Health and Safety in Kiribati during Travel

Diarrhea
To prevent diarrhea, avoid tap water unless it has been boiled, filtered, or chemically disinfected (e.g. with iodine tablets); only eat fresh fruits and vegetables if cooked or peeled; be wary of dairy products that might contain unpasteurized milk, and be highly selective when eating food from street vendors.

If you develop diarrhea, be sure to drink plenty of fluids, preferably an oral re-hydration solution containing lots of salt and sugar. A few loose stools don’t require treatment but, if you start experiencing more than four or five stools a day, you should start taking an antibiotic (usually a quinolone drug) and an antidiarrhoeal agent (such as loper amide).

If diarrhea is bloody, or persists for more than 72 hours, or is accompanied by fever, shaking chills or severe abdominal pain you should seek medical attention.

dengue fever
Unlike the malaria mosquito, the Aedes aegypti mosquito, which transmits the dengue virus, is most active during the day, and is found mainly in urban areas, in and around human dwellings.

Signs and symptoms of dengue fever include a sudden onset of high fever, headache, joint and muscle pains, nausea and vomiting. A rash of small red spots sometimes appears three to four days after the onset of fever. Severe complications do sometimes occur.

You should seek medical attention as soon as possible if you think you may be infected. A blood test can indicate the possibility of the fever. There is no specific treatment. Aspirin should be avoided, as it increases the risk of hemorrhaging. There is no vaccine against dengue fever.