For your own personal health; it is strongly recommended that travelers are covered against the following diseases; Poliomyelitis (childhood booster), Tetanus (childhood booster), Typhoid (food and water-borne disease), and Hepatitis A (food and water-borne disease). For those undertaking a longer more rural trip to Nepal, other vaccinations may need to be considered including Hepatitis B, Rabies, Japanese B, and Meningitis.
There are seasonal outbreaks of dengue fever / Malaria, especially in the southeast of Nepal, but cases have been reported across much of the country. There is currently no vaccine or prophylaxis available for Dengue, and therefore the best form of prevention is to avoid being bitten.

Most of our trips to Nepal go to high altitudes where there is a risk of being affected by Acute Mountain Sickness. Our itineraries are designed to enable everyone to acclimatize to these altitudes, but you should be aware that it is still possible for you to be affected.

We use a range of excellent Tourist Standard hotels & can be tailored to your preference.

While on a trek; lodges are simple, friendly, and atmospheric with heated dining areas. Bedrooms are, however, basic and unheated with wooden beds and foam mattresses. You will need a sleeping bag. The lodges have shared washing and toilet facilities. Some lodges have solar-powered showers (charged at $4 - $5 per shower) and battery-charging facilities (also charged at a rate per hour). Rooms are generally arranged on a twin-sharing basis and if you are travelling by yourself, you will usually be paired up with someone of the same sex.

Most lodges have almost identical menus throughout the trek. Breakfast will be a set menu usually consisting of porridge and toast, egg. Lunch & Dinner menus are mostly similar to dal bhat, momo’s, pizza, spaghetti, noodles, etc. 2 cups of tea/coffee are included in every meal. Any additional items that are not included in the set menu should be ordered and paid for separately. If you buy imported food and drink whilst on the trek you will spend more than the suggested amount.

Although meat is available in the teahouses, we advise against eating it on trek. The meat has often been carried in the heat from lower altitudes for several days before reaching the lodges and can cause stomach upsets or illness.

Our multi-days adventure trek involves going to 5000m elevation. During the trip, you will be spending at least one night above 4000 meters and/or trekking to 5000 meters or above. This is not something that you should worry about; the human body is quite capable of adapting to a very wide range of altitudes, but we must follow some simple rules to acclimatize successfully.

Traveling to high altitudes requires a reasonable standard of fitness. Prior experience of travelling to high altitude is not mandatory but it’s beneficial. The itinerary and per day elevation gain are within recommended safe practice to avoid high altitude illness and hiking hours are based on a slow steady walking pace. A simple benchmark, for example, would be the ability to climb and descend Mount Snowden in 4 – 5 hours.

A confidential health questionnaire/Booking Form will be required from each individual before starting the trek. We recommend that each participant seeks pre-travel health advice from their GP or recognized travel clinic.

We strongly recommend you have a valid Travel + Medical insurance policy to cover the cost of medical treatment, and emergency helicopter evacuation and to protect the value of your holiday in the event of cancellation. When taking out insurance please ensure the policy you choose covers you for the activities and altitude included in your itinerary.

Approximately $300 (or Euros, Pounds etc) changed into local currency, should be allowed for miscellaneous expenses including porter and trek crew tips, drinks, snacks etc. It is not necessary to obtain local currency before departure. US Dollars, Pound Sterling, and Euros are equally acceptable for exchange in Nepal.
We recommend that you carry your travel money in the form of cash, or else it is possible to withdraw money from ATMs in Kathmandu using your debit or credit card.

Tipping is the accepted way of saying thank you for good service. As a guideline, we recommend that each group member contribute around $150 to these tips. At the end of their trek, many people also like to donate various items of equipment to the porters and trek
staff. Boots, gloves, hats, scarves and even socks are always warmly received by the porters, whilst technical clothing and equipment such as head torches and trekking poles are highly prized by the Sherpa team. Your tour leader will make arrangements for a fair distribution (possibly by raffle) amongst the trek crew.

Your main item of luggage should be a sturdy kit bag, duffle bag or similar which will be carried during the trek by porters and should weigh no more than 10kg. You should also take on your holiday a daypack of approximately 40 liters capacity.

For all STOL flights in Nepal, the normal allowance for holding baggage AND hand baggage combined is 15kg. Please be aware that you will have to pay any charges for excess personal baggage above this allowance at check-in, and that excess baggage may have to be flown separately.
It is possible to leave items not required on the trek at the hotel in Kathmandu. For your international flights, please check the baggage allowance with your airline.

There are many outdoor shops in Thamel, Kathmandu where you can buy gear and also rent gear like sleeping bags, and big down jackets which are locally made. Please refer to the gear list for the EBC trek.

The students will have the opportunity to observe, learn, and understand Nepal’s healthcare system and practices in an urban setting where both public and private medical centers provide service to patients. The comparison between the health care system in Nepal and the UK is very different in many ways including resources, management, service, insurance policy, etc. The experience will give students a broader global perspective of the health care services in developed and underdeveloped countries although medical science’s principles and practices are universal. Clinical Rotation and observation at Karuna Hospital – Private Hospital
Students will be divided into groups (depending on the group size) and will be assigned to different departments on rotation.
Day 1: OPD
Day 2: Emergency Department
Day 3: Ward (General / Post-Op)
Day 4: ICU
The hospital will provide official documents needed for the medical school upon completion of your elective program. The students can only assist or observe during their posting under the supervision

Hospital & Rehabilitation Centre for Disabled Children  
The hospital is located 20 km East of Kathmandu valley. It’s about an hour's drive to the center. The students will leave after breakfast and drive to HRDC to spend half a day there. We will make a tour of the center after a briefing and presentation by a hospital representative. The story of the founders and the impact of HRDC in helping disabled children walk again is truly inspiring and admirable. The students will have the opportunity to interact with patients, hospital staffs, volunteers and parents. 

The government or public hospital is funded by the government, unlike private hospitals. The service
is heavily subsidized compared to private hospitals but the quality of service is often questioned.Those who can afford mostly prefer private hospitals over public hospitals. There are few tertiary government hospitals in Kathmandu.

We will send the details once the itinerary and program is confirmed. The participant will need to wire 50% of the total amount as a deposit to confirm. Rest 50% can be paid in Cash when you arrive in
KTM.