Age is no barrier to travel
Dr Jonathan Cohen, medical director of The Travel Clinic who has run Travel Clinics Australia for more than 25 years, recommends older travellers discuss the rigours of the trip as part of their check-up before making any bookings.
Older travellers planning an overseas holiday, whether exploring major cities, heading off the beaten track or taking a leisurely cruise, are advised to start with a medical check-up.
Dr Jonathan Cohen, medical director of The Travel Clinic who has run Travel Clinics Australia for more than 25 years, recommends older travellers discuss the rigours of the trip as part of their check-up before making any bookings.
A “ball park” assessment for fitness is whether one has the ability to climb two flights of stairs without developing chest pain or undue shortness of breath. If they can’t do this, Cohen advises that they have a full physical check-up with their doctor to determine if they should travel at all.
Being aware of travel-associated risks allows older travellers to minimise the risk and ensure an enjoyable holiday.
“For holidays in cool climates, the elderly are more sensitive to hypothermia and this can be minimised by using layered clothing and wearing hats and gloves,” said Cohen.
“In hot climates, the effect of heat is greater in the elderly because of impaired thermo-regulation. Anyone suffering from obesity, diabetes, heart or blood problems and is taking medication may face additional problems and should plan for frequent rests, stay in air-conditioned rooms, drink more fluids, wear loose clothing and have cool baths and showers.
“People with prostate problems or incontinence may try to limit the amount of fluid they drink in the hope that it will require less frequent visits to toilets.”
Cohen said that while this may be prudent if public toilets are hard to find, especially while on tour, it is also important to maintain adequate fluid intake.
“Many older people may be out of date with their vaccinations against common diseases such as tetanus, diphtheria, pertussis and pneumonia and thus require new vaccinations,” he said.
“In the case of tetanus, if it is more than 10 years since the last vaccination, a new course needs to be taken.”
Cohen said influenza and pneumonia vaccinations are recommended and are free for travellers over 65 and 70 years respectively, and for people with serious chronic conditions.
COVID boosters are especially important prior to cruises and should be kept up to date in accordance with current public health guidelines. Vaccination reduces the risk of severe illness, hospitalisation, death and long COVID.
He said it is important to have vaccinations against hepatitis A, hepatitis B and typhoid if visiting developing countries and areas of risk.
Those at risk of deep vein thrombosis (DVT) should ensure adequate hydration, regular exercises, the use of compression stockings and in some cases preventive medication.
If you’re concerned that an airline may question your fitness to fly, get a letter from your doctor confirming you’re fit for air travel.
Cohen established The Travel Clinic in 1996 and today it is the head clinic of Travel Clinics Australia, a national association of GP-based travel clinics.
For more information visit travelclinic.com.au
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