Dial 112, but do not rely on it. Your operator, your lodge and your evacuation insurer are the emergency system that actually works here.
- 112 is the emergency number, with 114 and 115 also in use, but response is slow and outside the cities is often not a real service.
- Your lodge, your operator and your insurer's 24-hour line are the emergency system that actually works here. Save all three on day one.
- Call your insurer first if there is any time at all. They decide where you go and they authorise the payment, and serious cases end up in Nairobi.
- On the mountain your guide is the emergency service. A reputable operator carries oxygen and a stretcher; tell them about symptoms early rather than after a collapse.
- Print the Zanzibar insurance QR code as well as keeping it on the phone. A dead battery at Stone Town immigration is a problem you can prevent.
The numbers
- 112 is the emergency number and reaches police, ambulance and fire.
- 114 and 115 are also in use for fire and ambulance in some areas.
- Response is slow and outside the cities is often not a real service. This is not a country where an ambulance arrives.
- Save your lodge, your operator and your insurer's 24-hour line in your phone on day one. Those are your emergency numbers in practice.
If something medical happens
- Call your insurer's emergency line first if there is any time at all. They decide where you go and they authorise the payment.
- AMREF Flying Doctors is who flies you out of a bush airstrip. Membership is inexpensive and is bought before you travel.
- In Dar es Salaam, Aga Khan Hospital is the usual destination; in Arusha, the private clinics.
- Serious cases go to Nairobi, which is where the regional standard of care is.
- Expect to pay or guarantee payment before treatment. Keep every receipt and get an itemised bill.
On the mountain and on safari
- Your guide is the emergency service. A reputable Kilimanjaro operator carries oxygen, a pulse oximeter and a stretcher, and uses them.
- Tell your guide about symptoms early. Descending at the first sign of altitude sickness is routine; descending after collapse is not always possible.
- In camp at night, do not leave the tent alone. Call for the askari, the guard, who is there for exactly this.
Crime, loss and arrest
- Report a theft to the police and get the written report, which insurers require and which takes hours to obtain.
- A lost passport means your embassy or high commission in Dar es Salaam, with the police report first.
- If you are arrested, ask to contact your embassy and do not sign anything you cannot read.
- Keep photographs of your passport, visa, insurance and yellow fever certificate in your phone and your email.
Before you leave home
- Register with your foreign ministry's travel service if it offers one.
- Leave your itinerary with someone at home, including your operator's name and number.
- Print the Zanzibar insurance QR code as well as keeping it on the phone. A dead battery at Stone Town immigration is a problem you can prevent.
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