QUALITY LIVING - Q&A to Going on Holiday
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Is there anywhere I should avoid going on holiday because I have asthma?
It is very important to consider your individual asthma when planning an holiday destination. Asthma is very variable from one person to another. Consider your particular triggers and try to avoid them. For example, a camping trip in the height of the pollen season is probably not the best option if pollen triggers your symptoms! You can find out more about asthma triggers in Getting to Know Your Triggers.

What preparations should I make before my holiday?
Planning in advance is essential to help you deal with any problems associated with your asthma. The last thing you want is to be worried; prepare so that you can relax and enjoy your well earned rest! The following are checklists for you to consider before any trip, whether it is a weekend in Paris or a year backpacking around Australia.

  Flight
(a) Check with the airline before your flight that it is non-smoking. If not, insist that you must be seated a long way from the smoking section. If your seat number is not pre-allocated, check in early on the day so that you have a better choice.
(b) Do not pack your medications in your suitcase. Always keep them in your hand luggage in case your baggage is delayed or lost. Although the aerosol inhalers are pressurised they are suitable for cabin baggage and allowed through customs.
(c) If you use a nebuliser, check in advance as some airlines carry their own. Other airlines may be difficult about you using your own.
(d) Ensure the airline know in advance if you have any food allergies. Confirm this has been noted when you check-in for the flight.
(e) Make sure the cabin staff are aware if your symptoms are triggered by perfumes so they are not sprayed near you.
  Holiday Destination
(a) If your asthma is affected by environmental factors such as pollen, pollution or certain types of weather, check in advance the prevalence of these triggers at the time of year you will be holidaying there.
(b) If you are planning a cruise, check up on the level of medical care available in advance.
(c) Think carefully if you are planning a skiing holiday if your asthma is triggered by cold air combined with exercise.
(d) Camping is great fun, but can bring you close to pollens, dust from crops and animals. Beware the smoke from the camp fire and cold, damp misty mornings!
(e) If you are camping, make sure your bedding is well aired each day and use a tent with a sewn in ground sheet.
(f) Even though hotels, guest houses etc. are quick to ensure their accommodation is ideal with, for example, no smoking or pets, this is not always true. If you use barriers for bedding, try to take them with you - every little helps!
(g) If you are thinking of scuba diving on your trip, check in advance with your travel agents that their are no restrictions on this at your chosen destination. Some countries do not allow people with asthma to participate in this sport.
  Medical Cover
(a) Always look into medical insurance if you are travelling abroad and shop around for the best policy.
(b) If you take out a policy, make sure it covers asthma. Check out all the small print just in case it is excluded.
  Medication
(a) Work out exactly how much of each of your medications you will need. Always take enough for some extra days. Don't forget to include those medications you do not use every day.
(b) Take a spare inhaler of each one you use and keep it in a safe place in case of loss.
(c) Always visit your doctor in plenty time before you go away. Discuss any concerns you have about the trip and make sure you have a good management plan so that you know what to do if your asthma gets worse. Your doctor may recommend you take a peak flow meter with you and some steroid tablets with instructions on when to take them in case your asthma worsens.
(d) If you use a spacer with your inhaler at home, don't be tempted to go without it just because it seems an unnecessary inconvenience! If you only use it for medication morning and evening you will only need to keep it where you are staying. If you need it in the day, you can always get a smaller spacer to keep with you when you are out and about.
(e) It is a very good idea to take an aerosol reliever and a spacer, even if you do not normally use either. This can be life saving if you have an asthma attack, when it can be difficult to use an inhaler on its own. See Inhalers or Tablets? for more information on spacers.
(f) If you have more severe asthma you may need to take a nebuliser with you. You can get lighter more portable units now. Some have batteries to operate them or a connector to plug them into the cigarette lighter of your car. Do check before your holiday that the nebuliser you are taking is compatible with the voltage output of your holiday destination. Some models have a transformer to enable effective running of the unit anywhere in the world. Other models may not work so efficiently if the voltages are not close.
(g) Some of the medicine in powder inhalers may become clogged up in humid conditions. Check with your doctor or nurse about the one(s) you are using before you go. If this might be a problem, you can always change to a different inhaler before your trip.
(h) Ensure the medications you use can be obtained through a doctor at your destination if needed.
  Help in an Emergency
(a) Enquire in advance about the nearest place of medical help at your holiday destination. Check out on arrival:
i. Location of the nearest telephone - with translator if needed!
ii. Phone numbers of local doctors and ambulance and hours they work.
iii. Location of the closest casualty department.

(b) Take your spacer and reliever and/or nebuliser with you when you are out on day trips and visits whilst on holiday.
(c) Make sure that someone travelling with you or at your destination knows you have asthma and what to do if you have an attack.
(d) Have your emergency medical pack handy; this should contain:
i. Immediate reliever medication, preferably an aerosol type.
ii. Spacer or failing that a plastic or foam coffee cup.
iii. Steroid tablets.
iv. Your personal emergency plan agreed with your doctor. Keep a written copy with your medical pack.

Where can I get information in advance?
There are a number of sources of information including:
(1) Your travel agent.
(2) Call the Health Literature Hotline (UK) on 0800 555 777 to obtain your free copy of 'Health Advice for Travellers' - a booklet with excellent advice and information for travelling abroad.


Are there any organised holidays for children with asthma?
The National Asthma Campaign UK is involved in a joint holiday project with the National Eczema Society. This is for children and young people with asthma or eczema or both. The holidays enable them to take part in a huge variety of activities with a group of qualified health professionals on hand in case of any problems.
Topic "Quality Living" Updated 14th August 2003  
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