Indonesia is biodiversity central but it is an incubator
for more than just odd fish and marine critters.
Infections are not uncommon for divers doing
the Lembeh Strait, other areas of Sulawesi and
Indonesia in general. There are reports that E. coli
levels are increasing in the Bunaken marine recreational
areas. Because Lembeh’s famed muck diving
is done close to shore, it’s also near lots of dumped
trash and runoff from nearby land, including human
waste. Often times it’s just plain nasty. You may see
and smell strong substances like petroleum, but
there’s lots more infectious material that you can’t
see or smell.
The high temperatures and humidity typical of
Sulawesi and other areas of Indonesia are strongly
predisposed to promoting infections, both bacterial
(like E. coli) and fungal. Not to mention that parasitic
infections (malaria) and viral infections (dengue
fever and HIV) also have a significant presence,
and Indonesia has had more than its share of avian
flu outbreaks in both birds and humans.
When diving at any site with lots of development
nearby, don’t dive with open sores. Treat even very
minor wounds immediately with a potent antiseptic,
and keep a close eye on them. Diver’s eardrops are
prudent after every dive. Keep skin as dry and as
protected as is feasible. Also take precautions against
mosquito bites and traveler’s diarrhea.
-- Doc Vikingo