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  BANGKOK CUISINE
:: Chinese
:: Cigar Shops
:: French
:: Hotel Dining
:: Indian
:: Italian
:: International
:: Japanese & Korean
:: River Cruises
:: Seafood
:: Steakhouses
:: Swiss
:: Thai & Isan Cuisine
:: Vietnamese
 

Tourist Health and Sanitation In Thailand

Travelers are rightfully concerned about diseases they may come into contact with while visiting parts of Thailand and this is usually attributed to people not adhering to a few simple rules. Let me start by saying that Thais often have a tolerance of the water and certain micro-organisms that would make some travelers sick, so lets start with the water. The water is not clean enough to drink in many hotels of 2nd, and 3rd class categories as they lack the water purification systems found in the better hotels. Therefore, I recommend that you do not drink their tap water and this means that you should even brush your teeth with bottled water. A plastic bottle of water is a good thing to carry with you as you tour the city and will help from dehydration on those long hot days. Tap water in most places is not considered safe and is not even drank by the locals.

If you prefer to get a soft drink as you walk around the city and you choose to enjoy it at a local restaurant, there are two things to be concerned with. First, the ice. If a glass arrives with cylindrical shaped ice with a hole in the center of each cube, that means that it is probably from a gov't approved ice factory and the ice is safe to consume. But, if the glass you are using was washed in dirty water, then you have a different problem. This could apply to the plate, spoon and fork as well. Always wipe off the silverware with your tissue (paper napkin) before using it. Again, this doesn't apply to the upscale hotel eateries. Your safest bet when consuming drinks when you are out-and-about is to select drinks that have been refrigerated (already cold). You need only to wipe off the top of the can or unscrew the plastic bottle and it is safe to drink. Thais always use a straw when drinking bottled water, cans of soda, bottles of ice tea, etc.

When eating out, common sense, comes into play. Look around at the place you are about to dine at. If you have been brave enough to choose from a vender selling on the street, look and see if they are washing their dishes on the street in one tub of water... if so, then its definitely time to leave. Dishes should be washed in clean water and then rinsed to remove soap and excess dirt. With that said, the great majority of the time eating at food stands on the street are perfectly safe
even if you see they are using their hands and have never heard of gloves or tongs, Eating boiled or fried dishes is one of the safest foods as the bacteria is usually killed after the item (chicken, for example) has been cooked or sauteed and has reached 155º F.
Many say it is safe if boiled, cooked, or peeled. That is not always true as the fruit you have peeled may have been grown in contaminated water or soil, however, I've found it to be very rare that oranges, bananas, rambutan, etc have made people sick.

                  WHAT GENERALLY MAKES PEOPLE SICK IS POOR HYGIENE.
If you buy fruit or a salad that is prepared by somebody using their hands BE CAREFUL! They
will more likely be the villain for you getting sick as they handle the money, the food, and maybe not even wash their hands after using the toilet. ...This can make you sick!

GETTING SHOTS BEFORE YOU TRAVEL

As a resident of Thailand for about 9 years I will address this with my experience and what I believe most people do prior to their trip to Asia. First of all, I know many people hate to get an injection for anything, let alone a preventative measure for their travels. As the risk may be very small and most people get No shots prior to coming to Thailand, there are some things to consider. Mosquitos can carry diseases, which may not be common in your home country, as well as carriers of malaria and other diseases. When up-country or outside in the early evening, it is recommended that you wear clothing that covers your body (light jacket or long-sleeve shirt and pants rather than shorts) to minimize the risk of being bitten. If you think it is too hot to wear so much clothes then stop eating al fresco, especially near rivers or other parts of water, and opt for eating indoors. If your plans include a trip upcountry, or to Cambodia, Laos, Viet Nam or Myanmar then I would definitely recommend getting the necessary inoculations and get them at least 30 days before you leave.

My personal note: About 4 years ago I found myself with a small irritation on my left hip which soon became similar to a boil and within a week it grew in size to something similar to a half-grapefruit. It became extremely painful and forced me to go to a hospital. I chose to fly back to America where I had a team of infectious diseases at a hospital completely stumped but said that they thought it was a result of a mosquito bite that injected me with something only familiar to the doctors and hospitals here in Asia. After about a month and a lot of antibiotics, the  infection finally subsided and after time, it left no evidence of ever being on my body.

Now with all that information, I must say that my dad has been coming to Bangkok for almost yearly for the past 9 years (he is now 82 years old) and he has never gotten any shots, other than a tetanus shot, prior to his trips and never had a problem and I have never heard of any serious conditions of persons as a result of not getting shots. I have heard of people getting sick as a result of not paying attention to proper sanitation when dining out.