Sunday, August 30, 2009

Travel Health Tips

Travelling to different climates and environments abroad can expose you to disease and health risks. You should be aware of the dangers and how to stay healthy.

Diseases which aren’t present in the UK such as yellow fever, malaria, rabies and dengue fever are common in some areas of the world.

Vaccinations and immunisations

Visit your GP as soon as possible to check if you need any vaccinations or other preventive measures (such as malaria tablets).

Remember, these treatments aren’t usually available as NHS prescriptions.

General travel health tips

You should also make extra preparations if you have an existing medical condition.

  • take out adequate Travel Insurance or you could face a huge medical bill if you fall ill and need treatment
  • get a European Health Insurance Card (EHIC) to entitle you to free or discounted healthcare in European countries
  • check the health section of our country travel advice before you travel
  • drink plenty of water in hot climates to avoid dehydration
  • be safe in the sun - use a high-factor sunscreen and avoid excessive sunbathing between 11am - 3pm
  • find out the local emergency services numbers and the number of the local hospital
  • practice safe sex - take condoms with you as quality varies in different countries. HIV and Aids, and other sexually transmitted diseases can be caught worldwide.

Long-distance journeys

  • don’t wear tight clothing on long-distance journeys
  • do regular stretching exercises such as flexing and extending your ankles to avoid circulation problems
  • walk round at regular intervals on long flights
  • drink plenty of water on flights and avoid drinking too much alcohol.

Consult your doctor before long-distance travel if you:

  • are pregnant or have given birth in the last 6 months
  • have a history of blood disorders, deep vein thrombosis or pulmonary embolism
  • are taking hormonal medication (including the contraceptive pill)
  • have cancer, heart problems or have recently had surgery.

If you have a pre-existing medical condition

  • tell your travel insurer about your condition
  • ask your doctor how the trip might affect you
  • check local conditions such as climate and pollution levels and consider how you might be affected
  • carry a doctor’s letter and a copy of any prescriptions
  • ensure your medication is legal in the country you are visiting – the British Embassy can advise you
  • learn key words and phrases in the local language for your condition, medication and emergency help
  • take the same precautions you normally would in the UK if you weren’t going to be at home for a while
  • if you suffer from a mental illness you should be aware that facilities and local attitudes to mental health problems may differ from those in the UK. Do some research before you go.

Friday, August 28, 2009

Travel Insurance

Travel insurance is insurance that is intended to cover medical expenses and financial (such as money invested in nonrefundable pre-payments) and other losses incurred while traveling either within one's own country, or internationally.

Temporary travel insurance can usually be arranged at the time of the booking of a trip to cover exactly the duration of that trip, or a more extensive, continuous insurance can be purchased from travel insurance companies, travel agents or directly from travel suppliers such as cruiselines or tour operators. However, travel insurance purchased from travel suppliers tends to be less inclusive than insurance offered by insurance companies.

Travel insurance often offers coverage for a variety of travelers. Student travel, business travel, leisure travel, adventure travel, cruise travel, and international travel are all various options that can be insured.

The most common risks that are covered by travel insurance are:

  • Medical expenses
  • Emergency evacuation/repatriation
  • Trip cancellation/interruption
  • Accidental death, injury or disablement benefit
  • Overseas funeral expenses
  • Curtailment
  • Delayed departure
  • Loss, theft or damage to personal possessions and money (including travel documents)
  • Delayed baggage (and emergency replacement of essential items)
  • Legal assistance
  • Personal liability and rental car damage excess

Common Exclusions:

  • pre-existing medical conditions
  • war or terrorism - but some plans may cover this risk
  • injury or illness caused by alcohol or drug use

Usually, the insurers cover pregnancy related expenses, if the travel occurs within the first trimester. After that, insurance coverage varies from insurer to insurer.

Travel insurance can also provide helpful services, often 24 hours a day, 7 days a week that can include concierge and emergency travel assistance.

Typically travel insurance for the duration of a journey costs approximately 5-7% of the cost of the trip

Wednesday, August 26, 2009

Dubai City at Night


Glitzy, glam, over-the-top and a little overexposed, Dubai lives for attention. On the surface it’s materialistic beyond anyone’s wildest dreams and by treating every visitor like a VIP, visitors respond by spending like VIPs, only to need resuscitating when the next month’s credit-card bill arrives. But this is the whole idea. We’re talking about a city that virtually invented the ‘shopping festival’ (Dubai Shopping Festival, or DSF), the simple premise of which was to get people to travel to Dubai and spend money. With myriad shopping malls, flamboyant hotels, a dizzying array of dining options and hip clubs and bars, it’s all just too easy. Driven by Sheikh Mohammed, a leader who doesn’t understand the word ‘no’, visitors and potential residents are flocking to this Middle East metropolis in increasing numbers with the promise that Dubai is like no other city on earth. And Sheikh Mohammed is delivering. However, whether you end up loving or loathing its ostentatious nature, under the surface another Dubai exists. Head to the Heritage Village during Ramadan or the DSF and you’ll witness a different Dubai, where local Emiratis take joy in their songs, dance and traditions. Spend a few fascinating hours by the creek, watching the dhow (traditional wooden boat) traffic and the abras weave along the waterway while smoking some sheesha. Walk the streets of the tranquil, restored Bastakia area or take a stroll through multicultural Karama or Satwa. You’ll find this Dubai a million miles removed from the credit-card frenzy of the five-star hotels. Whatever you end up preferring, Dubai is a fascinating experiment and a city-state that’s like no other.

London Tour


London stands on both banks of the River Thames, in the south-east of England. Founded in the time of the Celts and the Romans, the city which was once known as Londinium has grown to become a vast and commerical trade centre. With an area of approximately 720 square miles, it is together with New York and Tokyo, one of the three largest cities in the world.

The city is blessed with its geographical position on the River Thames and is a chief entry point to England from mainland Europe. The London docks are visited by ships from every part of the globe, making London a great distribution centre. Today great lines and modern roads branch out in every direction from London, serving all parts of the United Kingdom. London is also a great financial centre and is home to many of the world's leading banks and insurance institutions.


As well as being the capital of England, London is the seat of government of the United Kingdom- The Palace of Westminister situated on the north bank of the Thames River is home to both the houses of the British Parliament.

Buckingham Palace, the Queen's official residence, is one of many important landmarks found in the capital. London is also a great centre of culture and education. The University of London and its many colleges attract students from all over the Commonwealth and the world. The vast history and culture of the city is visible by its many museums and galleries, containing collections of neverending interest.

London also contains many churches, the majority of which were designed by the architect Sir Christopher Wren following the destruction of the city after the Fire of London in 1666. Two of the country's most famous churches, St Pauls' Cathedral and Westminister Abbey are found in the London region

British Museum, London


The British Museum was founded in 1753, the first national public museum in the world. From the beginning it granted free admission to all 'studious and curious persons'. Visitor numbers have grown from around 5,000 a year in the eighteenth century to nearly 6 million today.

The origins of the British Museum lie in the will of the physician, naturalist and collector,Sir Hans Sloane (1660–1753).

Over his lifetime, Sloane collected more that 71,000 objects which he wanted to be preserved intact after his death. So he bequeathed the whole collection to King George II for the nation in return for a payment of £20,000 to his heirs.

The gift was accepted and on 7 June 1753, an Act of Parliament established the British Museum.

The founding collections largely consisted of books, manuscripts and natural specimens with some antiquities (including coins and medals, prints and drawings) and ethnographic material. In 1757 King George II donated the 'Old Royal Library' of the sovereigns of England and with it the privilege of copyright receipt.

The British Museum opened to the public on 15 January 1759 . It was first housed in a seventeenth-century mansion, Montagu House, in Bloomsbury on the site of today's building. Entry was free and given to ‘all studious and curious Persons’.

With the exception of two World Wars, the Museum has remained open ever since, gradually increasing its opening hours and moving from an attendance of 5,000 per year to today's 6 million.


Milan Tourist Attraction, Italy


The British Museum was founded in 1753, the first national public museum in the world. From the beginning it granted free admission to all 'studious and curious persons'. Visitor numbers have grown from around 5,000 a year in the eighteenth century to nearly 6 million today.

The origins of the British Museum lie in the will of the physician, naturalist and collector,Sir Hans Sloane (1660–1753).

Over his lifetime, Sloane collected more that 71,000 objects which he wanted to be preserved intact after his death. So he bequeathed the whole collection to King George II for the nation in return for a payment of £20,000 to his heirs.

The gift was accepted and on 7 June 1753, an Act of Parliament established the British Museum.

The founding collections largely consisted of books, manuscripts and natural specimens with some antiquities (including coins and medals, prints and drawings) and ethnographic material. In 1757 King George II donated the 'Old Royal Library' of the sovereigns of England and with it the privilege of copyright receipt.

The British Museum opened to the public on 15 January 1759 . It was first housed in a seventeenth-century mansion, Montagu House, in Bloomsbury on the site of today's building. Entry was free and given to ‘all studious and curious Persons’.

With the exception of two World Wars, the Museum has remained open ever since, gradually increasing its opening hours and moving from an attendance of 5,000 per year to today's 6 million.

Brussels Tourist Attraction



Amongst Europeans, Brussels is best known as the home of the EU, which, given recent developments, is something of a poisoned chalice. But in fact, the EU neither dominates nor defines Brussels, merely forming one layer of a city that has become, in postwar years at least, a thriving, cosmopolitan metropolis. It’s a vibrant and fascinating place, with architecture and museums to rank among the best of Europe’s capitals, not to mention a superb restaurant scene and an energetic nightlife. Moreover, most of the key attractions are crowded into a centre that is small enough to be absorbed over a few days, its boundaries largely defined by a ring of boulevards known as the “petit ring”.

Tourist Spot in China: The Great Wall


The Great Wall is the world’s longest human-made structure, stretching over approximately 6,400 km (4,000 miles)from Shanhaiguan in the east to Lop Nur in the west, along an arc that roughly delineates the southern edge of Inner Mongolia, but stretches to over 6,700 km (4,160 miles) in total. It is also the largest human-made structure ever built in terms of surface area and mass. At its peak, the Ming Wall was guarded by more than one million men. It has been estimated that somewhere in the range of 2 to 3 million Chinese died as part of the centuries-long project of building the wall.The Great Wall concept was revived again during the Ming Dynasty following the Ming army’s defeat by the Oirats in the Battle of Tumu in 1449. The Ming had failed to gain a clear upper-hand over the Mongols after successive battles, and the long-drawn conflict was taking a toll on the empire. The Ming adopted a new strategy to keep the nomadic Mongols out by constructing walls along the northern border of China. Acknowledging the Mongol control established in the Ordos Desert, the wall followed the desert’s southern edge instead of incorporating the bend of the Huang He.

Tourist Spots in India: Rajasthan


Rajasthan is the desert state of India and is famed for the glorious history of the Rajput kings and warriors. It is home to magnificent forts, palaces, temples, lakes, lake palaces, shrines and mausoleums. The places worth visiting in Rajasthan include Jaipur, Jodhpur, Udaipur, Bharatpur, Ranthambore and Jaisalmer etc. Jaipur, the Pink City is home to the famous Amber Fort, Jaigarh Fort, Nahargarh Fort, Jantar Mantar, Hawa Mahal etc. The tourist attractions of Jodhpur are Jaswant Thada, Umaid Bhawan Palace and Mehrangarh Fort along with many more. Udaipur is famous as the Lake City and the major tourist attractions include City Palace, Lake Palace, Saheliyon ki Bari, Lake Pichola and Jagdish Palace etc. Rajasthan has many tiger reserves and wildlife sanctuaries like Ranthambore National Park, Bharatpur Bird sanctuary and so on. The heritage hotels in Rajasthan are wonderful places and they also form perfect venues for lavish weddings. Ajmer is famed for the Ajmer Sharif Dargah.

Tourist Spots in India: Goa


Goa is famous all over the world for its dazzling beaches and beautiful coastline. The major tourist destinations in Goa are Panaji, Mapusa, Margao, Ponda, Bicholim, Mormugao, Tiracol etc. The tourist attractions in Goa include the St Francis Church, Mangeshi Temple, Miramar Beach, Dona Paul, Colva and Calangute Beach in addition to many more.

Tourist Spots in India: Kolkata



Kolkata is West Bengal’s capital and the tourist attractions here include Howrah Bridge, Belur Math, Kali Temple, Victoria Memorial, Alipore Zoo, Millennium Park and Birla Planetarium etc.

There are many more world heritage sites in India like the Ajanta and Ellora Caves of Aurangabad, Khajuraho Temples, Bodh Gaya, Varanasi etc.

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Tourist Spot in India: Agra , (Tajmahal)


Agra is famous for being the home of the world famous and world heritage site the Taj Mahal, one of the Seven Wonders of the World. Other tourist attractions in Agra include the Agra Fort, Jama Masjid, Sikandara, Itmad-ud-Daulah’s Tomb and Fatehpur Sikri. Taj Mahal is a magnificent building made of white marble, built by Shah Jahan in the memory of his wife, Mumtaz Mahal.

Tourist Spots in India: Delhi


Delhi is India’s capital city and is a well developed and modernized city with a pulsating and happening lifestyle. Most of the tourists start their tour of the country from this city. Delhi has always been the home of the highest seat of power and administration since long ago. Even today, it is the political and administrative nerve center of India and is home to the highest offices of the government. Delhi was the capital of Mughal Empire and thus has many Mughal buildings with typical Mughal architecture. The places of tourist interest in Delhi are the Qutub Minar, Jama Masjid, Red Fort, Chandani Chowk, Hauz Khas, Safdarjung’s Tomb, Lodhi Gardens, Raj Ghat, India Gate, Old Fort, Zoo, Nehru Planetarium, Pragati Maidan, Doll’s Museum, Birla Mandir, Jantar Mantar Lotus Temple, Parliament House and Rashtrapati Bhawan etc. All the Mughal buildings are impressive structures made of red sandstone with marvelous carvings. The places for shopping are the Janpath, Palika Bazaar, Connaught Place, South Extension and Sarojini Nagar Market and so on.

Tuesday, August 25, 2009

The largest continuous block of mangrove forest in the world: Sundarban


The Sundarbans - the largest continuous block of mangrove forest in the world - covers an area of 5770 sq. km of land and water. It is a part of the world's largest delta, which has been formed from sediments deposited by the great rivers Ganges and Brahmaputra that converge on the Bengal basin. The western part of the forest lies in India and the rest (about 60%) in Bangladesh. About one third of the total area of this forest is covered by river channels and tidal creeks, varying in width from just a few meters to 5 kilometers in some places! All parts of the Sundarbans forest are subject to tidal inundation during spring tides. The Bangladesh part of the forest is dominated by a high mangrove forest cover. The climate is mainly tropical maritime with lots of rain, most of which falls during the monsoon. The monsoon season (May – October) is hot and humid, while winter (October – February) is mild and dry. During January temperatures can fall as low as 4°C.

The entire National Park area is covered by mangrove forest. There are small patches of brackish marshes on emerging islands and riverbanks, and sandy areas with grass and low shrubs on some of the outer islands. The two dominant mangroves are Sundori (Heritiera fomes) and Gewa (Excoecaria agallocha).

Sundarbans is home to many different species of birds, mammals, insects, reptiles and fishes. Over 120 species of fish and over 270 species of birds have been recorded in the Sundarbans. The Gangetic River Dolphin (Platanista gangeticus) is common in the rivers. No less than 50 species of reptiles and eight species of amphibians are known to occur. The Sundarbans now support the only population of the Estuarine, or Salt-Water Crocodile (Crocodylus parasus) in Bangladesh, and that population is estimated at less than two hundred individuals.

About 32 species of mammal are still found in this forest. Among these are Rhesus Macaques, Clawless Otters, Leopard Cats, Fishing Cats and Spotted Deer. The entire Sundarbans Forest comprises the largest remaining tract of habitat for the Royal Bengal Tiger (Panthera tigris)


Cox's Bazar: The Longest Sea Beach In the World

152 km south of Chittagong, connected by a good road, lies Cox's Bazar. The beach, sloping gently into the Bay of Bengal stretches over a length of nearly 120 km. It is claimed to be the longest natural beach in the world!

Cox's Bazar itself has a lot to offer; such as the silvery sands, towering cliffs, surfing waves, rare conch shells, colorful pagodas, Buddhist temples, variety of tribes, early morning fish market, etc. There are also a few very old wooden Buddhist temples at Ramu, a few kilometers from Cox's Bazar, well worth visiting.

A drive to Teknaf, which is the southernmost tip of the mainland of Bangladesh, is a memorable journey. A day trip to either Moheshkhali or Sonadia, the deltaic islands nestled among the gentle waves of the Bay of Bengal, will also be really interesting.

St. Martins Island, reached by boat from Teknaf, is the only place in Bangladesh where you can observe living coral. It is a small island without any rickshaws and cars.

Bangladesh: Flora and Fauna


Flora and Fauna

Bangladesh cover about 10% of the country and fall distinctly into three regional varieties: the forest in the tidal zones along the coast, mostly Sundarbans (often mangrove but sometimes hardwood); the forest of Sal trees (hardwood) around Dhaka, Tangail and Mymensingh; and the forests of tropical and subtropical evergreens in the Chittagong Hill Tracts and parts of Sylhet. Half of the remaining forest is in the Chittagong Hill Tracts and a further quarter in the Sundarbans, with the rest scattered in small pockets throughout the country. Even away from the forests, Bangladesh is a land of trees. Lining the old Grand Trunk Road in the west are huge rain trees, and every village is an arboreal oasis, often with spectacular Banyan or Ashot trees. The red Silk-cotton or Kapok tree is easily spotted throughout the countryside in February and March, when it loses its leaves and sprouts a myriad of red blossoms. Teak was introduced to the Hill Tracts in the last century, and the quality approaches that of Myanmar and is much better than Indian teak.

Each season produces its special variety of flowers in Bangladesh; among them, the prolific Water Hyacinth flourishes. Its carpet of thick green leaves and blue flowers gives the impression that solid ground lies underneath. Other decorative plants, which are widely spread are Jasmine, Water Lily, Rose, Hibiscus, Bougainvillea, Magnolia, and an incredible diversity of wild orchids in the forested areas.

Bangladesh is home to the Royal Bengal Tiger and others of the cat family, such as leopards and the smaller fishing and jungle cats. Tigers are almost exclusively confined to the Sundarbans, but their smaller relatives prey on domestic animals all over the country. There are three varieties of civet, including the Large Indian Civet which is now listed as an endangered species. Other large animals include Asiatic elephants (mostly migratory herds from India), a few black bears in Chittagong division, wild pigs and deer. Monkeys, languor, gibbons (the only ape in the subcontinent), otters and mangooses are some of the smaller animals. Wild buffalo and rhinoceros were recorded in Bangladesh, but all became extinct in the last century.

Reptiles include the sea tortoise, mud turtle, river tortoise, crocodile, python, king cobra and a variety of other poisonous snakes. The voluble gecko lizard is appropriately known here as tik-tiki. Marine life includes a wide variety of both river and sea fish.

Bangladesh can boast of being the habitat to more than 650 species of birds, almost half of those found on the entire subcontinent. Tucked in between the Indian subcontinent and the Malayan peninsulas, Bangladesh attracts both Indian species in the west and north of the country, and the Malayan species in the east and south-east. It is also conveniently located for the migratory birds heading south towards Malaysia and Indonesia and those moving south west to India and Sri Lanka. In addition, there are a number of Himalayan and Burmese hill species, which move into the lowlands during winter. Despite the fact that many of these species are rare or localized and that the overall number of birds has rapidly declined in the past two decades, bird watching in Bangladesh is very rewarding.

Not far from Dhaka, in the Modhupur Forest, is an extremely important habitat under national protection. This area is great for a variety of owls, including the popular and rare Brown Wood Owl, wintering thrushes and a number of raptors. The Jamuna River floods the area regularly and provides winter habitats for water fowl, waders, and occasionally the Black Stork from December to February.

Lying close to the Himalayas, the Sylhet area has extensive natural depressed lands locally called ‘haors’ (pronounced ‘howers’, wetlands). During the winter season they are home to huge flocks of wild fowl. Outstanding species include the rare Baer’s pochard and Pallas’ fishing eagle, along with a great number of ducks and skulkers. Other important habitats are the remaining fragments of evergreen and teak forests, especially along the Indian border near the Srimongal area. The blue-bearded bee-eater, red breasted trogan and a wide variety of forest birds, including rare visitors, are regularly seen in these forests. One of two important coastal zones is the Noakhali region, with emphasis on the islands near Hatiya, where migratory species and a variety of wintering waders find suitable refuge. These include large numbers of the rare spoonbilled sandpiper, Nordman’s greenshank and flocks of Indian skimmers.

The Sundarbans, the second and most important coastal zone, is the richest area for all kinds of wildlife and the most difficult to penetrate. With its miles of marshy shorelines and brackish creeks, it supports a great number of wetland and forest species, along with large populations of gulls and terns along the south coast. Nine varieties of kingfishers have been recorded here including the brown-winged, white-collard, black-capped and the rare ruddy kingfisher.

Abundance of Bangladesh's bird life makes it an ornithologist's paradise. Of the 525-recorded species, 350 are resident. Among them are bulbul, magpie, robin, common game birds, cuckoos, hawks, owls, crows, kingfishers, woodpeckers, parrots and myna. A wide variety of warblers are also found. Some of them are migrants and appear only in winter. The migratory and seasonal birds are pre-dominantly ducks.
Of the 200 species of mammals, the pride of place goes to the Royal Bengal Tiger of the Sunderbans, the largest block of littoral forests spreading over an area of 6,000 sq. km. Next comes the elephants found mainly in the forests of the Chittagong Hill Tracts districts. South Himalayan black bear and the Malayan bear are also seen here. Six types of deer are found in the hill tracts and the Sunderbans. Of them the spotted deer, barking deer and sambar is the most familiar. Clouded leopard, leopard cat, mongoose, jackal and rhesus monkey are also found. Among the bovine animals, three species- buffalo, ox and gayal- are found. There are about 150 species of reptiles of which the sea turtle, river tortoise, mud turtle, crocodiles, gavial, python, krait and cobra and common. About 200 species of marine and freshwater fish are also found. Prawns and lobsters are available in plenty for local consumption and export. In the shallow water of the floodplains, ponds and swamps of the country various hydrophytes and floating ferns grow in abundance. Tall grasses present a picturesque site near the banks of the rivers and the marshes. Around 60% of the Gangetic plain is under rice paddy and jute cultivation. The village homes are usually concealed by the lush green foliage of a wide variety of trees, thickets of bamboo and banana plants. A characteristic feature of the landscape is the presence of a variety of palm and fruit trees.
Each season produces its special variety of flowers in Bangladesh; among them, the prolific Water Hyacinth flourishes. Its carpet of thick green leaves and blue flowers gives the impression that solid ground lies underneath. Other decorative plants, which are widely spread are Jasmine, Water Lily, Rose, Hibiscus, Bougainvillea, Magnolia, and an incredible diversity of wild orchids in the forested areas. Lying close to the Himalayas, the Sylhet area has extensive natural depressed lands locally called 'haors' (pronounced 'howers', wetlands). During the winter season they are home to huge flocks of wild fowl. Outstanding species include the rare Baer's pochard and Pallas' Fish Eagle, along with a great number of ducks. Other important habitats are the remaining fragments of evergreen and teak forests, especially along the Indian border near the Srimongal area. The Blue-bearded Bee-eater, Redheaded Trogon and a wide variety of forest birds, including rare visitors are seen in these forests. One of two important coastal zones is the Noakhali region, with emphasis on the islands near Hatiya, where migratory species and a variety of wintering waders find suitable refuge. These include rare viitors like Spoon billed Sandpiper, Nordman's Greenshank and flocks of Indian Skimmers.
The forest cover of Bangladesh is only about 9 percent. The thickest forests are in the coastal Sunderbans and the hill tracts in the northeast. Extensive areas of Rajshahi, Dinajpur and Kushtia are under mango, litchi, sugarcane and tobacco cultivation .



Medical Guideline for Airline Travel

Each year approximately 1 billion people travel by air
on the many domestic and international airlines. It has
been predicted that in the coming two decades, the
number of passengers will double. A global increase in
travel, as well as an increasingly aged population in
many countries, makes it reasonable to assume that
there will be a significant increase in older passengers
and passengers with illness. Patients frequently ask
their physicians whether or not it is advisable for them
to travel, and if so, what precautions they should take.
Consequently, physicians need to be aware of the environmental
and physiological stresses of flight in order
to properly advise their patients. In addition, because
international travelers can fly to the four corners of the
world in just hours, a basic understanding of vaccinations
is requisite.
Two caveats are brought to the attention of the
reader. First, if inflight illness or even death has occasionally
been reported by the airlines, the event was not
necessarily caused by airline travel or the stresses of
flight. The physician must be mindful that, with so
many passengers spending so many hours inflight, flying
and the medical event may be coincidental rather
than causal. Second, the guidelines described herein are
just that– guidelines, and not rigid criteria or hard and
fast rules. Like all patient management, these guidelines
must be individualized and tempered by the physician’s
clinical judgment.
This publication was prepared by the Aerospace
Medical Association Medical Guidelines Task Force.
The information contained herein is for primary care
and specialist physicians so they will be better prepared
to advise patients who are contemplating air travel.
(The reader is cautioned that the material applies only
to passengers and not to airline crews or cabin attendants.)
The authors sincerely hope that this publication
will educate the physician and contribute to safe and
comfortable flight for passengers.
Stresses of Flight
Modern commercial aircraft are very safe and, in
most cases, reasonably comfortable. However, all
flights, short or long haul, impose stresses on all passengers.
Preflight stresses include airport tumult on the
ground such as carrying baggage, walking long distances,
and being delayed. Inflight stresses include lowered
barometric pressure and partial pressure of oxygen,
noise, vibration (including turbulence), cigarette
smoke, uncomfortable temperatures and low humidity,
jet lag, and cramped seating (64). Nevertheless, healthy
passengers endure these stresses which, for the most
part, are quickly forgotten once the destination is
reached. In general, passengers with illness (i.e., stable
illness) also usually depart the destination airport none
the worse. However, there is always the potential for
such passengers to become ill during or after the flight
due to these stresses.
The primary difference between the aircraft environment
and the ground environment relates to the atmosphere.
Contrary to popular belief, modern aircraft are
not pressurized to sea level equivalent. Instead, on most
flights the cabin altitude will be between 5000 and 8000
ft (1524 m and 2438 m). This results in reduced barometric
pressure with a concomitant decrease in partial
pressure of oxygen (PO2). While the barometric pressure
is 760 mm Hg at sea level with a corresponding PaO2
(arterial O2 pressure) of 98 mm Hg, the barometric
pressure at 8000 ft will be 565 mm Hg with PaO2 of about
55 mm Hg. If these last data are plotted on the oxyhemoglobin
dissociation curve, we obtain a blood oxygen
saturation of 90%. Although most healthy travelers can
normally compensate for this amount of hypoxemia,
this may not be true for coronary, pulmonary, cerebrovascular,
and anemic patients. Because these patients
may already have a reduced PaO2 on the ground, further
reduction in aircraft cabin pressure will bring them to
the steep part of the oxyhemoglobin dissociation curve
with a resultant very low saturation, which could cause
distress and/or exacerbation of their illness (Fig. 1).
The hazards of cigarette smoking, active and passive,
are well known and need not be recounted here. There
is a worldwide movement to ban inflight smoking, with
the International Civil Aviation Organization (ICAO)
having asked all member States to comply. U.S. air
carriers prohibit smoking on all flights. As a result,
there has been vast improvement in cabin air quality
and commensurate crew and passenger comfort. (For
passengers with the potential for inflight nicotine withdrawal
symptoms, nicotine gum or patch might be
considered.)
Today’s aircraft have very low cabin humidity, usually
ranging from 10-20%. This is unavoidable because
the air at high altitude is practically devoid of moisture.
As a result, there can be a drying effect of airway
passages, the cornea (particularly under contact lenses),
and the skin.
Jet lag or circadian desynchronosis results from the
desynchronization of the body clock with surroundingenvironmental cues. It may not only be an annoyance
for healthy passengers, but it can also complicate the
timing of medications, such as insulin (See Jet Lag and
Diabetes sections).
On commercial flights, regardless of aircraft type,
many passengers sit in small, cramped spaces. This is
not only uncomfortable, but also reduces the opportunity
to get up, stretch, and walk about the cabin. Sitting
for long periods is tolerable for most passengers, but for
some there is the potential for exacerbating peripheral
edema, cramps, and other circulatory problems. Of particular
concern are deep venous thrombosis and, even
worse, the potential for pulmonary embolus (See Deep
Venous Thrombosis section).

Important Place in Dhaka

DHAKA
the capital the capital of Bangladesh is Dhaka with its exciting history and rich culture, known the world over as the city of mosques and muslin; it has attracted travelers from far and nearer throughout in all the ages. It has a history dating back to earliest time. But the exact date of its foundation is not known. However, according to recorded history it was founded in 1608 A.D. as the seat of the imperial Mughal Viceroy of Bengal. Dhaka as the capital of Bangladesh has grown into a busy city of about seven million people with an area of about 815 sq. km. Having a happy blending of old and new architectural trends, Dhaka has been developing fast as a modern city and is throbbing with activities in all spheres of life. It is the centre of industrial commercial, cultural, educational and political activities for Bangladesh. At Tongi, Tejgaon, Demra, Pagla, kanchpur, the industrial establishments turn - out daily necessities. Motijheel is the main commercial area of the city. Dhaka's major waterfront Sadarghat is on the bank of the river Buriganga and is crowded with all kinds of river craft, batches, country boats, motor launches, paddle-steamers, fishermen's boats all bustling with activity. Colourful rickshaws (tricycle) on the city streets are common attractions for the visitors. Some of the outstanding tourist attractions of Dhaka are: Mosque: Seven domed Mosque (17th century), Rose Garden (Rajbari), Atia Mosque (Mugal Element), Baitul Mukarram National Mosque, Star Mosque (18th century). Hindu Temples: Dhakashwari Temple (11th Century), Ramkrishna Mission. Churches : Armenian Church (1781). St. Mary's Cathedral at Ramna, Church of Bangladesh or former St Thomas Cathedral Church (1677) at Tejgaon. Lalbagh Fort : It was built in 1687 A.D., by Prince Mohammad Azam, son of Mughal emperor Aurangazeb. The fort was the scene of bloody battle during the first war of independence (1857) when 260 sepoys stationed here backed by the people revolted against British forces. Outstanding among the monuments of the Lalbagh Fort are the tomb of Pari Bibi (Fairy lady), Lalbagh Mosque, audience hall and Hammam of Nawan Shaista Khan now housing a museum. 1857 Memorial (Bhahudar Shah Park): Built to commemorate the martyrs of the first liberation war (1857 - 59) against British rule. It was here that the revolting sepoys and their civil compatriots were publicly hanged. Ahsan Manzil Museum: On the bank of river Buriganga in Dhaka the pink majestic Ahsan Manzil has been renovated and turned into a museum recently. It is an example of the nations rich cultural heritage. It was the home of the Nawab of Dhaka and a silent spectator to many events. Today's renovated Ahsan Manzil is a monument of immense historical beauty. It has 31 rooms with a huge dome atop which can be seen from miles around. It now has 23 galleries in 31 rooms displaying portraits, furniture and household articles and utensils used by the Nawab. Curzon Hall: Beautiful architectural building named after Lord Curzon. It now houses the Science Faculty of Dhaka University. Old High Court Building: Originally built as the residence of the British Governor. It illustrates a happy blend of European and Mughal architecture. Dhaka Zoo: Popularly known as Mirpur Zoo. Colourful and attractive collections of different local and foreign species of animals and birds including the majestic Royal Bengal Tiger are available here. National Museum: Centrally located, the museum contains a large number of interesting collections including sculptures and paintings of the Hindu, Buddhist and Muslim periods. Botanical Garden: Built on an area of 205 acres of land at Mirpur and adjacent to Dhaka zoo. One can have a look at the zoo and the botanical garden in one trip. National Park: Situated at Rejendrapur, 40km. north of Dhaka city. This is a vast (1,600 acres), national recreational forest with facilities for picnic & rowing etc. Central Shahid Minar: Symbol of Bangladesh nationalism. This monument was built to commemorate the martyrs of the historic Language Movement of 1952. Hundred and thousands of people with floral wreaths & bouquet gather on 21 February every year to pay respect in a solemn atmosphere. Celebrations begin at zero hour of midnight. Buddhist Monastery: Kamalapur Buddhist Monastry. National Poet's Graveyard: Revalutionary poet Kazi Nazrul Islam diend on the 26 th August 1978 and was buried here. The graveyard is adjacent to the Dhaka University. Suhrawardy Uddyan (Garden): Popular Park. The oath for independence of Bangladesh was taken here on the 7th March 1971. The place is famous for its lush verdure and gentle breezes. Mausoleum of National Leaders: Location at the south western corner of Suhrawardy Uddyan, it is the eternal resting place of three great national leaders, Shree - Bangla A.K. Fazlul Haque, Hossain Shahid Suhrawardy and Khawja Nazimmuddin. Banga Bhaban: The official residence of the President, located in the city. One can have a outside view. Baldha Garden: It has a rare collection of botanical plants and flowers. Ramna Green: A vast stretch of green garden surrounded by a serpentine lake near the Sheraton Hotel. National Assembly: Jatiya Sangsad Bhaban (Parliament House) at Shere e Bengla Nagar, designed by the famous architect Louis, Kahn, has distinctive architectural features. It may be called an architectural wonder of this region. Science Museum: Located at Agargaon, the Museum is a modern learning centre related to the latest scientific discoveries. National Memorial: Located at Savar, 35 km. from Dhaka city. The memorial designed by architect Moinul Hossain, sacred memory of the millions of unknown martyrs of the 1971 war of liberation. Sonargaon: About 29 km. from Dhaka. Sonargaon is one of the oldest capital of Bengal. A Folk Art and Crafts Museum has been established here. Other attractions in and around Dhaka include the institute of Arts and Crafts with its representative collection of folk art and paintings, handicraft shops, Aparajeya Bangla monument, picnic spots at Chandra and Salna, industrial estates of Tongi, Narayanganj Demra, Tejgaon: cruising by country boat in the nearby river or a visit to a village to see jute cultivation, weaving and pottery making. Last but not least travel by a horse driven cart or rickshaw along busy Dhaka streets is a rewarding experience.

About Bangladesh



Bangladesh is a large delta laden with bounties of nature. The borderland along the north-east, east and the south-east is evergreen forested hills with wondrous wildlife.

All her six seasons vibrate with fairs and festivals, mirth and merriment.

Though Bangladesh is one of the world's smallest countries, she has the world's longest sandy sea-beach along the Bay of Bengal at Cox's Bazar and the Sundarbans, the largest mangrove forest, the home of the Royal Bengal Tiger, sentinel of the south.

Bangladesh is heir to a rich cultural heritage. The archaeological treasures of Mahasthangarh, dating back to 3rd century B.C., the 8th century Paharpur Buddhist Vihara, a world heritage site and Salbana Vihara at Mainamati of the same period and the 15th century sixty-domed grand mosque at Bagerhat, also a world heritage site, the Hindu temples of Chandranath at Sitakund, Adinath at Moheshkhali and Dhakeshwari Temple in Dhaka bear testimony to its devotional past.

Location and physical Features

Located in the north-eastern part of South Asia, Bangladesh lies between 20°34' and 26°36' north latitude and 88°0 I' and 92 °41' east longitudes. The mighty Himalayas is to the north, while the southern frontier is guarded by the Bay of Bengal. To the west lies the expansive Gangetic plains (west Bengal) of India and on the eastern frontier lies the forest of Myanmar and India (Tripura & Assam Hills). These picturesque geographical boundaries delineate a low lying plain of about 1,47,570 sq. km. criss-crossed by innumerable brooks, rivulets and streams and rivers like the Padma (Ganges), the Brahmaputra Oamuna), the Meghna, the Karnaphuli.

Much of the country's land area has been built up from alluvial deposits brought down by the major rivers. The country is mostly flat except for a range of hills in the south-east. It is characterized by wooded marshy lands and jungles with deep forest regions in Sylhet, Rangamati, Khagrachhari and Bandarban Hill Districts, Sundarbans (the world Heritage site), Mymensingh and Tangail.

Bangladesh has a variety of attractions for visitors, tourists and holidaymakers including archaeological sites, historical mosques and monuments, resorts, beaches, anthropological communities, forests, flora and fauna. Bangladesh offers tourists ample opportunities for angling, rowing, jungle trekking, sun and seabathing and above all for being in pristine Nature.

Demography

Bangladesh has a population of 147.4 million making it the most densely populated country of the world. 85% of the population lives in rural areas. Density of population is about 900 per sq. km. There are about 2 million people of 23 tribes. They dwell mostly in Rangamati, Khagrachhari, Bandarban and in parts of northern districts.

Language

The state language and mother tongue is Bangla. English is widely spoken and understood with some young people learning other languages like French, German, Spanish, Japanese etc. for utilizing in their professional fields.

Religion

Bangladesh is a land of religious freedom, harmony and tolerance. People of all castes and creeds live here in perfect harmony. The percentage distribution of population to religions is as follows:

Muslim 88%, Hindus 10%, Christians, Buddhists and others 2%.

Government

The country is officially known as The People's Republic of Bangladesh and has a parliamentary form of Government. The president is the head of the state while the Prime Minister is head of the Government. The country is divided into 6(six) divisions namely Dhaka, Chittagong, Rajshahi, Barisal, Sylhet and Khulna. There are 64 districts, 464 Upazilla (small administrative unit) and 85,650 villages under the six divisions.

Bangladesh has a 345-seat parliament called Jatiya Sangsad. Three hundred members of Jatiya Sangsad are directly elected by the electoral college and 45 seats are reserved for women, nominated proportionately by the members of different parties in parliament. They are designated as Member of the Parliament.

Economy

The economy is characterized by a large subsistence agricultural sector, which contributes to some 85% of the country's population and a small modern industrial sector. The total cultivable area is around 24 million acres and there are a little more than 15 million cultivators. Tea, leather, readymade garments, frozen shrimp, jute and jute products are major foreign exchange earners. Export of handicrafts is booming fast. Remittances from Bangladeshis employed abroad are also contributing significantly towards foreign exchange earnings.

Monday, August 24, 2009

History of Travel


Throughout the Middle Ages, when Europe's roads are little more than tracks, wheeled vehicles are used only for the laborious process of carting goods from place to place. When going on a journey, the able-bodied ride; the infirm are carried in a litter.

This changes in the 17th century, when there is some improvement in the paving of roads. Carriages are available for hire in the streets of London from 1605. By the second half of the century there are traffic jams. Samuel Pepys, conscious of rising in the world, considers it embarrassing in 1667 to be seen in London in a common hackney carriage which anyone can hire. The next year he happily acquires a coach and a liveried coachman of his own.





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Coaches gradually become more comfortable. The most common design, developed in Germany in about 1660, is known as the berlin. The compartment for the travellers has the shape of a shallow U, with a protective roof above. There is a door on each side and the coach can seat four people, in pairs facing each other. The coachman, driving the horses, sits above the front wheels.

From 1680 glass windows keep out the weather, where previously there were only blinds. The first simple suspension, protecting the occupants against the bumps of the road, consists of leather straps on which the compartment hangs from the framework. The berlin introduces curved metal springs, which absorb the shocks more effectively.



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A much lightier and racier two-wheeled vehicle, the gig, is introduced in Paris during the late 17th century. Relatively cheap, pulled by a single sprightly horse, driven by its owner and alarmingly easy to overturn, the gig is the first type of carriage to make driving an enjoyable activity.

At the other extreme from the gig, the more sedate citizen in 17th-century European capitals often uses human rather than animal power for short journeys. He hails a sedan chair and is carried, in elegant comfort behind glass windows, to his next destination. A sedan with wheels, known in Paris as a brouette, is pulled through the streets in the same way as a rickshaw in the east today.



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The sedan chair soon goes out of fashion, but the carriages introduced in the 17th century evolve into the wide range of vehicles - many of them extremely beautiful - which are familiar on the streets of Europe and America until they are finally replaced in the 20th century by the car.

Among the best-known of such vehicles, featuring as they do in so many prints of the era, are the lumbering stage coach and its more effective successor, the mail coach.