Physical Fitness

Anyone in reasonable health can travel in Bhutan, though those in good physical condition will enjoy the trip more. Start preparing now by committing to daily activities like a 30-minute walk, jogging, stretching, and regular exercise, especially focusing on cardiovascular fitness and leg strength. During hikes, you'll need to carry a daypack with essentials like a water bottle, food/snacks, camera, map, fleece, sun hat, and first aid kit. To assess your physical fitness, you can take the Harvard Step Test online here.

Altitude

The effects of altitude can be felt above 8,000 feet. Statistically, two-thirds to three-fourths of travelers to altitudes above 14,000 feet may experience mild symptoms of Acute Mountain Sickness (AMS), but fewer than 2% will suffer severe symptoms. It’s important to drink plenty of water, avoid dehydration, and allow time for acclimatization. If you experience symptoms like headaches, nausea, dizziness, or shortness of breath, report them to your guide immediately.

Medical

Vaccinations are not required to enter Bhutan, but you may wish to consider immunizations for preventable diseases like typhoid, tetanus, hepatitis, or malaria. Consult your doctor or a travel medical center for current advice.

Bring sufficient medication for the duration of your trip, along with a prescription or a letter from your healthcare provider, especially for essential medications. Carry them in their original containers in your carry-on luggage. Over-the-counter anti-diarrhea medication and an antibiotic prescribed by your doctor for moderate to severe diarrhea are recommended.

Prevention is Key

Stomach upsets are common but usually minor. Safe food includes thoroughly cooked items, but avoid food that has cooled. The number one rule is to avoid drinking tap water or water from open sources; stick to bottled water or soft drinks from reputable brands. Drink boiled milk or yogurt, and always peel or wash fruits and vegetables with purified water. Avoid eating food left out for long periods.

Frequent handwashing is essential, and use purified water for brushing your teeth. Protect yourself from the sun and cold by dressing appropriately, and avoid walking barefoot to prevent infections. Use insect repellents and cover exposed skin when insects are active.

For more medical information, visit the CDC at www.cdc.gov or the CIWEC Travel & Medical Center at www.ciwec-clinic.com.

Medical Examination

We strongly recommend a thorough medical check-up before your trip. Discuss your itinerary with your physician and ensure that any health concerns or chronic conditions are noted, as they may be relevant during your trip.

Insurance

Travel insurance is mandatory. If you have any pre-existing medical conditions, these must be disclosed as they may require an additional premium. Failure to disclose conditions could result in a denial of claims.