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Tuesday, September, 07, 2010 
Understanding Thais by Drew Noyes as Published in the Official Thailand Survival Guide, copyright 2006. All Right Reserved.
How Religion Guides Thais
Ninety-five percent of Thai people are Buddhist and are taught
to believe in the Tenants of Buddha which state that Nirvana,
or ultimate peace and final destination, is not reached until
one has lived on earth enough times to make merit (do good deeds)
often by tithing (donating) to the monks and temples, and taking
care of elders and family. All of your encounters with the practicing
Buddhist will be even more interesting once you understand them
for their heart more than their speech. Remember, just as in
your own country, people who work in bars do not represent the
ethics of an entire nation.
Sabai Sabai Nature of the People
Western culture is more analytical, deductive, specific and
regimented than Thai culture, and that is probably one of the
important reasons you came here! You will find few anal retentive
Thais. Life in Thailand is "Sabai Sabai," meaning
things are not to be taken too seriously, but rather in a relaxed,
polite manner.
Decision-Making -- Up to You?
How many times have you heard the reply, "Up to you"
when you asked your Thai friend a question? Not a lot of decision-making
and analysis goes on in the average Thai mind because by nature
they rely more on feelings than logic, and have always had people
around them that they trust to make good decisions for them.
Their Majesties the King and Queen have always helped the Thai
people to have easy lives by protecting them, teaching them
and providing medical care. Read the page in this book about
His Majesty to understand more about this most important element
of Thai culture. Even the smallest villages have a tribal leader
who has the ultimate say in disputes, who arbitrates, who conducts
elections and relays government announcements to the local people.
Working with the Thais
The book by Dr. Henry Holmes, Working with the Thais
has many good examples of how westerners and Thais think and
react differently. In day-to-day encounters Thais feel with
the heart, and have a special social order of people depending
on age and rank, which is discussed in the book you are reading
in more depth in another section.. It is a bit of a paradox
to us, but even though Thais are as emotional in their thinking
as they are, they rarely show any negative emotion outwardly
in social settings. Thais tend to smile and laugh when Westerners
might get angry or even cry in the same situation. But, you
may be surprised when your secretary stops working without notice
because she is so upset about the rude way you threw papers
on her desk! You may have not even realized she was upset.
Speaking from the Heart
More than 100 words and phrases in Thai language revolve around
the heart. The Thai word for heart is "chai" and expressions
like "chi yin yin" (let your heart cool down) are
spoken politely and with concern to people who are upset, "chai
lawn" (hot heart) spoken about people who are easily upset,
"chai dee" a compliment to people with a good heart,
and "greng chai" used to say I can not accept this
from you because it is too kind.
Always remember you are a guest in this country, no matter how
long you live here. Loud talking, using foul words and in particular
the two words bullsh*t" and f*ck," make eople here
cringe in polite society. Remember that English is not their
language. It is your language, and they are trying hard to accommodate
you in speaking English because you cannot speak Thai. Lots
of polite, slow moving hand gestures with a nice smile will
help you communicate with almost everyone. They may not understand
every word you say, but they understand your emotions when you
say them so do not be trite or condescending.
Patience
Being patient is considered good manners, and will get you respect.
Take your time with people, and try to understand them. Like
other Asian societies, Thai culture is centered on the family
unit, the pecking order and keeping "face." This means
that as a foreigner, please respect your Thai hosts in all ways,
no matter what their station in life might be. A Buddhist believes
that their station in life may change in the next life, or may
have been significantly different in a previous life, so they
are tolerant and accepting of all people. When dealings with
Thais go wrong, don't get angry. It won't help matters! Losing
one's temper means loss of face for all concerned. Remember
that you are in Asia, where self-control is most important.
Thais consider talking loudly to be rude behavior in most situations.
Names
All Thais also have nicknames, and they are used more than names
between friends and co-workers. Thais love "Chu lin"
nicknames, literally translated into English as "names
for play" so almost everyone has one! Noi, Nat, A, Bee,
Ning, Lek, Chi, Dang, Bum, Dow, Gow, Kem, Kung, Kai, Poo, Pla,
Pawn, Jeab, Goo, Noi, Nooch and Boy are some of the more popular.
Thais do not use their last name except in writing. First names
only are used even in formal settings.
Name Titles
Thai equivalents of Mr., Miss, Ms., and Mrs. are rarely used
as gender and marital status are not important in a name to
Thais. The polite title "Koon" is used for everyone
unless they are an elected official or officer. Noi would be
called, "Koon Noi." If of rank the rank precedes the
first name. People of rank are not called by their nickname
in a formal setting. So Police Colonel Itipol, Superintendent
of Pattaya Immigration Police would be addressed, "Pol.
Col. Itipol." Thais are most often addressed by their first
name with the honorific title khun, or other title preceding
it. Rarely used formal terms of address are "Nai"
for Mr. and "Naang" only for a married woman Mrs.
Name Titles
Depending on the relationship and age difference, kinship forms
of address like Phi (elder sibling), Nong (younger sibling),
Mae (mother) or Looung (uncle) are also used.
Name Titles to Show Rank or Respect
Thai people consider all Thais family. If the person is older
or of more rank she will be politely called "Pee Noi."
If younger, "Nong Noi", if her nich name is Noi. If
he is a big person in society he is called "Tan",
if a teacher, "Anjan" or "Krue", if an elected
official he has a different title like "Niyoke" for
mayor like Niyoke Nirun, the mayor of Pattaya, "Sorjaw"
for the vice chairman of the council, like Sorjaw Raywat, Vice
Chairman of the Chonburi Provincial Council, "Orborejar"
for chairman of the council, like Orborjar Pinyo of the Chonburi
Provincial Council and "Sor Sor" for an MP, like Sor
Sor Chanyute, Pattaya's Memeber of Parliament who represents
Pattaya in the national government.
Understanding Thai Relationships
The most important thing to know is that Thailand has a population
of only 68 million people, and is the only Southeast Asian country
never imperialized by the west. Thais have their own language,
and their own alphabet which is derived from Sanskrit. Because
the population is so small compared to the 7 billion people
in the world today, it is essential that Thais maintain their
heritage and continue to observe Thai traditional holidays,
eat Thai food, and speak, read and write Thai. So always support
your Thai partner's wishes to remain Thai, and do not try to
change these beautiful people by insisting they adapt western
standards, values, ways of thinking, or behavior.
Ideal Thai Behavior
Some of our foreign friends have been shocked when a lower ranking
member of their staff has become offended or something and quit
and taken most of the team, including higher-positioned workers,
with them! This person has rank unseen by foreigners. One's
personal influence, or "baara-niu," has a bearing
on one's social status, and can be gained by coming as close
as possible to the ideal 'Thai' behavior. Khwaam pen Thai, or
'Thai-ness' is most importantly defined by the ability of one
to speak Thai. The dialect is not so important. Other aspects
of the Thai ideal are heav?ily influenced by Thai Buddhism,
and include discrete behavior towards the opposite sex, modest
dress, a neat and clean appearance, and ways of expression and
behavior that are quiet, subtle and indirect, rather than the
loud, obvious and direct. The degree to which Thais and foreigners
like you can conform to these ideals matches the degree of re?spect
they receive from the people they asso?ciate with. Although
a high rank, based on age or civil, military or clerical function,
can ex?empt individuals from rebuke by their social 'inferiors',
it doesn't exempt them from the way they are perceived by other
Thais. This goes for foreigners as well, even though most first-time
visitors can hardly be expected to speak idiomatic Thai. However,
if you do learn to speak some Thai from a proper-speaking Thai
(usually not a bar girl) and you make the effort to respect
Thai social ideals, you'll come closer to enjoying some of the
perks awarded to "Thai-ness."
Who is Big & Who is Little Determines
Status & Obligation
All relationships in traditional Thai society, and almost
all relationships in modern Thai culture, are governed by
relationship between phu yai (literally, 'big
person') and phu noi ('little person'). Phu
noi are supposed to defer to phu yai following the lines of
social rank defined by age, wealth, status, and personal and
po?litical power. Examples of 'automatic' phu yai status include:
adults to children, bosses to employees, elder classmate to
younger classmate, elder sibling to younger sib?ling, teacher
to student, military to civil?ian, Thai to non-Thai, and so
on. While this tendency towards social rank?ing is somewhat
the same as in many soci?eties around the world, Thai society
has a set of mutual obligations between phu yai to phu noi
that is very important. Phu noi are supposed to show a degree
of deference and respect towards phu yai, but in return phu
yai are obligated to take care of, or in some cases even sponsor
phu noi they know well. (these concepts are called 'krengjai')
In such relation?ships, phu noi can, ask phu yai for favors
involving money or job influence, and Phu yai affirm their
status by grant?ing such requests when they can. To refuse
the request would be to risk loss of face and status.
Who is Older & Who is Younger
Age is a big determining factor when other factors are missing
or not known. Depending on the relationship and age difference,
kinship forms of address like Phi (elder sibling), Nong (younger
sibling), Mae (mother) or Looung (uncle) are also used. In
such cases the terms" phi" (elder sibling) and "nong"
(younger sibling) are used more than phu yai or phu noi, even
though the obligations remain the same. Even people who are
not related quickly establish who is the phi and who is the
nong. This is why one of the first questions Thais always
ask new acquain?tances is how old they are. Typically, the
phu yai always picks up the check, and when in a group, the
person with the highest social rank pays. If they do not at
least try to pay, they will lose face. Money is a big factor,
and plays an important role in determining who is a phu yai,
and who is not. At times even a younger successful businessperson
will pay for an older person in spite of the age difference.
In Thai society, whatever wealth one has should be shared,
at least par?tially, with those who not as fortu?nate. Foreigners
can obtain Thai-ness to a great degree by paying the bill
for everyone when he is the eldest or wealthiest.
Names
All Thais also have nicknames, and they are used more than
names between friends and co-workers. Thais love "Chu
lin" nicknames, literally translated into English as
"names for play" so almost everyone has one! Noi,
Nat, A, Bee, Ning, Lek, Chi, Dang, Bum, Dow, Gow, Kem, Kung,
Kai, Poo, Pla, Pawn, Jeab, Goo, Noi, Nooch and Boy are some
of the more popular. Thais do not use their last name except
in writing. First names only are used even in formal settings.
Name Titles
Thai equivalents of Mr., Miss, Ms., and Mrs. are rarely used
as gender and marital status are not important in a name to
Thais. The polite title "Koon" is used for everyone
unless they are an elected official or officer. Noi would
be called, "Koon Noi." If of rank the rank precedes
the first name. People of rank are not called by their nickname
in a formal setting. So Police Colonel Itipol, Superintendent
of Pattaya Immigration Police would be addressed, "Pol.
Col. Itipol." Thais are most often addressed by their
first name with the honorific title khun, or other title preceding
it. Rarely used formal terms of address are "Nai"
for Mr. and "Naang" only for a married woman Mrs.
Name Titles to Show Rank or Respect
Thai people consider all Thais family. If the person is older
or of more rank she will be politely called "Pee Noi."
If younger, "Nong Noi", if her nich name is Noi.
If he is a big person in society he is called "Tan",
if a teacher, "Anjan" or "Krue", if an
elected official he has a different title like "Niyoke"
for mayor like Niyoke Nirun, the mayor of Pattaya, "Sorjaw"
for the vice chairman of the council, like Sorjaw Raywat,
Vice Chairman of the Chonburi Provincial Council, "Orborejar"
for chairman of the council, like Orborjar Pinyo of the Chonburi
Provincial Council and "Sor Sor" for an MP, like
Sor Sor Chanyute, Pattaya's Memeber of Parliament who represents
Pattaya in the national government.
Spending More Time Talking Gets Results
Spend time slowly and politely talking with Thais in a pleasant
voice without over-explaining things. Details are not to important
to Thais. Getting to the point in a slow polite way so they
can help you are what is important. If you want to have a
personal relationship with someone you are attracted to, spend
time answering and asking "What's your name?," "Where
do you come from?", "How old are you?" and
the other few often asked questions used to break the ice
and start a dialogue and maybe a relationship.
Saving Face
Thais believe strongly in the concept of sav?ing face, which
means avoiding confrontation and trying not to embarrass themselves,
or others. In order to do this, they usually do not bring
up negative topics in everyday conversation, and even when
they see stress or anxiety in another person, they won't say
anything unless that person says something, or asks for their
help. They often laugh at minor accidents, as when someone
trips and falls. This may seem cruel and unfeeling to us,
but they are not laughing 'at' the person, they are trying
to save face on behalf of the other person. They are just
putting the best possible face on an unpleasant situation.
Verbal Greetings
For males, the usual Thai greeting is Sawa-di-kap, if you
are female the greeting is Sawa-?dii-kaa. Using this greeting
is appreciated by Thais in the city, or in the countryside.
Gesture Greetings
Tradition?ally Thais do not shake hands, but greet each other
with a wai. This is the gesture of placing the palms together
before one's face and giving a slight nod of the head. If
you are greeted by a Thai adult with a wai, you should wai
in response. However, Thais nowadays also shake hands, and
will almost always offer a handshake to foreigners. You do
not return a wai to children, but a nod. If you have something
in your hands its polite to lower your back and head a bit
and nod to acknowledge the wai you received.
How to Offer a Business Card or Document
When you hand things to people, you should use either both
hands, or your right hand only. Never use your left hand (this
is reserved for bathroom personal hygiene). Books and other
written materials are given a special status over other secular
objects. You should not slide books or documents across a
table or counter, and never place them on the floor. Use a
chair if table space isn't available.
How to Receive a Business "Name"
Card
Accepting a "name" card as Thais say is accepting
a symbol of that person. Either use two hands and accept the
corners closest to you while it is be presented to you, or
accept it with your right hand while touching your right arm
with your left hand. Then slowly place the card in front of
you if you are at on the table, and leave it there until the
person and you say goodbye. Do not just quickly put it in
your pocket or wallet right when it is given to you.
Pointing Feet Can Represent Disrespect
Your feet are the lowest part of your body, and are considered
dirty. You should never point your feet at people, or point
at things with your feet, or move things with your feet. You
should also not prop your feet up on chairs or tables, or
touch someone's body with your foot. Never point your feet
towards Monks or Buddhist images ever weather in a temple,
home or office. If you are at a temple "Wat" sit
mermaid style with your legs under your bottom if sitting
in lotus position is uncomfortable, but never extend your
feet out or show the bottoms of your feet toward religious
images or people. It is also considered rude to step over
someone. Always step around them, or if there is no other
way to pass by, ask them to please move, even on a crowded
train.
The Head is the Temple of the Body
In the same way, the head is regarded as the highest part
of the body, so you should not touch adult Thais on the head,
or muss their hair. If you do touch someone's by acci?dent,
you should apologize right away. Also don't sit on pillows
for sleeping.
Visiting Homes
Did you fall in love and now your going upcountry to meet
the family? Well be prepared! Thais can be very hos?pitable
and it's not unusual to be invited home for a meal or a sociable
drink. Even if your visit is very brief, you will be offered
something to eat or drink, and probably both. You are expected
to take whatever is offered, and even if you are not hungry
or thirsty or not, you should at least try it. To refuse it
is considered to be impolite. As with temple buildings, you
must always take off your shoes before entering a Thai home.
Shoes
Thais do not wear shoes in their homes. All temples and some
guesthouses, offices and shops also request that you not wear
shoes. A good rule of thumb is that if there are shoes by
the door or the en?trance, you need to remove your shoes before
you enter. It is important not to ignore this custom as the
wearing of shoes in-doors is considered very ill-mannered.
Bathrooms
In Thailand, as in many other South-East Asian countries,
the squat toilet is the norm, except in hotels and guesthouses
geared to?wards tourists and international business travelers.
The bathroom may be outside in its own little building. The
traditional Asian toilet sits more or less flush with the
surface of the floor, with two foot-pads on either side of
the opening. For those who have never used this type of toilet,
it may take some getting used to. Next to the toilet is a
bucket or small reservoir filled with water, and usually with
a plastic bowl floating on the water, or on the floor nearby.
The water and bowl has two functions. The first is for the
user to scoop water from the reservoir and use it to clean
them. The second function is to flush the toilet. This is
because they are not mechanical flush type toilets. A few
scoops should be sufficient. If available, do not put tissue
in the toilet; put it in the bin nearby.
Bus Service to All Parts of Thailand
For attractions, activities and sight seeing outside of Pattaya
use the bus station to get you where you want to go. From
the bus station on Pattaya Nua you can go to the Northern
Bus Station, Ekami or Morchit stations in Bangkok, and connect
with busses going to every major area of Thailand; including
Chiang Mai, Surat, Ko Samui, Phuket, Hat Yai and Hua Hin.
There are direct busses from Pattaya to the Bangkok International
Airport, Roi Et, and Mukdahan. Because of the enormous growth
in the Pattaya population, new destinations are being added
all the time. There are two other places to catch buses outbound
from Pattaya. On Sukhumvit Road between Pattaya Klang and
Pattaya Tai on the East (far) side is the second biggest terminal
with many direct buses to small and large cities and towns.
At the Q8 gas station just north of Pattaya Klang on Sukhumvit
there is a makeshift terminal in the front on the left side
with bus service to Khonkean, Udon, Nong Kai and Moogahan
and some other small places.
Yes, You are a Sexy Man!
Where else in the world can you be considered tall at 5' 7",
a millionaire with US $25,000 in the bank or handsome with
a bald head? Thai people see you as sexy or handsome if you
look clean and "smart." A smile and a good attitude
will get you laid or make you popular!
Sex
If you are new to Thailand you probably skimmed the book looking
for this section, and, who can blame you! This is what so
many men dream about in their lonely rooms back home! Bars
of all kinds in Pattaya offer the attention and companionship
of ladies (and men) eager to please. The bars want you to
stay there and drink, bring your friends or make new ones
of the other customers so you will stay longer, enjoy the
company of the staff working in the bar and eager to please
you. The bar girls (or guys) get a commission of usually 20
baht for each "Lady Drink" you buy them. They sit
and drink and talk with you. Usually they order orange soda
or soda with a splash of Mekong Thai whiskey or a "Spy"
wine cooler. If you like another one you see better, no problem
just tell the one with you to tell her to come sit down. After
you meet the one who excites and interests you pay the "bar
fine' so she can go with you to your room, out to dinner,
to a movie or to Phuket, its up to you! The bar fine is paid
to the bar for the loss of income the lady would generate
in drink sales. At beer bars I is usually 200 baht and at
a go-gos it is usually 500 baht. Service girls, bartenders
and almost everyone else is available for companionship. However,
the cashier is usually of limits because she handles the money.
Gay Scene In Pattaya
Boyz Town, Sunee Plaza and most places in Jomtien, particularly
Jomtien Plaza cater to the gay crowd, although not exclusively.
Thai culture is very tolerant of homosexual?ity, both male
and female. The nation has no laws that discriminate against
homosexuals and there is a fairly prominent gay scene around
the country, especially in Pattaya where the Pattaya Gay Festival
is an honored event. Whether speaking of dress or mannerism,
lesbians and gays are generally accepted without comment.
Public displays of affection, whether het?erosexual or homosexual,
are frowned upon in Thai society. There is little, if any,
social negativity towards gay people, provided that Thai cultural
mores are respected. What people do in bed, whether straight
or gay, is not expected to be a topic of general conversation,
nor bragged about. In most Thai TV comedy programs there is
a "Katoye", a man dressed in women's clothes. Male
transvestites are admired, and the Tiffany Cabaret in Pattaya
is the host venue for the Miss Tiffany World contest which
is televised live on national TV on channel 3 every year.
Lesbian is Not a Polite Word, but Gay
Women are Respected
There aren't any lesbian bars in Pattaya although opening
one would be a good idea! There are many lesbians in Thailand.
You may see lots of women coules walking around holding hands,
although straight women do this, too. Thai lesbians prefer
to call themselves Tom (for tomboy) or Dee (for lady). The
term 'lesbian', in Thailand, suggests pornographic videos
pro?duced for straight men. Tom and Dee, by contrast, are
reasonably accepted and integrated categories for Thai women,
roughly corresponding to the Western terms 'butch' and 'femnie'.
A Brief History of the Business of
Sex
The number of women working as commercial sex workers (CSWs)
increased immediately after prohibition, and the percentage
of those aged between 15 and 19 increased from 15% to 25%.
In the l960s and 1970s the Vietnam War brought unprecedented
numbers of for?eign soldiers to Bangkok and Pattaya on R &
R tours, creating a new class of sex workers who catered to
foreigners rather than to Thais. "Industry Today"
estimates of the num?ber of Thai citizens directly involved
in the sex services vary wildly, but studies by Chulalongkorn
University estimate around 200,000 to 220,000. Although often
portrayed as Asia's sex capital, Thailand ac?tually ranks
well behind Taiwan, the Philip?pines and India (not to mention
several Western countries, such as the USA) in the per-capita
number of sex workers, according to international human development
reports.
Sociologists estimate that as many as 75% of post-puberty
single Thai males en?gage the services of a prostitute an
aver?age of two times a month. In highly urban Bangkok, the
rates are lower thanks to in? creasing acceptance of extramarital
sex and corresponding decline in demand for paid sex services.
Today the highest per-capita concentration of sex workers
is found in the North. Brothels are less common in the southern
provinces, except in Chinese-dominated Phuket, Hat Yai and
Yala, and in Thai-Malaysian border towns, where the clientele
is almost exclusively Malay. Only an estimated 2% of all Thai
sex workers work in bars and 1% in massage parlors. The remaining
97% work in private clubs, barber shops and brothels, and
are only rarely patronized by non-Thai clients. In fact most
of the country's sex industry is in?visible to the visiting
foreigner, and it is thought that Thai-to-non-Thai transactions
represent less than 5% of the total amount.
HIV & AIDS
The HIV & AIDS infection with the Human Im?munodeficiency
Virus (HIV) may lead to Acquired Immune Deficiency Syndrome
(AIDS), which is a fatal disease. Any expo?sure to blood,
blood products or body fluids may put the individual at risk.
Between 1991 and 1994 Thailand's over?all infection rate dropped
77%, an achieve?ment that earned Population Development Agency
director Dr. Mechai Viravaidya (the owner of Cabbages &
condoms Restaurant & Resorts) the prestigious Magsaysay
Award in 1994. Ac?cording to the United Nations Human De?velopment
Program, Thailand, like the USA, Australia and the UK, has
belonged to the 'decrease or no growth' category since 1994.
The World Health Organization reports that the infection rate
and projected future vulnerability for AIDS in Thailand is
now lower than for any other country in South-East Asia. As
elsewhere around the world, absolute numbers will only increase
with time until or unless a cure is dis?covered. In Thailand
transmission is predomin?antly through heterosexual sexual
activity (over 80%). The second most common source of HIV
infection is intravenous in?jection by drug users who share
needles (about 6%).
How to Avoid HIV & AIDS
Apart from abstinence, which we know you don't want to hear,
the most effective preventative is always to practice safe
sex by using condoms properly at all times when having sex.
Do not share hypodermic needles, make sure clinics and hospitals
use new, sealed in a package hypodermics and a government
approved blood supply if you need new blood.
Dengue Fever
Sometimes mistakenly called Hemorrhagic Fever, Dengue Fever
is a viral disease trans?mitted by mosquitoes, and occurs
mostly in the tropical and subtropical areas of the world,
like Thailand and other parts of South East Asia, Africa and
the Sub Sahara. Usually there is only a small risk to people
traveling in these areas except during epidemics, which may
be during, and just after the rainy season. Unlike the malaria
mosquito, the mosquito which transmits the dengue virus is
most active during the day. It is found mainly in urban areas.
Most noticeably it is a larger, black mosquito, although be
leery of all mosquitoes.
How to Avoid Dengue Fever
Many shops and superstores sell an electronic racquet about
the size of a small tennis racquet with a shorter handle.
These are great for swatting and electrocuting mosquitoes.
Most mosquitoes bites occur at dusk and dawn when the light
is changing so be particularly cautious during these times.
If you are outdoors somewhere and especially if you are wearing
shorts and you feel or see mosquitoes ask the server to get
you a coil that is burnt and the smoke wards of mosquitoes.
Not many people use mosquito repellant because the Thais do
not like the smell, but if there are a lot of mosquitoes,
you may need it.
Dengue Fever Symptoms
The symptoms of dengue fever in?clude a sudden high fever,
headaches, joint and muscle pains, and nausea and vomit?ing.
A rash of small red spots appears three to four days after
the onset, and Dengue can be commonly mistaken for other infectious
diseases, including the flu. Some doctors have misdiagnosed
this and sent patients home only to return a day or two later.
You should seek medical attention if you think you may he
infected. The virus can be diagnosed by a blood test. There
is no spe?cific treatment for dengue fever, but you should
avoid aspirin, as it increases the risk of hemorrhaging. Recovery
may take a long time, and with tired?ness lasting for several
weeks.
Hemorrhagic Fever (DHF)
Severe com?plications of Dengue Fever are rare, but in its
advanced stage includes dengue hemorrhagic fever (DHF) which
can be fatal without prompt medical treat?ment. DHF is thought
to be a result of a sec?ondary infection due to a different
strain of the virus, and it usually affects residents in the
countryside rather than travelers. Until a vaccine is available,
as with malaria, the best precaution is to avoid being bitten
by mosquito.
Bird Flu
Thailand has gone to extreme measures to squelch any outbreaks
of bird flu outbreaks to avoid an epidemic. H5 N1 is a particular
strain of flu that is transmittable to humans. As of the date
of this writing, human to human transmission of Bird Flu does
not occur, only bird to human transmission.
How to Avoid Bird Flu
Avoid handling raw poultry, eating undercooked duck, chicken
or quail and walking with bare feet around bird droppings
and your chances of contracting this potentially lethal disease
is all but eliminated.
Bird Flu Symptoms
Symptoms include high fever, cough, sore throat, muscle aches
and conjunctivitis (red eye).
Keep Healthy with a Medical Kit
In addition to prevention and using vitamin C, It's a good
idea to have a medical kit on hand. Keep a supply available
of aspirin or paracetamol (acetaminophen) for pain or fever
and an antihistamine for allergies, hay fever, and to ease
the itch from insect bites or stings and to prevent motion
sickness. Loperamide, Immodium (Thai brand) or diphenoxylate
can eliminate diarrhea which almost every foreigner gets at
least once here. If you have diarrhea for more than a day
drink an electrolyte beverage every few hours. Pharmacies
sell a powdered beverage that you stir into water and drink,
It is similar to Gatorade. For nausea and vomiting have Prochlorperazine
or metaclopramide. Have an antifungal cream or powder for
fungal skin infections which foreigners often get around their
toes. Stock an antiseptic (i.e.iodine) for cuts and abrasions
and bandages or band-aids and other wound dressings. You will
hear lots of people with a wet cough so keep cold and flu
tablets, throat lozenges and nasal decongestant for use at
the first signs of infection. Scissors, tweezers and a thermometer
are good tools to keep in your bathroom or carry kit.
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