? Do you trust your life & your team’s health with it ?! 40 4-10 AMLT - Honduras
45. Drinking-water on Airplanes A substantial number of aircraft going to / returning from developing countries serve contaminated drinking water. Travel with “Sweet Water” drops, Iodine or Chlorine Dioxide tabs, or a “Steri-Pen”. 41 4-10 AMLT - Honduras
46. Coconut Water… 42 4-10 AMLT - Honduras
47. …it’s always in good taste …& all over the world! 43 4-10 AMLT - Honduras
56. What if you are served unsafe food? 52 4-10 AMLT - Honduras
57. What if you are served unsafe food? Try not to offend. Eat small portions. [risk of diarrhea linked to size of inoculum] Have a designated eater. [someone w/ indigenous bowel flora] 53 4-10 AMLT - Honduras
58. Taking 500mg Cipro after eating will NOT protect you from crypto, Hepatitis A, rotovirus, etc. 54 4-10 AMLT - Honduras
59. If you can’t live without cut fruit, salad, ice or fruit juice for 2 weeks… …stay home!!! 55 4-10 AMLT - Honduras
60. Food at luxury hotels no safer than the food in standard hotels. Flies are important vectors of disease. Watch for flies in the restaurant & on food! 4-10 AMLT - Honduras 56 Shangri-La Hotel in New Delhi
61. Food consumed on aircraft home was likely prepared in country of origin of the flight. If eating is unavoidable, limit intake [inoculum]! 57 4-10 AMLT - Honduras
62. Epilogue If you can sleep well & eat well, you can endure almost anything! 58 4-10 AMLT - Honduras
64. You CAN stay healthy!1. Think, Think, THINK !!!2. Think as a group !3. Look out for each other !4. Choose food carefully !5. Treat water appropriately ! 4-10 60 AMLT - Honduras