INTRODUCTION:
There are several steps you can take to avoid suffering from travellers'
diarrhoea while on holiday in The Gambia. But first it is important
to note that the difference between home-grown and Gambian food is the
use of more "natural" fertilisers like manure, which can carry
bacteria that could cause intestinal problems - also known as Banjul
Belly. Below are some basic hygiene rules to follow before consuming
food and drink.
ALWAYS WASH HANDS:
Because you are in the tropics bacteria tend to multiply much faster
than back in temperate regions. Do wash your hands often and always
before eating or handling food. Dangerous microorganisms are commonly
found in water, soil, animals and humans, and can be present on hands
and transferred to food. When visiting village markets, be conscious
of this when handling raw food and in particular uncooked meat, and
wash hands after touching these foods. When going out on excursions
to the Gambian bush or anywhere outside your hotel try and pack some
hand sanitizer or wipes in case there is no clean water and soap available.
SEPARATE RAW & COOKED FOOD:
When
visiting roadside food vendors or buffets in restaurants and hotels,
make sure that raw food is not in contact with cooked food which it
could contaminate. Avoid any uncooked food, apart from fruits,
vegetables and nuts that can be shelled or peeled.
Foods containing undercooked or raw eggs, such as locally made mayonnaise,
some desserts and sauces may be contaminated with salmonella. Raw food
can contain harmful microorganisms which could contaminate cooked food
via direct contact. This may reintroduce disease-causing bacteria into
already safe, cooked food.
FOOD MUST BE COOKED THOROUGHLY:
In
general, ensure your food has been well cooked and remains piping hot.
In particular, avoid poultry meat that is still red or where the juices
are pink, raw seafood, and minced meat, such as in beef burgers that
are still rare due to the fact that they contain harmful bacteria throughout,
and could even have tapeworm larva. Harmful microorganisms, such as
E. coli, are destroyed by proper cooking which is one of the most effective
ways to make food safe to eat. However, it is essential that all parts
of the food be thoroughly cooked, i.e. reaching at least 71.1 °C (160
°F) in all parts.
SEAFOOD: Seafood
dishes are well known for causing intestinal problems, as fish build
up contaminants in their tissues from a broad variety of sources. Make
sure all fish is well done. Smaller fish tend to be safer to eat as
the larger ones may contain biotoxins. Fish organs and shellfish (such
as oysters, clams, mussels) should be avoided.
RESTAURANTS:
As a general guide the busier a restaurant is the greater the likelihood
it serves fresh, clean and safer food. As an added safety measure ask
that your meal be well cooked, and take basic precautions. Eating in
diners later in the day reduces the chance that you will get fed ingredients
from yesterday. ![](images/back-to-top.gif)
MAINTAIN FOOD AT SAFE TEMPERATURES:
Cooked
food, such as cold meat platters, which have been kept at room temperature
for several hours is another important risk for foodborne illness. Avoid
these foods in restaurants, buffets,
and in particular at street vendors and markets if they are not kept
very hot, on ice or refrigerated. This is because microorganisms can
multiply quickly if food is kept at room temperature. By holding food
piping hot (above 60°C), refrigerated or on ice (at temperatures below
5°C) the growth of microorganisms is slowed down or halted.
CHOOSE SAFE WATER & FOOD:
Drinking
water, ice cream, raw milk and ice cubes can
easily be contaminated with potentially harmful chemicals or bacteria
if they are produced from tainted ingredients or utensils. If you are
in any doubt then it's best to avoid them and find a different source.
Peel all vegetables and fruits if consumed raw. Reject those with damaged
skin because toxic chemicals can be produced in mouldy and damaged foods.
Green leafy vegetables, such as salads, can carry germs which are hard
to remove. Sometimes hotels will add a little chlorine to water in order
to rinse vegetables. If in doubt the hygienic preparation of vegetables,
avoid eating them.
If
available, bottled water is the safer option for drinking water but
always ask that the bottle be opened in your presence and inspect
the bottle-top seal to make sure it is intact prior to opening. When
the safety of drinking water is unclear, bring it to a rolling boil
for at least 1 minute. This will kill most of the microorganisms present.
If boiling is not possible, use of water purification tablets such as
iodine and micro-pore filtration should be considered. If you still
don't have any of these options then a transparent and colourless plastic
PET bottle filled with cloth filtered water and left on a roof on a
sunny day should do the trick. The so called SODIS method uses UV rays
from the sun to kill pathogens, but it must be kept in the sun for at
least 6 hours. Beverages
which are either packaged or otherwise bottled are usually safe to drink.
Be careful of freshly squeezed fruit juices sold on Gambia's beaches.
Make sure that the juice presser peels the fruit and makes the beverage
in front of you. The only problem is that you will not know whether
they have washed their hands and utensils, however, they are regulated
by the authorities. ![](images/back-to-top.gif)
Note carefully: Disclaimer
Always
seek the advice of your medical doctor before deciding to take or not
to take any medications or health precautions. The above information
does not and is not intended to replace or substitute the advice and
/ or recommendation from your doctor or other authorised medical practitioner. |