Our crew suffered; malaria, cholera, typhoid, dengue,
coral abrasions and infection, box jelly
fish sting, cuts, lacerations, contusions, crush injuries and probable concussions, animal bites,
head lice and
food poisoning - but never a sunburn - in eight yrs of cruising.
The most frightening situation was upriver in Guyana (near Bartica) where the crew contracted malaria, cholera and dengue at one time. My young daughter was very ill and we tried to return to Trinidad but she couldn't keep her meds down at sea - we couldn't evacuate by plane as she was sick with cholera - highly contagious and restricted from entering Trinidad. The local clinic was very helpful and we all survived. But we learned how quickly the options can disappear if
captain and crew are incapacitated in a
remote location. Box jelly
fish sting on the captain in Las Perlas was also a long way from assistance and put a lot of stress on the crew. A French
boat provided
medical assistance and antibiotics in Suwarrow with a badly infected coral cut that would not respond to the antibiotics we had. This atoll is a minimum 4-5 days from anywhere....
I suggest that anyone cruising IN REMOTE PLACES have advanced
training in first aid and therapeutics including administration of drugs. An extensive first aid kit including splints (hand, wrist, finger etc), sutures, syringes and implements (needles, forceps, tweezers etc) and a pharmacy including broad spectrum antibiotics, pain medication, emetics, and all the usual; ice packs, iodine, alcohol, ointments, bandages (incl finger, eye patch, hemostatic etc. and tape). Also have the ability to reach assistance - by SW
radio or
satellite phone - know where the clinics, hospitals and consulates are in the country you are visiting.
Have up to date tetanus and yellow fever innoculations, and consider whether to take prophylactics for malaria, dengue, etc. based on your travel plans.
Finally, a good reference book is invaluable when you're trying to diagnose a vague illness or rash, or treat a complicated situation, and AVOID MAKING THINGS WORSE. It also helps to have a common knowledge of the appropriate vocabulary when talking with a doctor - especially if that is remote (e.g. over the radio). We used the Medicine for Mountaineering and Where There Is No Doctor along with other supplemental materials for
marine specific concerns (jelly fish, cone shells, sting rays, ciguatera etc.)
We travelled in very remote locations and often as a solo
boat, with
children, so these suggestions may seem extreme to those visiting
marinas or staying in more populated areas - make your own choices. For us, good seamanship means anticipating the possible scenarios and considering and developing options - being prepared.
Be well and have fun!