Health & Safety

Nepal is generally safe and welcoming, but smart preparation makes your trip smoother: altitude awareness, clean food/water habits, road safety, and the right insurance if you’re trekking.

1) Altitude safety (the most important topic for trekkers)

Altitude sickness can affect anyone. The best prevention is gradual ascent, good hydration, and listening early to symptoms. “Pushing through” is the opposite of mountain safety.

Simple rules that work

  • Climb slowly: steady pace beats speed
  • Sleep well: fatigue makes symptoms worse
  • Hydrate: sip all day, not only at stops
  • Don’t skip rest days: acclimatization is part of the trek
Best mindset: The mountain is always there. Your job is to come back healthy.

Warning signs you shouldn’t ignore

Mild headache can happen, but worsening symptoms mean you must slow down or descend. If you’re unsure, consult your guide or local medical post.

  • Headache that doesn’t improve with rest/hydration
  • Nausea, dizziness, loss of appetite
  • Unusual breathlessness at rest
  • Confusion, stumbling, chest tightness (serious)

2) Insurance, rescue, and what to confirm

Trekking insurance isn’t just “nice to have.” Confirm the policy actually covers your route and altitude, includes emergency assistance, and clearly explains how to contact them in a crisis.

Item to confirm Why it matters Best practice
Altitude coverage Some policies exclude high elevation by default Match coverage to your trek’s maximum altitude
Emergency assistance Coordination matters in remote areas Save hotline numbers offline + on paper
Medical + evacuation Heli rescue can be expensive without coverage Understand triggers + approval process
Claims & receipts Documentation may be needed Keep receipts + notes for every medical visit

What to carry on trek days

  • Insurance number + emergency hotline
  • Passport copy (keep original secure)
  • Basic meds + blister care

Rescue realism

Weather and visibility can delay rescues. Focus on prevention: good pacing, hydration, warm layers, and being honest about symptoms early.

Buffer days save trips

  • 1 rest day after arrival is smart
  • Extra days around mountain flights
  • Don’t book tight international departures

3) Food & water safety (easy habits, big payoff)

Most travel stomach issues come from water or rushed eating choices. Keep it simple: clean drinking water, hot meals, and clean hands. These habits matter even more on trekking routes.

Water rules

  • Drink treated/filtered water or sealed bottles
  • Carry a bottle + purification method for treks
  • Avoid ice if you’re unsure of water source

Eating smart

  • Prefer freshly cooked hot meals
  • Go easy on raw salads in questionable hygiene settings
  • Carry basic rehydration salts for long days
Pro tip: On treks, order meals early and keep dinners simple. Your stomach will thank you at altitude.

4) Road and city safety (where awareness matters most)

The biggest day-to-day risk for many travelers is road travel—especially winding hill roads, night driving, and rushed schedules. Pick safer timings and trusted operators when you can.

Transport choices

  • Prefer daylight travel for long roads
  • Tourist buses are often more comfortable than local
  • Use seatbelts when available

Street awareness

  • Keep valuables low-profile in crowded areas
  • Carry only what you need each day
  • Use trusted taxis/hotel pickup at night

Respect local conditions

Dust, uneven pavements, and sudden weather changes are common. Comfortable shoes, a light rain layer, and patience make a huge difference.

5) A simple personal safety checklist

This final checklist is what experienced Nepal travelers do automatically. If you follow it, you’ll avoid most common issues.

Daily habits

  • Keep water + snacks during transfers
  • Carry a small first-aid + blister kit
  • Start early, avoid rushing late-day travel

Emergency readiness

  • Save emergency contacts offline
  • Share your plan with someone at home
  • Know your hotel/guide contact number
Reminder: Health guidance and vaccination recommendations vary by country and personal health. Always check official advice for your nationality and medical situation before travel.