Contrary to most perceptions, getting sick while travelling in India is now a rarity for those who take a few basic precautions. Infact, massive improvements in hygiene and sanitation standards in the last decade mean that even the expected ‘Delhi Belly’ does not happen for most foreign travelers.
1. Water: Do not drink Tap Water, which would however normally be safe for brushing teeth only in 5 star hotels. Hotels often place complimentary bottles of water in rooms, but in case you want to avoid the plastic waste that follows using bottled water, you should ask for filtered/ purified water that most quality hotels and restaurant offer free of charge to guests.
2. Street Food: Avoid eating street food even if fried or boiled. Unfortunately the standards of hygiene vary tremendously depending on numerous factors so best steer clear. You can often enjoy the same food prepared hygienically in your hotel – yes the added buzz might be the only missing ingredient.
3. Malaria: Travellers to India must take expert medical advise on anti malarial medication prior to their India trip. It is important to note that Chloroquine and Proguanil resistant strains of malaria are prevalent in North Eastern India including Assam. Highly effective anti malarial medication does exist that can provide sufficient protection from the disease. Prevention is ofcourse the best course of action and includes mosquito repellants and use of nets where mosquitoes are active.
Not all regions of India carry a high risk of Malaria. – here’s a link to useful information on malaria including a India malaria map
4. Vaccinations: Though vaccinations are not mandatory for entry to India, it is recommended that tourists get vaccinations for Hepatitis A, Typhoid and Diphtheria. However taking precautions and option for accommodation that offers higher levels of hygience and sanitation, such as established 4 and 5 star hotels ,would naturally reduce risk of infection.