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Previous Volume 345:1279-1281 October 25, 2001 Number 17 Next

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To the Editor: Altitude sickness is common in the Himalayas, where thousands of people come for trekking every fall and spring. For those of us who offer health care in Nepal to travelers at high altitude (which Peter Hackett helped to start many years ago) the review by Hackett and Roach (July 12 issue)¹ was fascinating, but I do have a few comments.

More than overhydration, the great danger in the mountains is dehydration due to the general unavailability or poor quality of water or to the lack of thirst. Dehydration may simulate acute mountain sickness, as the authors suggest. . . . [Full Text of this Article]

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