Volunteer Program Handbook

Our mission is to provide love and care to children deprived of parental care and to change the lives of the volunteers who love and care for them.

Common Health Conditions

49.1 Altitude illness

Typical symptoms:

Headache, nausea, dizziness, fatigue, poor sleep at elevation

Immediate response:

Stop ascent, rest, hydrate, light meals; consider descent if symptoms don’t improve.

When to escalate / seek medical care:

Immediate care for signs of HAPE/HACE: shortness of breath at rest, cough (pink/frothy sputum), confusion, ataxia; worsening symptoms despite rest; don’t ascend until fully symptom-free.

49.2 Allergies or sinusitis

Typical symptoms:

Sneezing, congestion, headache, itchy eyes

Immediate response:

Antihistamines, nasal saline rinse

When to escalate / seek medical care:

If persistent fever, facial swelling, or thick nasal discharge

49.3 Common cold

Typical symptoms:

Sore throat, runny/blocked nose, cough, mild fever

Immediate response:

Rest, fluids, OTC pain/fever reducers, honey/lozenges, warm layers.

When to escalate / seek medical care:

If fever >3 days, symptoms >10 days without improvement, chest pain/shortness of breath, or high-risk conditions.

49.4 Dehydration

Typical symptoms:

Thirst, dark urine, dizziness, fatigue, headache

Immediate response:

Oral rehydration solution: ~1–2 liters over first 4 hours, continue as needed; rest/cool environment.

When to escalate / seek medical care:

If severe dehydration or can’t tolerate oral fluids → IV fluids; confusion or persistent vomiting warrants evaluation.

49.5 Food poisoning

Typical symptoms:

Sudden nausea, vomiting, diarrhea, cramps; sometimes fever/body aches

Immediate response:

Rest; oral rehydration/electrolytes; reintroduce bland food as tolerated; strict handwashing and surface disinfection.

When to escalate / seek medical care:

If unable to keep fluids >12 hrs, signs of dehydration, blood in stool, high fever, or in vulnerable people.

49.6 Heat exhaustion / dehydration

Typical symptoms:

Headache, nausea, dizziness, weakness, heavy sweating, thirst; decreased urine

Immediate response:

Move to cool/shade, remove excess layers, actively cool (cool cloths/ice packs to neck/armpits/groin), electrolytes or ORS; rest.

When to escalate / seek medical care:

Emergency if heat-stroke signs: confusion, fainting, seizures, very high temp (≥103°F/39.4°C), hot/red skin, rapid pulse → cool aggressively & seek urgent care.

49.7 Heat Rash or Fungal Infection

Typical symptoms:

Itchy, red, sometimes scaly rash in warm/moist areas

Immediate response:

Keep area dry, use antifungal or zinc oxide cream

When to escalate / seek medical care:

If spreading, blistering, or not improving in 5–7 days

49.8 Influenza (flu)

Typical symptoms:

Sudden fever, chills, body aches, fatigue, sore throat, dry cough, headache

Immediate response:

Rest, fluids, balanced nutrition; acetaminophen or ibuprofen for fever/pain; isolate from others (especially residents); wear a mask to prevent spread; sanitize hands and shared surfaces frequently.

When to escalate / seek medical care:

If shortness of breath, chest pain, persistent fever >3 days, confusion, severe weakness, or in those with asthma, heart conditions, or immune compromise. Early medical care (within 48 hrs) may allow antiviral medication such as oseltamivir (Tamiflu) per clinician.

49.9 Insect bites / mosquito irritation

Typical symptoms:

Itching, swelling, redness

Immediate response:

Wash with soap/water, apply antihistamine cream or aloe, use repellent

When to escalate / seek medical care:

If bite becomes large, painful, or signs of infection appear

49.10 Menstrual pain

Typical symptoms:

Fatigue, mood changes, cramps

Immediate response:

Hydration, rest, heat compress, ibuprofen

When to escalate / seek medical care:

If severe pain or heavy prolonged bleeding

49.11 Minor cuts / abrasions

Typical symptoms:

Superficial skin breaks, mild bleeding

Immediate response:

Clean with soap/water, apply thin antibiotic ointment, cover; change dressing daily/if wet.

When to escalate / seek medical care:

If signs of infection (spreading redness, warmth, pus, worsening pain/fever) or tetanus booster due (deep/dirty wounds and >5 yrs since last shot).

49.12 Parasites / intestinal worms

Typical symptoms:

Persistent stomach upset, weight loss, itching, fatigue

Immediate response:

Consult local doctor; treatment with antiparasitic medication

When to escalate / seek medical care:

Always seek medical diagnosis—do not self-medicate

49.13 Traveler's diarrhea

Typical symptoms:

Loose stools, cramps, fatigue; sometimes nausea

Immediate response:

Oral rehydration (small, frequent sips), electrolytes, rest; bland foods (bananas, rice, toast). OTC: bismuth subsalicylate; loperamide can reduce frequency (avoid if blood/fever).

When to escalate / seek medical care:

If fever, blood, severe dehydration, or symptoms >48 hrs; persistent (>2 weeks) → evaluate for parasites. Antibiotics only for moderate-to-severe cases per clinician.

49.14 Urinary tract infection (UTI)

Typical symptoms:

Burning when urinating, frequent urge, lower abdominal pain

Immediate response:

Increase fluids, cranberry or D-mannose supplements, prescribed antibiotics

When to escalate / seek medical care:

If fever, back pain, or persistent symptoms