Traveling abroad is an exciting adventure, but health emergencies can occur when least expected. Understanding what to anticipate in terms of emergency room (ER) visits can alleviate some stress. Here's a detailed guide on the emergency medical services in some of the most popular tourist destinations across Europe, Southeast Asia, and the Americas, including the UK, Spain, France, Germany, Thailand, Mexico, Singapore, Jamaica, and the USA.     [caption id="attachment_289763" align="aligncenter" width="765"]  [/caption]   Comparative Overview   Facilities and Medical Equipment  

• High Standards: UK, France, Germany, Singapore, USA
• Moderate to High Standards: Spain, Thailand (Private), Mexico (Private)
• Moderate Standards: Thailand (Public), Mexico (Public), Jamaica (Private)
• Varied Standards: Jamaica (Public)

    Doctors and Nurses  

• Highly Trained, English-Speaking: UK, Spain, France, Germany, Singapore, USA
• Well-Trained, English-Speaking in Private Hospitals: Thailand, Mexico, Jamaica
• Varied Training and Language Skills in Public Hospitals: Thailand, Mexico, Jamaica

    Wait Time  

• Short Wait Times: France, Germany, Singapore
• Moderate Wait Times: Spain, Thailand (Private), Mexico (Private), Jamaica (Private)
• Potentially Long Wait Times: UK, Thailand (Public), Mexico (Public), Jamaica (Public)

    Cost       Europe   United Kingdom   Facilities and Medical Equipment: The UK's National Health Service (NHS) offers comprehensive emergency care facilities with advanced medical equipment. Emergency departments, known as Accident & Emergency (A&E), are found in most large hospitals.   Doctors and Nurses: The UK healthcare system employs highly trained doctors and nurses. Medical professionals in the UK are well-versed in handling a wide array of emergencies efficiently.   Wait Time: Wait times can vary. Critical cases are prioritized and seen immediately, but non-urgent cases can experience significant delays, often several hours.   Cost:  

• Minor Injury (Sprain or Minor Cut Requiring Stitches): Free for residents and EU citizens; approximately £150-£200 ($190-$255) for non-EU travelers.
• Severe Illness (Severe Dehydration or Heart Condition): Free for residents and EU citizens; approximately £500-£1000 ($635-$1270) for non-EU travelers.

  Spain   Facilities and Medical Equipment: Spain's healthcare facilities are modern and equipped with the latest technology, especially in major cities like Madrid and Barcelona.   Doctors and Nurses: Spanish doctors and nurses are well-qualified, and many in tourist areas speak English. The overall quality of medical care is high.   Wait Time: Wait times in Spanish ERs are generally reasonable. Urgent cases receive immediate attention, and less critical cases usually do not wait excessively long.   Cost:  

• Minor Injury (Sprain or Minor Cut Requiring Stitches): Free for EU citizens; approximately €100-€200 ($110-$220) for non-EU travelers. Private hospitals: €200-€400 ($220-$440).
• Severe Illness (Severe Dehydration or Heart Condition): Free for EU citizens; approximately €300-€600 ($330-$660) for non-EU travelers. Private hospitals: €500-€1500 ($550-$1650).

  France   Facilities and Medical Equipment: France is known for its excellent healthcare system. Emergency rooms are well-equipped with state-of-the-art medical technology.   Doctors and Nurses: French medical staff are highly skilled, with many doctors and nurses able to communicate in English. The standard of care is very high.   Wait Time: ER wait times in France are typically short, especially in urban centers like Paris. Patients are triaged efficiently to prioritize urgent cases.   Cost:  

• Minor Injury (Sprain or Minor Cut Requiring Stitches): Free for EU citizens; approximately €100-€200 ($110-$220) for non-EU travelers. Private hospitals: €200-€400 ($220-$440).
• Severe Illness (Severe Dehydration or Heart Condition): Free for EU citizens; approximately €300-€600 ($330-$660) for non-EU travelers. Private hospitals: €500-€1500 ($550-$1650).

  Germany   Facilities and Medical Equipment: Germany's healthcare facilities are among the best globally, with emergency rooms featuring cutting-edge medical equipment.   Doctors and Nurses: German doctors and nurses are exceptionally qualified, and many speak English. The quality of care is consistently high.   Wait Time: Wait times in German ERs are generally short. The efficient triage system ensures that critical cases are attended to promptly.   Cost:  

• Minor Injury (Sprain or Minor Cut Requiring Stitches): Free for EU citizens; approximately €150-€300 ($165-$330) for non-EU travelers. Private hospitals: €200-€500 ($220-$550).
• Severe Illness (Severe Dehydration or Heart Condition): Free for EU citizens; approximately €500-€1000 ($550-$1100) for non-EU travelers. Private hospitals: €800-€2000 ($880-$2200).

  Southeast Asia   Thailand   Facilities and Medical Equipment: Thailand has a mix of public and private hospitals. Private hospitals, particularly in Bangkok and tourist areas like Phuket, offer modern facilities and advanced medical equipment. Public hospitals may not be as well-equipped.   Doctors and Nurses: The quality of medical professionals varies. Private hospitals often have highly trained staff who speak English, while public hospitals may have language barriers and varying standards of care.   Wait Time: Private hospitals usually have shorter wait times. Public hospitals can be crowded, leading to longer waits.   Cost:  

• Minor Injury (Sprain or Minor Cut Requiring Stitches): Public hospitals: approximately THB 700-1500 ($20-$50). Private hospitals: THB 1500-4500 ($50-$150).
• Severe Illness (Severe Dehydration or Heart Condition): Public hospitals: approximately THB 3000-9000 ($100-$300). Private hospitals: THB 9000-24000 ($300-$800).

  Singapore   Facilities and Medical Equipment: Singapore is renowned for its high standard of healthcare. Hospitals are modern and equipped with the latest medical technologies.   Doctors and Nurses: Singaporean doctors and nurses are highly skilled and often trained internationally. English is widely spoken, making communication easier for travelers.   Wait Time: Wait times in Singaporean ERs are generally short, thanks to efficient triage systems and well-staffed facilities.   Cost:  

• Minor Injury (Sprain or Minor Cut Requiring Stitches): Public hospitals: approximately SGD 100-200 ($75-$150). Private hospitals: SGD 200-400 ($150-$300).
• Severe Illness (Severe Dehydration or Heart Condition): Public hospitals: approximately SGD 500-1000 ($375-$750). Private hospitals: SGD 1000-3000 ($750-$2250).

  The Americas   Mexico   Facilities and Medical Equipment: Mexico offers a range of healthcare facilities. Private hospitals in cities like Mexico City and tourist destinations such as Cancun and Playa del Carmen feature modern equipment. Public hospitals may have older facilities.   Doctors and Nurses: In private hospitals, medical staff are well-trained, and many speak English. Public hospitals may have a lower standard of care and language barriers.   Wait Time: Wait times are generally shorter in private hospitals, whereas public hospitals can experience longer waits due to higher patient volumes.   Cost:  

• Minor Injury (Sprain or Minor Cut Requiring Stitches): Public hospitals: approximately MXN 500-1000 ($30-$50). Private hospitals: MXN 2000-6000 ($100-$300).
• Severe Illness (Severe Dehydration or Heart Condition): Public hospitals: approximately MXN 2000-6000 ($100-$300). Private hospitals: MXN 6000-20000 ($300-$1000).

  Jamaica   Facilities and Medical Equipment: Jamaica has a mix of public and private hospitals. Private hospitals in areas like Kingston and Montego Bay offer better facilities and more advanced medical equipment compared to public hospitals.   Doctors and Nurses: The quality of medical professionals in Jamaica varies. Private hospitals usually have better-trained staff and English-speaking doctors and nurses, while public hospitals may not offer the same level of care.   Wait Time: Wait times in private hospitals are generally shorter. Public hospitals can have long wait times due to limited resources and higher patient volumes.   Cost:  

• Minor Injury (Sprain or Minor Cut Requiring Stitches): Public hospitals: approximately JMD 3000-7500 ($20-$50). Private hospitals: JMD 15000-30000 ($100-$200).
• Severe Illness (Severe Dehydration or Heart Condition): Public hospitals: approximately JMD 7500-30000 ($50-$200). Private hospitals: JMD 45000-120000 ($300-$800).

  United States   Facilities and Medical Equipment: The US has some of the best healthcare facilities in the world, with advanced medical equipment available in emergency rooms.   Doctors and Nurses: American doctors and nurses are highly trained, with many specialists available. English is the primary language, facilitating clear communication for most travelers.   Wait Time: Wait times in US emergency rooms can vary widely. Critical cases are seen quickly, but non-urgent cases can wait for several hours.   Cost:  

• Minor Injury (Sprain or Minor Cut Requiring Stitches): Approximately $500-$2000, depending on the hospital and the complexity of the treatment.
• Severe Illness (Severe Dehydration or Heart Condition): Approximately $2000-$5000 or more, depending on the severity and required treatment.

 

  Discovering Georgetown and the Island of Penang: Exploring the Cultural Tapestry   [caption id="attachment_285819" align="aligncenter" width="765"]  [/caption]   I love to see original ancient buildings and residences when visiting anywhere in the world.  It is disappointing that when visiting almost all South East Asian cities, modernization has mowed them down, and those that still stand, have not been refurbished properly.   Then there is the island of Penang, Malaysia.  Nestled on the northwest coast of Peninsular Malaysia, Georgetown stands as a vibrant testament to the rich tapestry of heritage, culture, and culinary delights that define the island of Penang. From its colonial-era architecture and multicultural influences to the pristine resorts north of the city and the natural wonders of the east coast, Georgetown offers a diverse array of experiences waiting to be explored.   Georgetown: A UNESCO World Heritage Site   [caption id="attachment_285820" align="aligncenter" width="765"]  [/caption]   At the heart of the city of Georgetown lies its UNESCO World Heritage Site, a treasure trove of historic buildings, vibrant street art, and bustling markets. Wander through the labyrinthine streets of the Old Town, where colonial-era shophouses stand alongside ornate temples and mosques, reflecting the city's multicultural heritage.   Georgetown is proudly known for having possibly more preserved original residences and buildings than any other city in Southeast Asia. Marvel at the intricate carvings of Khoo Kongsi, explore the colorful stalls of Chowrasta Market, and immerse yourself in the vibrant atmosphere of Armenian Street, where street art adorns every corner. Sample the city's famed street food, from savory char kway teow to aromatic nasi kandar, and savor the flavors of Malaysia's diverse culinary heritage.   Evening entertainment options abound, as are festivals throughout the year.   Resorts North of Georgetown   [caption id="attachment_285821" align="aligncenter" width="600"]  [/caption]   Venture beyond Georgetown to discover the pristine beaches and luxurious resorts that dot the northern coast of Penang. From the exclusive enclave of Batu Ferringhi to the tranquil shores of Teluk Bahang, this stretch of coastline offers a haven of relaxation and rejuvenation.   Indulge in a day of sunbathing and water sports, or embark on an island-hopping adventure to nearby islets and hidden coves. Treat yourself to a pampering spa treatment or a round of golf at one of the area's world-class golf courses, where panoramic views of the Andaman Sea provide a stunning backdrop to your game.   Exploring the East Coast: National Parks and Fishing Villages     For nature lovers and outdoor enthusiasts, the east coast of Penang offers a wealth of opportunities for exploration and adventure. Journey inland to discover the lush rainforests and cascading waterfalls of Penang National Park, home to a diverse array of flora and fauna.   Embark on a trek through the jungle, where winding trails lead to secluded beaches, hidden lagoons, and panoramic viewpoints overlooking the coastline. Keep an eye out for monkeys, monitor lizards, and exotic bird species that call the park home.   Along the coast, traditional fishing villages such as Teluk Kumbar and Teluk Bahang offer a glimpse into the island's maritime heritage. Watch as local fishermen cast their nets into the sea, visit bustling fish markets, and sample freshly caught seafood at waterfront eateries.   Preserving Tradition: Farming Communities and Artisanal Crafts   [caption id="attachment_285823" align="aligncenter" width="765"]  [/caption]   As you journey through the rural countryside of Penang, you'll encounter small farming communities and traditional villages where time seems to stand still. Explore the fertile fields of Balik Pulau, where durian orchards and nutmeg plantations thrive in the tropical climate.   Discover the art of traditional crafts such as batik printing, pottery making, and songket weaving, passed down through generations of skilled artisans. Visit workshops and studios where local craftsmen demonstrate their techniques and share their passion for preserving these time-honored traditions.   From the historic streets of Georgetown to the pristine beaches of the north coast and the natural wonders of the east, Penang offers a wealth of experiences waiting to be explored. Whether you're indulging in the city's culinary delights, relaxing at a luxury resort, or immersing yourself in the island's cultural heritage, a journey through Penang is sure to leave you with memories that will last a lifetime.   How to get there and where to stay     There are plenty of low-cost airlines providing non-stop flights from Bangkok, Singapore, Kuala Lumpur, Bali, etc.   Rates for four and five-star hotels in Georgetown or resorts just north of it are cheap (under $100/£80 per room per night.   Click on the map to view on Google map

  When you check in to a hotel, arguably at the top of your checklist should be the cleanliness of your room.   This includes checking for bed bugs, which bite people mercilessly and then hitch a ride back to their own homes.   Unfortunately, these pests are found in the majority of hotels throughout the world.  They don’t differentiate between a 5-star hotel and a cheap, low-amenity motel.   Bed bugs are nocturnal so they’re more likely to be out and about looking for their prey   Travel experts suggest, before unpacking your bags or putting them on the bed, you turn off lights, close any shades, and use the flashlight on your phone.   Place your suitcase in the bathroom as that is the safest place for it.  Bed bugs are least likely to hide in a bathroom.   Then check under the bed and in any dark nooks and crannies of the room as bed bugs like to live in “corners and the creases” of bedclothes.   Pull back the sheets and inspect the mattress seams, particularly at the corners, for pepper-like stains or spots or even the bugs themselves. Adult bed bugs resemble flat apple seeds.   Check behind the headboard, inside couch and chair cushions, behind picture frames and around electrical sockets.   If you see anything suspect, notify management and change rooms or establishments immediately.   If you do need to change rooms, be sure that you do not move to a room adjacent and/or directly above/below the suspected infestation.  Bed bugs can easily hitchhike via housekeeping carts, luggage and even through wall sockets. If an infestation is spreading, it typically does so in the rooms closest to the origin.   Even if you determine your room is clear of any bed bugs, consider placing your suitcase in a plastic trash bag or protective cover during the duration of your trip to ensure that bed bugs cannot take up residence there before departure.   If you think you may have been infected by bed bugs, when I return home:   Inspect your suitcases before bringing them into the house.   Vacuum your suitcase thoroughly before storing it. Consider using a garment hand steamer to steam your luggage, which can kill any bed bugs or eggs that may have hitched a ride home.   Wash and dry all of your clothes - even those that have not been worn - in hot temperatures to ensure that any bed bugs that may have made it that far are not placed into your drawers/closet.   Keep clothes that must be dry-cleaned in a plastic bag and take them to the drycleaner as soon as possible.

  LGBTQ tourists are at risk of discrimination in some popular holiday destinations. A review of LGBTQ+ laws, the travel safety and crime indexes to find the safest tourist destinations.   - Malta - Chile - Luxembourg - Belgium - Sweden - New Zealand - France - Ireland - UK - Canada   Malta was named the safest destination in the world for LGBTQ+ travellers, based on its performance in several key rankings.   Gay marriage is legal in Malta and transgender people can change their gender with or without surgery.   In 2015, Malta became the first country in the world to ban sterilisation and invasive surgery on intersex people.   The country is also regarded as generally safe for travel and there’s a very low risk of tourists facing violent crime or theft.   Chile was named the world’s second-best destination for LGBTQ+ travellers and same-sex marriage is legal there.   The South American country also ranks highly on the LGBTQ+ Safety Index although it is generally considered to be less safe than Malta.   Luxembourg was the third country on the list and same-sex marriage is legal in the small European country.   Transgender people are allowed to change their legal gender without surgery in Luxembourg.   Belgium, Sweden and France also made the top 10 list and same-sex marriage is legal in all three countries.   Each of the countries are considered generally safe for LGBTQ+ tourists with low levels of violent crime.   Ireland took the eighth spot on the list while Canada and New Zealand rounded out the top 10 with the UK.   Merchant Machine, UK January 2023 conducted the study

  SUNx Malta – a legacy program for Maurice Strong, Sustainability and Climate activist half a century ago – promoting Climate Friendly Travel; together with Les Roches, one of the world’s leading hospitality business schools; announce the annual Strong Earth Awards. Cosponsoring with us is The Earth Charter institute in Costa Rica, CBCGDF in Beijing and ECPD in Belgrade. (and Travel Mole)   The award is for students interested in a future advancing Climate Friendly Travel – low carbon: SDG linked: Paris 1.5. There will be 10 awards of 500 Euro each sponsored by Les Roche and SUNx Malta together.   A Special Award will be incorporated for the late Valere Tjolle, an early advocate of Green Tourism, who developed ‘Vision of Sustainable Tourism’ for Travel Mole e-bulletin.   All entrants will receive a copy of the Earth Charter courtesy of the Earth Charter Institute and electronic copy of the book Remembering Maurice F Strong courtesy of ECPD   Awards will be given for the best 500-word “thought paper” on: -   “Why is the Earth Charter more relevant today than when it was introduced by Maurice Strong and Michael Gorbachev in 2005 - especially for tourism in Least Developing Countries (LDCs) and Small Island Developing States (SIDS)”   The competition has been designed to draw attention to the important sustainability messages contained in the Earth Charter, as well as the vision of the late Maurice Strong and its increasing relevance in today’s Climate challenged world.   For more information on the awards please go to www.thesunprogram.com   To learn about the Earth Charter, go to www.earthcharter.org   Please email entries in word document to [email protected] by including following details:  Name/ Country/ Word Count/ University   Submission Deadline: 30 September, 2023   Judging will be done by a team of SUNx Malta co-chaired by Professor Geoffrey Lipman and Joceline Favre-Bulle, Director of Operations, Les Roches.   Professor Geoffrey Lipman, President of SUNx Malta said “As the IPCC Report dramatically makes clear, we are running out of time to fix the eXistential Climate Crisis. Only tomorrow’s young leaders will be able to make the tough choices to get us to meet Paris targets. The Earth Charter, conceived by Maurice Strong, is an essential building block for an understanding of Climate Friendly Travel and the resilience needed now. “   For More Information   Please contact  [email protected]                                                   +32495250789

 

Experience incredible hotels and accommodations around the world that have hosted some of the biggest names in show business, from Elton John and The Rolling Stones to Beyoncé and Britney Spears.

  The Ahwahnee, Yosemite Mariposa, California   Designed and built in the 1920s, The Ahwahnee hotel has hosted presidents and royalty as well as other famous personalities within its walls. Guests can book a stay in the Tresidder Suite, which is where Queen Elizabeth II stayed during her March 1983 visit to Yosemite National Park. The entire hotel was reserved for her private use. At the east end of Yosemite Valley, the hotel is surrounded by many of Yosemite’s most famous icons - a casual stroll of the hotel grounds reveals views of Half Dome, Yosemite Falls and Glacier Point. Within The Ahwahnee hotel’s walls, the Grand Lounge provides a welcoming place to relax in the evening with a book whilst crackling fires provide warmth and light from the lounge’s enormous fireplaces. The Dining Room’s 34-foot-high beamed ceilings soar above floor-to-ceiling windows that showcase the beauty of the surroundings. www.yosemite.com   The Edgewater, Seattle, Washington   Originally built for the 1962 World’s Fair, The Edgewater has hosted some of the most famous names in music, such as Led Zeppelin, Neil Young and Kurt Cobain. Most famously, The Beatles were caught fishing from the window of the suite into the Puget Sound, a now iconic photograph that can be found hanging on the walls of the hotel. Rich with musical past and surrounded by breath-taking views of the Olympic Mountains, Elliot Bay and the city skyline, and boasting beautiful water views, the hotel’s suites are named after its iconic residents. Guests can even loan complimentary rental guitars, sheet music and record players to fully experience life on The Edge. visitseattle.org/   The Andaz, West Hollywood, California   Being the first hotel to open on the iconic Sunset Strip, Andaz West Hollywood (formerly Hyatt House), has played host to countless rock legends. In the 60s and 70s, the hotel was often referred to as “The Riot House” with touring rock groups like The Rolling Stones, Led Zeppelin, The Who and The Doors all staying there regularly and throwing wild parties. In 1972, Keith Richards raised eyebrows, and the hotel’s profile, after dropping a TV out of the window of room 1015. Now, the property promises to give guests the ultimate celebrity experience, offering breath-taking views of the Sunset Strip and Hollywood Hills coupled with all the glitz and glamour of Hollywood. Not forgetting its iconic history, the hotel features floor-to-ceiling art displays commemorating the legendary artists that once walked its halls. The onsite restaurant and bar, aptly named Riot House, also pays tribute to that history with its eclectic Southern Californian menu and craft cocktails. www.visitwesthollywood.com   The Little Nell, Aspen, Colorado   Known as one of America’s most luxurious alpine destinations, it is no surprise that Aspen has hosted a huge variety of celebrities over the years, from Justin Bieber to Mariah Carey. Beyoncé and Britney Spears have been seen frequenting Aspen’s only five-star, five-diamond hotel, The Little Nell. Its stylish and sophisticated interior and prime slope-side location attracts the glitterati and their families wanting a chic mountainside stay. The hotel offers an incredible range of on- and off-mountain activities throughout the year such as off-road sunset adventures and private wildflower picnics. Element 47, the hotel’s main restaurant, offers incredible food cooked by world-renowned chefs whilst the Ajax Tavern serves up Aspen’s favourite burger and truffle fries on the sun-drenched mountainside patio. www.aspenchamber.org   Beverly Wilshire, A Four Seasons Hotel, Beverly Hills, California   Located in the heart of Beverly Hills at one of the world's most famous intersections - Rodeo Drive and Wilshire Boulevard - the Beverly Wilshire has been a hotspot for Hollywood’s high-profile celebrities since its opening in 1982. The hotel has hosted the likes of Elvis Presley, Warren Beatty and Steve McQueen. It was also the location of the iconic rom-com Pretty Woman starring Julia Roberts and Richard Gere. Fans of the film can now try the experience offered by the hotel ‘Pretty Woman for a Day, which includes shopping on Rodeo Drive, spa treatments and a stay in the Wilshire Presidential Suite, now coined the ‘Pretty Woman Suite’. www.visitcalifornia.com   Rest of the world    The Park Hyatt, Sydney, Australia   Located in The Rocks, one of Sydney’s most famous neighbourhoods, the Park Hyatt Sydney has hosted a wealth of celebrities since it opened its doors back in 1990. Over the years the hotel has spent thousands of dollars ensuring that their celebrity guests' privacy is respected as they welcomed the likes of Elton John, The Rolling Stones, Bette Midler and most recently actress Jennifer Coolidge whilst she attended the city’s biggest festival, Vivid Sydney. With arguably one of the most iconic views on the planet, , the Sydney Suite is any celebrity's dream, covering a palatial 350 square-feet and with a 360-degree balcony overlooking the Sydney Opera House and Harbour Bridge. www.sydney.com   Le Kaila, Meribel, France   When those in the know head to The Alps in search of a haven away from prying eyes, they head to Meribel. Nestled in the infamous Three Valleys ski area, the resort boasts some of the best terrain in the world. Celebrities love its low-key vibe away from the glitz of Courchevel, whilst enjoying its picturesque setting and plethora of high end accommodations and facilities on offer. Since Brigitte Bardot was spotted on the slopes back in the 1960's, the resort has also played host to the Beckhams and the Cambridges, while Emma Watson owns a chalet in the town. Meribel’s most prestigious five-star hotel, Le Kaila offers 42 rooms, two suites and a Nuxe spa with large pool, six treatment rooms, sauna, hammam and spectacular ice fountain. Guests can enjoy access to a private ski lift, direct from the rental ski shop to the top of the slopes. www.meribel.net/en/