Tag - koh chang

Eastern Thailand

Eastern Thailand
Eastern Thailand
Eastern Thailand

Eastern Thailand contains 7 provinces, situated to the south of Isan and east of the Central Thailand, between Bangkok and Cambodia.

This region of Thailand is particularly popular with visitors who wish to enjoy all the natural beauty and golden beaches of Southern Thailand whilst avoiding the crowds.

For many, the tourist destination of Pattaya provides an interesting diversion, whilst others head straight to the beautiful island of Koh Samet to enjoy all the benefits of an island holiday with less of the hassles.

The large island of Koh Chang is a great place to spend a few days and there are many areas of natural beauty located on the island as well as several smaller islands close by. This is a great place to go snorkeling and diving as there is plenty of pristine coral and colourful fish to see.

The town of Si Racha is well known for its deliciously spicy sauce and seafood, and while there visitors can visit the Sri Racha Tiger Zoo for the opportunity to cuddle the tiny tiger cubs.

For travelers who really want to get away from it all, the peaceful island of Koh Si Chang makes a great destination as it is virtually ignored by tourists.

Although the region is easily reachable by bus, there is are also small airports at U-Tapao and Trat.

Koh Chang, Thailand

Koh Chang, Thailand
Koh Chang, Thailand
Koh Chang, Thailand
Koh Chang, Thailand

The name Koh Chang means Elephant Island in Thai and people interested in the island’s elephants should visit the Ban Kwan Elephant Camp or Ban Khlong Son Elephant Camp, where you can interact with the animals and go elephant trekking through the jungle. Animal lovers can also volunteer at the Koh Chang Animal Foundation.

With its many mountains, sparkling waterfalls and rainforest, Koh Chang is an island of intense natural beauty and is part of the Mu Koh Chang Marine National Park, which comprises a total of 52 islands.

There are many beautiful beaches where visitors can chill out and catch some rays or play in the water. Most of the beaches are located along the west cost of the island. Check out Lonely Beach, Hat Kaibae, Hat Klong MaKohk and Hat Kai Mook for beautiful stretches of sun lined with palm trees and beach bars. Generally, the further south you head the more secluded the beach, and there are some virtually untouched beaches at the very bottom of the island. A good example is Hat Wai Chek, which is unreachable by road, making this the perfect trekking destination.

This is a great area for snorkeling and scuba diving as the coral is beautiful and the water clear. There are lots of small islands to explore such as Koh Kut, Koh Mak, Koh Wai and Koh Kham and basic accommodation is available on most if you decide to stay for a day or two.

Koh Chang also offers plenty of opportunities for self improvement. The Koh Chang Cookery School is a good place to learn to create all the delicious food you’ll have been sampling. You can study the Japanese art of reiki healing at Jungle Way, whilst yoga and healing classes are available at Baan Zen.

But Koh Chang is also the perfect place to be lazy for a few days. There are excellent bars, restaurants and spas all around the island, so just put up your feet and relax for a while.

Trat, Thailand

Trat, Thailand
Trat, Thailand
Trat, Thailand
Trat, Thailand

Located 315 kilometres from Bangkok, Trat is a small province to the very east of Thailand near the Cambodian border. Many travellers stop in the province capital town of Trat on their way to one of the surrounding islands and beaches. Indeed, Trat Province contains over fifty islands of various sizes and popularity, all of them featuring long, white sandy beaches and amazingly colourful coral.

There are regular buses to Trat from many parts of Thailand, and a direct journey from Bangkok should take 5-6 hours.

Particularly of interest to visitors is the immensely beautiful island of Koh Chang, part of the Mu Chang Marine National Park and the smaller but no less attractive Koh Kood. There are both regular ferry and speedboat services to the surrounding islands, and both Koh Chang and Koh Kood can be reached in an hour or less.

The smaller and less visited islands of Koh Kham, Koh Mak and Koh Phi can also be found in Trat Province. These islands are all exceptionally beautiful, although somewhat less developed, and make a good option for those who want to slow down a pace or two and simply relax on the beach.

But the town of Trat itself, although often neglected by travellers, has many interesting features and is definitely worth a second look. Trat is most famous for its gemstone mining and trading, and many a good bargain can be picked up at one of the town’s gem stores. There are also some excellent restaurants in the town, serving fresh seafood expertly cooked in a range of Thai and Western styles.

Trat’s vibrant night market is a good place to pick up a bargain and get a good, cheap meal cooked in the local style, and whilst in the town you can pay a visit to the pretty temple of Wat Plai Khlong.

In addition to the islands, there are a multitude of beaches with pristine stretches of sand just a stone’s throw away from the town. Amongst the best are Hat Sai Si Ngoen (Silver Sand Beach), Hat Sai Kaew (Crystal Sand Beach), Hat Thap Thim and Hat Ban Cheun, while Hat Ban Cheun is located at the southernmost part of Trat.

A good way to pass a day or two is to hire a motorcycle and visit each of the beaches in turn. Of course, snorkeling and scuba diving are readily available at all the area’s islands and beaches. Another good way to get an idea of the vastness and beauty of the area is to go on a boat trip.

Rayong, Thailand

Rayong, Thailand
Rayong, Thailand
Rayong, Thailand
Rayong, Thailand

Rayong is a pretty province which contains a whole host of interesting islands and beaches where you can escape the frantic pace of the city and unwind while catching the sun and dining on delicious seafood as you watch the sun set. The province contains over 100 kilometres of coastline to explore and is easily reachable in just a few hours by bus from Bangkok’s Ekkamai bus terminal.

There are many popular tourist destinations in the province, including Koh Samet, Koh Mun and Koh Kodi. All of these islands feature stretches of golden sand, beach bars and a variety of western and Thai food.

Naturally, snorkeling and scuba diving are major activities in this province, whilst many people like to go on a boat tour of the islands. Other smaller sun kissed islands which are just waiting to be explored include Koh Man Klang, Koh Man Nok and the often overlooked Koh Man Nai.

While in the area, pay a visit to the Khao Chamao/Khao Wong National Park. Here you will find several pretty waterfalls where you can swim amongst the fish, as well as seeing tigers, wild elephants and bears.

Nearby is the Rayong Turtle Conservation Centre, which cares for the area’s endangered sea turtles with a view to releasing them back into the wild. You can learn more about the now rare and beautiful turtles at the visitors’ centre, which contains pictures of the turtles and shells from their eggs.

Suan Son ‘Pine Park’ is situated just 5 kilometers from the pretty port of Ban Phe. This is a great place to spend a couple of hours walking when you need a break from the beach. Incidentally, Ban Phe is the port from which to catch the ferry to the large and beautiful island of Koh Samet.

11 kilometers east at Suan Wang Keaw you will find yet more sandy beaches and the island of Koh Thalu, which is particularly good for diving as the waters are home to some pretty colourful coral and shoals of exotic fish. This is also a great place to hang out if you happen to arrive on the weekend and want to avoid the crowds that tend to congregate on many of the other islands and beaches at the end of the working week

The province’s main industry is fishing, and a good way to start the day is to get up early and walk along the beach, where you will see the fishermen spreading their freshly caught fish, sparkling and shimmering on the sand.

Health Issues for Visitors to Thailand

bnhlogolargeBNH Hospital is one of Thailand’s leading hospitals, dealing with the health isses of visitors and locals for over a century. If anyone is in a position to give good advice on health issues for visitors to Thailand, they are. Whether you simply need to know how to prepare for your trip, your concerns are current health scares, or you want to know how to benefit from the excellent medical services available to you while you are in Thailand, drop them a message and they will do there best to answer. All questions and answers will be shown on this page. Simply put your query in the form below and press send. If you have news on health issues, or simply want to pass on some good advice of your own, let us know what you have to say using the same form. Use the form below to have you health queries answered:   

Frequently Asked Questions answered here:

Yelena writes: “Hello, I will be traveling to Thailand Summer 2008 for three weeks. I think for the most part I will stay in the major cities, but i would also like to see the jungle. I know that i need Hepetitis A and Typhoid vacination. What about Japanese encephalitis? Thank you.”

BNH Hospital answers: “Thank you for your inquiry. Japanese encephalitis is an important when you will be staying in Northern of Thailand for long period of time (more than 1 month). However, if you aren’t to stay for long period of time you should protect of yourself by During the hours of darkness wear long trousers (pants) and long sleeve shirts. Using mosquito repellent. Staying in air conditioning room because this disease spread by mosquito. The illness is most prevalent in rural areas especially near pig farms. If you have any father inquiries, please, do not hesitate to let me know.”

Nigel Andrews: Hi, I’m traveling to Thailand for ten days in two weeks time I’m spending 5 days in Phuket and 5 days Bangkok is it to late for jabs but what jabs do I need? Many Thanks Nigel.

BNH Hospital answers: Thank you for your inquiry. I would like to explain you about vaccinations you should get when you stay in Thailand. However, you should get before you come to Thailand 7-10 days. Are you traveling in Thailand now? So, it is too late. Therefore, I explain to you for next time. 1. You should receive Hepatitis A, Typhoid because these diseases transmission is primarily via person to person, generally through fecal contaminated and oral ingestion. The virus can be spread through contaminated food (such as uncooked fruits and vegetables), shellfish, ice and water. 2. If you like tattooing you should receive Hepatitis B also because this disease exposure to contaminated blood and blood products; use of contaminated needles, razors, dental and medical equipment, tattooing and body-piercing devices; and sexual contact with infected individuals. 3. Tetanus transmission typically occurs via contamination of wounds, burns and punctures so if you can protect yourself from these, you don’t need tetanus vaccine. 4. Most of Thailand is malaria free except near the border areas of Burma, Cambodia, Laos, Vietnam, national forest and Koh Chang. There is no vaccine available for malaria yet. Also malaria prophylaxis medicine is not 100 % protective against malaria. Currently dengue fever is a problem (there is not medicine or vaccine for dengue.) Best are repellents, long sleeve clothing, and sleep in netted areas. If you would like to take medicine, Malarone would be the best but is not available in Thailand and South East Asia. It would be the best if you can buy it from home.

Christine Carver writes: “Dear Sir/madam, my friend has visited Chiang Mai, Krabi and Phi Phi, leaving Thailand on 14/2/07. Over the last 10 days she has had high temperatures, headaches, nausea and general aches and pains. The nausea has settled but she now has a slight cough. she has been generally very weak. There is no rash. Could you advise us if she is at risk of any tropial diseases from visiting these places in Thailand? We wondered about malaria or dengue fever. is there anything else we should be concerned about? We are very grateful for any advice you can give. Thank you so much.”

BNH Hospital answers: “Dear Ms. Carver, In this case it might be a viral infection. We would recommend you to see your doctor and have blood tests to confirm.

Finn Hjelmstrom writes: “We are going to stay for approx 3 weeks at the eastern part of Koh Chang in Jan/Feb next year. We do not know whether there is air con or not. Will this demand for any malaria prevention? Will our further trip to Cambodia (Sihanoukville and Phnom Penh) increase this demand? Thanks for your speedy reply Finn Hjelmstrom”

BNH Hospital answers: “Thank you for your inquiry. We recommend travelers to take anti malaria when they have to stay in forest or risk area for long periods of time (more than 1 month). Anyway anti malaria for Koh Chang and Cambodia is Doxycycline may cause photosensitivity, an increased frequency of candida vaginitis, nausea, vomiting. You should take 1 tablet one day before you leave your country and continue1 tablet daily during your stay in the risk area. On your returning home you should complete another four weeks course of tablet. So if you aren’t staying in forest or risk area for long periods of time, you should protect yourself from mosquito by wearing long trousers (pants) and long sleeve shirts, and using mosquito repellent.”

Bob writes: “We are travelling to thailand with our 22 month old daughter and plan to stay for two months. we would prefer to avoid malaria risk areas so our daughter need not take any malaria pills. can you tell us whether any of the following possible travel destinations should be avoided: khao lak, koh lanta, kho phangan, kho tao, in the south and chang mai and pai, in the north… do you have any other recommondations for travelling with baby, other than sunscreen, mosquito nets and – repellent…?? thank you very much for having this forum available…”

BNH Hospital answers: “Thank you for your inquiry. We send file about risk area of malaria in Thailand for you. (See Malaria map in Thailand) I think this map can help you avoid malaria risk areas. We recommend travelers to take anti malaria when they have to stay in forest or risk area for long periods of time.”

A visitor writes: “My daughter is visiting Koh Phi Phi Island and was bitten by a monkey. Does she really need the vaccine? Has there been rabies on that island?”

BNH Hospital answers: Vaccinations are available at every hospital in Thailand. There is no case of mokey bite but last year there was a dog found with rabies on the Island. To be safe she should take Rabbie vaccine and Tetanus as the monkey is wild monkey, you can never be sure if it has rabie or not. The wound should be wash throughly and make sure that it is clean. If the wound is very bad, or the monkey that bite your daughter is suspected to have rabbie, she should take Immunogloblin which is stronger than rabie too. The contact number is Phi Phi Hospital contact number is 03-501-7228 I tried to contact them but no one pick up the phone. They should have Rabie vaccines at ER. (Embedded image moved to file: pic22704.jpg) Another option is Krabi Hospital (2hrs from Phi Phi Island by boat) 075-611212 I have checked with Krabi Hospital. They have all the vaccines available at ER.

Samantha Edelsten writes: “I purchased a course of Malarone tablets(42) in the UK prior to travelling to SE Asia but have now decided to stay longer but need to purchase some more tablets. Is there anywhere in Bangkok I can do this or will I need to visit a doctor to get a prescription?”

BNH Hospital answers: Thank you for your inquiry. Malarone tablets is not available in Thailand. We available doxycycline (anti malaria tablet for SE Asia) may cause photosensitivity, an increased frequency of candida vaginitis, nausea, vomiting. You should take 1 tablet one day before you leave your country and continue 1 tablet daily during your stay in the risk area. On your returning home you should complete another four weeks course of tablet. I think if you aren’t staying in forest or risk area for long periods of time, you should protect yourself from mosquito by wearing long trousers (plants) and long sleeve shirts, and using mosquito repellent.

Shari Lemieux writes: “Hello We will be travelling to Thailand from Canada on Dec.15th/ 2006 to Jan.2nd /2007. Probably to Bangkok and then down south and back up again to Bangkok (Phuket, Chang mai, river Kwai & Phi Phi). I am a nurse and I already have had my Hepatitis B vaccination and also my Tetanus. Should It be wise for me to also receive the HepatitisA and Typhoid vaccinations? Would you recommend the TWINRIX series of shots for me? IS there any problems in any area of Thailand that we should know about before visiting? Thanks for your help in advance.

BNH Hospital answers: “Yes, we always recommend vaccination against hepatitis A and Typhoid for traveller before come to Thailand. Twinrix is a vaccine that protection from Hepatitis A and B thus if you already have had hepatitis B vaccine, you should only receive Havrix (1440) vaccine for Hepatitis A.”

Simona: “Do I need a prescription to buy Doxycicline from a chemist in Thailand? Will I find it in Koh Chang?”

BNH Hospital answers: “Yes, you will find it in Koh Chang. We recommend travelers to take doxycycline when they have to stay in forest or risk area for long periods of time because doxycycline may cause photosensitivity, an increased frequency fo candida vaginitis, nausea, vomiting. You should take 1 tablet the day before you leave your country and 1 tablet each day of your stay, if in a risk area. On your return home you should complete the course of tablets by taking one each day for a month.

Victoria Smith writes: “I will be travelling to Thailand in Dec/ Jan. I will be visiting Chaing Mai, Phuket, Khao Sok, Koh Lanta & Bangkok. Will I need to take Malaria tablets? What other precautions can I take other than wearing long sleeves to ensure I do not get bitten??”

BNH Hospital answers: “Thank you for your enquiry. Regarding malaria tablet, it’s depend on how long is your trip? And where will you stay? If you stay in a hotel, no problem but if you do camping in jungle you should to take anti Malaria tablet and bring mosquitoes repellent with you.”

Rik writes: “Hello. I am travelling in November 206, to Bangkok, Phuket, Koh Phi-Phi Don and Koh Samui. Please advise if I should take malaria tablets or any other vaccines.”

BNH Hospital answers: “You should have HepatitisA and Typhoid vaccinations against diseases from food and water but not necessary for malaria tablet in Samui and Phuket because they are not risk areas.”

Adam writes: “Myself and my girlfriend are travelling to Thailand in November for 3 weeks, we will be in Bangkok for 3 nights, Phuket for 4 nights, Krabi for 4 nights, Koh Samui for 6 nights and then back to Bangkok for 2 nights before flying home! Am I correct in thinking that we will need vacinations against HEP A and TYPHOID? Do we need to take any other precations apart being careful what we eat? Any help would be greatly appreciated!”

BNH Hospital answers: “Yes, you should have vaccinations against HepatitisA and Typhoid. The places you are staying are not malaria risk area so using mosquito repellents, wearing long sleeve shirts and stay in air-conditioned or netted aread should be sufficient.”

Tracy Brown writes: “I am going to Bangkok and Pattaya for 11 days do I need to take malaria tablets?”

BNH Hospital answers: “Thank you very much for your inquiry. Regarding on your visit to Bangkok and Pattaya, both areas are not risk area. Wearing long sleeve shirt and apply the anti-mosquito lotions to prevent mosquito bite would be sufficient. Hepatitis A and Typhoid vaccination is recommended on your visit as infection of these can be through food and water.”

Laura Ient writes: “My daughter age 16 has just returned from Thailand. She tells me that during one or two days (she has not told me exactly!) of her trekking phase she did not take her malaria tablets. Please can you advise what the likely risk is. She has had lots of bites to her legs and ankles. Also should she take more malaria tablets for longer given the laps?”

BNH Hospital answers: “Regarding the mosquito bites that your daughter has, she need not take any malaria tablet as it is only use for prevention. Observation is recommended, she should seek doctor’s consultant in case she has any symptoms like fever or severe headache.”

Maxine writes: “Family & friends (20) from New Zealand are coming to Thailand for my sons wedding in Burirum. We will be spending 4 days in bangkok & 5 days in Burirum and the day of the wedding in a village 45 minutes from Burirum. My questions are; 1 Is Burirum a Malarious Area. 2 For such a short stay is Typhoid & Rabies prevention required I have recommended to family & friends that they should have Hep A&B, Tetanus/diptheria.”

BNH Hospital answers: “Thank you for your letter. Burirum is not a risk area. The vaccinations needed vary according to the length of time you are going to stay and the place where you are going to visit. For a visit less than two weeks Hepatitis A and Typhoid are required. JE Rabies and Tetanus/diphtheria are needed if you are staying over 3 months. The vaccination should be taken 2 weeks before the trip. However for a very short stay, paying more attention on food and drinks by not eating food from roadside and drink only from clean water bottles should be sufficient.”

Camilla writes: “I am travelling to Thailand at the beginning of November for two weeks, i will be visiting Phuket, Phi, Phi and Krabi after flying into Bangkok – wondered whether there were any specific precautions to take for that area – eg vaccinations before hand.”

BNH Hospital answers: “Camilla. Vaccinations recommended for a two and a half weeks visit are HepatitisA and Typhoid which can be infected through food and water.The vaccinations should be taken 2 weeks before the trip.If you are concious about malaria, wearing long sleeve shirt and apply the anti-mosquito lotions to prevent mosquito bite would be sufficient.”

Kevin writes: Hello I need a Hep A boost before travelling around asia and also to take malaria tablets. Is it too late to do this on arrival to Bangkok or should i need to do it before i leave home.

BNH Hospital answers: “We would recommend you to take the vaccine at least 2 weeks before the trip for the vaccine to be fully function.”

Amanda writes: “We are travelling to thailand for 6 weeks what vaccinations do we really need? do we need to get malaria tablets?

BNH Hospital answers: “Ms. Sheridan, Thank you for your letter. The vaccinations needed will vary according to the lenght of time you stay and the place you are going to visit. For a six week visit in Bangkok the vaccinations needed are Hepatitis A and typhoid. If you plan to visit the jungle or staying over 3 months, it would be necessary to take JE, Rabies and Tetatus/dihtheria too.The vaccinations should be taken at least two weeks before the visit. Bangkok is not a Malaria risk area. If you plan to stay only in the city, try to avoid mosquito bites by wearing long sleeve shirts and apply anti mosquito lotion would be sufficient. Again if you are going to visit the jungle or island we would recommend you to take malaria tablets. Malarone would be the best choice with the least side effect. You should purchase it from you country as it is not available here in Thailand and SEA. Doxycycline is cheaper and available here but may cause some side effects such asphosensitivity, Nausia/vomitting and increase candida vaginitis, thought it does not happen to everyone. For Malarone you have to take one week before the trip and one month after the trip. For doxycycline, 1 day before the trip and one month after the trip.”

Linda writes: “I am going to Bangkok for one week at the end of October. Do I need any injections, I am staying at the Amari Watergate Hotel,also what about malaria tablets. Thankyou.”

BNH Hospital answers: “For a business visit of one week in Bangkok vaccinations is not required. Some recommendation would be to pay extra attention to food and drink. Try to avoid street side food and drink water only from clean clear bottles. Regarding malaria tablet, Bangkok is not a risk area. Try to avoid mosquito bite by waring long sleeve shirt and apply anti-mosquito lotion would be sufficient as Malaria tablets may cause some side effects.”

Ms Collard writes: “Can we get our travel vaccinations while we are in thailand. as we are spending 6 months in thailand before we do a round the world trip? Where can we get them done (we will be staying near mbk) and how much?”

BNH Hospital answers: “Dear Ms. Collard, Thank you for your letter. We would recommend you to take the vaccinations before coming to Thailand as some vaccinations needs to be done two weeks before the trip. The list of the vaccinations needed for a six months stay here are as followed:-
1. Influenza
2. Hepatitis A
3. Typhoid
4. JE
5. Rabies
6. Tetanus/diphtheria

Regarding the round the world trip, vaccination required will be according to your destination and length of stay at the particular place. You can get your travel vaccinationation here in Thailand. The Internal Travel Medicine Clinic (ITMC) Located at the BNH Hospital Hospital can provide you the service. It is not far from MBK and it has the update of any disburst and news directly from WHO weekly. For any further information please contact the International Travel Medicine Clinic (ITMC) BNH Hospital Hospital Tel: 02-686-2700 ext 1165.   

Darren writes: “Hi there can you confirm if Koh Chang is Malaria free or not .Thank you for your help?”

BNH Hospital answers: “Koh Chang is still a Malaria Risk area. For a short stay we suggest wearing long sleeve shirt and apply anti-mosquito lotion and try to avoid mosquito bite would be sufficient. If you are to stay over 15 days, you should take some malaria tablet. Malarone is the best choice but not available here in Thailand and SEA. We suggest Doxycycline, hospitals will have them in stock. Some caution is that it may have some side effect of phosensitivity,Nausia/vomitting and increase candida vaginitis, thought it does not happen to everyone. For Malarone you have to take one week before the trip and one month after the trip. For doxycycline, 1 day before the trip and one month after the trip.”

Marie writes: “Dear Sirs/Dr I will be in Bangkok from 17th till 24th of this month, I will be staying in the bangkok area and will be staying at night in a hotel. During the day I will visit the city a bit. I would like to know if I need to take some malaria tablets. If Yes, could you please indicate which ones ( I beleive there are different ones for different degrees of resistance of the virus). Do I need to cover my skin with mosquitos repulsive lotion everyday? I beleive there will be 80% humidity so the lotion might go away quickly! thanks a lot for a precise answer. yours sincerely, Marie MORELLI”

BNH Hospital answers: “Regarding your visit here in Thailand, Bangkok is not a Malaria Risk area, for your length of visit we do not recomment you to take any Malaria tablets. We suggest that wearing long sleeve shirt and applying mosquito repulsive lotion would be sufficient. (Mosquito repulsive lotion normally last around six hours. For your information, there are a few types of Malaria tablets available. The best option would be Malarone which is not available here in Thailand and South East Asia, you should try to buy it from your country as It has the least side effect. The best available here are doxycycline, it is cheaper but may cause side effects such as phosensitivity, Nausia/vomitting and increase candida vaginitis, thought it does not happen to everyone. For Malarone you have to take one week before the trip and one month after the trip. For doxycycline, 1 day before the trip and one month after the trip.”

Sarah writes: “Hello I am travelling to thailand at the beginning of November staying 3 nights in bangkok and 8 nights in Koh Samui could you please tell me do i need any vaccinations before i go and if so when should i take them.”

BNH Hospital answers: “Dear Ms. Brooks, We are very sorry for the delay in reply. Vaccination required are .Hepatitis A and Typhoid, they should be taken two weeks before the trip. For your information Samui is still a malaria risk area, we suggest that you should wear long sleeve shirt and apply anti-mosquito lotions.”

Marcus Mehlkop writes: “I will be in Thailand for one week and plan to visit Koh Samet. Is Koh Samet a malaria risk area? Do I need to take anti malaria tabletts? Is it a good advise to buy malaria tabletts for standby in Germany? What tabletts should I buy for standby in Germany? Many Thanks

BNH Hospital answers: “Regarding our question, yes Koh Samet is a risk area. However if you are well protected from mosquito bite by wearing long sleve shirt and apply anti mosquito lotion would be another option than having malaria tablets. If you would like to take malaria tablet there are a few choices, buying malarone from your country would be the best choice as it is effective and has the least side effect and is not availabe in South East Asia. Doxycycline is available here, it is cheaper but may cause side effects such as phosensitivity,Nausia/vomitting and increase candida vaginitis, thought it does not happen to everyone.”

Michelle McCarthy writes: “Is it possible to buy Doxycycline for anti malaria over the counter at a chemist in Bangkok?”

BNH Hospital answers: “Michelle, Thank you very much for your enquiry. Doxycycline is not available at the chemist counter. At Khaosanroad most of them provide Metfloquin which is not so effective as there are resistant. However most of the hospital in Bangkok do have them in stock.”

Denise Hoey writes: “I will be in Thailand for two and a half weeks and plan to visit Bangkok, the River Kwai, Chiang Mai (including trekking to hill tribes), Ko Samui and some of the National parks (including Khao Yai and Khao Sok). What vaccinations or protection do you advise for these areas? many thanks.”

BNH Hospital answers: There are a few choices available for the anti-malaria tablets. Malarone is the best choice with the least side effect also the most expensive,( it is not available in Thailand and South East Asia.) Doxycycline is cheaper but some side effects of medicine could be make you phosensitivity,Nausia/vomitting and increase candida vaginitis although not everyone will get this side effects. We would suggest you to buy Malarone from your country. For Malarone you have to take one week before the trip and one month after the trip. For doxycycline, 1 day before the trip and one month after the trip. Other vaccinations recommended for a two and a half weeks visit are Hepatitis A and Typhoid which can be infected through food and water. If you have any further queires please don not hesitate to contact me. I hope you have an enjoyable holiday here in Thailand. Currently there are flood in some area of the North I suggest you should check it out before coming.”

Coco writes: “What’s happening with the bird flu? is it dangerous to eat eggs or chicken in Thailand?”

BNH Hospital answers: “Thank you very much for your inquiry. Regarding the bird flu I have checked with the BNH Hospital Hospital ITMC (International Travel Medicine Clinic) in Thailand so for there were no recent report, the latest incident report was 2 months ago in Karnjanaburi province. It is safe to eat eggs and chicken in Thailand provided that they are well cooked.”

Heidi Henderson writes: “I am travelling to Thailand from Canada. I am 4 months pregnant and healthy. I want to be careful and ensure I have the vaccinations that are possible/necessary in my condition. I plan to travel north and to the islands. Any recommendations on what I should be doing/avoiding in terms of locations/food?”

BNH Hospital answers: “Thank you very much for your inquiry. We do not recommend vaccinations as it may have side effect with the baby. If you already have Hep B vaccination that would be good enough. Recommendations would be additional attention on food and water, make sure that the food is well cooked and drink clean water (available in bottles).”

To send your question, use the form below to contact a BNH doctor:

Koh Chang Notes

Koh Chang, Thailand
Koh Chang, Thailand
Koh Chang, Thailand

Koh Chang?

Yes, you know you’ve heard the name before, most travellers to Thailand have.  It’s that big island near the Cambodian border, about 300 km from beautiful downtown Bangkok.

So it’s busy then, loads of tourists?

No, although the name is now well-known most people seem to follow the herd to Koh Tao or Koh Phi-phi  – the backpackers’ Costa del Sol.  Even in high season Koh Chang rarely appears busy.


No idea. I’m the wrong side of thirty-five (just) so relating to the minds of youthful backpackers who’s idea of a goodtime is to blow their wads of eurodollars on buckets of vodka + Redbull and then boogie the night away to underground dance noise is beyond me. A small Heineken, ‘Sex in the City – series two’ DVD and I’m all set for the evening.   But, to hazard a guess at answering your question,  I’d blame a combination of Leonardo Di Caprio; a love of small, dark bungalows and the allure of well-chiselled Scandinavian scuba instructors of both sexes.

That sounds enticing, I mean the booze, tunes & Scandiavians rather than a sad evening in. . but why should I go to Koh Chang instead? 

For a start you wont be subjected to a screening of the ‘The Beach’ every evening during which the hippy next to you will claim loudly to a) have been paid $100 a day as an extra and b) that Leo is an OK guy for a movie star.  the other islands: decent fruit shakes, ticket agencies, Thai food made for farang palates, real coffee, a wide choice of new accommodation, ATMs, dive schools, a private clinic and the chance to hear the latest Coldplay album in every restaurant on the island.

Plus you will find that all your traveller requirements are catered for on Koh Chang as on You can also purchase souvenirs e.g. t-shirts bearing the still hilarious ‘McShit’ slogan or with the name of your favourite Thai beverage emblazoned in Thai script on them.

The difference is that Koh Chang is a ‘real’ island not just a dot on the map, therefore you won’t be walking around the island or even walking from beach to beach as on the smaller islands.  This means that the scenery is big: big hills, big jungle, big waterfalls.  This also means you can’t see all the island in a day.  Rent a motorbike, you will be able to find a beach, waterfall or fishing village to yourself simply by getting off your arse and doing a bit of exploring. You won’t get lost as there’s only one road. 

That doesn’t sound too bad . . . how serious is that big badly written roadside warning sign on way into Whitesands beach?

When not to go? The ‘Oriental Eden of the East’ welcomes visitors to paradise 365 days a year!  More realistically, high season is from December – April.  But you’ll find that you’ll almost certainly have good weather and no crowds at all in October, November and May.  Unless you have a backpack full of paperbacks; enjoy spending every other day feeling warm and wet; or can find ways to amuse yourself within the confines of your 6 square metre hut, it might be better to stay away during the rainy season which runs from June to September.
I’ve heard ‘The Treehouse’ is the place to stay, is that true?

Seemingly for most travellers the choice of accommodation is a toss up between The Treehouse on Lonely Beach and The Treehouse on Lonely Beach – so it was a pity it closed in Aug 2004.  Yes, it was a nice place to stay and five years ago it was a very nice place to stay but there are now plenty of alternatives for anyone wanting to sleep before 4am or who would rather not have to endure their fellow guests, overloud retelling of their riveting traveller’s tales during breakfast.  It’s extremely rare that you can’t find a room on Koh Chang, so take a look around before checking into the first cheap hovel you come across. Unless you’re on a really tight budget, why not choose a bungalow with glass in the windows, a bathroom and walls which aren’t paper thin?  It’ll only cost you 100 -200 baht / night more than a mini version of the Black Hole of Calcutta.

Briefly . . .

On Whitesands beach, cheap beachfront bungalows, 150-200 baht/night, a stone’s throw from a 7-11, are available at ‘KC Grande Resort’ as are aircon bungalows for around 600 baht/night.

The long and almost always deserted Klong Prao beach is home to ‘KP Huts’, an ever expanding assortment of over 30 huts of varying styles, sizes and prices right in the centre of the empty beach. 

Moving on Kai Bae offers a mix of tourist & backpacker accommodation, you wont find too many flophouses but there’s plenty of nice beachfront bungalows to choose from although the price is at the top end of a traveller’s budget (400 baht/night & up) ‘KB Bungalows’ is convenient, friendly, clean and affordable.

If it has to be Lonely Beach you’ll find that you can find a place to lay your head for 100 baht or less/night but you get what you pay for i.e. f&%k all in terms of decor, ambience, location and service.  A couple of decent places to stay are ‘Nature Beach’ has a wide expanse of beach on its doorstep and the clean, airy, cheap and new ‘Paradise Cottages’.

Bailan Bay is the quietest stretch on the west coast and is a good bet if budget peace and quiet are what you’re looking for.  New resorts are springing up here all the time, all within 10 minutes walk of each other and all after your custom as comparatively few visitors stay in this area.

At the very south of the island there are a few hut complexes near Bangbao, but as the ‘songtaews’ (converted pick-up truck taxis) rarely venture as far south as Bangbao you’re forced to hire a motorbike if you don’t want to be confined to your immediate surroundings.

And would it be correct to assume that there’s a veritable host of mid-price accommodation, including some very nicely designed boutique hotels and resorts, for anyone not into skimping and saving in order to stretch out their meagre savings for as near to eternity as possible?

Not surprisingly, it would.  ‘The Mangrove’ on Bailan Bay, ‘Saffron on the Sea’, ‘Keereeta’ & ‘Remark Cottages’ on Hat Kai Mook beach,  ‘Bhumiyama Resort’ on Lonely Beach, ‘Tropicana’ on Klong Prao beach and Bang Bao Sea Huts, beautiful but pricey wooden huts built, as the name suggests in the sea at Bang Bao, to name but a few.

OK, so ‘beaches’, ‘accommodation’, ‘beer’, ‘stuff to do’ . . . I’ve just got ‘culture’ and ‘food’ to tick off my checklist.  Can you help?

Sure.  There are a few temples on the island, none of which merit a visit unless you plan on cremating a close relative.  So culture wise we’re left with modern Thai culture in the form of the karaoke lounge.  The flyers, in Thai, for the ‘Milky Way’ karaoke pub on the outskirts of Whitesands promise visitors footie on a 150″ TV screen.

Being an island, seafood features almost as prominently as banana pancakes on restaurant menus but it’s worth remembering that a seafood meal for two will probably cost the same as a three nights accommodation in a moderate backpacker bungalow.  ‘Cookie’ restaurant on Whitesands beach is deservedly popular as it serves decent sized portions at decent prices.  Down in Bangbao, ‘The Bay’ restaurant is my favourite place for a 40 baht lunch in laid back surroundings.  Wherever you are staying it’s worth venturing further than your resort restaurant to eat as you’ll always be able to find a good local eaterie where you can get a meal for 20-25 baht.  If my missus doesn’t feel like cooking then we always get food from a no-name restaurant in Kai Bae.

As you head into Kai Bae from the north, go past the 7-11, on the opposite side of the road you’ll then pass ‘Oxygen bar & restaurant’ (itself a nice place for an evening meal), ‘Bee’s Coffee’, a tailors shop, a hairdresser’s and then a small open sided restaurant on a corner plot.  Try it, you won’t be disappointed, the menu’s in English too.  Also located in Kai Bae is ‘Papa’s Deli’ – the only place on the island you can get a baguette that not only looks, but also tastes like a baguette, a not inconsiderable feat.

Well, you’ve convinced me.  How do I get there?

Depending on how much of an independent traveller you really are you can either:

Pop down to any travel agent’s office on Khao San Road, say the magic words ‘Koh Chang’, point at the photo of a minivan designed to comfortably seat six but refitted to seat ten, hand over around 250 baht and then return at the day and time stated on the ticket to board the van.  The drive to the ferry pier will take around 5 hours by which time you’ll have probably lost all feeling in your legs.


Find your own way to either Ekkamai or Morchit bus stations, buy a ticket to Trat, it’ll be about 170 – 190 baht.  The bus takes around 6 hours to get to Trat, depending on the number of toilet stops the driver requires.  From Trat, the passenger ferry pier at Laem Ngop is a 20 baht, 20 minute songtaew ride away.  Bus company staff will point you in the direction of the songtaews.

The ferries to the island takes around 40 minutes and once on the island you’ll see the white pick-up songtaews which are the island’s poor attempt at providing public transport.

Thanks for the info.  Can I buy you a beer?

Of course you can, I live on the island.  If you need more comprehensive info on Koh Chang please visit www.iamkohchang.com , or, if spending some of your time clad in a skintight rubber outfit is a prerequisite of your travel plans, you’ll find all you need to know about scuba diving off Koh Chang at www.divekohchang.com.