Philippines 9 Directory
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ACCOMMODATION
There is a wide range of accommodation
available in the Philippines, from simple nipa
(palm) huts to international-class hotels. In
this book, we divide accommodation into the
following categories according to the price of
the room (per double, per night): budget (up
to P850), midrange (P850 to P2000), and top
end (over P2000). We list high-season prices
for accommodation in this book, unless otherwise noted. Note that most resorts and hotels
offer discounts of 20% to 40% during the low
season. The high season for accommodation
in the Philippines runs roughly from late November to March.
Hotels
Hotels can be found in most towns and cities
in the Philippines. In the bigger cities, these
will range from extremely simple places,
with only a few rooms, to international
luxury hotels. In the smaller towns, the
hotel offerings may be limited to one or
two simple places.
If your budget only stretches to P300 a
night for a hotel, your options will be extremely limited in most parts of the country. A reasonably clean single broom closet
can be found in many places for about
P500, but youll probably want to double
that price to find anything liveable.
If youre not on a rock-bottom budget,
take a look at midrange hotels. The most expensive rooms in a budget hotel can be very
ordinary and P1000 or so wont seem worth
it; for the same price, the cheapest rooms in
a midrange place are often far superior.
Resorts
Resorts are the main accommodation option on islands and beaches in the Philip-
D I R E C T O R Y A c t i v i t i e s 433
ACTIVITIES
The Philippines is an adventure-sports and
outdoor-sports paradise. You can snorkel,
dive, surf, trek, cave and cycle your way
around the archipelago.
LIVE-ABOARDS
Live-aboards (boats that divers sleep on during dive trips) are the only way to get to many
remote diving sites throughout the Philippines, and live-aboards ranging from custom dive
boats and yachts to converted fishing vessels and modified bangka boats make dive safaris to
islands throughout the Visayas, northern Palawan, the Sibuyan Sea, the Sulu Sea and the Apo
Reef. Live-aboard and dive safaris depart from and/or are organised by dive operators in Puerto
Galera, Boracay, throughout the Visayas, and from most diving destinations in Palawan, including Puerto Princesa.
There are relatively small numbers of live-aboard boats meeting internationally accepted
standards that visit Tubbataha in any given season (February to June). These vessels usually
offer transition trips at reduced prices when moving from and returning to their home ports,
usually in January and June or July.
Those seeking budget trips to the Sulu Sea are catered for with varying degrees of integrity,
and not all of the options are as safe, luxurious or comfortable as the conditions might sometimes
dictate. In general, choosing a live-aboard boat should be as much or more a function of assessing
the safety, seaworthiness and professionalism of an operation rather than the price.
DIREC TORY
DIREC TORY
Caving
The Philippines is a spelunkers dream. The
porous limestone that makes up most of the
archipelago is riddled with a fantastic variety of caves, many of which are accessible
to the average traveller. Luzon, in particular, has many interesting caves to explore.
The Callao Cave (p178) in Peablanca, near
Tuguegarao, is a major tourist drawcard,
and there is also good caving around Sagada and Solano.
Bohols best caving can be found near
Antequera (p272) at the Mag-aso and Inambacan Falls. Near Surigao (p371) on Mindanao is Silop Cave, with its 12 entrances
that lead to a large central chamber. Spooky
Siquijor (p294) is honeycombed with caves
that have yielded many surprises, including
ancient Chinese pottery. Still more good
caving can be found on Panay (p298) and
Leyte (p354).
Finally, dont miss the Puerto Princesa
Subterranean River National Park outside
Sabang (p415) on the island of Palawan.
This Unesco World Heritage Site is said to
be the longest underground river-traversed
tunnel in the world.
Cycling
The Philippines isnt all beaches and volcanoes, and mountain-biking is taking off as
an activity in its own right on a number of
islands see p451 for details.
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Surfing
Although Indonesia is the undisputed surfing mecca of Southeast Asia, the Philippines
has a good assortment of breaks.
Popular destinations on Luzon include
San Fernando (La Union; p142) and Bolinao
(p139) on the Lingayen Gulf, and Daet (p186)
in Southeast Luzon.
Off Mindanaos northeastern tip, Siargao Island (p373) is famed for Cloud Nine,
which is an excellent, if fickle, break.
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CHILDREN
Filipinos are simply crazy about kids, and
rather fond of parents, too you and your
offspring will be the focus of many conversations, and your children wont lack for
playful company.
You should supervise your children
when swimming or playing on beaches, and
make sure they understand not to touch
coral. Bring plenty of sunscreen and light
clothes for sun protection. Its important
to keep small children well hydrated in a
hot climate.
You can usually buy disposable nappies
(diapers) and infant formula in most towns
and all cities, but be sure to stock up on
such things before heading off the beaten
track.
Lonely Planets Travel with Children by
Cathy Lanigan has more useful advice about
tropical travel with kids.
Practicalities
Many hotels and resorts offer family rooms
and can provide cots on request. Discreet
breastfeeding in public is acceptable in all
areas except some conservative Muslim
areas in the south. It is almost impossible
to arrange a taxi with a child seat. Some
restaurants can provide a high chair upon
request.
Windsurfing
CLIMATE
Windsurfing is possible all over the Philippines. Lake Taal (p120) and the sea off Anilao (p123) are popular spots, but the wilder
east coast of Boracay (p325) is said to offer
the best conditions for surfers of all skill
levels. Parasailing is also available on some
beaches frequented by foreign visitors.
BUSINESS HOURS
D I R E C T O R Y C h i l d re n 435
MANILA
C
Average
Max/Min
14m (49ft)
Temp/Humidity
Rainfall
in
40 104
100
20
500
30
75
16
400
12
300
200
100
20
86
68
50
10
50
25
32
CEBU
F
J F MAM J J A S O N D
mm
J F MAM J J A S O N D
Average
Max/Min
8m (26ft)
Temp/Humidity
Rainfall
in
40 104
100
200
30
86
75
150
20
68
50
100
25
50
10
50
32
J F MAM J J A S O N D
DAVAO
C
J F MAM J J A S O N D
Average
Max/Min
17m (59ft)
Temp/Humidity
Rainfall
in
40 104
100
20
500
30
75
16
400
12
300
200
100
20
mm
86
50
68
10
50
25
32
ILOILO
J F MAM J J A S O N D
Average
Max/Min
7m (26ft)
Temp/Humidity
Rainfall
in
40 104
100
20
500
30
75
16
400
12
300
200
100
20
J F MAM J J A S O N D
mm
86
50
68
10
50
25
32
VIGAN
J F MAM J J A S O N D
mm
J F MAM J J A S O N D
Average
Max/Min
33m (108ft)
Temp
40
30
in
28
800
26
700
24
600
20
500
16
400
12
300
200
86
20
68
10
Rainfall
F
104
50
4
0
32
J F MAM J J A S O N D
mm
100
0
J F MAM J J A S O N D
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434 D I R E C T O R Y B u s i n e s s H o u r s
CLIMATIC
ZONES
0
0
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200 km
120 miles
1
2
3
4
5
Monsoon
Typhoon
CUSTOMS
Firearms, illegal drugs and pornography
are forbidden. You can bring up to 2L of
alcohol and up to 400 cigarettes (or two
tins of tobacco) into the country without
paying duty. Foreign currency of more than
P10,000 must be declared on entry or exit.
Scams
The most common scam in the Philippines
involves drugging a tourists drinks or food
and then robbing them. Be wary of any
overly friendly stranger offering you food
or drink. Some moneychangers also scam
tourists out of money by using sleight-ofhand gimmicks and short-change scams.
DISABLED TRAVELLERS
Like most developing countries, the Philippines lacks the convenient infrastructure
and services that make getting around easier
for the disabled. Very rarely will you find
wheelchair-accessible toilets or wheelchair
ramps. Moreover, the lack of proper footpaths and the anarchic traffic conditions
of cities like Manila make getting around a
real problem for the mobility impaired. On
the plus side, you will find that Filipinos
are quick to offer assistance. Furthermore,
prices are cheap enough in the Philippines
to make hiring a taxi for the day and/or even
a personal assistant a reasonable option.
DISCOUNT CARDS
A 20% discount on domestic flights is
offered by PAL, Air Philippines, Cebu Pacific and SEAIR for passengers who are at
least 60 years old; your passport will suffice as proof of age. Asian Spirit offers 30%
reductions to seniors.
Some shipping lines discount 15% to
30% if you can show a valid student ID.
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D I R E C T O R Y E m b a s s i e s & C o n s u l a t e s 437
February/March
Nuestra Seora de la Candelaria (p300) On 2 February in Jaro, Iloilo City, on the island of Panay, the Feast of
Our Lady of Candles is a street party and religious ritual
in one.
Bamboo Organ Festival (p119) In the second week of
February, music lovers gather at the church of Las Pias,
near Manila, to listen to organists play the worlds only
bamboo organ.
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436 D I R E C T O R Y C u s t o m s
Climatic Zones
April/May
Crucifixion Reenactments On Good Friday during
Holy Week (the week leading to Easter), a combination of
religious fervour and morbid fascination drives the flocks
to places like San Fernando (Pampanga) on Luzon (p132)
to see devotees being literally nailed to wooden crosses.
There are also gangs of flagellants who whip themselves
until they bleed. A more sober affair is Ang Pagtaltal
Sa Guimaras in Jordan on Guimaras (p308); this usually
features a Christ roped rather than nailed to his cross (and
hes often helped up there with a few stiff drinks).
Senakulo & Pabasa Also during Holy Week, passion
plays (senakulo or cenaculo) are staged in various parts of
the country, while pabasa or pasyon, a recitation of the
passion of Christ, is held in many neighbourhoods.
Moriones Festival (p201) In April on the island of
Marinduque, passion plays are staged by townspeople
wearing unique costumes and masks; this is one of most
famous festivals in the Philippines.
Lenten Festival of Herbal Preparation (p295) On
Black Saturday (the day before Easter) in San Antonio on
Siquijor, traditional healers strut their stuff to big crowds.
Dozens of native doctors gather around a big pot, chanting
and preparing a medicinal concoction that people say works.
Pana-ad sa Negros Held in April in Bacolod on Negros,
this was originally a street festival, but now includes lively
displays of arts and crafts from the 22 towns and 10 cities
in the area.
Pistay Dayat (p142) On 1 May the coastal towns of the
Lingayen Gulf on Luzon pay homage to local fishermen
with the areas foremost fiesta.
Pasalamat Festival (p286) On the Sunday nearest
1 May, this fun thanksgiving ritual honours the years
harvest in La Carlota on Negros.
Viva Vigan Festival of the Arts (p148) In the first
week of May, the old historic town of Vigan in the north
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June
Independence Day Filipinos proclaimed their independence from Spain on 12 June, 1898, an event now
celebrated nationwide with civic parades, including a huge
one at Rizal Park (Luneta) in Manila.
Araw ng Kutabato (p396) In mid-June, the city of
Cotabato on Mindanao plays host to massive dance
parades.
Parada ng Lechon A unique fiesta on 24 June in
Balayan, Batangas, south of Manila, treating visitors to a
parade of lechon (roast suckling pig).
Pintados-Kasadyaan (p356) Held on 29 June, this
painted festival in Tacloban on Leyte celebrates preSpanish traditional tattooing practices, albeit using waterbased paints for the festivals body decorations.
August
Kadayawan sa Dabaw Festival (p389) During the
third week of August, Davao on Mindanao showcases
its Muslim, Chinese and tribal influences with parades,
performances, and fruit and flowers displays.
Lubi-Lubi Festival On 15 August, the town of Calubian,
on Leyte, celebrates the towns namesake, the coconut.
September
Tuna Festival (p393) From 1 to 5 September, General
Santos on Mindanao celebrates the king of all tinned creatures. The festival includes a best-dressed tuna competition, a parade of fishing floats and a sashimi night.
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October
D I R E C T O R Y F o o d 439
31 March 2007
November
All Saints Day (Todos los Santos) Around 1 November, Christian cemeteries throughout the archipelago are
spruced up and crypts are given a fresh coat of whitewash.
On the evening of All Saints Day (Halloween in the Western world), families laden with food gather at the local
cemetery to spend the night remembering their departed
loved ones. The atmosphere is surprisingly festive and
foreign visitors who stroll through the cemetery will invariably be invited to join in. If you happen to be in Manila,
dont miss the party at the Chinese Cemetery.
Pintaflores Festival (p292) Held in San Carlos on
Negros from 3 to 5 November, this famously frenzied street
festival has its roots in the traditional Filipino method of
welcoming foreigners; en masse dancing.
Lem-Lunay Festival (p395) Celebrated in the second
week of November at Lake Sebu on Mindanao, this Tboli
festival culminates in the royal sport of horse-fighting.
December
Christmas Lantern Festival On the closest Saturday to
Christmas, truly gigantic Christmas lanterns are paraded
through San Fernando (Pampanga) on Luzon; the lanterns
remain on display until January.
Shariff Kabungsuan Festival (p396) This December
festival in Cotabato on Mindanao celebrates the arrival of
Islam in the region and includes river parades of decorated
boats.
FOOD
For information about eating and drinking
in the Philippines, see the Food & Drink
chapter (p45).
HOLIDAYS
Many businesses shut for the entire week
before Easter (called Holy Week here) and
for two weeks (or more) over Christmas
and New Years. Expect overseas consulates
and many embassies to take some time off
during these periods as well.
New Years Day 1 January
People Power Day 25 February
Maundy Thursday Varies; around March or April
Good Friday Varies; the day after Maundy Thursday
Araw ng Kagitingan (Bataan Day) 9 April
Labour Day 1 May
Independence Day 12 June
Ninoy Aquino Day 21 August
National Heroes Day Last Sunday in August
All Saints Day 1 November
End of Ramadan Varies; depends on Islamic calendar
Bonifacio Day 30 November
DIREC TORY
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438 D I R E C T O R Y Fe s t i v a l s & E v e n t s
INSURANCE
A travel-insurance policy to cover theft, loss
and medical problems is a good idea. Some
policies offer lower and higher medicalexpense options. There is a wide variety of
policies available, so check the small print.
Some policies specifically exclude dangerous activities, which can include scuba diving, motorcycling and even trekking. Check
that the policy covers ambulances and an
emergency flight home. See the Health
chapter (p456) for more on health issues in
the Philippines. See the Transport chapter
(p446) for information on car insurance in
the Philippines.
Worldwide cover to travellers from more
than 44 countries is available online at www
.lonelyplanet.com/travel_services.
INTERNET ACCESS
Email and Internet services have taken off
in a big way in the Philippines, and plenty
of hotels, resorts and cybercafs will allow
you to keep in touch with the virtual outside
world. Even many of the smallest towns and
islands have email facilities.
Rates for email/Internet access can be as
low as P20 per hour, particularly in Cebu
City, where there seems to be a cybercaf at
every other street corner. There are plenty
of cybercafs, or Internet cafs, as the locals
call them, in cities and big towns, and generally connections are fast and efficient.
If youve got a portable computer for this
purpose, note the voltage used (see p432 for
details). US-style RJ-11 telephone adaptors
are commonly used in the Philippines, so
ensure that you at least have a US RJ-11
adaptor that works with your modem.
See p17 for some useful websites on the
Philippines.
LEGAL MATTERS
Should you find yourself in trouble with the
law in the Philippines, your first recourse is
your embassy, so make a point of writing
down the phone number as a protective
measure. Some of the embassies and consulates in the Philippines are listed on p437.
Though drug use or smuggling does not
automatically carry the death penalty in the
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Philippines, as it does in some other Southeast Asian countries, its nonetheless a very
serious offence. In fact, depending on the
type and amount of drugs that offenders
are caught with, they can still end up on
death row.
If you do get into trouble in the Philippines, after contacting your embassy you
may also want to contact a lawyer. Almost
all lawyers in the Philippines speak good
English, so communication should not be
an issue.
If you find yourself the victim of theft
or some other crime you can either seek
help at the nearest police station or call the
24-hour service provided by the Philippine
Department of Tourism (DOT; % 02-524 1660 in
Manila).
MAPS
MONEY
The unit of currency in the Philippines is
the peso (P), which is also spelled piso in
Filipino, and is divided into 100 centavos
(c). Banknotes come in denominations of
10, 20, 50, 100, 200, 500, 1000 and 2000
pesos. Coins are in 10c and 25c pieces, and
P1, P5 and P10.
The smartest way to bring cash to the
Philippines is in the form of a credit card,
cash card or debit card. Provided you have
your PIN, you can use these to get cash or
cash advances from thousands of banks and
ATMs in the Philippines (but dont expect
to find these in rural areas always stock
up on cash before leaving a city).
Of course, youll want to back up your
plastic with some cash (US dollars are
the most widely accepted) and travellers
cheques. Using plastic with a cash back-up
will save you from having to deal with local
ATMs
Cash
With the usual precautions, carrying cash
(US dollars is the currency of choice) is
no particular problem; its actually a good
idea to have a US$50 and/or US$100 note
stashed somewhere secure and accessible in
case you cant find a bank or an ATM, or
youre out of travellers cheques.
As for pesos, Sorry, no change becomes
a familiar line stock up on notes smaller
than P100 at every opportunity.
D I R E C T O R Y M o n e y 441
Credit Cards
Many shops, restaurants, hotels and resorts
accept payment by plastic, and credit-card
cash advances are possible in larger towns
and cities; in small towns and on islands
rarely visited there are often no provisions
for credit cards (Palawan, in particular, has
few places that accept credit cards).
A shop-front sign that reads Visa accepted or MasterCard accepted may well
refer only to the Philippines-issued version,
so check with the shop personnel by showing them your card. Also note that some
establishments will try to add (at times surreptitiously) a surcharge to your bill when
you pay with a credit card, on the grounds
that they themselves have to pay a surcharge
to the credit-card company. Its all up to
you whether to accept this rather irritating
practice or not. You may be able to avoid
this charge by using another card.
If your MasterCard is lost, stolen or eaten
by an ungrateful ATM, the toll-free number
to call in the Philippines is %1 800 1111
0061. For Visa cardholders, the number is
%1 800 1111 0248. Be forewarned, however,
that trying to get through to a 1 800 number
in the Philippines can be as fruitless as trying to reach somebody in the middle of the
Sahara!
There are incidents of credit-card fraud
in the Philippines, as in many other countries. To prevent this, keep a close eye on
your card at all times never, for example,
allow a shop clerk to disappear into a back
room with it (where someone would be able
to make several imprints with your card).
Likewise, keep a careful record of all your
credit-card transactions while in the Philippines, save your receipts, and check your
credit-card statements.
You can get cash advances with credit
cards from many ATMs and banks in the
Philippines. Note that this is different from
simply getting cash from your account with
a cash or debit card a cash advance is like
a credit-card purchase in that you must pay
it back, and with interest if you dont pay
your account in full each month. Also keep
in mind that there may not be any ATMs or
banks in smaller towns and rural areas, so,
as usual, it pays to cash up (within reasonable limits) before heading into the sticks.
While many ATMs in the Philippines
accept cash cards linked to the Cirrus
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440 D I R E C T O R Y I n s u r a n c e
Moneychangers
Moneychangers are usually easy to find in
the commercial centres of most cities; some
department stores and shopping malls also
have moneychangers on the premises.
Moneychangers usually offer the best rates,
but they are also notorious for all manner
of short-change scams and rip-offs. Because
of the risk of rip-offs, its best to use moneychangers selectively if possible, change
your cash or travellers cheques at a bank,
hotel or resort, even if the rate is usually
lower than at a moneychanger.
In Manila you should have no trouble
changing US dollars, British pounds or
euros; Japanese yen is also widely accepted,
as are Canadian and Australian dollars,
ASEAN currencies, and some currencies
from the Middle East.
There are no particular hassles with exchanging pesos when you leave, unless youre
carrying a huge amount. But even then your
only problem might be locating a moneychanger with enough US dollars to change
them into.
Tipping
Tipping (about 5% to 10%) in the Philippines
is expected, though not demanded, mainly
in restaurants, where its a component of the
staffs wages. Round up taxi fares (for example, from P164 to P170), assuming the meter
is correct.
Travellers Cheques
US-dollar travellers cheques are the most
secure and reliable way to carry funds.
American Express (AmEx) is by far the
most widely recognised and you may find
it difficult to exchange cheques from other
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POST
The postal system is generally efficient
even from provincial towns, mail tends to
get to where it is intended to go. Just dont
tempt fate by enclosing cash (or, if you must
send it, sandwich it between two pieces of
carbon paper so its not visible when the
envelope is held against the light). If youre
nervous about stamps falling off or being
removed, have the items franked instead.
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SHOPPING
Manilas malls and markets offer a range of
authentic items from around the country,
and lots of touristy trinkets as well. Handicrafts are popular and often of high quality; they include wooden salad bowls and
utensils, and hanging lamps and chandeliers made of shells.
Items designed for tourists are especially
plentiful in Manilas traditional tourist belt
Ermita and Malate as well as in the huge
air-conditioned malls where you can find virtually anything. Many well-known designer
brands from the West, such as Polo, Armani
and Guess, have shops at these malls. Here
you can pick up brand-name clothing at a
fraction of its cost in the West. The Barong
Tagalog, the traditional embroidered shirt
worn by Filipino men, is also a good buy.
Philippine markets are a must-see, if only
to experience the amazing riot of colours
and delightful cacophony of sounds. The
fruit section will make you want to sample
the many types of bananas, mangoes and
other tropical fruits on display.
You can find markets of varying sizes in
almost all Philippine cities and towns. Some
are held only once or twice a week ask a
local for advice.
Traditional items can be found in cities
such as Cebu, Davao and Zamboanga, or
you could go to the source. The pickings are
often better off the beaten track: Tacloban
on Leyte is famous for the quality of its
abaca (native hemp plant) products, Iligan
on Mindanao has a good range of Muslimproduced handicrafts, while Lake Sebu is
the heartland of the Tboli people and their
weaving and betel-nut box-making.
Bargaining
Try bargaining in shops and markets, as
Filipinos do. After all, foreigners are often
quoted higher prices. However, as with anywhere else, it pays to remain good-natured.
Its also best not to try to drive too hard a
bargain. If you cant get the price you want,
graciously decline to do business and excuse
yourself. Remember, bargaining too hard or
too aggressively will cause the vendor to lose
face. And its a good idea to keep in mind
how much money youre actually bargaining for it may seem like a lot in pesos, but
when you convert it to your own currency,
it may be a pittance.
D I R E C T O R Y S h o p p i n g 443
SOLO TRAVELLERS
The Philippines is a good country for solo
travellers. The only caveat here is that some
foreign female travellers, particularly solo
ones, have reported problems in the conservative Muslim areas of the south. If you
are worried about this, you will probably
feel safer in places like Boracay or Cebu,
where the locals are very used to foreign
women travelling by themselves.
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442 D I R E C T O R Y P h o t o g r a p h y & V i d e o
Mobile Phones
Now carried by legions of Filipinos, mobile (cell) phones are commonplace in the
Philippines. If your phone company offers
international roaming for the Philippines,
you should be able to use your mobile
phone (provided its a relatively new model)
and home SIM card in the Philippines, but
check the roaming charges as they may be
many times higher than Philippine rates.
In fact, you just might be better off buying a mobile phone locally. In big cities
you can pick up a unit with text and other
functions for as little as P3000, and that
includes a SIM card and a prepaid call card.
Globe and Smart are the two frontrunners
in the local mobile-phone market. The stiff
competition between these service providers works to the advantage of consumers
calls can cost as little as P6.50 a minute.
Text messaging costs only P2 to send.
Mobile-phone charges can be paid each
month or with a prepaid card. Like phonecards, these come in various denominations
and are readily available at phone kiosks in
shopping centres. You may also purchase
electronic load (e-load) at designated outlets,
often even at local sari-sari stores, for as low
as P30. Locally purchased mobile phones can
make IDD/DDD calls as well as receive calls
from outside the country. International rates
for mobile phone calls are so low that mobiles
can actually be the cheapest way to make international calls from the Philippines.
Phonecards
Coin-operated phones have become rare
in Manila, but card-operated phones are
widely available in hotel foyers, commercial
centres and shopping malls. Phonecards
can be purchased from vending machines
or kiosks in practically any shopping area,
and come in various denominations, the
most common of which is P100.
PLDT and the other phone companies
issue phonecards, but these can be only used
www.lonelyplanet.com
TIME
The Philippines is eight hours ahead of
Greenwich Mean Time/Universal Time
Coordinated (GMT/UTC). Thus, when
its noon in Manila, its 8pm the previous
evening in Los Angeles and 11pm the previous night in New York; 4am the same day in
London; 1pm the same day in Tokyo; and
2pm the same day in Sydney.
Official time in Davao, Mindanaos capital, is curiously about 10 minutes ahead of
the rest of the country. No-ones quite sure
how or why it happened, but no-one seems
too troubled about it.
TOILETS
A toilet is referred to as a comfort room
(CR). In Filipino, men are lalake and women
are babae. Where there are no public toilets,
Filipino men will often avail themselves of
the nearest outdoor wall hence the signs
scrawled in many places: Bawal Ang Umihi
Dito! (No Pissing Here!), though nowadays
in Manila there are small walled urinals along
the main streets (you can tell them by their
screaming pink paint). If you need a toilet,
try a mall or fast-food restaurant.
TOURIST INFORMATION
The official organ of Philippine tourism is the
Philippine Department of Tourism (DOT).
The main DOT centre in Manila (p75) has
helpful staff, but you dont need to load up
with brochures and computer printouts
regional outlets stock the same information
and may be more up to date.
Youll find regional DOT offices in many
of the more popular destinations throughout the Philippines, although some offices
offer more useful services than others.
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VISAS
Visa regulations in the Philippines are
subject to change so be sure to check with
a Philippine embassy or consulate before
making your travel plans (see p437 for a list
of embassies and consulates).
At the time of writing, citizens of nearly
all countries did not need a visa to enter the
Philippines for stays of less than 22 days
youll be given a 21-day visa on arrival in
the country. However, you may well be
asked for proof of an exit or onward ticket
upon arrival in the country (see right).
For longer stays, before you travel apply
at a Philippine embassy or consulate for a
three-month single-entry visa, which usually costs US$30. Multiple-entry visas valid
for up to six or twelve months are also available ($60 or $90 respectively), but youll still
be limited to 59-day stays.
Most Philippine embassies and consulates wont issue you a visa without proof of
a ticket for onward travel from the Philippines. Usually, a photocopy of your itinerary from your travel agent is enough, but
some ask to see the actual ticket.
Visa Extensions
If you want to stay beyond the 21 or 59 days
youve been given on arrival, youll have to
deal with a local immigration office. Fortunately, you can now buy your way past a
lot of the red tape with a P500 express fee,
which may be pricey but it ensures that your
application is processed in only a few hours,
rather than the usual five to seven days.
Currently, 21-day visas can be extended
to 59 days for P2020. Longer extensions (up
Onward Tickets
Officially, you must have a ticket for onward
travel to enter the Philippines. This applies
both to those who apply for visas before arriving in the Philippines and those who hope
to receive a 21-day visa on arrival. In practice, immigration inspectors at the airport
dont always ask to see an onward ticket.
WOMEN TRAVELLERS
Foreign women travellers will generally
have few problems in most of the Philippines. However, in the south, in conservative Muslim places like Mindanao, women
travellers may face unwelcome sexual advances. It is extremely unlikely to go further
than this, however, and one solution is to
announce that you are in fact a widow
(being married isnt a deterrent).
Women travellers should also be aware
that tampons are not widely available in the
Philippines (pads are more commonly used
and are more commonly available). If you
use tampons, be sure to bring an adequate
supply from home.
WORK
Nonresident aliens are not permitted to be
employed or to theoretically look for work
without a valid work permit, while foreign
residents require work registration. Contact
the Department of Labor & Employment (DOLE;
Map p76; %02-527 8000; www.dole.gov.ph; DOLE Bldg,
General Luna St cnr Muralla St, Intramuros, Manila) to ob-
DIREC TORY
DIREC TORY
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THINGS CHANGE
The information in this chapter is particularly vulnerable to change: prices for
international travel are volatile, routes
are introduced and cancelled, schedules
change, special deals come and go, and
rules and visa requirements are amended.
You should check directly with the airline or
a travel agent to make sure you understand
how a fare (and ticket you may buy) works
and be aware of the security requirements
for international travel. Shop carefully. The
details given in this chapter should be regarded as pointers and are not a substitute
for your own careful, up-to-date research.
AIR
Tickets
Book well in advance if you plan to arrive in the Philippines during December
expat Filipinos flood the islands to visit
their families during Christmas and New
Year. If youre flying into Cebu, the leadup to Lunar New Year in late January or
early February can also get congested, as the
citys sizeable Chinese population prepares
to celebrate.
INTERCONTINENTAL (RTW) TICKETS
Australia
The best place to look for cheap fares is
in the travel sections of weekend newspapers, such as the Age in Melbourne and
the Sydney Morning Herald. Two wellknown agencies for cheap fares are STA
INTERNATIONAL DEPARTURE TAX
Departure tax for all flights leaving the Philippines is P550, payable in cash only (US
dollars or Philippine pesos).
TRANSPORT
TRANSPORT
CONTENTS
lines immigration is usually straightforward. You may be asked to show an ongoing ticket, and most nationalities are issued
a 21-day visa on the spot (see p445 for more
details).
Flights, tours and train tickets can be
booked online at www.lonelyplanet.com
/travel_services.
G E T T I N G T H E R E & A W AY A i r 447
448 G E T T I N G T H E R E & A W AY A i r
Canada
Travel Cuts (%800-667-2887; www.travelcuts.com)
is Canadas national student travel agency.
For online bookings try www.expedia.ca
and www.travelocity.ca.
United and PAL fly between Canada
and Manila. Alternatively, its possible to
fly from Vancouver to Manila or Cebu via
several Asian cities on a variety of airlines.
Continental Europe
Air France offers direct flights from Paris
to Manila; otherwise, you can fly via an
Asian or Middle Eastern capital. The cheapest return fares are on the Middle Eastern
carriers.
Lufthansa offers direct flights from
Frankfurt to Manila (stopping in Bangkok).
Otherwise, its necessary to take a connecting flight via an Asian or Middle Eastern
capital on Malaysia Airlines, Singapore Airlines or Qatar Airways.
There are direct flights from Amsterdam to Manila on KLM, and connecting
flights on Cathay Pacific (via Hong Kong),
Swiss Air (via Zurich), Singapore Airlines
(via Singapore) and Malaysia Airlines (via
Kuala Lumpur), among others.
Some recommended travel agencies in
continental Europe include:
FRANCE
New Zealand
Both Flight Centre (%0800 243 544; www.flight
centre.co.nz) and STA Travel (%0508 782 872; www
.statravel.co.nz) have branches throughout New
Zealand.
Currently there are no direct flights between New Zealand and the Philippines; the
usual route is to fly to Sydney and pick up
a direct flight from there. Alternatively, its
possible to fly direct from New Zealand to
an Asian city like Singapore or Hong Kong
and fly to the Philippines from there.
Return fares on Singapore Airlines (via
Singapore) or Malaysia Airlines (via Kuala
Lumpur) are popular choices for flights
between New Zealand and the Philippines.
UK & Ireland
The cheapest flights to Manila are usually
with Qatar Airways. Other carriers flying
between the UK and the Philippines include Air France, or Asian airlines such as
Singapore Airlines or Cathay Pacific. Malaysia Airlines, Cathay Pacific and Singapore Airlines also offer flights into Cebu for
slightly higher prices.
Recommended travel agencies include
the following:
Flight Centre (%0870 890 8099; www.flightcentre
.co.uk)
.nouvelles-frontieres.fr)
OTU Voyages (www.otu.fr) This agency specialises in
student and youth travellers.
Voyageurs du Monde (%01 40 15 11 15; www.vdm
.com)
GERMANY
Expedia (www.expedia.de)
Just Travel (%089 747 3330; www.justtravel.de)
www.lonelyplanet.com
USA
PAL offers the only direct flights to the Philippines from mainland USA, with flights
from both Los Angeles and San Francisco.
Other airlines that serve the Philippines
from the USA include Northwest (via
Tokyo), Japan Airlines (via Tokyo), All
Nippon Airways (via Tokyo), Korean Airlines (via Seoul) and China Airlines (via
Taipei).
The following are recommended for online bookings.
Cheap Tickets (www.cheaptickets.com)
Expedia (www.expedia.com)
Lowestfare.com (www.lowestfare.com)
Orbitz (www.orbitz.com)
STA (www.sta.com)
Travelocity (www.travelocity.com)
SEA
Its possible to travel by sea between the
Philippines and nearby parts of Malaysia
and Indonesia. However, schedules and
routes are very liable to change so its best
to be flexible in your plans.
Indonesia
EPA Shipping Line (%083-380 3591) has ferries
that sail between General Santos in Mindanao and the deep-water port of Bitung,
55km from Manado, Indonesia (P1800, 36
hours, twice weekly). The office is inside
the port compound at Makar, near General Santos. This is a cargo boat that takes
passengers; officially, foreigners should be
able to make this trip, but you may want
to check with the tourism office in General
Santos first. You will need to get your visa
requirements in order with the Indonesian
consulate in Davao before you leave. For
more details see p394.
There is also a boat that sails between
Bitung and Davaos Sasa Pier (via General
Santos) every Friday, but trip details change
often so its best to check with Davaos city
tourism office. For more details see p391.
Malaysia
Aleson Lines (%062-991 2687; PPA Terminal, Port Area,
Zamboanga) boats leave Zamboanga in Mindanao for Sandakan in Malaysian Borneo
twice weekly (cabin P3600, 16 hours). For
details see p400.
SRN Fastcraft (%992 3765) has two Weesam
Express boats a week between Zamboanga
G E T T I N G A R O U N D A i r 449
TOURS
For information on tours of the Philippines,
see p455.
GETTING AROUND
AIR
The main domestic carriers are Philippine
Airlines (PAL), Cebu Pacific Air and Air
Philippines. Smaller carriers include Asian
Spirit, SEAIR and Island Transvoyager
(only for El Nido in Palawan). For Manila
contact details, see p109.
Size is important when it comes to
Philippine air travel. Smaller airlines fly
smaller planes, and smaller airports have
more basic facilities. Youre more likely to
get on a flight during popular travel times
with a bigger airline; on the other hand, the
smaller planes often land (or at least try to)
when the big planes turn back or stay on
the ground. Generally speaking, PAL flies
the largest and newest planes.
Flight routes tend to be skewed towards
the major airports, so airlines can fly from
busy Airport X to towns A, B and C, but
not necessarily between A, B and C. Routes
in the southern Philippines are particularly
hit-and-miss.
Reasonably reliable flight information, as
well as online booking, is available online
from airline websites and travel sites such as
www.lakbay.net. All domestic carriers have
roughly comparable fares, and on certain
routes you can get promotional (ie seasonal)
discounts of 20% to 30% if you buy your
ticket two or three days in advance (check
with the airline for exact details). Schedules
and prices change, and promotions rapidly
come and go. See the Domestic Airfares map
(above) for airfares, but please note that these
prices were only approximate at the time of
printing and are subject to change.
DOMESTIC DEPARTURE TAX
Domestic departure tax varies from airport
to airstrip. From Manila and Cebu it is P100.
Domestic departure tax at most small airports is lower, generally around P50.
TRANSPORT
TRANSPORT
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450 G E T T I N G A R O U N D A i r
Domestic Airfares
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DOMESTIC AIRFARES
0
0
400 km
250 miles
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BICYCLE
Tuguegarao
P2388
P2500
MANILA
P1
93
00
P25
82
P44
01
04
Tacloban
Bacolod
CEBU
CITY
P2
P14
Surigao
10
Tandag
88
P25
83
P3
P23
50
Purchase
35
80
P23
P3918
Dipolog
Cagayan
de Oro
40
P26
P3
P3
88
P25
68
Roxas
Taytay
Puerto Princesa
Hire
P38
Busuanga
Island
28
90
Naga
P30
P33
TRANSPORT
Laoag
Zamboanga
DAVAO
General
Santos
BOAT
Spend any length of time in the Philippines
and youre bound to find yourself on a boat.
Boats range from the high-class multideck
WG&A ferries and highly efficient luxury
passenger catamarans (known as fastcraft
or fast ferries) to the smallest of outriggers
(called bangka or pumpboats), which shuttle between myriad beaches and piers.
Small Craft
Ferries may carry more weight, but bangka
(also known as pumpboats) are the backbone of inter-island travel. These are small
wooden boats with two wooden or bamboo
outriggers. In some areas, in addition to
TRANSPORT
Cycling around the Philippines is a seldomexplored option, but away from the treacherous traffic and exhaust fumes it can be
a great way to get around the quieter, less
visited islands such as the Batanes or Guimaras. Locals get around on bikes in many
of these places, and the promise of peaceful
rides along coastal and mountain roads to
out-of-the-way villages makes cycling well
worth the effort.
You can take bicycles on domestic flights
(you may have to partially disassemble the
bicycle), but take heed of the baggage allowance on small planes. If theres room,
you can stow your bike on a bus or jeepney,
usually for a small charge.
G E T T I N G A R O U N D B i c y c l e 451
BUS
An enormous number of bus services cover
the Philippines and generally do it quite
cheaply and reliably. Island-hopping on a
bus is even an option; in fact, you can travel
all the way from the northernmost tip of
Luzon to the southernmost corner of Mindanao without getting your feet wet.
Departures are usually quite frequent,
but take care if theres only one bus a day
drivers sometimes decide to leave earlier
than scheduled if the bus is full! Many Filipinos like to travel early in the morning or
after nightfall, when its cool, so there are
often more buses at this time.
As in most countries, it pays to mind your
baggage while buses load and unload.
Costs
You can roughly calculate the fare and the
time a bus journey will take based on distance. Regular buses generally cover a bit
under 2km per peso and the average speed is
about 50km per hour. Voil! A 100km journey costs P50 or so and takes two hours.
On the other hand, youd need a slide
rule and a crystal ball to factor in chickens
crossing the road, the number of flat tyres,
heart-stopping spurts of speed and so on,
all of which seem to have been magically
factored into the actual price you pay. Its a
bit easier to take a look at the prices written
on chalkboards wherever the buses depart.
Air-con buses are around 15% to 20%
more expensive than ordinary buses, and
trips on gravel roads are normally pricier
than travel on sealed roads.
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Reservations
As noted earlier, drivers get an itchy pedal
foot when the bus is full, and clutching a
reservation to your chest as the bus zooms
away without you is cold comfort. That said,
reservations are useful, especially on popular routes and early-morning buses where
competition for a seat can be pretty stiff.
In bigger towns, reservations can be
made with the bus company by phone or in
person; in smaller centres, often a particular
shop takes reservations for buses belonging
to one or more companies. On some routes
you can also ring to request that a bus stop
for you at a designated time and place.
Driving Licence
Your home countrys driving licence is legally valid for 90 days in the Philippines.
Technically, you are supposed to have an
International Driving Permit for any period
longer than this, and some car-rental companies may require you to have this permit
when hiring vehicles from them.
Hire
CAR
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You can rent motorcycles and motor scooters in many tourist spots; they shouldnt
be too hard to find. For example, resorthappy Alona Beach on Panglao Island is
lined with motorcycles for hire from P600
per day. In towns, popular guesthouses and
cafs sometimes have motorcycle-rental
shops nearby. In more remote areas, just
ask around even if theres no rental shop,
you might find somebody willing to rent
out their motorcycle for a fee.
As a rule, 125cc Honda or Suzuki cycles
cost P500 to P700 per day; smaller cycles
are around P350. Finding a helmet can be
difficult.
Insurance
Philippine law requires that you have thirdparty auto insurance with a Philippines
auto-insurance company when you drive
in the Philippines. If you rent a car, this can
be arranged with the rental agency. You are
required to carry a minimum of P750,000 of
insurance. Auto insurance is available from
local insurance agencies.
Road Rules
Driving is on the right-hand side of the
road (or at least its supposed to be). If you
do decide to hire a car or motorcycle, defensive driving is definitely the order of the
day. Jeepneys and buses will stop at random
to drop off and pick up passengers, and
you should give way to buses in almost all
situations.
In general, the outside lane is the safest
place to be, though you can expect people
to overtake on both sides if theres a gap in
the traffic. On the expressways out of Manila, the hard shoulder is often used as an
G E T T I N G A R O U N D H i t c h i n g 453
HITCHING
Hitching is never entirely safe in any country in the world, and we dont recommend
it. Travellers who decide to hitch should
understand that they are taking a small
but potentially serious risk. People who do
choose to hitch will be safer if they travel in
pairs and let someone know where they are
planning to go. And, needless to say, hitching in the guerrilla territory of Mindanao is
positively suicidal.
The cost of transport in the Philippines is generally so low that hitchhiking isnt worth the trouble; youre seldom
left stranded without a cheap and willing
jeepney in sight. A hitchhiker is such an
unusual sight in the Philippines that most
regular drivers will probably ignore you if
you stand on the roadside with your thumb
out; the only ones who might stop are truck
or jeepney drivers, who would expect a few
pesos if they gave you a lift.
LOCAL TRANSPORT
Jeepney
TRANSPORT
TRANSPORT
452 G E T T I N G A R O U N D B u s
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Light Rail
Some parts of Manila are served by an elevated railway system; for details see p115.
Taxi
Manila is reputed to have Southeast Asias
cheapest taxi fares. However, some Manila
taxi drivers may refuse to use their meters
so this is something of a moot point. Officially, flagfall is P30, after which the rate is
P2.50 for every 300m or every two minutes
of waiting time.
Thousands of taxis ply the streets of Manila, but when youre desperately in need
of their services theres suddenly not a single one available. The few that will stop
are wont to interview you regarding your
destination and will drive off if theyre not
satisfied with your answers. Even locals are
subjected to this irritating practice, a fact
that might provide some paranoid travellers with a little comfort.
Thanks to a government drive to punish rude and dishonest drivers, many taxis
now use meters. Some will still try to strike
up a deal with you (foreigners are often
subjected to this), but most will comply if
you insist on the use of the meter (this may,
of course, put you on the most roundabout
course to your destination). On the other
hand, you might want to privately hire a
taxi, in which case the normal practice is to
hire it by the hour (P250) or the day (P1500
to P2000). As with everything else in the
Philippines, the arrangement will depend
on what (and how well) you negotiate with
the driver.
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Though its become less common recently, there have been cases of taxi passengers being robbed at gun or knife point,
sometimes with the driver in cahoots with
the culprits or the driver himself holding up
the passengers. Nowadays, the drivers seem
to be the preferred prey of the criminals,
perhaps because theyre more likely to be
carrying cash than the passengers!
The chances of getting robbed in a taxi are
pretty slim during daylight hours, although
its wise to stay alert when travelling in deserted areas. Keep your pack or bag beside
you or on your lap at all times and get out
straight away (in a secure populated area, of
course, not in the middle of nowhere or in a
slum area) if you suspect youre being taken
for a ride in more ways than one.
Tricycle
The tricycle is basically the Philippine rickshaw: a little, roofed sidecar bolted to a motorbike or, less often, a bicycle. Tricycles are
found in their various forms nearly everywhere and are useful essential even for
short trips. In many areas, they can also be
rented by the hour for around P100.
The flat fare around town is usually
P5 per passenger; for longer trips around
town, you will be charged at least double
this figure. Note that this is the rate that
locals pay. In some towns you can get away
with paying the local rate; in many tourist areas, however, your chances of getting
such a rate range from slim to nonexistent.
In these areas, drivers of motorised tricycles will routinely quote P150 especially
if night is fast approaching and/or the trip
involves unsealed roads. Locals would pay a
fraction of this price, so feel free to haggle.
Tricycles are often garishly done up in
the mode of a jeepney, and youll likely hear
one before you see one from the noise of the
smoke-belching two-stroke engine.
Tricycles in Manila (where theyre also
called pedicabs or sidecars) are normally
confined to certain routes, usually around
commercial centres or residential villages
or subdivisions, and will seldom venture
away from their regular beat.
Van
Vans (minibuses) have become popular in
many parts of the Philippines as rivals to
jeepneys and regular buses. Operated pri-
TOURS
There are a variety of tours of the Philippines available. The following is just a
sample of whats available.
EcoFirst Adventures (www.ecofirstadventures.com)
This USA-based company offers a variety of adventuresports trips in Palawan.
Philippine-Travel.com (www.philippine-travel.co.uk)
This UK-based operator offers a variety of tours including
diving and live-aboards.
Philippines Private Tours (www.philippinesprivate
tours.com) Operated by Lonely Planet author Chris
Rowthorn, this company specialises in private tours of
Palawan and Manila. It also offers airport pickups in Manila
and online consulting about Philippines travel.
TRAIN
The route south from Manila to the Bicol
region in southeast Luzon is the only railway line in the country. Although its old
and none too speedy, its a viable option for
travel down to Naga and Legaspi and points
along the way (see p189 for details).
TRANSPORT
TRANSPORT
454 G E T T I N G A R O U N D L o c a l T r a n s p o r t
Health
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Dr Trish Batchelor
CONTENTS
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INSURANCE
BEFORE YOU GO
VACCINATIONS
Recommended Vaccinations
Required Vaccinations
MEDICAL CHECKLIST
Recommended items for a personal medical kit:
antifungal cream, eg Clotrimazole
antibacterial cream, eg Muciprocin
antibiotics for skin infections, eg Amoxicillin/Clavulanate or Cephalexin
antibiotics for diarrhoea eg Norfloxacin
or Ciprofloxacin; Azithromycin for bacterial diarrhoea; Tinidazole for giardiasis
or amoebic dysentery
antihistamine for allergies, eg Cetrizine
for daytime and Promethazine for night
anti-inflammatories, eg Ibuprofen
antiseptic, eg Betadine
antispasmodic for stomach cramps, eg
Buscopa
contraceptives
decongestant, eg Pseudoephedrine
DEET-based insect repellent
diarrhoea consider an oral rehydration
solution, eg Gastrolyte, diarrhoea stopper, eg Loperamide, and anti-nausea
medication, eg Prochlorperazine
first-aid items such as scissors, safety
pins, Elastoplasts, bandages, gauze, thermometer (electronic, not mercury), sterile needles and syringes and tweezers
indigestion medication, eg Quick Eze or
Mylanta
iodine tablets (unless you are pregnant or
have a thyroid problem) to purify water
H E A LT H
H E A LT H
Before You Go
Insurance
Vaccinations
Medical Checklist
Internet Resources
Further Reading
In Transit
Deep Vein Thrombosis (DVT)
Jet Lag & Motion Sickness
In the Philippines
Availability of Healthcare
Infectious Illnesses
Travellers Diarrhoea
Environmental Hazards
Womens Health
B E F O R E Y O U G O M e d i c a l C h e c k l i s t 457
458 I N T R A N S I T D e e p Ve i n T h r o m b o s i s ( D V T )
INTERNET RESOURCES
FURTHER READING
Lonely Planets Healthy Travel Asia &
India is a handy pocket-size book that is
packed with useful information including
pre-trip planning, emergency first aid, immunisation and disease information and
what to do if you get sick on the road. Other
recommended references include Travellers
Health by Dr Richard Dawood and Travelling Well by Dr Deborah Mills check out
the website www.travellingwell.com.au.
IN TRANSIT
DEEP VEIN THROMBOSIS (DVT )
Deep vein thrombosis (DVT) occurs when
blood clots form in the legs during plane
flights, chiefly because of prolonged immobility. The longer the flight, the greater
the risk. Though most blood clots are reabsorbed uneventfully, some may break off
and travel through the blood vessels to the
IN THE PHILIPPINES
AVAILABILITY OF HEALTHCARE
Most capital cities in Southeast Asia now
have clinics catering specifically to travellers and expats. These clinics are usually
more expensive than local medical facilities, but are worth utilising, as they will
offer a superior standard of care. Additionally they understand the local system, and
are aware of the safest local hospitals and
best specialists. They can also liaise with
insurance companies should you require
evacuation. Good medical care is available
in most major cities in the Philippines.
Recommended clinics are listed under Information in the city sections of regional
chapters in this book.
It is difficult to find reliable medical care
in rural areas. Your embassy and insurance
company are also good contacts.
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INFECTIOUS ILLNESSES
Chikungunya fever
Dengue Fever
This mosquito-borne disease is becomingly
increasingly problematic throughout Southeast Asia, especially in the cities. As there is
no vaccine available it can only be prevented
by avoiding mosquito bites. The mosquito
that carries dengue bites day and night, so
use insect avoidance measures at all times.
Symptoms include high fever, severe headache and body ache (dengue was previously
known as breakbone fever). Some people
develop a rash and experience diarrhoea.
There is no specific treatment, just rest and
paracetamol do not take aspirin as it increases the likelihood of haemorrhaging. See
a doctor to be diagnosed and monitored.
I N T H E P H I L I P P I N E S I n fe c t i o u s I l l n e s s e s 459
Hepatitis A
A problem found throughout the region,
this food- and water-borne virus infects
the liver, causing jaundice (yellow skin and
eyes), nausea and lethargy. There is no specific treatment for hepatitis A; you just need
to allow time for the liver to heal. All travellers to Southeast Asia should be vaccinated
against hepatitis A.
Hepatitis B
The only sexually transmitted disease that
can be prevented by vaccination, hepatitis
B is spread by body fluids, including sexual
contact. In some parts of Southeast Asia
up to 20% of the population are carriers of
hepatitis B, and usually are unaware of this.
The long-term consequences can include
liver cancer and cirrhosis.
Hepatitis E
Hepatitis E is transmitted through contaminated food and water and has similar symptoms to hepatitis A, but is far less common.
It is a severe problem in pregnant women
and can result in the death of both mother
and baby. There is currently no vaccine, and
prevention is by following safe eating and
drinking guidelines.
HIV
HIV is not the pandemic in the Philippines
that it is in other parts of Asia, with an infection rate of less than 0.1% of the Filipino
population. Heterosexual sex is the main
method of transmission.
Influenza
Influenza (flu) is present year-round in
the tropics; symptoms include high fever,
muscle aches, runny nose, cough and sore
throat. It can be very severe in people over
the age of 65 or in those with underlying
medical conditions such as heart disease
or diabetes; vaccination is recommended
for these individuals. There is no specific
treatment, just rest and paracetamol.
Filariasis
Japanese B Encephalitis
H E A LT H
H E A LT H
laxative, eg Coloxyl
migraine medication (your personal
brand), if a migraine sufferer
paracetamol for pain
Permethrin (to impregnate clothing and
mosquito nets) for repelling insects
steroid cream for allergic/itchy rashes, eg
1% to 2% hydrocortisone
sunscreen and hat
throat lozenges
thrush (vaginal yeast infection) treatment, eg Clotrimazole pessaries or Diflucan tablet
Ural or equivalent if youre prone to
urine infections
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460 I N T H E P H I L I P P I N E S I n fe c t i o u s I l l n e s s e s
Southeast Asia. This viral disease is transmitted by mosquitoes. Most cases occur
in rural areas and vaccination is recommended for travellers spending more than
one month outside of cities. There is no
treatment, and a third of infected people
will die while another third will suffer permanent brain damage.
For such a serious and potentially deadly
disease, there is an enormous amount of
misinformation concerning malaria. You
must get expert advice as to whether your
trip actually puts you at risk. Many parts of
Southeast Asia, particularly city and resort
areas, have minimal to no risk of malaria,
and the risk of side effects from the tablets may outweigh the risk of getting the
disease. For most rural areas, however, the
risk of contracting the disease far outweighs
the risk of any tablet side effects. Remember
that malaria can be fatal. Before you travel,
seek medical advice on the right medication
and dosage for you.
Malaria is caused by a parasite transmitted by the bite of an infected mosquito.
The most important symptom of malaria
is fever, but general symptoms such as
headache, diarrhoea, cough or chills may
also occur. Diagnosis can only be made by
taking a blood sample.
Two strategies should be combined to
prevent malaria mosquito avoidance and
antimalarial medications. Most people who
catch malaria are taking inadequate or no
antimalarial medication.
Travellers are advised to prevent mosquito bites by taking these steps:
Use a DEET-containing insect repellent
on exposed skin. Wash this off at night,
as long as you are sleeping under a mosquito net. Natural repellents such as
Citronella can be effective, but must be
applied more frequently than products
containing DEET.
Sleep under a mosquito net impregnated
with Permethrin.
Choose accommodation with screens and
fans (if not air-conditioned).
Impregnate clothing with Permethrin in
high-risk areas.
Wear long sleeves and trousers in light
colours.
Use mosquito coils.
Measles
Measles remains a problem in some parts
of Southeast Asia. This highly contagious
bacterial infection is spread via coughing
and sneezing. Most people born before 1966
are immune as they had the disease in childhood. Measles starts with a high fever and
rash and can be complicated by pneumonia and brain disease. There is no specific
treatment.
Rabies
This uniformly fatal disease is spread by
the bite or lick of an infected animal most
commonly a dog or monkey. You should
seek medical advice immediately after any
animal bite and commence post-exposure
treatment. Having pre-travel vaccination
means the post-bite treatment is greatly
simplified. If an animal bites you, gently
wash the wound with soap and water, and
apply iodine based antiseptic. If you are not
pre-vaccinated you will need to receive rabies immunoglobulin as soon as possible.
Schistosomiasis
Schistosomiasis is a tiny parasite that enters your skin after youve been swimming
in contaminated water travellers usually only get a light infection and hence
have no symptoms. If you are concerned,
you can be tested three months after exposure. On rare occasions, travellers may
develop Katayama fever. This occurs some
weeks after exposure, as the parasite passes
through the lungs and causes an allergic
reaction symptoms are coughing and
fever. Schistosomiasis is easily treated with
medications.
STDs
Sexually transmitted diseases include warts,
herpes, syphilis, gonorrhoea and chlamydia. People carrying these diseases often
have no signs of infection. Condoms will
prevent gonorrhoea and chlamydia but not
warts or herpes. If after a sexual encounter
you develop any rash, lumps, discharge or
pain when passing urine seek immediate
medical attention. If you have been sexually active during your travels have an STD
check on your return home.
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I N T H E P H I L I P P I N E S T r a v e l l e r s D i a r r h o e a 461
Tuberculosis
Tuberculosis (TB) is rare in short-term
travellers. Medical and aid workers, and
long-term travellers who have significant
contact with the local population, should
take precautions. Vaccination is usually
only given to children under the age of
five, but adults at risk are recommended
pre- and post-travel TB testing. The main
symptoms are fever, cough, weight loss,
night sweats and tiredness.
Typhoid
This serious bacterial infection is spread via
food and water. It gives a high and slowly
progressive fever and headache, and may
be accompanied by a dry cough and stomach pain. It is diagnosed by blood tests and
treated with antibiotics. Vaccination is recommended for all travellers spending more
than a week in Southeast Asia, or travelling
outside of the major cities. Be aware that vaccination is not 100% effective, so you must
still be careful with what you eat and drink.
Typhus
Murine typhus is spread by the bite of a
flea whereas scrub typhus is spread via a
mite. These diseases are rare in travellers.
Symptoms include fever, muscle pains and
a rash. You can avoid these diseases by following general insect-avoidance measures.
Doxycycline will also prevent them.
TRAVELLERS DIARRHOEA
Travellers diarrhoea is by far the most
common problem affecting travellers between 30% and 50% of people will suffer
from it within two weeks of starting their
trip. In over 80% of cases, travellers diarrhoea is caused by a bacteria (there are
numerous potential culprits), and therefore responds promptly to treatment with
antibiotics. Treatment with antibiotics will
depend on your situation how sick you
are, how quickly you need to get better,
where you are etc.
Travellers diarrhoea is defined as the
passage of more than three watery bowel
actions within 24 hours, plus at least one
other symptom such as fever, cramps, nausea, vomiting or feeling generally unwell.
Treatment consists of staying well hydrated; rehydration solutions like Gastrolyte are the best for this. Antibiotics such
Amoebic Dysentery
Amoebic dysentery is very rare in travellers
but is often misdiagnosed by poor-quality
labs in Southeast Asia. Symptoms are similar to bacterial diarrhoea, ie fever, bloody
diarrhoea and generally feeling unwell. You
should always seek reliable medical care if
you have blood in your diarrhoea. Treatment involves two drugs; Tinidazole or
Metroniadzole to kill the parasite in your
gut and then a second drug to kill the cysts.
If left untreated complications such as liver
or gut abscesses can occur.
Giardiasis
Giardia lamblia is a parasite that is relatively common in travellers. Symptoms include nausea, bloating, excess gas, fatigue
and intermittent diarrhoea. Eggy burps
are often attributed solely to giardiasis, but
work in Nepal has shown that they are not
specific to this infection. The parasite will
eventually go away if left untreated but this
can take months. The treatment of choice
is Tinidazole, with Metronidazole being a
second-line option.
ENVIRONMENTAL HAZARDS
Air Pollution
Diving
Divers and surfers should seek specialised
advice before they travel to ensure their
medical kit contains treatment for coral cuts
and tropical ear infections, as well as the
H E A LT H
H E A LT H
Malaria
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462 I N T H E P H I L I P P I N E S E n v i r o n m e n t a l H a z a r d s
Food
Eating in restaurants is the biggest risk factor for contracting travellers diarrhoea.
Ways to avoid it include eating only freshly
cooked food, and avoiding shellfish and
food that has been sitting around in buffets.
Peel all fruit, cook vegetables, and soak salads in iodine water for at least 20 minutes.
Eat in busy restaurants with a high turnover
of customers.
For most people it takes at least two weeks
to adapt to the hot climate. Swelling of the
feet and ankles is common, as are muscle cramps caused by excessive sweating.
Prevent these by avoiding dehydration and
excessive activity in the heat. Take it easy
when you first arrive. Dont eat salt tablets
(they aggravate the gut), although drinking
rehydration solution or eating salty food
helps. Treat cramps by stopping activity,
resting, rehydrating with double-strength
rehydration solution and gently stretching.
Dehydration is the main contributor to
heat exhaustion. Symptoms include feeling weak, headache, irritability, nausea or
vomiting, sweaty skin, a fast, weak pulse
and a normal or slightly elevated body temperature. Treatment involves getting out of
the heat and/or sun, fanning the victim and
applying cool wet cloths to the skin, laying
the victim flat with their legs raised and
rehydrating with water containing a quarter
of a teaspoon of salt per litre. Recovery is
usually rapid, though it is common to feel
weak for some days afterwards.
Heatstroke is a serious medical emergency. Symptoms come on suddenly and
include weakness, nausea, a hot dry body
with a body temperature of over 41C, dizziness, confusion, loss of coordination, fits
and eventually collapse and loss of consciousness. Seek medical help and com-
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Parasites
Numerous parasites are common in local
populations in Southeast Asia; however,
most of these are rare in travellers. The two
rules to follow if you wish to avoid parasitic
infections are to wear shoes and to avoid
eating raw food, especially fish, pork and
vegetables. A number of parasites are transmitted via the skin by walking barefoot,
including strongyloides, hookworm and
cutaneous larva migrans.
Skin Problems
Fungal rashes are common in humid climates. There are two common fungal
rashes that affect travellers. The first occurs
in moist areas that get less air such as the
groin, armpits and between the toes. It starts
as a red patch that slowly spreads and is
usually itchy. Treatment involves keeping
the skin dry, avoiding chafing and using an
antifungal cream such as Clotrimazole or
Lamisil. Tinea versicolor is also common
this fungus causes small, light-coloured
patches, most commonly on the back, chest
and shoulders. Consult a doctor.
Cuts and scratches become easily infected
in humid climates. Take meticulous care
of any cuts and scratches to prevent complications such as abscesses. Immediately
wash all wounds in clean water and apply
antiseptic. If you develop signs of infection
(increasing pain and redness) see a doctor.
Divers and surfers should be particularly
careful with coral cuts as they become easily infected.
Snakes
Southeast Asia is home to many species of
both poisonous and harmless snakes. Assume all snakes are poisonous and never try
to catch one. Always wear boots and long
pants if walking in an area that may have
snakes. First aid in the event of a snakebite
Sunburn
Even on a cloudy day sunburn can occur
rapidly. Always use a strong sunscreen (at
least factor 30), making sure to reapply after
a swim, and always wear a wide-brimmed
hat and sunglasses outdoors. Avoid lying
in the sun during the hottest part of the
day (10am to 2pm). If you become sunburnt stay out of the sun until you have
recovered, apply cool compresses and take
painkillers for the discomfort. One percent
hydrocortisone cream applied twice daily
is also helpful.
WOMENS HEALTH
Pregnant women should receive specialised
advice before travelling. The ideal time to
travel is in the second trimester (between
16 and 28 weeks), during which the risk of
pregnancy-related problems is at its lowest
and pregnant women generally feel at their
best. During the first trimester there is a risk
of miscarriage and in the third trimester
complications such as premature labour
and high blood pressure are possible. Its
wise to travel with a companion.
Always carry a list of quality medical facilities available at your destination and ensure you continue your standard antenatal
care at these facilities. Avoid rural travel in
areas with poor transportation and medical
facilities. Most of all, ensure travel insurance covers all pregnancy-related possibilities, including premature labour.
Malaria is a high-risk disease in pregnancy. WHO recommends that pregnant
women do not travel to areas that have
Chloroquine-resistant malaria. None of
the more effective antimalarial drugs are
completely safe in pregnancy.
Travellers diarrhoea can quickly lead to
dehydration and result in inadequate blood
flow to the placenta. Many of the drugs
H E A LT H
H E A LT H
Heat
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H E A LT H
464 I N T H E P H I L I P P I N E S W o m e n s H e a l t h
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