Treatment Guides

Food & Water Safety When Travelling: A Guide

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Contaminated food and water are the main cause of travellers’ diarrhoea and several other travel infections, so safe food and water habits are among the most useful things you can do abroad. The idea is captured by a well-known rule: “boil it, cook it, peel it — or forget it.” Careful habits reduce the risk substantially, though they do not remove it entirely, so it also helps to know the diarrhoea red flags.

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In a medical emergency, or for severe or sudden symptoms such as breathing difficulty, chest pain, fainting or stroke signs, call 995 immediately.

If illness does strike, blood or mucus in the stool, a high fever, severe or persistent symptoms, or signs of dehydration need medical care — and symptoms that persist after returning home should be checked.

How illness is caught

Food- and water-borne illness comes from swallowing food or water contaminated with bacteria, viruses, parasites or, sometimes, chemicals — and contaminated water can look perfectly clean. Typical routes are tap water and ice made from it, food washed or prepared with unsafe water, raw or undercooked meat and seafood, unpasteurised dairy, raw vegetables and salads, unpeeled or already-peeled fruit handled with dirty hands, food left at room temperature, and food from vendors or premises with poor hygiene.

Safe water and drinks

Drink only water you know is safe: factory-sealed bottled water with an intact seal, water brought to a rolling boil, or water that has been appropriately filtered or chemically treated. Canned or bottled carbonated drinks and hot tea or coffee are generally safe. Avoid tap water where quality is uncertain — including for brushing teeth — and avoid ice, which is often made from tap water and is not made safe by freezing.

Safe food

Prefer food that is freshly and thoroughly cooked and served piping hot, and note that dry and packaged foods are generally safe. Peel fruit yourself after washing it in clean water, and avoid raw vegetables and salads, food served at room temperature or reheated, raw or undercooked meat and seafood, unpasteurised dairy, and food from street vendors or premises with poor hygiene. If you do eat street food, choose busy stalls that cook to order and serve it piping hot, and avoid anything raw or lukewarm.

Hand hygiene

Wash your hands with soap and water regularly, especially before handling or eating food and after using the toilet. When soap and water are not available, use an alcohol-based hand sanitiser containing at least 60% alcohol. Simple hand hygiene, combined with safe water and thoroughly cooked food, prevents a great deal of food- and water-borne illness — though, again, not all of it.

Red flags if you do get sick

The warning signs are the same as for travellers’ diarrhoea: blood or mucus in the stool, a high fever, severe or persistent diarrhoea or vomiting, or signs of dehydration. Take extra care with infants and young children, the elderly, pregnant women and immunocompromised travellers, who should be seen early, and get any symptoms that persist after returning to Singapore reviewed by a doctor, as they can occasionally be due to a parasite needing a stool test. Severe dehydration or collapse is a 995 emergency.

Planning ahead and if you get sick

A pre-travel consultation with a GP or travel clinic is the best prevention step: tailored food and water advice, oral rehydration salts to pack, and any destination-relevant vaccinations such as hepatitis A or typhoid. If illness develops, oral rehydration is the mainstay — oral rehydration salts with clean water — while loperamide is only for mild adult watery diarrhoea and not with bloody diarrhoea or high fever, and antibiotics are used only on medical advice. Safe food and water practices and hand hygiene remain the core of prevention.

Extra care for higher-risk travellers

Some travellers should be especially careful with food and water. Infants and young children, pregnant women, older travellers and anyone with a weakened immune system or a chronic illness are more likely to become seriously unwell from food- or water-borne infection, so it is worth being stricter about safe water, thoroughly cooked food and hand hygiene, and seeking care earlier if illness develops. If you are travelling with a baby, prepare formula only with water that has been boiled and cooled, and continue breastfeeding where possible, which is both safe and protective. People with reduced stomach acid (for example those on certain acid-reducing medicines) may be more susceptible to some gut infections and should take particular care. Remember, too, that safe food and water habits work alongside — not instead of — relevant travel vaccines such as those against hepatitis A and typhoid, so discuss these at a pre-travel consultation. When in doubt about a food or drink, it is safer to skip it than to risk an illness that can spoil a trip, and packing oral rehydration salts before you go means you are ready if something does slip through.

When to see a doctor

See a doctor for any red flag, for illness in a higher-risk traveller, for symptoms lasting more than a few days, or for diarrhoea continuing after returning home — and call 995 for severe dehydration or collapse.

Related travel-health topics

Sources

  • HealthHub (Singapore) — Protect yourself from travellers’ diarrhoea: healthhub.sg
  • Communicable Diseases Agency (CDA) Singapore — Health advice for travellers: cda.gov.sg
  • CDC Travelers’ Health — Food and Drink Considerations: cdc.gov
  • NaTHNaC / TravelHealthPro — Travellers’ diarrhoea: travelhealthpro.org.uk
General information only. This guide is general travel-health information and is not a diagnosis or personalised medical advice. See a doctor or travel clinic — ideally 4–6 weeks before travel — for advice tailored to your destination and health. Any animal bite, scratch or lick in a rabies-risk area needs immediate wound washing and urgent medical care — do not wait. Fever after travel to a malaria or dengue area is urgent — seek care promptly and mention your travel. Call 995 (or local emergency services abroad) for sudden breathlessness or chest pain, confusion, seizures, or collapse.

Frequently asked questions

Is bottled water always safe abroad?

Factory-sealed bottled water is generally the safest choice — make sure the seal is intact. Boiled water (brought to a rolling boil) and properly filtered or treated water are also safe. Avoid loose or refilled bottles and untreated tap water.

Can I have ice in my drinks?

It is best avoided where water quality is uncertain, because ice is often made from tap water and freezing does not kill the germs. Stick to sealed bottled or canned drinks, or hot drinks. When in doubt, skip the ice.

Are raw fruit and salad okay?

Fruit you peel yourself (after washing in clean water) is usually fine; raw vegetables and salads are riskier because they are often washed in tap water and eaten uncooked. Follow “peel it or forget it,” and choose freshly cooked, hot food where possible.

Is street food safe?

It can be higher-risk if hygiene is poor or food sits at room temperature. If you do eat it, choose busy stalls that cook food thoroughly to order and serve it piping hot, and avoid anything raw, room-temperature or reheated.

What is the single most important habit?

Regular hand washing with soap and water — especially before eating and after the toilet — combined with safe water and thoroughly cooked food. Carry a hand sanitiser with at least 60% alcohol for when soap is not available. These simple steps prevent much illness, though not all of it.