You should make an appointment with your family doctor and dentist for a check-up before taking your KE trip. The following is rough guide for immunization commonly applicable to many of our trips. However we must stress that this is only a basic guide - and you must abide by the advice of your doctor.

• Polio - Normally you will just need an adult booster.
• Tetanus - An updated shot is recommended.
• Typhoid - A full course normally requires 2 injections separated by an interval of 4-6 weeks, however this series is now being introduced in pill form
• Hepatitis (A) & (B).
• Anti-malarial prophylactics - Please consult with your doctor for the most up to date information about anti-malarial medication for the areas that you will be visiting.
• Meningitis A+C - This vaccination is now recommended for some countries, eg Nepal
• Rabies pre-exposure vaccination - Please consult with your doctor for advice on whether you need rabies pre-exposure vaccination. This vaccination does not eliminate the need for urgent evacuation to a suitable medical facility for additional treatment, in the unlikely case of your being bitten. However, it does simplify that additional treatment and also prolongs the period that you can safely delay before receiving post-exposure treatment.
• Yellow Fever - Usually required for South American and African countries.
• Diamox - A number of studies have consistently shown that the controlled taking of Diamox (Acetazolamide) can be effective in reducing some of the symptoms of AMS (Acute mountain sickness). We would recommend that you ask your doctor to provide you with a small supply of Diamox (12 x 250mg tablets) if your trip involves periods above 2500/3000 metres (8000-10000 feet.) You may have to get this drug on a private prescription.
  
  Given enough notice, your doctor or local health clinic should be able to administer all the above.

Although every trek carries a comprehensive medical kit, it is advisable to bring a small supply of first aid items for your own personal use. Base this on the following list, plus any special medications you may require:

• Insect repellent. (Repel 100 or Jungle Formula).
• Antiseptic cream.
• Sun/face cream and lip screen.
• Throat lozenges or hard candies.
• Anti-diarrhoearal (Diocalm or Immodium).
• Anti-protozoan. (Flagyl). Please consult with your doctor.
• Antibiotics. a broad-spectrum antibiotic such as Ciproflaxin or Septrin catering for a variety of infections. Please consult with your doctor.
• Analgesics. Aspirin, Advil or Tylenol - for headaches etc. (NOT Codeine-based painkillers).
• Plasters, moleskin or Second Skin.
• Diamox. See above.
• Re-hydration salts. (oral) e.g. Dioralite. We recommend that you bring a small personal supply of perhaps 8 packets
• Dextrose glucose tablets.
• Multi-vitamin tablets are a good idea.
• Iodine-based water purification tablets or a small bottle of tincture of iodine with a dropper (Chlorine-based water purifiers are not suitable).