![Barbara Fountain, editor of New Zealand Doctor Rata Aotearoa, and Paul Hutchison, GP and senior medical clinician at Tāmaki Health [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/Barbara%20Fountain%2C%20editor%20of%20New%20Zealand%20Doctor%20Rata%20Aotearoa%2C%20and%20Paul%20Hutchison%2C%20GP%20and%20senior%20medical%20clinician%20at%20T%C4%81maki%20Health%20CR%20Simon%20Maude.jpg?itok=LunKSS3C)
![Lori Peters, NP and advanced health improvement practitioner at Mahitahi Hauora, and Jasper Nacilla, NP at The Terrace Medical Centre in Wellington [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/2.%20Lori%20Peters%2C%20NP%20and%20advanced%20HIP%20at%20Mahitahi%20Hauora%2C%20and%20Jasper%20Nacilla%2C%20NP%20at%20The%20Terrace%20Medical%20Centre%20in%20Wellington%20CR%20Simon%20Maude.jpg?itok=AaKIBvti)
![Ministry of Social Development health and disability coordinator Liz Williams, regional health advisors Mary Mojel and Larah Takarangi, and health and disability coordinators Rebecca Staunton and Myint Than Htut [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/3.%20Ministry%20of%20Social%20Development%27s%20Liz%20Williams%2C%20Mary%20Mojel%2C%20Larah%20Takarangi%2C%20Rebecca%20Staunton%20and%20Myint%20Than%20Htut%20CR%20Simon%20Maude.jpg?itok=KON6aem6)
![Locum GP Helen Fisher, with Te Kuiti Medical Centre NP Bridget Woodney [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/4.%20Locum%20GP%20Helen%20Fisher%2C%20with%20Te%20Kuiti%20Medical%20Centre%20NP%20Bridget%20Woodney%20CR%20Simon%20Maude.jpg?itok=Ok4i3tHv)
![Ruby Faulkner, GPEP2, with David Small, GPEP3 from The Doctors Greenmeadows in Napier [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/5.%20Ruby%20Faulkner%2C%20GPEP2%2C%20with%20David%20Small%2C%20GPEP3%20from%20The%20Doctors%20Greenmeadows%20in%20Napier%20CR%20Simon%20Maude.jpg?itok=xd2RN0nB)
![Rochelle Langton and Libby Thomas, marketing advisors at the Medical Protection Society [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/6.%20Rochelle%20Langton%20and%20Libby%20Thomas%2C%20marketing%20advisors%20at%20the%20Medical%20Protection%20Society%20CR%20Simon%20Maude.jpg?itok=xVBfzwyI)
![Specialist GP Lucy Gibberd, medical advisor at MPS, and Zara Bolam, urgent-care specialist at The Nest Health Centre in Inglewood [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/7.%20Specialist%20GP%20Lucy%20Gibberd%2C%20medical%20advisor%20at%20MPS%2C%20and%20Zara%20Bolam%2C%20urgent-care%20specialist%20at%20The%20Nest%20Health%20Centre%20in%20Inglewood%20CR%20Simon%20Maude.jpg?itok=p8tn1LFE)
![Olivia Blackmore and Trudee Sharp, NPs at Gore Health Centre, and Gaylene Hastie, NP at Queenstown Medical Centre [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/8.%20Olivia%20Blackmore%20and%20Trudee%20Sharp%2C%20NPs%20at%20Gore%20Health%20Centre%2C%20and%20Gaylene%20Hastie%2C%20NP%20at%20Queenstown%20Medical%20Centre%20CR%20Simon%20Maude.jpg?itok=RlX_BPVa)
![Mary Toloa, specialist GP at Porirua and Union Community Health Service in Wellington, Mara Coler, clinical pharmacist at Tū Ora Compass Health, and Bhavna Mistry, specialist GP at Porirua and Union Community Health Service [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/9.%20Mary%20Toloa%2C%20Porirua%20and%20Union%20Community%20Health%20Service%20in%20Wellington%2C%20Mara%20Coler%2C%20T%C5%AB%20Ora%20Compass%20Health%2C%20and%20Bhavna%20Mistry%2C%20PUCHS%20CR%20Simon%20Maude.jpg?itok=H5uAEzv2)
![Paul Charlick, specialist GP at Auckland’s Balmoral Doctors, Heidi Muller, specialist GP at Three Kings Accident and Medical Clinic, and Michael Wah, specialist GP at Dr Zhuang and Wah Surgery in Auckland [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/10.%20Paul%20Charlick%2C%20Auckland%E2%80%99s%20Balmoral%20Doctors%2C%20Heidi%20Muller%2C%20Three%20Kings%20Accident%20and%20Medical%20Clinic%2C%20and%20Michael%20Wah%2C%20Dr%20Zhuang%20%26%20Wah%20Surgery%20CR%20Simon%20Maude.jpg?itok=5GNLU7Zr)
![Lalith Martyn, urgent-care specialist at Bakerfield Medical and Urgent Care Clinic, Auckland, with Premita Vijay, nurse manager, and Satendra Vijay, urgent-care specialist at Fellbrook Medical Clinic in Auckland [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/11.%20Lalith%20Martyn%2C%20Bakerfield%20Medical%20and%20Urgent%20Care%20Clinic%2C%20Auckland%2C%20with%20Premita%20Vijay%20and%20Satendra%20Vijay%2C%20Fellbrook%20Medical%20Clinic%20CR%20Simon%20Maude.jpg?itok=3d85CsWt)
![Olga Fomchenko, GP at Hobsonville Family Doctors in Auckland, and Sharon Laing-Vao, nurse prescriber at Think Hauora [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/12.%20Olga%20Fomchenko%2C%20GP%20at%20Hobsonville%20Family%20Doctors%20in%20Auckland%2C%20and%20Sharon%20Laing-Vao%2C%20nurse%20prescriber%20at%20Think%20Hauora%20CR%20Simon%20Maude.jpg?itok=y5Mm7aK3)
![Te Whatu Ora Waikato emergency medicine specialist, Marlize Alberts, and Grant Le Roux, specialist GP at Horotiu Hauora Family Health in Hamilton [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/13.%20Te%20Whatu%20Ora%20Waikato%20emergency%20medicine%20specialist%2C%20Marlize%20Alberts%2C%20and%20Grant%20Le%20Roux%2C%20specialist%20GP%2C%20Horotiu%20Hauora%20Family%20Health%20in%20Hamilton%20CR%20Simon%20Maude.jpg?itok=TbUS6rf6)
![ACC medical advisor Hein Pretorius with Hamilton’s Anglesea A and E NP Mike Haden-Jones [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/14.%20ACC%20medical%20advisor%20Hein%20Pretorius%20with%20Hamilton%E2%80%99s%20Anglesea%20A%26E%20NP%20Mike%20Haden-Jones%20CR%20Simon%20Maude.jpg?itok=sfbAmPgM)
![University of Auckland medical student, Esther Lee, and Auckland-based GP Susan Smith [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/15.%20University%20of%20Auckland%20medical%20student%2C%20Esther%20Lee%2C%20and%20Auckland-based%20GP%20Susan%20Smith%20CR%20Simon%20Maude.jpg?itok=pd66NUcK)
![MFAS financial adviser Hamish McPhail [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/16.%20MFAS%20financial%20adviser%20Hamish%20McPhail%20CR%20Simon%20Maude.jpg?itok=_HJEe47c)
![Te Whatu Ora NP intern Melanie Sutton, New Zealand Formulary pharmacist Stacey Smith, Pharmac clinical lead of medicines management Melissa Copland, Te Whatu Ora Nelson Marlborough NP Sue Dawkins, and New Zealand Formulary pharmacist Kirsten Simonsen [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/17.%20Te%20Whatu%20Ora%20Melanie%20Sutton%2C%20NZ%20Formulary%20Stacey%20Smith%2C%20Pharmac%20Melissa%20Copland%2C%20Te%20Whatu%20Ora%20Sue%20Dawkins%2C%20and%20NZ%20Formulary%20Kirsten%20Simonsen%20CR%20Simon%20Maude.jpg?itok=0dJ7fGu5)
![Hillcrest Medical Centre specialist GP Denise Porter and Little London Medical Clinic specialist GP Clare Harford, both from Hamilton [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/18.%20Hillcrest%20Medical%20Centre%20specialist%20GP%20Denise%20Porter%20and%20Little%20London%20Medical%20Clinic%20specialist%20GP%20Clare%20Harford%2C%20both%20from%20Hamilton%20CR%20Simon%20Maude.jpg?itok=aJdVtM1T)
![Te Whatu Ora West Coast pharmacist prescribers Kerri Miedema and Julie Kilkelly [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/19.%20Te%20Whatu%20Ora%20West%20Coast%20pharmacist%20prescribers%20Kerri%20Miedema%20and%20Julie%20Kilkelly%20CR%20Simon%20Maude.jpg?itok=28FiQETu)
![Auckland Eye marketing manager Marié Dickinson and her husband, Wilf Truter, with ophthalmologist Aaron Wong [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/20.%20Auckland%20Eye%20marketing%20manager%20Mari%C3%A9%20Dickinson%20and%20her%20husband%2C%20Wilf%20Truter%2C%20with%20ophthalmologist%20Aaron%20Wong%20CR%20Simon%20Maude.jpg?itok=CA4L7HC2)
![Kenepuru Accident and Medical Clinic urgent-care specialist Will Vaatstra, urgent-care registrar Courtney Storm and urgent-care specialist Shaun Counsell [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/21.%20Kenepuru%20Accident%20%26%20Medical%20Clinic%27s%20Will%20Vaatstra%2C%20Courtney%20Storm%20and%20Shaun%20Counsell%20CR%20Simon%20Maude.jpg?itok=E8FLM_SF)
![Kenepuru Accident and Medical Clinic nurses Karen Barnett, Mel Wimsett and Samantha Christensen [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/22.%20Kenepuru%20Accident%20%26%20Medical%20Clinic%20nurses%20Karen%20Barnett%2C%20Mel%20Wimsett%20and%20Samantha%20Christensen%20CR%20Simon%20Maude.jpg?itok=BBY2Z08E)
![Papakura Marae Health Clinic and Elizabeth Knox Home and Hospital NP Moana Taylor from Auckland, Mercury Bay Medical Centre NP Cecilia Worthington from Whitianga and Arataki Wellness Centre specialist GP Tane Taylor from Auckland [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/23.%20Papakura%20Marae%20Health%20Clinic%27s%20Moana%20Taylor%2C%20Mercury%20Bay%20Medical%20Centre%27s%20Cecilia%20Worthington%20and%20Arataki%20Wellness%20Centre%27s%20Tane%20Taylor%20CR%20Simon%20Maude.jpg?itok=TBMs2F8x)
![Civic Family Health Care NP Sally Gilmour, The Practice on Francis Street nurse prescriber Catherine Flanagan, NPs Di Williams and Ena Jansen van Vuuren, practice nurse Carrie Wegener, specialist GP Eric Wegener and Civic Family Healthcare NP intern Tania Forsyth [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/24.%20Civic%20Family%20Health%20Care%20Sally%20Gilmour%2C%20Practice%20on%20Francis%20Street%20Catherine%20Flanagan%2C%20Di%20Williams%2C%20Ena%20Jansen%20van%20Vuuren%2C%20Carrie%20and%20Eric%20Wegener%2C%20Civic%20Tania%20Forsyth.jpg?itok=jSXSWO3A)
![Pharmacotherapist and pharmacist prescriber Leanne Te Karu, specialist GP and Health Navigator chief executive Janine Bycroft, and pharmacotherapist and pharmacist prescriber Linda Bryant [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/25.%20Pharmacotherapist%20Leanne%20Te%20Karu%2C%20Health%20Navigator%20chief%20exec%20Janine%20Bycroft%2C%20pharmacotherapist%20Linda%20Bryant%20CR%20Simon%20Maude.jpg?itok=JKBiGaGi)
![Community Health Partnerships primary care pharmacists Jane Young and Estelle Lang [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/26.%20Community%20Health%20Partnerships%20primary%20care%20pharmacists%20Jane%20Young%20and%20Estelle%20Lang%20CR%20Simon%20Maude.jpg?itok=EyPntNU2)
![Intuitive Therapeutics managing director Samuel Leathwick and Lindsay McTavish, Intuitive Therapeutics clinical nurse specialist and chief executive of HypoPak [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/27.%20Intuitive%20Therapeutics%27%20Samuel%20Leathwick%20and%20Lindsay%20McTavish%2C%20Intuitive%20Therapeutics%20and%20chief%20exec%20of%20HypoPak%20CR%20Simon%20Maude.jpg?itok=jLC_WPEc)
![Specialist GPs Jason Pryke and Alistair Blomley from Riccarton Clinic in Christchurch [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/28.%20Specialist%20GPs%20Jason%20Pryke%20and%20Alistair%20Blomley%20from%20Riccarton%20Clinic%20in%20Christchurch%20CR%20Simon%20Maude.jpg?itok=1Nxnw2K3)
![Tāmaki Health and Oceania Health NP Bibin Baby, Health-I Care NP Daisy Jose, Whitecross acute-care NP Martin Du Plooy, Whitecross GP Simon Vari and GP locum Maja Kubicka [Image: Simon Maude]](https://www.nzdoctor.co.nz/sites/default/files/styles/max_650x650/public/2025-03/29.%20T%C4%81maki%20Health%20and%20Oceania%20Health%20Bibin%20Baby%2C%20Health-I%20Care%20Daisy%20Jose%2C%20Whitecross%20Martin%20Du%20Plooy%2C%20Whitecross%20Simon%20Vari%20and%20Maja%20Kubicka%20CR%20Simon%20Maude.jpg?itok=xF8HT4du)
+How to treat
Many people travel to high-altitude destinations, meaning clinicians are often faced with questions about how to prevent and treat altitude illness. Update your knowledge with this New Zealand Society of Travel Medicine summary of updated evidence-based guidelines with comments by senior lecturer Jenny Visser – it outlines the best prophylactic regimens, diagnostic approaches and treatment protocols for acute altitude illness
Wednesday 26 February 2025, 12:45 AM
![Barbara Fountain, editor of New Zealand Doctor Rata Aotearoa, and Paul Hutchison, GP and senior medical clinician at Tāmaki Health [Image: Simon Maude]](/sites/default/files/styles/thumbnail_cropped_100/public/2025-03/Barbara%20Fountain%2C%20editor%20of%20New%20Zealand%20Doctor%20Rata%20Aotearoa%2C%20and%20Paul%20Hutchison%2C%20GP%20and%20senior%20medical%20clinician%20at%20T%C4%81maki%20Health%20CR%20Simon%20Maude.jpg?itok=-HbQ1EYA)
![Lori Peters, NP and advanced health improvement practitioner at Mahitahi Hauora, and Jasper Nacilla, NP at The Terrace Medical Centre in Wellington [Image: Simon Maude]](/sites/default/files/styles/thumbnail_cropped_100/public/2025-03/2.%20Lori%20Peters%2C%20NP%20and%20advanced%20HIP%20at%20Mahitahi%20Hauora%2C%20and%20Jasper%20Nacilla%2C%20NP%20at%20The%20Terrace%20Medical%20Centre%20in%20Wellington%20CR%20Simon%20Maude.jpg?itok=sUfbsSF1)
![Ministry of Social Development health and disability coordinator Liz Williams, regional health advisors Mary Mojel and Larah Takarangi, and health and disability coordinators Rebecca Staunton and Myint Than Htut [Image: Simon Maude]](/sites/default/files/styles/thumbnail_cropped_100/public/2025-03/3.%20Ministry%20of%20Social%20Development%27s%20Liz%20Williams%2C%20Mary%20Mojel%2C%20Larah%20Takarangi%2C%20Rebecca%20Staunton%20and%20Myint%20Than%20Htut%20CR%20Simon%20Maude.jpg?itok=9ceOujzC)
![Locum GP Helen Fisher, with Te Kuiti Medical Centre NP Bridget Woodney [Image: Simon Maude]](/sites/default/files/styles/thumbnail_cropped_100/public/2025-03/4.%20Locum%20GP%20Helen%20Fisher%2C%20with%20Te%20Kuiti%20Medical%20Centre%20NP%20Bridget%20Woodney%20CR%20Simon%20Maude.jpg?itok=TJeODetm)
![Ruby Faulkner, GPEP2, with David Small, GPEP3 from The Doctors Greenmeadows in Napier [Image: Simon Maude]](/sites/default/files/styles/thumbnail_cropped_100/public/2025-03/5.%20Ruby%20Faulkner%2C%20GPEP2%2C%20with%20David%20Small%2C%20GPEP3%20from%20The%20Doctors%20Greenmeadows%20in%20Napier%20CR%20Simon%20Maude.jpg?itok=B0u4wsIs)
![Rochelle Langton and Libby Thomas, marketing advisors at the Medical Protection Society [Image: Simon Maude]](/sites/default/files/styles/thumbnail_cropped_100/public/2025-03/6.%20Rochelle%20Langton%20and%20Libby%20Thomas%2C%20marketing%20advisors%20at%20the%20Medical%20Protection%20Society%20CR%20Simon%20Maude.jpg?itok=r52_Cf74)
![Specialist GP Lucy Gibberd, medical advisor at MPS, and Zara Bolam, urgent-care specialist at The Nest Health Centre in Inglewood [Image: Simon Maude]](/sites/default/files/styles/thumbnail_cropped_100/public/2025-03/7.%20Specialist%20GP%20Lucy%20Gibberd%2C%20medical%20advisor%20at%20MPS%2C%20and%20Zara%20Bolam%2C%20urgent-care%20specialist%20at%20The%20Nest%20Health%20Centre%20in%20Inglewood%20CR%20Simon%20Maude.jpg?itok=z8eVoBU3)
![Olivia Blackmore and Trudee Sharp, NPs at Gore Health Centre, and Gaylene Hastie, NP at Queenstown Medical Centre [Image: Simon Maude]](/sites/default/files/styles/thumbnail_cropped_100/public/2025-03/8.%20Olivia%20Blackmore%20and%20Trudee%20Sharp%2C%20NPs%20at%20Gore%20Health%20Centre%2C%20and%20Gaylene%20Hastie%2C%20NP%20at%20Queenstown%20Medical%20Centre%20CR%20Simon%20Maude.jpg?itok=Z6u9d0XH)
![Mary Toloa, specialist GP at Porirua and Union Community Health Service in Wellington, Mara Coler, clinical pharmacist at Tū Ora Compass Health, and Bhavna Mistry, specialist GP at Porirua and Union Community Health Service [Image: Simon Maude]](/sites/default/files/styles/thumbnail_cropped_100/public/2025-03/9.%20Mary%20Toloa%2C%20Porirua%20and%20Union%20Community%20Health%20Service%20in%20Wellington%2C%20Mara%20Coler%2C%20T%C5%AB%20Ora%20Compass%20Health%2C%20and%20Bhavna%20Mistry%2C%20PUCHS%20CR%20Simon%20Maude.jpg?itok=kpChr0cc)