Essential Information

Booking Condition

We always make payment procedures, as easy as we can do to our customers. You can make payments in USD cash, TC or by credit cards (we accept all major credit cards). For the reservation or advance booking, you can wire deposit in our company bank account or can fill up the authorization form for the payment by credit card with all details and scan it and send it to us via email.

As per our company’s rules to confirm the tour on definite basis we request 20% of tour deposit in advance of the total amount which is non-refundable as security to make the arrangements. We confirm your reservation on receipt of 20% advance deposit.

Deposit can be remitted by card or by telegraphic transfer. Balance payment we will collect upon our arrival in Kathmandu prior to your trip departure. Balance payment is preferred either by cash dollars, or equivalent in Euro cash. We do accept credit card but there will be 4% additional bank service charge for master of Visa Card.

You may use any of the following bank account in order to deposit the advance payment. Telegraphic transfer to Nature Trail Trekking and Expeditions Private limited (fund transfer in convertible currency only).

METHODS OF PAYMENT:
Bank transfer and Cash : For Bank Transfer, please write details exactly as listed below:
Beneficiary : Nature Trail Travels and Tours Private Limited
USD Account No. : 019 013213900 14
Bank Name : Himalayan Bank Limited
Bank Address : Thamel (Tridevi Marg), Kathmandu, Nepal.
Swift code : HIMANPKA
Or
Beneficiary : Nature Trail Trekking & Expeditions Private Limited.
USD A/C : 01 04 21 17884 01
Paying Bank : Nabil Bank Limited, Kantipath, Kathmandu, Nepal
Swift Code : NARBNPKA

Bank service charge should be paid by the clients themselves at the time of deposit.
1. Please ask your bank to advise payment to bank by authenticated SWIFT or Tested Telex message. Use the bank above with correct company address.
2. During transfer, the transfer service charges are sender’s responsibility, please make sure we could receive the actual amount invoiced with your bank. Please note that if your bank don’t have direct connection with our bank then there might involve more bank commission which might deduct from the amount which you have deposited. So, please check with your bank and remit the payment accordingly.
3. To ENSURE YOUR TRANSFER ACCURACY, any inefficient or inaccurate transfer may delay the reservation procedures. Deposits are require to guarantee at time of reservation

NOTE: Please scan the bank transfer copy and send it via email after payment transfer has been made.
In addition, payment can be made by Credit Card as well. If you would like to make the payment by Credit Card; please click here http://www.allnepal.com/aboutus/payment_credit.php . Fill the form in details; scan it and email to us. For the payment we accept all major Credit or Debit cards, (Visa, Master Card), and 4% extra will be levied to you as credit card processing fee for Master Card and Visa Card.

The following provisions have been made for reservations.
1. 20% non-refundable deposit required for booking
2. Final payment to be paid before departure from Kathmandu or Nature Trails’ counter nearest to your travel destination.
3. Cancellations must be made at least 2 weeks prior to the start date of trip.
4. Group leaders travel free for groups of minimum 15 paying or more i.e. the 16 people will be free. But we will provide 50% discount for a group of minimum 10 paying i.e. the 11 people will get 50% discount. (Flights, Government fees, permits, entrance fee etc. not included).
5. Payment accepted by credit card (4% extra will be levied to you as credit card processing fee), cash, bank draft, or bank account wire

Risk & Liabilities:
We are committed to providing the best services which will give you a once in a life time journey in this connection, we perform our duties honestly and seriously to make your journey very smooth and pleasant. However, the entire programs are conducted strictly under the rules and regulation of the country’s own policies.

Therefore Nature Trail and its related organization shall not be responsible for any changes in the itinerary due to unavoidable circumstance such as govt. restriction, land slide, road blockage, flood, snow political unrest, cancellation of flight, delay, sickness or accident, Any extra cost incurring there of shall be borne by the clients on the spots.

Operated under license permitted from Government of Nepal. References upon request

About our Holidays

For more than a decade, Nature Trail has been a leader in providing leisure holidays and adventure activities in Nepal, Tibet, Bhutan and India. We organize tours and treks for groups and individuals of all ages. We can tailor-make any program or package to suit your interest, schedule, fitness level and budget.

Nature Trail was honoured to be the first tourism company in Nepal to receive the Certificate of Registration (ISO 9001:2000) in recognition of our Quality System. We are proud members of prestigious associations, including Trekking Agencies’ Association of Nepal (TAAN), Nepal Mountaineering Association (NMA), Kathmandu Environmental Education Project (KEEP), Nepal Association of Tour and Travel Agents (NATTA), Pacific Asia Travel Association (PATA), Himalayan Rescue Association (HRA), Nepal Tourism Board (NTB), amongst others.

As a member of the above associations, we do our best to promote tourism to the highest level of comfort and safety of our clients. Our goal is to protect the environment and retain local culture and traditions as much as possible. Since our inception, Nature Trail has been developing remote areas of Nepal with a mandate to avoid any disturbance to the local ecology or way of life. We worked hard to become the first company to pioneer commercial ascents on the “wild routes” in far regions of Nepal. We specialize in trekking for great wildlife and nature watching experiences in remote areas that have been previously inaccessible by tourists.

Nature Trail is also a leading source of any Asian travel and related products, information and services. Our mission is to provide our clients unforgettable travel experiences through our wide range of high quality yet good value packages. Superior customer care is our highest priority – from the products offered, to the client care provided before, during and after the trip. We can arrange almost all travel services including a wide range of accommodation options based on your budget; domestic and international airline tickets; bus and train tickets; vehicle hire and transfers; tour guides; trekking guides and porters; equipment rental. Our client base is continually expanding with repeat business and referrals as our satisfied clients return with grand tales of exploration and adventure. We aim to provide our clients with an exciting, educational and memorable lifetime experience!

“Nature Trail” is authorized by the Government of Nepal (Reg No: 4107/052/53) and is also registered with the following Government Authorities which permit the operation of our tours, treks and tourism activities in Nepal, India, Tibet, Bhutan and Pakistan, in association.

Office of Company Registrar (Ministry of Industry)- Travel.
Office of Company Registrar (Ministry of Industry)- Trekking.
Department of Cottage and Small Industry.
Department of Tourism, Ministry of Tourism and Civil Aviation- Trekking.
Department of Tourism, Ministry of Tourism and Civil Aviation- Travel.
Department of Tax, No.06 regional office, Ministry of Finance- Trekking.
Department of Tax, No.06 regional office, Ministry of Finance- Travel.
Department of Foreign Currency Exchange, National Bank of Nepal-Trekking.
Department of Foreign Currency Exchange, National Bank of Nepal- Travel.
Kathmandu Metropolis Office.

Our staffs are well paid compare to Nepal normal industry standards. They are insured and had medical facilities. Within year they have 2 months extra paid, one month during their holiday, and the other month during Dashain Festival as Dashain allowance. Company has a policy of providing superannuation and provident fund for every staffs.

Field employees get tour allowances and they are adequately insured against accidents in the course of tours and trekking and expeditions. We provide every year series of staff training including, language first-aid, educational, during the off- season.

We are motivated in using local manpower, resources and products while conducting all tours and trekking expeditions. We encourage village tourism and use of maximum local products for consumption during all our tour operations.

We have maintained very transparent books of accounts for which a qualified professional has been hired. A government approved tax auditor prepares all the Profit and Loss account balance sheet at the end of each fiscal year. On the basis of which, we pay 25% of gross profit to the government. Until now, we have cleared all the taxes and also paid advance tax for the running year.

As a locally owned and operated conscientious company, Nature Trail believes culture should be a way of life. We maintain high standards when choosing our knowledgeable staff and their compensation is paid accordingly. Our dedicated team are experts in their field with some involved in tourism for over two decades.

Since 1995, company founder, Bishnu Subedi, has steadily built Nature Trail and its reputation from humble beginnings to what it is today. He has extensive experience in trekking and tourism in Nepal; is a keen environmentalist and a firm believer of responsible tourism. He is actively involved in all aspects of the company and occasionally leads treks to keep in touch with ground operations. Being a proud Nepali, Bishnu supports his local culture and traditions by expending his personal time, funds and energy on various local projects. He has also studied abroad and traveled to many western countries so is able to identify with his client base, seeing things from both the western and Nepalese perspectives.

Nature Trail’s employees range from well-qualified and competent office staff to trekking and climbing guides with years of experience. All of our agents, guides, porters and drivers are hard-working, reliable and experienced, with an enthusiasm for working in the travel industry.

The tourism boom in Nepal is a mixed blessing. It has generated a sizeable share of Nepal’s foreign currency revenue but only a few have experienced an improvement in their standard of living. In fact, for many communities, influx of visitors has come at a considerable cost.

In numerous places, trekking groups have littered trails and degraded forests. Against this alarming backdrop, the practice of ecologically friendly-tourism has been gaining increased momentum – both in Nepal and around the World. Our approach to tourism seeks not only to preserve environment and culture of tourist destination but also to benefit the local population by fostering environmental awareness among both locals and visitors. By linking tourism to social and economic development, it is possible to preserve natural and cultural heritage of an area through promotion of sustainable tourism. This not only enhances positive experiences of those on holiday but also helps to raise the living standard of the local residents. Nature Trail promotes environmentally friendly tourism and, along with a few other local companies, has led the way in responsible tours of our country.

We conduct all our trips with a vigilant eye to avoid any disturbance to the local ecology or way of life. We are committed to an active participation in the Kathmandu Environmental Education Project and other national and local Environmental Initiatives. We continuously strive to make sure traveling with Nature Trail Trekking in Nepal and elsewhere have minimum impact on the local environment.

Use of wood for cooking is strictly discouraged. We try to minimize the consumption of canned and bottled foods. When used, cans and bottles are re-cycled or properly disposed so that there is minimum impact on environment.

NATURE TRAIL TREKKING believes that it is possible to operate commercially in the eco- tourism sector of the industry and also preserve the natural and cultural heritage of an area through promotion of sustainable tourism. In our work, we actively promote and implement this philosophy whenever an opportunity presents. The evident success is that Nature Trail Travels and Tours, Trekking and Expeditions, has achieved obvious rewards in the professional and commercial sense and has positively enhanced the travel and eco-trekking experience of the eco tourist.

We emphasize on making extensive use of the available local products and enhance maximum economic benefits to the local communities. In addition, we support rural development projects by contributing 20% of the profit generated each trading year, thereby, have directly uplifted the living standard of the local residents and contributed to the national economy of Nepal and its neighbors.

We run a non government organization that is committed to providing the much needed health and education facilities to remote areas of Nepal.

Nature Trail organizes cultural tours and village-to-village walks which are less strenuous than trekking but equally rewarding. We provide the opportunity to visit remote villages where you can spend more time in a particular destination allowing more intimate glimpses into traditional village life. The villagers are friendly welcoming you with their hearts and smiles and are always happy to share their music and dance. The exchange is reciprocal and villagers would often wish you to join in with your own songs and dances for all to enjoy.

Sirubari village is one village example. It is inhabited by the Gurung community situated south of Pokhara at an altitude of 1700m. It is 3 hours further from the main trekking trails and offers excellent views of the Himalayan Peaks, including Annapurna, Dhaulagiri and Manaslu. A highlight of Sirubari is the opportunity we have to stay overnight in a local home. The accommodation is simple but comfortable with bedding and toilet facilities. Tasty meals are included and you will dine as one of the family. The community generally offers evening entertainment of traditional Gurung and Nepali dancing and singing- always fun to join in!

During your village stay, you can spend time with your family while they attend their daily activities, tending animals, tilling fields, visiting the school or talking with the neighbours – no matter what, you will experience what it is like to live the life of a Nepali villager.

Sirubari has established itself as a model village and has won the PATA-Gold Award 2001 in the Heritage & Culture – Heritage category. Our packages are specifically designed to ensure that supplies are secured in the village communities we visit so we are able to support the preservation of the heritage and Nepalese culture while improving the living standards of the people.

Since inception, our company has been striving to open up remote areas of Nepal. We pioneered the first commercial ascents in the “wild routes” to the far West and East of Nepal, and also specialized in trekking to virgin areas with formidable games and nature watching experiences that till then were inaccessible to the tourists. We strive to maintain the trend by making continuous effort in discovering interesting new destinations within the country. Furthermore, we have initiated cleaning campaigns in the nearby villages that involve a lot of local participation. The idea is to raise hygiene and environmental awareness in the villagers. Such campaigns also educate the villagers keep their villages and the surroundings neat and clean.

Travel Insurance

Travel Insurance is mandatory for all the clients who are going to participate in any of our adventure activities. Your travel insurance must provide cover against personal accident, medical expenses, emergency air ambulance/helicopter rescue services and personal liability.

Before your departure to the trip, our tour leader will need to see your insurance policy. However, we would already have asked a copy of your insurance policy during your booking with us. Please ensure you have your policy number and emergency telephone number for your insurance company. If this is unavailable please ensure you provide us with the necessary information required by your Insurance Company in case of an emergency.

Having good travel insurance will not only guarantee you peace of mind while you travel with us but also provide you with complete cover for anything things that may go wrong.

A travel-insurance policy to cover theft, loss and medical problems is an excellent idea for travel in Nepal. There are a wide variety of policies available. Some policies exclude ‘dangerous activities’, which may include riding a motorbike and trekking (and definitely bungee jumping and rafting).

Choose a policy that covers medical and emergency repatriation, including helicopter evacuation for trekkers and general medical evacuation to Bangkok or Delhi, which alone can cost a cool US$40,000.

You may prefer a policy that pays doctors or hospitals directly rather than you having to pay on the spot and claim later. In Nepal, most medical treatment must be paid for at the point of delivery. If your insurance company does not provide upfront payment, be sure to obtain a receipt so you can reclaim later. Some policies ask you to call back (reverse charges) to a centre in your home country where an immediate assessment of your problem is made.

If you are going to Nepal, you should buy some travel insurance. But before you select a policy, make sure you have a think about these things first:
• The cost of your trip or holiday – Unfortunately things can happen outside of your control, meaning you have to cancel your holiday; if that’s the case, it is good to know that you can cover costs
• Consider the activities that you’ll be doing while you’re away. We cover over 50 adventure activities automatically but we can offer you extra cover for more daring activities – just give us a call on the number above
• The total cost of your baggage – After all, no one just nips to Nepal!

If you don’t have insurance when trekking in Nepal then not only is your life in real danger but it will end up costing you your health and your bank account. The obvious afflictions when trekking are things like a sprained ankle or even a broken bone. I’ve seen plenty of these when trekking. The not so obvious are afflictions like altitude sickness, food poisoning, hypothermia, appendix ruptures, skin infections and respiratory infections. If any of the above happens to you at 4,900 feet up a mountain then there’s a strong chance you won’t want to be spending days or weeks trekking back to Kathmandu to a hospital. You’ll need a helicopter to get you down. A helicopter evacuation in Nepal costs a minimum of USD $5,000. That’s not including any hospital treatment. Good hospitals in Nepal are rare. The rare good hospitals make a lot of money from trekkers in need of medical care. They charge a lot! Without travel insurance covering you then the bills can be astronomical. How often do people get sick trekking? I’ve never been on a trek where I haven’t seen at least one person turning back due to sickness or injury. In all but one trek I’ve seen helicopter evacuations. The most common ailment I see is altitude sickness. I’ve seen plenty of people be sensible and turn back early. I’ve seen the mistakes of others who continue on until they start to vomit and pass out. At this stage nothing saves them other than an emergency helicopter evacuation to a compression chamber at this stage. I’ve seen plenty of sprained ankles and two broken ones. Anyone with a broken bone in their leg needs a helicopter. The guy with the sprained ankle tried to wait a week so he could walk out. But in the end the altitude and isolation was too much so he called a helicopter. The list goes on. Yes, taking safety precautions helps a lot in reducing the need for medical care when trekking. But the best precaution is insuring you have good travel insurance.

Basically, yes. What you really need to do is check the small print of your policy and make sure you are covered for A) adventure activities B) over a certain altitude. Many travel insurance companies do not cover people over 4,000 meters! Considering popular treks like the Everest Base camp and The Annapurna Circuit all have passes over 5,000 meters this is something you have to make sure! The best thing you can do is call up your insurance company and ask if you are covered for trekking in Nepal up to and just over the altitude you will be trekking to. The great thing with my travel insurance with World Nomads is that they have add on’s which allow me to trek up to various heights e.g., 4,000 meters, 5,000 meter and even 6,000 meters.

What your travel insurance policy should cover

Emergency medical cover
The main purpose of travel insurance is to cover you for the potentially high cost of medical treatment and repatriation if you are injured or fall ill abroad. This should include:
• emergency medical treatment costs, including hospital charges and ambulance fees
• returning you home following medical treatment abroad if you cannot use your original ticket
• reasonable additional transport and/or accommodation expenses for a close relative or friend to stay with you or travel from the UK to escort you if required
• temporary emergency dental treatment for the relief of immediate pain
• 24 hours assistance help lines to offer support and advice about appropriate treatment

It is important to answer any questions from your insurer about your medical history fully and honestly. Withholding details of your medical history may mean you are not fully covered.

Cover to meet your needs
In addition to ensuring you have appropriate medical cover, when choosing a policy; travelers should take some time to think about the following when buying insurance:

How often you travel
If you are planning more than one holiday in a year, consider buying an annual multi-trip policy. Single trip policies are usually more cost effective for older travelers and those with medical conditions. If you already have travel insurance as part of a bank account or credit card, check the policy terms for any age or trip limits there may be.

The length of your trip(s)
Some annual policies may include limits for the number of days of each individual trip, or a maximum number of days’ travel over the course of the year. If you are going away for a longer period, a gap year or backpacker policy may be more suitable.

Where you are going
Some annual policies only cover short haul destinations within Europe and possibly parts of North Africa. The cost of medical claims in these countries is typically cheaper which would be reflected in the premium. For those travelling further afield, make sure you buy a worldwide policy or a single trip policy for the specific destination. Most travel insurance policies will not cover you if you travel to a country where the Foreign & Commonwealth Office advises against all or all but essential travel, so make sure you check the relevant country travel advice pages for updates when booking your trip and buying insurance.

The type of holiday you plan to take
If you will be taking part in certain sports or leisure activities you may need to top-up your cover or buy a specialist policy. Winter sports and extreme sports such as bungee jumping or skydiving are not typically included in standard policies. Cruises may be excluded from some policies due to the difficulty in getting travelers to hospital for treatment. If you are going on a cruise, make sure you have appropriate cover for this.

What possessions you are taking
Check if your household contents insurance policy already covers loss of items you take away from your home. You may already have travel insurance as part of a bank account/credit card; if so these may also already provide some cover for your possessions. Check the travel insurance policy limits and excesses are appropriate for the value of possessions you are taking on holiday. If you are taking a number of high-value possessions, specialist mobile phone/gadget insurance may be more suitable as they typically provide higher cover limits.

All insurance policies say that you must take care of your belongings at all times. If you don’t, the policy may not pay out. Take as much care of your property as if it were uninsured.
You should report any loss to the Police within 24 hours. Proof of notification will be required when you make your claim.

How many people you are travelling with
If you are travelling with others a family or group policy may be suitable. When buying insurance on behalf of others, it is important that you have access to any relevant medical details that you may be asked about. Be aware that some policies will apply an excess for each person when making a claim, so check the policy terms.

The cost of cancellation
If booking an expensive holiday in advance, you may want to ensure that you can recover the costs if you are unable to travel. Check that any cancellation cover limits meet the full cost of your holiday and look for any excesses. If your trip is cancelled or significantly delayed, you may be entitled to compensation from the airline or a refund from the travel provider. Insurance can allow you to claim unused travel and accommodation costs that you are unable to recover elsewhere. When travelling at short notice, on a low cost holiday or with a flexible ticket, you may decide that you do not need cancellation cover at all.

However, it is still important to have emergency medical cover. If your trip is dependent upon the health of a non-travelling relative, you may need to answer questions about their medical history and pay to top up the cover.

Extras
Some policies will also include or offer the following cover for you to consider:

Personal liability
Provides cover if you accidentally cause an injury to someone or damage their property and choose to sue you.
Personal accident cover – disability and death
Some travel insurance policies can cover a personal accident payment made for permanent disability or death.

Lost baggage on flights
Do not rely on compensation from an airline if it loses your luggage. By law, airlines only have to pay a specified minimum value per kilo of lost luggage. This is unlikely to cover the full value of your possessions.

Legal expenses cover
Legal expenses cover helps you to pursue compensation or damages following personal injury while you’re abroad – is important in countries without a legal aid system.
Shop around for the best deal, but never buy a policy based on price alone – the cheapest policy may not cover all of your needs.

Recommended Travel Insurance Companies for your kind Knowledge
FOR AUSTRALIA & NEW ZEALAND
1. Travel Insurance Direct

http://www.travelinsurancedirect.com.au/ | www.tid.com.au
Ph- +61 2 9234 3123
Email- claims@tid.com.au | help@tid.com.au
2. Cover Travel Insurance
http://www.1cover.com.au/ |travel@1cover.com.au
Within Australia: 1300 192 021 |From overseas: (+) 61 2 9235 0222
3. International SOS
http://www.internationalsos.com/en/
4. Cover More Travel Insurance
http://www.covermore.com.au/

5. FOR USA & CANADA
1. World Nomad- (Keep Travelling Safely)

http://www.worldnomads.com/
2. Mondial Assistance
www.mondial-assistance.ca
3. TIC Travel Insurance Coordinators Ltd.
Website: www.travelinsurance.ca
4. Travel Guard
http://www.travelguard.com/
1.866.648.8422 (Canada) | 1.800.826.1300 (USA)

6. FOR UNITED KINGDOM
1. British Mountaineering Council- BMC INSURANCE

http://www.thebmc.co.uk/
PH- 44(0) 161 445 6111
2. First Assist Services Limited England
Telephone 01455 251155
Fax +44 (0)1455 254001
http://firstassist.co.uk

7. FOR EUROPE
1. Europ Assistance

http://www.europ-assistance.com
+33 (0) 1 58 34 23 00
2. IHI Bupa
http://www.ihi.com/
Call at- +45 33 15 33 00 or email at- emergency@ihi.com

8. FOR POLAND
1. SIGNAL IDUNA UBEZPIECZENIA

http://www.signal-iduna.pl/
+48 22 50565 08

9. FOR SINGAPORE & MALASIA
1. World Nomad- (Keep Travelling Safely)
http://www.worldnomads.com/
2. MSIG – MSIG ASSIST
www.msig.com.my
PH- 603 2053 5898

NOTE: Above suggested insurance companies are just for recommendation for your kind knowledge which is recommended by our previous travelers. You could review their update insurance policy by contacting them directly and if you buy the insurance with them, you are responsible to check the policy and coverage by yourself, we do not take any responsibility on any of their policies and the coverage.

Travel Advice

Nature Trail Travels and Tours offers the following information to foreign citizens considering traveling to Nepal with the hope that it will assist you in preparing for your trip and, as a result, you will enjoy your time in Nepal.

Travel Alerts for short-term events we think you should know about when planning travel to a country. Examples of reasons for issuing a Travel Alert might include an election season that is bound to have many strikes, demonstrations, disturbances; a health, or evidence of an elevated risk of terrorist attacks. When these short-term events are over, we cancel the Travel Alert.

We issue Travel Warnings when we want you to consider very carefully whether you should go to a country at all. Examples of reasons for issuing a Travel Warning might include unstable government, civil war, or ongoing intense crime or violence, or frequent terrorist attacks. We want you to know the risks of traveling to these places and to strongly consider not going to them at all. Travel Warnings remain in place until the situation changes; some have been in effect for years.

Safely Trekking in Nepal
Nepal is a country of spectacular beauty and is recognized as a top trekking destination in the world. However, travelers to Nepal should also keep in mind the dangers associated with their treks. Landslides, altitude sickness, and occasional thefts or extortion do happen. Every year, the Embassy also helps facilitate helicopter rescues of Americans in need. Always remember to register with the Embassy to help speed along emergency assistance.

Altitude Sickness
Often starting at 10,000 feet, Acute Mountain Sickness (AMS), or altitude sickness, may begin with headache and nausea. These symptoms generally occur when people ascend too quickly. It is common to suffer from AMS. At 14,000 feet, 30% of people are stricken by these symptoms. For most people, these symptoms will spontaneously go away after a day or two of rest at the same altitude or, if the symptoms get worse, by descending to a lower altitude.

Climbing too high, too fast can have life-threatening repercussions. Climbers afflicted with water in the head (high altitude cerebral edema, or HACE) may not be able to walk straight. Those with water in their lungs (high altitude pulmonary edema, or HAPE) may be short of breath, even with minimal exertion. Symptoms may progress from nausea, headache and fatigue to vomiting, lethargy, and finally, to coma or death, usually after a few days if the person does not descend when the symptoms worsen. Dehydration and hypothermia also exacerbate AMS symptoms.

How can I prevent Mountain Sickness?
The complications of Mountain Sickness are preventable if people listen to their bodies and follow simple guidelines:
• Pay attention to your body and be aware of the initial AMS symptoms of AMS. Do not ascend with these symptoms.
• Ascend slowly. Increase your sleeping altitude by only 1000-1500 feet per day. Try climbing higher during the day and coming down to sleep. (Climb high, sleep low)
• Descend if the symptoms become severe or if you begin to experience HACE and/or HAPE.
• Drink 2 liters (2 regular size Nalgene bottles) of water per day, in addition to the usual tea and other beverages.
• Dress properly for high altitude treks, with synthetic under shirts for removing sweat, a warm fleece jacket, and a down jacket to prevent hypothermia, which can predispose you to AMS and its complications.

Nature Trail Travels & Tours encourages all trekkers to procure emergency evacuation insurance prior to their trip to Nepal.

Travel at high altitude

What is Altitude?
Altitude is height above mean sea level. If the sea level in a certain place is 100 feet and you are 250 feet above the ground, your altitude above sea level would be 350 feet, and your altitude above ground level would be 250 feet. We all enjoy the tremendous view from a high summit, but there are risks in going to high altitude, and it’s important to understand these risks. Given time, your body can adapt to the decrease in oxygen molecules at a specific altitude. This process is known as acclimatization and generally takes 1-3 days at that altitude.

How long does acclimatization last?
It varies, but if you were at altitude for a month or more your improved work rates can persist for weeks meaning you still feel fit upon returning to altitude. You still should not ascend faster than normal if you return to sea level for a few days, otherwise you are susceptible to HAPE.

If you have been to 5000m/16,404ft then go down to 3500m / 11,483ft for a few days, returning rapidly to 5000m/16,404ft should cause no problems, i.e. having been to Lobuche and Kala Pattar, and then rested for two days in Namche you should be able to ascend to Gokyo quickly without problems

Sleeping at altitude
Many people have trouble sleeping in a new environment, especially if it changes every day. Altitude adds to the problems. The decrease of oxygen means that some people experience wild dreams with this often happening at around 3000m. Compound this with a few people suffering from headaches or nausea, a couple of toilet visits, a few snorers and periodic breathers, and it takes someone who sleeps like the proverbial log (or very tired trekker) to ignore all the goings on at night in a large dormitory. Smaller rooms are a definite improvement, and tents, although not soundproof are still manage to be relatively peaceful.

Altitude Sickness Information
Individual rates of acclimatization vary enormously but ascending very rapidly and staying there will always result in problems. Altitude sickness often known as Acute Mountain Sickness (A.M.S.) in general may occur when people ascend too quickly normally in altitudes of over 3000 meter. We ensure minimal risk by building in rest days into our trekking itineraries. Most people will feel some affect of altitude, shortness of breath and possibly light headed, which is fairly common. Acute mountain sickness is very different and normally involves a severe headache, sickness and loss of awareness. In almost every potential case there are enough warning signs to take appropriate action.

Our experienced and well trained guides will advise you about any health issues and also altitude sickness while you are on trekking, so you should not worry about it. Before leaving for the trip we suggest to consult with your Medical Doctor and get advice. The following information gives you an idea about high altitude sickness and how to minimize the effects.

Prevention of Altitude Illnesses
Prevention of altitude illnesses falls into two categories, proper acclimatization and preventive medications. Below are a few basic guidelines for proper acclimatization.

 If possible, don’t fly or drive to high altitude. Start below 10,000 feet (3,048 meters) and walk up.
 If you do fly or drive, do not over-exert yourself or move higher for the first 24 hours.
 If you go above 10,000 feet (3,048 meters), only increase your altitude by 1,640 feet (500 meters) per day and for every 3,280 feet (1000 meters) of elevation gained, take a rest day.
 “Climb high and sleep low.” This is the maxim used by climbers. You can climb more than 1,640 feet (500 meters) in a day as long as you come back down and sleep at a lower altitude.
 If you begin to show symptoms of moderate altitude illness, don’t go higher until symptoms decrease.
 If symptoms increase, go down, down, down!
 Keep in mind that different people will acclimatize at different rates. Make sure all of your party is properly acclimatized before going higher.
 Stay properly hydrated. Acclimatization is often accompanied by fluid loss, so you need to drink lots of fluids to remain properly hydrated (at least 3-4 quarts per day). Urine output should be copious and clear.
 Take it easy; don’t over-exert yourself when you first get up to altitude. Light activity during the day is better than sleeping because respiration decreases during sleep, exacerbating the symptoms.
 Avoid tobacco and alcohol and other depressant drugs including, barbiturates, tranquilizers, and sleeping pills. These depressants further decrease the respiratory drive during sleep resulting in a worsening of the symptoms.
 Eat a high carbohydrate diet (more than 70% of your calories from carbohydrates) while at altitude.
 Always remember that the acclimatization process is inhibited by dehydration, over-exertion, and alcohol and other depressant drugs.

FAQ’s

When to Travel?
The Nepal Himalaya is governed by the Southerly Monsoon which brings heavy precipitation between the months of June and September, i.e. it rains a lot. There are great treks available in the rain shadow during these months but if you are planning a more popular trek it is best to avoid the monsoon months. Autumn through to Spring is the best time to fully experience Nepal.

Is trekking for me?
If you are reasonably fit and enjoy walking you will find a trek in the brochure to suit you. Normally the shorter treks tend to be easier whilst the longer ones often require a better standard of fitness. All treks in the brochure have been graded. It is also worth remembering if we are tailoring your tour, you can choose the pace and direction of your experience.

Where to stay on trek?
In the more popular trails (Annapurna Everest and Langtang) there are well-established Mountain lodges providing sleeping accommodation and meals. Gone are the days when trekkers had to share dormitories, almost all lodges nowadays provide private rooms and many also have solar showers and clean toilet facilities. You can of course opt for a camping trek in these regions but as many campsites are connected to lodges it is debatable whether there is real benefit being under canvas. Trekking in more remote areas necessitates transporting in all the needs for the group tents food etc. Food is prepared by our cook team and drinking water is adequately treated.

Is the food / water safe to eat / drink?
Hygiene when trekking generally has improved considerably over the last ten years, Our guides have the local knowledge to choose the lodges which maintain a high standard of hygiene. If you are under canvas all meals are prepared to high standards, fruit and vegetables are soaked in iodine before preparation. Most lodges serve boiled and filtered water, which is generally safe, we suggest a drop of iodine to be totally sure. We discourage the purchase of bottled water for the obvious environmental reasons

What equipment should I bring
Often this is about getting the balance right, you need to have enough gear to be warm and comfortable but without overloading. Usually you will experience warm days and cold nights depending on altitude and the time of year. Most treks to around 3000 m. are really quite comfortable especially in springtime. Please refer to our web site for a suggested list of items to bring or e-mail us for our equipment list. It is worth remembering you can buy or hire a lot of what you will need in Kathmandu before your trek at very reasonable prices, we can also provide our own hire pack to you. Footwear is best purchased at home before your arrival to ensure they are comfortable and worn in.

What is altitude sickness?
Altitude sickness often known as acute mountain sickness (A.M.S.) in general may occur when people ascend too quickly normally in altitudes of over 3000 m. We ensure minimal risk by building in rest days into our trekking itineraries. Most people will feel some affect of altitude, shortness of breath and possibly light headed, this is fairly common. Acute mountain sickness is very different and normally involves a severe headache, sickness and loss of awareness. In almost every potential case there are enough warning signs to take appropriate action. Descending to a lower altitude will generally be enough to prevent any further problems.

What happens if there is an emergency?
All of our guides are trained in basic first aid and can deal with the basic ailments that may occur on trek. In the event of an emergency Nature Trail Trekking will cover initial expenses of any rescue operation. It is a condition of booking that you are adequately insured for such an event as these expenses will need to be recovered from your insurance company. In the more frequented regions there are health posts, which have been established by foreign doctors and many are staffed by overseas personnel. Nature Trails & Expeditions are associated members of The Himalayan Rescue Association.

Further useful information
Respect local traditions, customs, values and sentiments to help them protect local culture and maintain local pride.
Respect privacy when taking photographs
Respect holy places
Refrain from giving money to children as it encourages begging
Respect for the local etiquette earns you respect
Let the Himalayas change you – Do not change them
Protect the natural environment
Leave the campsite cleaner than you found it
Limit deforestation – make no open fires
Burn dry paper and packets in a safe place
Keep local water clean and avoid using pollutants
Plants should be left to flourish in their natural environment
If you have more questions, please mail us.