Table 3.

Other injury risks and recommendations to avoid them for travelers from high-income countries going to low- and middle-income countries.

Topic	Risk	Recommendations to avoid risk
Aviation crash	▪Aviation crashes most commonly involve small aircraft and developing country flights are at higher risk	▪Fly only on scheduled flights ▪Avoid small aircraft, particularly at night or during inclement weather
Fall	▪Infrastructure not fitted for elderly safety ▪Open gutters, lack of guardrails, uneven stair depths, unmarked ground hazards ▪Child curiosity and growing sense of independence ▪Alcohol use significantly increases fall risk	▪Consider bringing mobility aid (e.g. hiking poles, cane, walker) ▪Maintain vigilance when walking, going upstairs of when at height ▪Closely supervise children ▪Responsibly consume alcohol ▪Delegate child supervision prior to consuming alcohol
Burn	▪Lack of building codes or code enforcement ▪Lack of building codes or code enforcement ▪Lack of emergency access telephone numbers and formal fire services	▪Stay on lower levels of accommodations to make escape or rescue easier should a fire occur ▪Identify at least two escape routes from the accommodation ▪Stay in accommodations with smoke detectors, fire alarms and sprinklers if possible ▪Bring smoke detector
Adventure activity	▪Adventure activities are often run by businesses without regulation or safety standards ▪Communication networks often not available in areas of adventure activities ▪Lack of pre-hospital and trauma care, particularly in remote areas	▪Be mindful of significantly increased risk of injuries with these activities ▪Bring safety gear that meet international standards (e.g. helmets, harnesses) ▪Know the emergency access telephone number for the area(s) being traveled ▪Have a means of communication should injury occur; have an emergency plan