Safety & Health Guide

Essential safety information for climbing Mount Kilimanjaro. Learn about altitude sickness, emergency protocols, and health considerations for high-altitude climbing.

Altitude Sickness Prevention

Understanding and preventing altitude-related health issues

⚠️ Symptoms to Watch For

Mild Symptoms (AMS)

  • • Headache (most common symptom)
  • • Nausea and vomiting
  • • Fatigue and weakness
  • • Dizziness and lightheadedness
  • • Difficulty sleeping
  • • Loss of appetite

Severe Symptoms (HAPE/HACE)

  • • Severe headache that doesn't respond to medication
  • • Confusion and disorientation
  • • Difficulty walking or loss of coordination
  • • Shortness of breath at rest
  • • Coughing up pink or bloody sputum
  • • Unconsciousness

🛡️ Prevention Strategies

Gradual Ascent

  • • Choose routes with acclimatization days
  • • Don't ascend more than 300-500m per day
  • • Take rest days at higher altitudes
  • • "Climb high, sleep low" principle

Hydration & Nutrition

  • • Drink 4-6 liters of water daily
  • • Eat high-carbohydrate foods
  • • Avoid alcohol and smoking
  • • Consider electrolyte supplements

Medication Options

  • • Acetazolamide (Diamox) - consult doctor
  • • Ibuprofen for headaches
  • • Anti-nausea medication if needed
  • • Always consult healthcare provider first

Emergency Response Protocols

What to do in case of emergency situations

🚨

Immediate Response

  1. 1. Stop ascending immediately
  2. 2. Assess the situation
  3. 3. Provide basic first aid
  4. 4. Alert guide and team
  5. 5. Begin descent if necessary
📡

Communication

  • • Use satellite phone if available
  • • Contact base camp immediately
  • • Provide exact location and condition
  • • Follow guide's instructions
  • • Keep group together
🚁

Evacuation

  • • Helicopter rescue available
  • • Ground evacuation by porters
  • • Oxygen administration if needed
  • • Medical facilities in Arusha
  • • Insurance coverage required

📞 Emergency Contacts

On the Mountain

  • Guide: Available 24/7 during climb
  • Base Camp: Emergency radio contact
  • Park Rangers: Emergency response team

Medical Facilities

  • Arusha Medical Center: +255 27 250 0000
  • Kilimanjaro Christian Medical Centre: +255 27 275 0000
  • Emergency Services: 112

Health & Wellness Tips

Maintaining good health during your climb

🏥 Pre-Climb Health Check

Medical Consultation

  • • Visit your doctor 2-3 months before
  • • Discuss altitude medication options
  • • Get necessary vaccinations
  • • Review any existing health conditions

Fitness Preparation

  • • Build cardiovascular endurance
  • • Strengthen legs and core
  • • Practice hiking with a pack
  • • Include hill training

Mental Preparation

  • • Research the climb thoroughly
  • • Set realistic expectations
  • • Practice meditation or breathing
  • • Prepare for challenging moments

🥾 During the Climb

Daily Health Monitoring

  • • Monitor your energy levels
  • • Check for headache or nausea
  • • Track sleep quality
  • • Report any concerns to guide

Nutrition & Hydration

  • • Eat regularly, even if not hungry
  • • Drink water consistently
  • • Avoid alcohol and caffeine
  • • Take electrolyte supplements

Warning Signs

  • • Severe headache that won't go away
  • • Confusion or disorientation
  • • Difficulty breathing at rest
  • • Inability to walk straight

Oxygen & Altitude Information

Understanding oxygen levels at different altitudes

📊 Altitude vs Oxygen Levels

Altitude Oxygen Level Effects Kilimanjaro Location
0m (Sea Level) 100% Normal breathing -
1,640m 83% Slight breathlessness Marangu Gate
2,700m 73% Noticeable effort Mandara Hut
3,720m 64% Moderate difficulty Horombo Hut
4,700m 55% Significant difficulty Kibo Hut
5,895m 49% Severe difficulty Uhuru Peak

💨 Oxygen Supplementation

When to Use

  • • Severe altitude sickness symptoms
  • • Emergency situations
  • • Medical recommendation
  • • During descent if needed

Types Available

  • • Portable oxygen cylinders
  • • Oxygen concentrators
  • • Emergency oxygen masks
  • • Hyperbaric chambers (rare)

⚠️ Important Notes

Not a Substitute

Oxygen supplementation is not a substitute for proper acclimatization. The best treatment for altitude sickness is descent.

Emergency Use Only

Oxygen should only be used in emergency situations or under medical supervision.

Guide Decision

Your guide will decide when oxygen supplementation is necessary based on your condition and symptoms.

Safety Checklist

Essential safety items to verify before your climb

📋 Pre-Climb Checklist

  • ☐ Medical clearance from doctor
  • ☐ Travel insurance with evacuation
  • ☐ All necessary vaccinations
  • ☐ Emergency contact information
  • ☐ Medications and first aid kit
  • ☐ Communication device (satellite phone)

🎒 Equipment Checklist

  • ☐ Properly fitted hiking boots
  • ☐ Warm clothing layers
  • ☐ Waterproof outer shell
  • ☐ Headlamp with extra batteries
  • ☐ First aid kit
  • ☐ Emergency whistle

🧠 Mental Preparation

  • ☐ Understand the risks involved
  • ☐ Know your physical limits
  • ☐ Trust your guide's decisions
  • ☐ Be prepared to turn back
  • ☐ Stay positive and focused
  • ☐ Communicate any concerns

Have Safety Questions?

Our experienced guides are here to answer your safety questions and help you prepare for a safe and successful Kilimanjaro climb.