
Southeast Asia 14th Edition, March 2008 [PDF] / se-asia-14-directory
.pdf
T R A N S P O R T
928 G E T T I N G A R O U N D • • B i c y c l e l o n e l y p l a n e t . c o m
Southeast Asia. Visit Thai Airways International |
travel by air; check with the airline about extra |
(THAI, code THA; www.thaiair.com) for more details. |
charges and shipment specifications. |
BICYCLE
Touring Southeast Asia on a bicycle has been gaining more and more supporters. Many long-distance cyclists start in Thailand and head south through Malaysia to Singapore. Road conditions are good enough for touring bicycles in most places, but mountain bikes are recommended for forays off the beaten track.
Vietnam is a great place to travel by bicycle – you can take bikes on buses, and the entire coastal route is feasible. If flat-land cycling is not your style, then Indonesia might be the challenge you’re looking for. Road conditions are bad and inclines steep, but the Sumatran jungle is still deep and dark. In Laos and Cambodia, road conditions can impede two wheeling, but light traffic, especially in Laos, makes pedalling more pleasant than elsewhere. Mr Pumpy (www.mrpumpy.net) provides all the inside information to get your wheels spinning.
Top-quality bicycles and components can be bought in major cities such as Bangkok but, generally, fittings are hard to find. Bicycles can
BOAT
Ferries and boats make trips between Singapore and Indonesia, Malaysia and Indonesia, and Thailand and Malaysia.
Typically, guesthouses or travel agents sell tickets and can provide updated departure times. Be sure to check the visa regulations at port cities.
BORDER CROSSINGS
Going through the region overland is getting easier as potholed ditches become major highways. The border crossings for the region are listed here by country; the following abbreviations are used for convenience: B (Brunei), ET (East Timor), C (Cambodia), I (Indonesia), L (Laos), M (Malaysia), My (Myanmar), P (Philippines), T (Thailand) and V (Vietnam).
Be aware of border closing times, visa regulations and any transport scams by asking your fellow travellers before making a longdistance trip or by referring to the relevant country chapters.
SOUTHEAST ASIAN AIR FARES |
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800 km |
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TAIWAN |
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CHINA |
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MYANMAR |
Luang |
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HANOI |
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Prabang |
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VIENTIANE |
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YANGON |
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MANILA |
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THAILAND 100 |
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PHILIPPINES |
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VIETNAM |
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BANGKOK |
CAMBODIA |
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PHNOM PENH |
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Ho Chi |
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Cebu |
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Minh City |
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BANDAR SERI |
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50 |
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Penang |
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BEGAWAN |
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MALAYSIA |
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BRUNEI |
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KUALA |
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Manado |
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LUMPUR |
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MALAYSIA |
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Medan |
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SINGAPORE |
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Borneo |
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400 |
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Sumatra |
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300 |
Sulawesi |
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EAST |
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300 |
TIMOR |
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DILI |
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Full one-way economy fares in US$ |
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JAKARTA |
Java |
Bali |
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(discounts available on most flights). |
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Fares vary enormously depending on |
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INDONESIA |
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Denpasar |
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season and carrier. |
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To Darwin |
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l o n e l y p l a n e t . c o m
Brunei
The Malaysian states of Sarawak and Sabah form a C clamp around Brunei. All border crossings feed into the Brunei capital of Bandar Seri Begawan.
The first four of the following crossings are from Sarawak, while the fifth is from Sabah:
Kuala Baram (M) to Kuala Belait (B), from Miri (M); see p50, p506
Limbang (M) to Kuala Lurah (B); see p49, p508
Limbang (M) to Bangar (B); see p51, p508
Lawas (M) to Bangar (B); see p51, p509
Pulau Labuan (M) to Muara Port (B); see p49, p484
Cambodia
FROM LAOS
The only border passage to Cambodia is south of Si Phan Don (Four Thousand Islands) through Voen Kham (L) to Dom Kralor (C); see p115, p402. The main town on the Cambodian side is Stung Teng.
FROM THAILAND
There are five border crossings between Thailand and Cambodia:
Aranya Prathet (T) to Poipet (C), which links Bangkok (T) to Siem Reap (C); see p97, p709
Hat Lek (T) to Krong Koh Kong (C), which runs along the coast; see p113, p765
There are also three crossings in remote areas:
Chong Jom (T) to O Smach (C); see p89, p753
Choam Srawngam (T) to Choam (C); see p101, p755
Ban Pakard (T) to Psar Pruhm (C); see p101, p765
FROM VIETNAM
There are three border-crossing options and word of a fourth:
Moc Bai (V) to Bavet (C), for quick passage between Ho Chi Minh City (V) and Phnom Penh (C); see p79, see p893
Vinh Xuong (V) to Kaam Samnor (C), linking Chau Doc (V) in the Mekong Delta to Phnom Penh (C); see p79, p900
Tinh Bien (V) to Phnom Den (C), a remote crossing; see p81, p901
G E T T I N G A R O U N D • • B o r d e r C r o s s i n g s 929
Prek Chek (C) to Xa Xia (V), a possible new border crossing
East Timor
The Motoain (I) to Batugade (ET) border crossing (between East Timor and Indonesian West Timor) is open and serviced by bus; see p141, p297.
Indonesia
FROM EAST TIMOR
See the entry under East Timor.
FROM MALAYSIA
High-speed ferries run between Malaysia and the Indonesian island of Sumatra:
Pulau Penang (M) and Belawan (I), which links to Medan (I); see p262, p451
Melaka (M) and Dumai (I), which links to Bukittinggi (I); see p267, p438
Johor Bahru (M) to Pulau Bintan and Pulau Batam in the Riau Islands (I); see p267, p456
On the island of Borneo, the Indonesia– Malaysia border can be crossed at the following spots:
Tawau (M) to Nunukan (I), linking to Tarakan (I); see p304, p492
Tebedu (M) and Entikong (I), which links to Kuching (M); see p310, p498
FROM SINGAPORE
Ferries run from Singapore to Pulau Bintan and Pulau Batam in the Riau Islands (I); see p267, p654.
Laos
FROM CAMBODIA
See the entry under Cambodia.
FROM THAILAND
There are five border crossings into Laos:
Chiang Khong (T) to Huay Xai (L), which links northern Thailand to Luang Prabang (L) via boat; see p390, p744
Nong Khai (T) to Vientiane (L); see p362, p758
Mukdahan (T) to Savannakhet (L), a popular route between southern Laos and northeast Thailand; see p394, p756
Chong Mek (T) to Vang Tao (L), which links Ubon Ratchathani (T) to Pakse (L); see p398, p755
T R O P S N A R T

930 G E T T I N G A R O U N D • • B o r d e r C r o s s i n g s |
l o n e l y p l a n e t . c o m |
T R A N S P O R T
Nakhon Phanom (T) to Tha Khaek (L), a far-flung river crossing in the northeast of Thailand; see p394, p757
FROM VIETNAM
There are five land crossings from Vietnam, but only three are easily accessible:
BORDER CROSSINGS
Lao Bao (V) to Dansavanh (L), an easy border crossing linking to Savannakhet (L); see p394, p858
Dien Bien Phu (V) to Tay Trang (L), gateway to Phongsali province (L); see p384, p839
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CHINA |
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Lao Cai (V) |
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Dong Dang (V) |
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Hekou (China) |
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Boten (L) |
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Pingxiang (China) |
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MYANMAR |
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Mohan (China) |
Dien Bien Phu (V) |
HANOI |
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Mong Cai (V) |
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Tay Trang (L) |
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Chiang Khong (T) |
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Dongxing (China) |
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Tachilek (My) |
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Nam Xoi (V) |
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Mae Sai (T) |
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Huay Xai (L) |
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Na Maew (L) |
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Luang |
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Prabang (L) |
Nam Can (V) |
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LAOS |
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Nam Khan (L) |
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VIENTIANE Kaew Neua (L) |
Vinh (V) |
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Cau Treo (V) |
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Myawaddy (My) |
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Nong Khai (T) |
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Nakhon Phanom (T) |
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Vientiane (L) |
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Tha Khaek (L) |
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Mae Sot (T) |
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THAILAND |
Mukdahan (T) |
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Lao Bao (L) |
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Savannakhet (L) |
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Dansavanh (L) |
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Payathonzu (My) |
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Ubon |
Chong Mek (T) |
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Three Pagodas Pass (T) |
Rachathani (T) |
Vang Tao (L) |
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S O U T H |
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Chong Jom (T) |
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Pakse (L) |
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O Smach (C) |
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Voen Kham (L) |
C H I N A |
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BANGKOK |
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Choam Srawngam (T) |
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Aranya Prathet (T) |
Choam (C) |
Dom Kralor (C) |
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Siem Reap (C) |
Stung Treng (C) |
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Poipet (C) |
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Ban Pakard (T) |
CAMBODIA |
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Psar Pruhm (C) |
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Krong Koh Kong (C) |
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PHNOM PENH |
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Hat Lek (T) |
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Kaam Samnor (C) |
Bavet (C) |
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Vinh Xuong (V) |
Moc Bai (V) |
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Prek Chek (C) |
Chau |
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Ho Chi |
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Ranong (T) |
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Xa Xia (V) |
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Minh City (V) |
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Phnom Den (C) |
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Tinh Bien (V) |
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Kanger (T) |
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Padang Besar (M) |
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Satun (T) |
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Hat Yai (T) |
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Sadao (T) |
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Pulau |
Bukit Kayu Hitam (M) |
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Langkawi (M) |
Betong (T) |
Kota Bharu (M) |
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Pulau |
Keroh (M) Sungai Kolok (T) |
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Penang (M) |
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Butterworth (M) |
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Pulau Labuan (M) |
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MALAYSIA |
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Muara Port (B) |
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BANDAR SERI |
Bangar (B) |
Medan (I) |
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BEGAWAN |
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Lawas (M) |
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KUALA LUMPUR |
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Kuala Belait (B) |
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BRUNEI |
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Kuala Baram (M) |
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Melaka (M) |
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Miri (M) |
Bangar (B) |
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Limbang (M) |
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Dumai (I) |
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Johor |
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Bahru (M) |
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Tanjung Kupang (M) |
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Kuching (M) |
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Bukitinggi (I) |
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Tebedu (M) |
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Entikong (I) |
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INDONESIA |
INDONESIA |

l o n e l y p l a n e t . c o m |
G E T T I N G A R O U N D • • B o r d e r C r o s s i n g s 931 |
Cau Treo (V) to Kaew Neua (L), linking |
Malaysia |
to Vinh (V); see p362, p838 |
FROM BRUNEI |
Nam Can (V) to Nam Khan (L), a remote |
See the entry under Brunei. |
crossing; see p380, p838 |
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Nam Xoi (V) to Na Maew (L), another |
FROM INDONESIA |
remote crossing; see p383, p839 |
See the entry under Indonesia |
Jayapura (I)
Vanimo (PNG)
INDONESIA
PAPUA NEW
GUINEA
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500 km |
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300 miles |
AUSTRALIA |
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PHILIPPINES
P H I L I P P I N E S
S E A
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Zamboanga (P) |
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Motoain (I) |
DILI |
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Batugade (ET) |
EAST TIMOR |
Sandakan (M) |
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Tawau (M) |
INDONESIA |
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Nunukan (I) |
C E L E B E S |
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S E A |
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Tarakan (I) |
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T R O P S N A R T
INDONESIA
932 G E T T I N G A R O U N D • • B u s
FROM THE PHILIPPINES
There are infrequent passenger ferries from Zamboanga (P) on Mindanao to Sandakan
(M) in Sabah; see p488, p635.
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FROM SINGAPORE |
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A 1km-long causeway connects the northern |
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end of Singapore in the suburb of Wood- |
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lands to Johor Bahru (M). To the west |
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another bridge connects Singapore in the |
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suburb of Tuas with Tanjung Kupang (M). |
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T |
For details, see p456, p654. |
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S P O R |
FROM THAILAND |
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A N |
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The crossings between Thailand and Ma- |
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T R |
laysia are by road, boat and train. Until the |
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safety situation improves, avoid train travel |
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via Sungai Kolok (T) in the restive Muslim- |
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majority provinces of southern Thailand. |
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The crossings include the following: |
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Satun (T) to Pulau Langkawi (M); see p455, p803
Sungai Kolok (T) to Rantau Panjang (M), linking to Kota Bharu (M); see p470, p786
Kanger (T) to Padang Besar (M), linking Hat Yai (T) to Butterworth (M); see p453, p784
Sadao (T) to Bukit Kayu Hitam (M), linking Hat Yai (T) to Butterworth (M); see p453, p784
There is also a crossing between Betong (T) and Keroh (M), but using this crossing was extremely inadvisable at the time of writing due to violence in Yala Province.
l o n e l y p l a n e t . c o m
Philippines
See the entry under Malaysia.
Singapore
Singapore has land crossings into Malaysia and sea crossings into Indonesia; see the entries under those countries.
Thailand
Thailand has border crossings to/from Cambodia, Laos, Malaysia and Myanmar; see the entries under those countries.
Vietnam
Vietnam has open borders with Cambodia and Laos; see the entries under those countries.
BUS
In most cases, land borders are crossed via bus, which either travels straight through the two countries with a stop for border formalities or requires a change of buses at the appropriate border towns.
Bus travellers will enjoy a higher standard of luxury in Thailand, the Philippines and Malaysia, where roads are well paved, reliable schedules exist and, sometimes, snacks are distributed. Be aware that theft does occur on some long-distance buses, especially those departing from Bangkok’s Th Khao San heading south; keep all valuables on your person, not in a stowed locked bag.
Local buses in Laos, Cambodia and Vietnam are like moving sardine cans, but that is part of their charm.
Myanmar
Myanmar has land borders with Thailand, but most are either closed or have travelling restrictions. There are two legitimate crossings:
Mae Sai (T) to Tachilek (My); see p552, p746
Ranong (T) to Kawthoung (My); see p546, p787
There are also two day-pass points, but travellers can only travel from Thailand to Myanmar (and not the other way round):
Mae Sot (T) to Myawaddy (My); see p726
Three Pagodas Pass (T) to Payathonzu (My); see p716
CAR & MOTORCYCLE
What is the sound of freedom in Southeast Asia? The put-put noise of a motorcycle. Convenient for getting around the beaches or touring in the country, motorcycles are available for hire or purchase, but they require a lot more investment and safety precautions than many visitors realise.
It is advisable to hire a car or motorcycle for local sightseeing rather than depend on it for long-distance travel. You could hit Thailand and Malaysia by car pretty easily, enjoying well-signposted, well-paved roads. Road conditions in Laos and Cambodia vary, although sealed roads are becoming the norm. Indonesia and the Philippines have roads that vary between islands but most are

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in need of repair. Vietnam’s major highways are in relatively good health.
See p919 for driving licence laws.
Hire
There are Western car-hire chains camped out at Southeast Asian airports, capital cities and major tourist destinations. On many tourist islands, guesthouses and locals will hire motorcycles and cars for an affordable rate.
Insurance
Get insurance with a motorcycle if at all possible. The more reputable motorcyclehire places insure all their motorcycles; some will do it for an extra charge. Without insurance you’re responsible for anything that happens to the bike. To be absolutely clear about your liability, ask for a written estimate of the replacement cost for a similar bike – take photos as a guarantee. Some agencies will only accept the replacement cost of a new motorcycle.
Insurance for a hired car is also necessary. Be sure to ask the car-hire agent about liability and damage coverage.
Road Rules
Drive carefully and defensively; lives are lost at astounding rates on Southeast Asian highways. Remember too that smaller vehicles yield to bigger vehicles regardless of circumstances – on the road, might is right. The middle of the road is typically used as a passing lane, even if there is oncoming traffic, and your horn is used to notify other vehicles that you intend to pass them.
Safety
Always check a machine thoroughly before you take it out. Look at the tyres for treads, check for oil leaks, test the brakes. You may be held liable for any problems that weren’t duly noted before your departure.
When riding a motorcycle, wear protective clothing and a helmet; long pants, long-sleeved shirts and shoes are highly recommended as sunburn protection and as a second skin if you fall. If your helmet doesn’t have a visor, wear goggles, glasses or sunglasses to keep bugs, dust and other debris out of your eyes.
HITCHING
Hitching is never entirely safe in any country in the world, and is not recommended. Trav-
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G E T T I N G A R O U N D • • H i t c h i n g 933
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LOCAL TRANSPORT
Because personal ownership of cars in Southeast Asia is limited, local transport within a town is a roaring business. For the right price, drivers will haul you from the bus station to town, around town, around the corner, or around in circles. The bicycle rickshaw still survives in the region, assuming such aliases as sǎamláw in Thailand and cyclo in Vietnam. Anything motorised is often modified to carry passengers
– from Thailand’s obnoxious three-wheeled chariots known as túk-túk to the Philippines’ altered US Army jeeps. In large cities, extensive public bus systems either travel on fixed routes or do informal loops around the city, picking up passengers along the way. Bangkok, Kuala Lumpur and Singapore also boast state-of-the- art light-rail systems that make zipping around town feel like time travel.
TRAIN
For intercountry travel, the International Express train travels from Thailand all the way through the Malay peninsula, ending its journey in Singapore. Trains also serve Nong Khai, on the Thailand–Cambodia border, and Aranya Prathet, on the Thailand– Laos border.
You’ll find that Thailand and then Malaysia have the most extensive intracountry rail systems, although trains rarely run on time.

H E A L T H
© Lonely Planet Publications
934
Health Dr Trish Batchelor |
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CONTENTS |
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Before You Go |
934 |
their medical necessity. If you have a heart |
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condition, bring a copy of your ECG. |
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Insurance |
934 |
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If you take any regular medication, bring a |
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Vaccinations |
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double supply in case of loss or theft. In most |
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Medical Checklist |
935 |
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Southeast Asian countries, excluding Singa- |
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Online Resources |
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pore, you can buy many medications over the |
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Further Reading |
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counter, but it can be difficult to find some of |
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In Transit |
936 |
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the newer drugs, particularly the latest anti- |
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Deep Vein Thrombosis (DVT) |
936 |
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depressants, blood-pressure medications and |
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Jet Lag & Motion Sickness |
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contraceptive pills. |
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In Southeast Asia |
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Availability of Health Care |
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INSURANCE |
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Infectious Diseases |
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Traveller’s Diarrhoea |
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without health insurance – accidents do |
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Environmental Hazards |
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happen. Declare any existing medical condi- |
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Women’s Health |
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tions you have – the insurance company will |
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Traditional Medicine |
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check if your problem is pre-existing and will |
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Health issues and the quality of medical fa- |
not cover you if it is undeclared. You may |
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cilities vary enormously depending on where |
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such as rock climbing. If your health insur- |
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you travel in Southeast Asia. Many of the |
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major cities are now very well developed, al- |
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you’re uninsured, emergency evacuation is |
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to a variety of health risks and inadequate |
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expensive – bills of more than US$100,000 |
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medical care. |
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are not uncommon. |
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Travellers tend to worry about contracting |
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or death in travellers. Pre-existing medical |
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conditions, such as heart disease, and ac- |
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payment in cash.) You may prefer a policy that |
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account for most life-threatening problems. |
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you having to pay on the spot and claim later. |
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Becoming ill in some way, however, is rela- |
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all documentation. Some policies ask you to |
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common-sense behaviour or treated easily |
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country, where an immediate assessment of |
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your problem is made. Some policies offer a |
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BEFORE YOU GO
Pack medications in their original, clearly labelled containers. A signed, dated letter from your physician describing your medical conditions and medications, including generic
VACCINATIONS
Specialised travel-medicine clinics are your best source of information; they stock all available vaccines and will be able to give recommendations specifically for you and your trip. The doctors will take into account factors such as past vaccination history, the length

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B E F O R E Y O U G O • • M e d i c a l C h e c k l i s t 935 |
of your trip, activities you may be undertaking and underlying medical conditions, such as pregnancy.
Most vaccines don’t produce immunity until at least two weeks after they’re given, so visit a doctor four to eight weeks before departure. Ask your doctor for an International Certificate of Vaccination (otherwise known as the yellow booklet), which will list all the vaccinations you’ve received.
protection, while the meningitis group C vaccine gives around 10 years’ protection. Recommended for long-term backpackers aged under 25.
Rabies Three injections in all. A booster after one year will then provide 10 years’ protection. Side effects are rare – occasionally a headache and a sore arm.
Tuberculosis (TB) A complex issue. It is usually recommended that long-term adult travellers have a TB skin test before and after travel, rather than vaccination. Only one vaccine is given in a lifetime.
Recommended Vaccinations
The World Health Organization (WHO) recommends the following vaccinations for travellers to Southeast Asia:
Adult diphtheria and tetanus Single booster recommended if you haven’t had one in the previous 10 years. Side effects include a sore arm and fever. Hepatitis A Provides almost 100% protection for up to a year; a booster after 12 months provides at least another 20 years’ protection. Mild side effects such as a headache and a sore arm occur in 5% to 10% of people.
Hepatitis B Now considered routine for most travellers. Given as three shots over six months. A rapid schedule is also available, as is a combined vaccination with Hepatitis A. Side effects are mild and uncommon, usually a headache and a sore arm. Lifetime protection occurs in 95% of people.
Measles, mumps and rubella (MMR) Two doses of MMR are required unless you have had the diseases.
Occasionally a rash and a flulike illness can develop a week after receiving the vaccine. Many young adults require a booster.
Polio Only one booster is required as an adult for lifetime protection. Inactivated polio vaccine is safe during pregnancy.
Typhoid Recommended unless your trip is less than a week long and is only to developed cities. The vaccine offers around 70% protection, lasts for two to three years and comes as a single shot. Tablets are also available. However, the injection is usually recommended as it has fewer side effects. A sore arm and fever may occur. Varicella If you haven’t had chickenpox, discuss this vaccination with your doctor.
The following immunisations are recommended for long-term travellers (more than one month) or those at special risk:
Japanese B Encephalitis Three injections in all. A booster is recommended after two years. A sore arm and headache are the most common side effects, although a rare allergic reaction comprising hives and swelling can occur up to 10 days after any of the three doses. Meningitis Single injection. There are two types of vaccination: the quadrivalent vaccine gives two to three years’
Required Vaccinations
The only vaccine required by international regulations is for yellow fever. Proof of vaccination will only be required if you have visited a country in the yellow-fever zone within the six days before entering Southeast Asia. If you are travelling to Southeast Asia from Africa or South America you should check to see if you require proof of vaccination.
MEDICAL CHECKLIST
Recommended items for a personal medical kit:
antibacterial cream, eg mupirocin
antibiotic for skin infections, eg amoxicillin/clavulanate or cephalexin
antibiotics for diarrhoea, such as norfloxacin or ciprofloxacin; azithromycinfor bacterial diarrhoea; tinidazole for giardiasis or amoebic dysentery
antifungal cream, eg clotrimazole
antihistamine, such as cetirizine for daytime and promethazine for night
anti-inflammatory such as ibuprofen
antiseptic, eg Betadine
antispasmodic for stomach cramps, eg Buscopan
contraceptives
decongestant, eg pseudoephedrine
DEET-based insect repellent
diarrhoea treatment; consider bringing an oral rehydration solution (eg Gastrolyte), diarrhoea ‘stopper’ (eg loperamide) and antinausea medication (eg prochlorperazine)
first-aid items such as scissors, plasters, bandages, gauze, thermometer (but not one with mercury), sterile needles and syringes, safety pins and tweezers
indigestion medication, eg Quick Eze or Mylanta
iodine tablets (unless you are pregnant or have a thyroid problem) to purify water
laxative, eg Coloxyl
H T L A E H

H E A L T H
936 I N T R A N S I T • • D e e p Ve i n T h r o m b o s i s ( D V T )
migraine medication; sufferers should take their personal medicine
paracetamol
permethrin to impregnate clothing and mosquito nets
steroid cream for allergic or itchy rashes, eg 1% to 2% hydrocortisone
sunscreen and hat
throat lozenges
thrush (vaginal yeast infection) treatment, eg Clotrimazole pessaries or Diflucan tablet
Ural or equivalent if you’re prone to urine infections
ONLINE RESOURCES
There is a wealth of travel health advice on the internet. For further information, Lonely Planet (www.lonelyplanet.com) is a good place to start. The World Health Organization (www.who
.int/ith) publishes a superb book called International Travel & Health, which is revised annually and is available online at no cost. Another website of general interest is MD Travel Health (www.mdtravelhealth.com), which provides complete travel health recommendations for every country and is updated daily. The Centers for Disease Control and Prevention (CDC; www.cdc.gov) website also has good general information.
FURTHER READING
Lonely Planet’s Healthy Travel – Asia & India is a handy pocket-size book that is packed with useful information, including pretrip planning, emergency first aid, immunisation and disease information, and what to do if you get sick on the road. Other recommended references include Traveller’s Health by Dr Richard Dawood and Travelling Well by Dr Deborah Mills – check out www.travellingwell.com.au.
IN TRANSIT
DEEP VEIN THROMBOSIS (DVT)
Deep vein thrombosis (DVT) occurs when blood clots form in the legs during plane flights, chiefly because of prolonged immobility. The longer the flight, the greater the risk. Although most blood clots are reabsorbed uneventfully, some may break off and travel through the blood ves-
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sels to the lungs, where they may cause life-threatening complications.
The chief symptom of DVT is swelling of or pain in the foot, ankle or calf, usually but not always on just one side. When a blood clot travels to the lungs, it may cause chest pain and difficulty in breathing. Travellers with any of these symptoms should immediately seek medical attention.
To prevent the development of DVT on long flights you should walk about the cabin, perform isometric compressions of the leg muscles (ie contract the leg muscles while sitting), drink plenty of fluids and avoid alcohol.
JET LAG & MOTION SICKNESS
Jet lag is common when crossing more than five time zones; it causes symptoms including insomnia, fatigue, malaise or nausea. To avoid jet lag, try drinking plenty of (nonalcoholic) fluids and eating light meals. Upon arrival seek exposure to natural sunlight and readjust your schedule (for meals, sleep etc) as soon as possible.
Antihistamines such as dimenhydrinate (Dramamine) and meclizine (Antivert or Bonine) are usually the first choice for treating motion sickness. Their main side effect is drowsiness. A herbal alternative is ginger, which works like a charm for some people.
IN SOUTHEAST ASIA
AVAILABILITY OF HEALTH CARE
Most capital cities in Southeast Asia now have clinics that cater specifically to travellers and expats. These clinics are usually more expensive than local medical facilities, but are worth utilising as they will offer a superior standard of care. Additionally, they understand the local system and are aware of the safest local hospitals and best specialists. They can also liaise with insurance companies should you require evacuation. Recommended clinics are listed under Information in the capital city sections of country chapters in this book.
It is difficult to find reliable medical care in rural areas. Your embassy and insurance company are good contacts.
Self-treatment may be appropriate if your problem is minor (eg traveller’s di-

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arrhoea), you are carrying the appropriate medication and you cannot attend a recommended clinic. If you think you may have a serious disease, especially malaria, do not waste time – travel to the nearest quality facility to receive attention. It is always better to be assessed by a doctor than to rely on self-treatment.
Buying medication over the counter is not recommended, as fake medications and poorly stored or out-of-date drugs are common.
The standard of care in Southeast Asia varies from country to country:
Brunei General care is reasonable. There is no local medical university, so expats and foreign-trained locals run the health-care system. Serious or complex cases are better managed in Singapore, but adequate primary health care and stabilisation is available.
Cambodia There are a couple of international clinics in Phnom Penh, and one in Siem Reap, that provide primary care and emergency stabilisation.
East Timor No private clinics. The government hospital is basic and should be avoided. Contact your embassy or insurance company for advice.
Indonesia Local medical care in general is not yet up to international standards. Foreign doctors are not allowed to work in Indonesia, but some clinics catering to foreigners have ‘international advisers’. Almost all Indonesian doctors work at government hospitals during the day and in private practices at night. This means that private hospitals often don’t have their best staff available during the day. Serious cases are evacuated to Australia or Singapore.
I N S O U T H E A S T A S I A • • I n f e c t i o u s D i s e a s e s 937
Laos There are no good facilities in Laos; the nearest acceptable facilities are in northern Thailand. The Australian Embassy Clinic in Vientiane treats citizens of Commonwealth countries.
Malaysia Medical care in the major centres is good, and most problems can be adequately dealt with in Kuala Lumpur.
Myanmar (Burma) Local medical care is dismal and local hospitals should only be used in desperation. There is an international medical clinic in Yangon (Rangoon). Contact your embassy for advice.
Philippines Good medical care is available in most major cities.
Singapore Has excellent medical facilities, and it acts as the referral centre for most of Southeast Asia.
Thailand There are some very good facilities in Thailand, particularly in Bangkok. After Singapore this is the city
of choice for expats living in Southeast Asia who require specialised care.
Vietnam Government hospitals are overcrowded and basic. In order to treat foreigners, the facility needs to obtain a special licence, and so far only a few have been provided. The private clinics in Hanoi and Ho Chi Minh City should be your first port of call. They are familiar with the local resources and can organise evacuations if necessary.
INFECTIOUS DISEASES
Cutaneous Larva Migrans
Risk areas All countries except Singapore. This disease, caused by dog hookworm, is particularly common on the beaches of Thailand. The rash starts as a small lump, then
AVIAN INFLUENZA (BIRD FLU)
Six Southeast Asian countries (Cambodia, Indonesia, Laos, Thailand, Vietnam and Myanmar), plus China, Japan and South Korea, reported an outbreak of avian influenza (bird flu). The strain in question, known as ‘Influenza A H5N1’ or simply ‘the H5N1 virus’, is a highly contagious form of avian influenza that has since spread as far as Europe to the west. Throughout the region, government officials are scrambling to contain the spread of the disease, which wreaks havoc with domesticated bird populations.
While the avian influenza virus usually poses little risk to humans, there have been several recorded cases of the H5N1 virus spreading from birds to humans. Human cases of avian influenza in the region have been reported from Indonesia and Thailand. At the time of writing, Thailand had reported 25 cases of humans contracting the virus since 2003, with 17 deaths. In Indonesia, there had been more than 100 cases, with more than 80 deaths, since July 2005. The main risk is to people who directly handle infected birds, or come into contact with contaminated bird faeces or carcasses. Because heat kills the virus, there is no risk of infection from cooked poultry.
There is no clear evidence that the H5N1 virus can be transmitted between humans. However, the main fear is that this highly adaptable virus may mutate and be passed between humans, perhaps leading to a worldwide influenza pandemic.
Thus far, however, infection rates are limited and the risk to travellers is low. Travellers to the region should avoid contact with any birds and should ensure that any poultry is thoroughly cooked before consumption.
H T L A E H