Potential dangers in Cambodia can seem quite daunting, however, few travelers actually experience serious sickness; traveler’s diarrhea is the most common ailment. Fortunately, most minor common illnesses can either be prevented with common-sense behavior or be treated easily with a well-stocked traveler’s medical kit. If you are feeling sick whilst in Cambodia, please let us know and we will do all we can to help get you better.
Cambodia is one of the world’s poorest countries and thus lacks reliable medical facilities, doctors, clinics, hospitals and medication, especially in rural areas. Hospitals in rural areas are pretty basic, if you feel unwell, try to see a doctor rather than visit a hospital. It is very important to have proper travel insurance which covers the cost of a medical evacuation (normally to Bangkok or Singapore).
If you need medication on a regular basis, please bring it from home. Pack medications in original, clearly labeled, containers. A signed and dated letter from your physician describing your medical conditions and medication, including generic names, is also recommended. Pharmacies in the larger towns are surprisingly well stocked and you don’t need a prescription to get your hands on a lot of medicines. Prices are cheap, but it’s important to check the expiry date, as some medicine may be out of date.
Emergency Phone Numbers
| Police | Medical | Fire |
| 117 | 119 199 | 118 |
Please find advice below on what to do before and during your trip to Laos to prevent and treat sickness. Please bear in mind that this advice is a general guide only and does not replace the advice of a doctor trained in travel medicine
Vaccinations
The only vaccination required by international health regulations is a yellow fever vaccination for people coming from an area where yellow fever can be found. However, it’s advisable to consult a doctor a few weeks before leaving home for up-to-date advice on inoculations. Vaccinations recommended by The World Health Organization (WHO) for a trip to Cambodia are; Typhus, Cholera, Hepatitis A&B, Tetanus, Rabies and Polio
Personal medical kit
Minor sickness and ailments such as; travellers’ diarrhea, heat exhaustion, sunburn, prickly heat and fungal rashes, are more common than major health problems whilst traveling in Cambodia and can often be self-treated by over-the-counter medicine. Whilst you can buy over-the-counter medicine here (and we can help you with this), we recommend that you bring a personal medical kit with a few items from home. Recommended items include;
- Antibacterial cream
- Antihistamine for allergies
- Antiseptic for cuts and scrapes,
- DEET-based insect repellent
- Diarrhea ‘stopper’, e.g. loperamide
- Rehydration solution (for diarrhea)
- First-aid items, such as scissors, plasters (such as Band-Aids), bandages, gauze, safety pins and tweezers
- Paracetamol
- Steroid cream for allergic/itchy rashes, e.g. 1% hydrocortisone
- Sunscreen
Taking precautions to prevent risk of sickness
Minor sickness and ailments such as; travellers’ diarrhea, heat exhaustion, sunburn, prickly heat and fungal rashes, are the most common health-related problems whilst traveling in Cambodia. Some of the most common travel ailments/sicknesses in Cambodia can be prevented through taking precautions;
Travellers’ diarrhea
Often caused by consuming unclean food and water from local eateries, ways to avoid this include:
- Only eating freshly-cooked food
- Only eating peeled fruit and cooked vegetables
- Avoiding shellfish and buffets
- Choosing to eat in busy restaurants with a high turnover of customers
- Drink only bottled water, ice added to drinks in resorts and cities is usually safe, avoid it elsewhere.
Sunburn & Heat Exhaustion/Heatstroke
The sun is strong in Cambodia, sunburn can even happen on a cloudy day, take the following precautions;
- Always wear at least Factor 30 Sunscreen when you are outside
- Wear a hat
- Reapply sunscreen after swimming
- Avoid being in direct sunlight between 10am and 3pm
- Avoid strenuous activity outside between 10am and 3pm
- Keep well-hydrated by drinking plenty of water
Mosquito bites
Mosquito bites are a common ailment in Cambodia whilst not usually a serious problem, there is a slight risk of contracting Dengue or Malaria.
Dengue: The fatality rate for Dengue is less than 0.3%, symptoms include high fever, severe headache, pain behind the eyes and body ache (joints, muscles, bone). See a doctor immediately if you have these symptoms. The treatment is to rest and take paracetemol, don’t take aspirin, it increases the risk of hemorrhaging. There is no vaccine available, the mosquito that carries dengue can bite both day and night; therefore constant insect-protection is important.
Malaria: Phnom Penh, Siem Reap and most other major urban areas in Cambodia do not have Malaria; visitors on short trips to the most popular places do not need to take medication. The most serious symptom of malaria is fever, other general symptoms include headache, diarrhea, cough or chills. Diagnosis is made via a blood sample. There are various anti-malarial medications; seek the advice of your doctor before you travel about whether you need to take one.
Avoidance of mosquito bites is the best strategy for preventing the risk of contracting Dengue or Malaria. The following precautions should be made;
- Choose accommodation with air-conditioning, or fans and mosquito nets/window screens
- Sleep under a mosquito net
- Impregnate clothing with permethrin (insect repellent) in high-risk areas
- Use an insect repellent containing DEET on all exposed areas of skin. Citronella can be effective but must be applied more frequently
- Wear long sleeves and trousers/pants
- Use mosquito coils
- Spray your room with insect repellent before going out at night
Treatment of common health problems
Travellers’ diarrhea: The most common problem amongst visitors, this can simply be caused by the change of diet and will settle down after a few days; drink plenty of water, avoid dairy and taking rehydration solutions is recommended. Gut-paralysing drugs such as Lomotil, Imodium or Loperamide are just temporary stoppers and don’t deal with the cause of the problem, but do give some relief for long journeys. 80% of travellers’ diarrhea is a result of bacteria and is best treated by antibiotics which can easily be obtained via a visit to the doctor.
Heat exhaustion: Symptoms include; feeling weak, headache, irritability, nausea, sweaty skin, fast weak pulse. Rest and cool down in a room with air-conditioning and rehydrate with water and rehydration solution or by adding a teaspoon of salt per liter of water.
Heatstroke: More serious than heat exhaustion, symptoms appear suddenly and include; nausea, weakness, confusion, temperature of over 41degrees and even collapse and loss of consciousness. Rest in an air-conditioned room and seek medical help.