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Living > Public Health, Safety

Altitude Sickness

Back PackerBefore departure, you should learn about the health conditions in the country or countries you plan to visit, your own risk of disease, and the steps you can take to prevent illness by visiting a travel health clinic or a physician.

Altitude illness is caused by the lower level of oxygen available at higher elevations. Acute mountain sickness (AMS) typically appears above 8,000 feet (2400 meters). The major concern is that it may progress to a life threatening form of altitude sickness called High Altitude Cerebral Edema (HACE), or High Altitude Pulmonary Edema (HAPE).

SYMPTOMS

Symptoms of AMS usually appear within a few hours after arrival at high altitude, reach maximum severity within 1 - 2 days, and decrease about the third day provided that additional ascent does not occur. Symptoms may include headache (dull and throbbing, worse at night), dizziness, fatigue, shortness of breath, nausea or vomiting. Symptoms of the life threatening forms of altitude sickness (HACE or HAPE) can include: confusion, disorientation, irrational behaviour, breathlessness, and a persistent dry cough that can progress to produce frothy fluid.

RISK FACTORS

Factors associated with increased incidence of AMS include:

  • Fast ascent (>3,000 feet/day)
  • Sleeping altitude (>10,000 feet)
  • Strenuous exertion at high altitude
  • Time spent at altitude
  • Previous history of AMS
  • Not being sufficiently acclimatized

PREVENTION

  • Ascend slowly - spend 2 - 3 days at an intermediate altitude (8,000 - 10,000 feet) before resuming ascent.
  • Climb high, sleep low - do not increase your sleeping altitude by >2,000 feet on successive nights when climbing above 10,000 feet
  • Reduce strenuous activity for several days until your body becomes accustomed to the altitude (even when flying in to mountain destinations)
  • Descend if symptoms of AMS develop
  • Drink extra fluids and avoid intake of alcohol to reduce altitude related dehydration
  • Eat a high carbohydrate diet and avoid high protein diets
  • Take a prophylactic drug. These may include Acetazolamide (Diamox), Dexamethasone (Decadron), and Nifedipine (Adalat). Visit a physician or travel health professional for recommendations surrounding medication.

Popular Cities at Elevations Greater than 6,000 feet Above Sea Level
LOCATIONALTITUDE
Cuzco, Peru11,152 feet
La Paz, Bolivia11,736 feet
Lhasa, Tibet12,002 feet
Quito, Ecuador9,249 feet
Bogata, Columbia8,393 feet
Mexico City, Mexico7,546 feet

This information is intended to provide general health-related information about altitude sickness. It is not intended to replace medical consultation at a travel health clinic or by your physician.


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