December 19
Tips to Staying Healthy During the Busy Holiday Travel Season
As crazy as the Holiday Travel period can be, one of the common pitfalls of crowded airports and airplanes is the spread of cold and flu viruses. The fact is that flu season usually peaks in January, just after the Holidays, and many experts believe it’s due to the heightened exposure to fellow travelers in close quarters with one another.
Most airplanes have HEPA filtration units in their air circulation systems on board aircraft, but the way many folks are now packed in like sardines in steel tubes at 30,000 feet for hours at a time, the likelihood that you will pick up an airborne illness or other bug is vastly increased. So what can you do to lessen your body’s chances of becoming infected?
Stress
One of the biggest contributors to infection and the susceptibility to illness is succumbing to external sources that trigger internal stress. Scientific studies have consistently proven that allowing stress to internalize actually suppresses the immune system, allowing for increases in infection.[1]
A simple way to help reduce your stress levels during holiday travel is to understand what can go wrong during your travels and accept that you may be faced with that somewhere along your journey. People forget that, as winter sets in during late November and throughout December in the northern hemisphere, airline travel is severely hampered. What many travelers tend to forget is that the airlines and their employees have no control over these external forces. Yet time and again, the public has a tendency to express their increased frustrations on the men and women whose job it is to do their best to accommodate them.
It may sound simplistic, but remembering the words of Reinhold Niebuhr’s ‘Serenity Prayer’ may actually help you to cope: “grant me the serenity to accept the things I cannot change; courage to change the things I can; and wisdom to know the difference.” I have seen people have a complete meltdown in front of customer service agents simply because their departure gate had changed, let alone the flight being delayed or cancelled. It is best to practice patience and let go of the internal frustrations. Expressing them and projecting them on airline personnel tends to exacerbate the situation. Try taking a step back, take in a deep breath, and relax. And most importantly, let the airline people do the job they are paid to do. Adding additional pressure and stress on them will not get you much mileage – both figuratively AND literally.
Hygiene
They say that the best defense is a good offense. This can also apply to protecting yourself and being proactive in lessening your chances of infection.
There is a delicate balance between exposing yourself to bugs in order to build up ones’ immune system and protecting yourself from incubating it in your body. Many researchers believe that the recent popularity of anti-bacterial products may be doing more harm than good when it comes to fighting off illnesses. The risk of “cross-resistance” is making the use of standard antibiotics almost useless.[2] While the common cold and flu are viruses, researchers believe there may be a connection in the weakening of the human immune system to overuse of these products.
Most physicians believe that the best way to minimize your exposure to these pathogens is simple, everyday hygiene, beginning with frequent hand washing with standard soap and water.[3] The Mayo Clinic suggests that hand-washing should be done whenever you sneeze or cough into your hands, handle or prepare food, use the toilet or change a diaper, or handling garbage.
On airplanes, it is important to realize that most surfaces on the plane have been exposed to other people, including individuals who may be infected with illnesses. There is also a good bet that those surfaces have not had a chance to be properly cleaned in-between uses.
I recommend that you bring a small supply of sanitation wipes in your carry-ons in order to wipe down surfaces like try tables, especially if you plan on eating food using that table. Remember that bacteria and viruses can survive on exposed open surfaces for hours or days after contamination, so being armed with the proper tools can greatly reduce your exposure to these bugs.
Many flight attendants will tell you that one of the more common hygienic mistakes people make aboard an airplane is using the lavatory with stocking or bare feet, especially small children. Take a few moments and put your shoes on, or get your children’s feet shod with footwear to protect them and you from exposure to pathogens that are bound to be found in abundance on a lavatory floor!
Travelling While Sick
In today’s modern times, it is virtually impossible to avoid travelling on a flight without someone on board who isn’t suffering from an illness. With the high cost of changing a ticket if your travel plans are interrupted by sickness, most people will choose to fly anyhow—illness be damned.
There are a few things that you can do if you find yourself in this situation to lessen the effect you may have on fellow travelers (and on your wallet).
To begin with, most airlines offer “travel insurance” for just such issues. The cost of buying this insurance is far less expensive than being charged for change or cancellation fees associated with illness. Having this insurance will allow you to re-book your travel plans without further cost to you should you need to cancel or re-book your itinerary due to unforeseen illness. Remember that this insurance is only available at the time of booking, and cannot be purchased after your tickets have been issued. Check with your specific air carrier for additional information, rules and restrictions.
Try to get a flu shot early in the season. Most vaccines are available for the current flu season around September, while the height of the flu season generally happens around January. It is a common misnomer that these vaccines actually cause one to get the flu. Don’t be misled. It is highly recommended that children under 5 and adults over 50 get these vaccines every year as the flu can actually complicate other illnesses like asthma and high blood pressure.[4]
If you are caught off-guard and simply must travel while sick, take along a few items that will help you suffer less, and help contain your infection. If you have a cold, I highly recommend a decongestant (Alka Seltzer™ Plus Cold effervescent tablets are the best) to keep your sinuses and estuation tubes as clear as possible. I find that a combination of this and a mucus reducer (like Muscinex™) is the best regimen for keeping these pathways open and avoid the discomfort that airplane pressurization can cause. I want to point out here that I am not a physician, so consult with a trained medical expert before prescribing this method personally.
If you do suffer from a cold or flu, it would be wise to bring along a face mask to wear while onboard the plane. Not only will this help reduce the spread of your illness, it will give your fellow passengers peace of mind that you thought enough to do so, and will lessen their irritation that they might pick up what you have. You can get these at any drug store or pharmacy. It would be wise to bring along a supply of tissue…even though most airplanes are equipped with facial tissue, you may be caught in your seat with the seat belt sign on and unable to get to that supply. Also, as a flight attendant, on behalf of my fellow attendants, I respectfully request that if you are going to dispose of your used facial tissues, please place them in the air sickness bag first BEFORE handing it to an unsuspecting crew member! They will thank you for that immensely!
Keep in mind that on board the plane, the only thing that flight attendants can provide you is a simple dose of aspirin or acetaminophen. This may not be enough to cure what ails you so come to the airport prepared. Also, remember that if you are a true believer in NyQuil™ liquid cold medication or any liquid elixir, you may not be allowed through security with it if the container holds more than 3.2 fluid ounces.
There is no way to avoid the spread of airborne illnesses, but being proactive in your fight against them will help you enjoy your holidays more and allow you to travel more worry-free.
As a seasoned air traveler, if you have any additional tips or suggestions, feel free to share them in the comments section of this entry!
Happy holidays, everyone…and safe, germ-free travels to you all!
[1] Schneiderman N, et al. Stress and Health: Psychological, Behavioral, and Biological Determinants. Annual Reviews in Clinical Psychology. 2005; 1:607.- http://bit.ly/uB9NbD
[2] Discovery Fit & Health: Skin-Care: Cleansing, “Should antibacterial soap be outlawed?,” Josh Clark, http://bit.ly/tByBpq
[3] MayoClinic.com: Healthy Lifestyle-Adult Health: “Hand Washing-Do’s and Don’ts,” http://bit.ly/vGVUDh
[4] The Centers for Disease Control, CDC.gov, “Key Facts about Seasonal Flu Vaccine,” September 21, 2011: http://1.usa.gov/t6NvaU






As I waited in the gate area of my flight home, the gate agent made the announcement that boarding would begin shortly, as soon as the less able passengers who were ticketed on this flight were accommodated onboard and situated. On this particular flight, there were nine wheelchairs waiting for boarding, one that was an electric wheelchair, which clearly meant that a little more time would be necessary to board this individual using the airline’s aisle chair on the plane.
Clearly, most of us are tolerant of the special needs of those less fortunate in physical abilities – in virtually every aspect of our daily interactions. We gladly make way for them, and are glad to be of service when they ask. While there are some cultural anomalies in this world that look down upon the disabled and handicapped, in the United States we seem to have evolved far enough to warrant added patience and we find ourselves wanting to help those who require a bit more human touch than most. But as I observed here, there was definitely a different feeling brewing in this gate area.
With more people flying than ever before, and airlines facing huge push-back from travelers who feel they are being gouged with additional fees, but seemingly very little improvement in the airline travel experience, it’s not surprising that people in general have begun to transfer their frustrations on any small thing that causes them even a minute’s worth of delay. The problem seems to be growing, but is there a solution? Can we, as a society, condone a growing outrage towards those who have additional physical and mental challenges who need the additional time and resources of airline personnel to travel?
One of the things that’s so great about my job is that, no matter where I am or what I am doing, I always seem to learn something new about our industry.
Traveling with newborns is a challenge for a number of reasons. One of the most obvious is the exposure an infant this young has to the harsh environment of an airplane interior. A newborn’s immune system isn’t fully developed just after birth and it takes time for their body to adjust to the exposure of bacteria and viruses in the open air, especially in public places. Add to that the recycled air inside the airplane during flight, and then top it off with the pressurization of the fuselage that simulates conditions of altitude of between 5,000 and 7,000 feet at a gradual rate of pressurization. While we adults and most children can handle this pressure without complications, newborns are most vulnerable because their bodies haven’t learned how to equalize the pressure in their ears and sinus cavities. Also, newborns may still have large quantities of liquid in their sinus cavities after the transition from fetus to independence after birth.
The most important thing to remember about handling this new person’s venture into the world of air travel is to make them as comfortable and safe as possible in this strange, new environment. Be mindful of their exposure to other passengers and monitor their comfort levels on takeoff and landing to ensure they aren’t being caused discomfort from the change in cabin pressure.
A couple of weeks ago, I wrote about two high profile cases involving celebrities misbehaving on airplanes. Now it seems that the general public is trying to get into the act…
Last week, on a flight from Majorca to Newcastle, UK, a 26-year old passenger suddenly felt the urge to attempt at opening one of the emergency exits at 36,000 feet, causing the emergency lights to come on, flight attendants to begin shouting their emergency commands and creating a panic among the passengers aboard. He had to be restrained with eight seat belt extensions before they diverted the flight to London’s Gatwick Airport.
As with my earlier entry about other crazy stunts being pulled on flights, it should come as no surprise that in-flight crews, pilots and customer service agents are still on “high-alert” as it were, from the recent 9/11 anniversary. Still, whether or not that is relevant, the fact still remains that some people still don’t understand that a “higher standard” of behavior is still expected when traveling by air. Most crews can discern between rudeness and suspicious, but for the most part, they cannot afford to take chances in allowing any incident to develop into something bigger or more serious, especially when hurling through the atmosphere at nearly the speed of sound.
As he was being questioned by the agents onboard, while being handcuffed right there in front of the remaining passengers on board, he exclaimed that he had told the woman that he had a “BONG” in his bag. The agents weren’t buying it. He was escorted off, along with his traveling companion, who just happened to be his boss and the CEO of the company the suspect worked for. I wonder if he was eligible for unemployment insurance under those circumstances???

“E-ticketing” was introduced by ValuJet in 1994. Since then the International Airline Travel Association (IATA) instituted a goal to convert all worldwide airlines to E-ticketing. For the most part, the major worldwide air carriers have all converted over to E-ticketing; according to IATA, the 230 airlines that belong to this Association were to be 100% converted by June 2008. With the exception of many African air carriers who are members of IATA (only 4.2% of the entire African continent uses the Internet and electronic computer technology
While the international standard for paper tickets was developed in the 1930s, IATA realized that in order for the airlines to save huge amounts of money in administrative, materials and technology costs, they began to develop an international standard for issuing E-tickets, which they finalized in 1997. The goal of IATA was to reduce the consumer’s dependence on paper tickets, allowing the airlines to create huge databases, making it easier for each airline to identify its passengers, and re-issue lost tickets. Prior to the E-ticket, paper tickets not only had to meet IATA standards, but the airlines as well as travel agencies had to keep them under lock and key as these could be counterfeited (and have been in the past) just like paper currency. In 2008, IATA stopped issuing paper ticket stock as the vast majority of member airlines had already converted over to the e-ticketing system.
There are times when the airlines need to accommodate passengers by transferring their reservation to a different air carrier. Unless the two the airlines are tied into the same computer system, or are in the same Airline Alliance (Star Alliance, OneWorld, SkyTeam, etc.)it is nearly impossible for the airline to transfer that reservation to the new airline without a paper ticket. Since IATA ticket stock is no longer available, it is up to the individual air carriers to determine how they might re-accommodate you on a different carrier. That reservation you hold is worth $$$ to the airline and transferring you to another airline is simply a loss of revenue to them. If they serve the community to which you are flying, they will, in all likelihood, rebook you on themselves, rather than send you to a rival carrier.
Nowadays, it is important to remember that paper tickets are more costly, time-consuming, and in some cases impossible (depending on the airport you are at) for the airlines to produce and process, which affect their bottom line. Unless you insist on having a paper ticket issued, you will be automatically issued an E-ticket, and your reservation will be stored in the airline’s computer database, along with any ties to your luggage. If you require a paper ticket, you can expect to spend additional time and resources in obtaining it, and most airlines have added a surcharge to the issuance of paper tickets, some adding as much at $100 USD to the cost of the fare.























