Health Advisory for Char Dham Yatra

The Char Dham Yatra in Uttarakhand involves a pilgrimage to four sacred sites: Yamunotri, Gangotri, Kedarnath, and Badrinath. The journey often includes challenging terrain and high altitudes. All the pilgrimage sites of the Chardham Yatra are situated in the high Himalayan region, at altitudes exceeding 3000 meters above sea level.

Visitors to these areas may experience challenges such as extreme cold, low humidity, intense ultraviolet radiation, reduced air pressure, and low oxygen levels. To ensure a smooth and safe journey for all pilgrims, the following guidelines are being issued.

Health and Fitness Guide for Safe Char Dham Yatra

Swasth Satark Safal Yatra – Refer to communication placed by health department along the Yatra route for your convenience, and carefully follow all guidelines.

  • Helpline Number: 104
  • Ambulance Number: 108

Here's a comprehensive health advisory to ensure a safe and fulfilling experience:

Pre-Yatra Travel Advisory

You must ensure medical and trek preparedness before your travel. High altitude can cause medical issues - it is critical to plan, prepare and pack for the same.

  • Plan a trip for at least 7 days for Do Dham and around 10 Days for Char Dham Yatra, allow time to acclimatize
  • Practice breathing exercises for 5-10 minutes daily
  • Physical Fitness: Prepare your body by engaging in light cardio, yoga, or hiking for at least 4-6 weeks prior to the trip.
  • Carry Prescriptions: Keep all necessary medications and prescriptions handy.
  • Daily walk for 20-30 minutes
  • Medical Check up: If you are above 50 years of age or have history of heart disease, asthma, hypertension, or diabetes, get a health check-up done to ensure fitness for the trip
  • Do not undertake the Yatra if your doctor advises against the same During Yatra


Packing for Char Dham Yatra

  • Warm clothes – woolen sweaters, thermals, puffer jackets, gloves, socks
  • Rain gear - raincoats, umbrellas
  • Sun Protection: Use sunscreen, sunglasses, and hats to prevent sunburn at higher altitudes.
  • Footwear: Invest in sturdy, comfortable trekking shoes or sports shoes with good grip.
  • Energy Boosters: Carry dry fruits, energy bars, and glucose sachets.
  • Basic health check equipment - Pulse Oximeter, Thermometer
  • For pilgrims with pre-existing conditions (heart disease, asthma, hypertension, diabetes) – carry all existing medication & test devices, and contact number of your home physician
  • Please carry a glucometer if you are diabetic and a portable sphygmomanometer if hypertensive to monitor your chronic condition.
  • Please check the weather report before your travel, and ensure you have sufficient warm clothes to manage in extreme cold temperatures
  • Essential Medicines to carry along
    • Pain relievers (e.g., paracetamol or ibuprofen)
    • Altitude sickness medication (e.g., acetazolamide)
    • Anti-diarrheal medication
    • Antacids
    • Band-aids and antiseptic cream
    • ORS (Oral Rehydration Salts) for dehydration
    • First Aid Kit: Always carry a comprehensive first aid kit.

Advisory During Yatra

  • Acclimatization: Allow your body time to adjust to the altitude. Avoid rushing the itinerary.
  • Hydration: Drink at least 2 litres of fluid and take plenty of nutritious diet throughout the Yatra
  • Avoid Alcohol: Don’t consume alcohol, caffeinated drinks, sleeping pills, and strong painkillers during the Yatra, also refrain from smoking.
  • Monitor Symptoms: Look out for signs of altitude sickness, such as headache, nausea, dizziness, and breathlessness. Seek medical help immediately if severe.
  • If you or any of your family members are feeling any of the below symptoms, please reach out to the nearest health service touchpoint immediately – quick action can save your life:
    • Chest Pain
    • Shortness of breath (difficulty talking)
    • Persistent coughing
    • Dizziness/disorientation (difficulty walking)
    • Vomiting
    • Icy/Cold skin
    • Weakness / numbness in one side of the body


During Treks

  • Plan for frequent breaks – take 5-10 min breaks every 1 hour of trek
  • Avoid overexertion by pacing yourself and resting when needed.
  • Medical Emergency Planning
  • Medical Facilities: Know the nearest medical centers along the route.
  • Local Contacts: Keep emergency helpline numbers for Uttarakhand Tourism and local authorities.

By following these guidelines, you can ensure a safer and healthier Char Dham Yatra.

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