k s k to Tourists Posed by Wild Mammals in South Africa David N.Durrheim and PeterA. Leggat Badground: One of South Africa’s principal tourist attractions is the opportunity t o encounter Africa’s large mammals in the wild. Attacks by these mammals can be exceptionally newsworthy with potentially deleterious effects on tourism. Little is known about the risk of injury and death caused by wild mammals to visitors to South Africa’s nature reserves. The aim of this study was to determine the incidence of fatal and nonfatal attacks on tourists by wild mammals in South Africa and to ascertain avoidable factors, if any. Methods: Commercial press records covering all South African Newspapers archived at the Independent Newspapers’ central library were systematically reviewed for a 70-year period, January 1988 to December 1997 inclusive, to identify all deaths and injuries to domestic and international tourists resulting from encounters with wild mammals in South Africa. All of these incidents were analyzed to ascertain avoidable factors. Results: During the review period seven tourists, including two students fromThailand and a German traveler, were killed by wild mammals in South Africa.Three of the four deaths ascribed to lions resulted from tourists carelessly approaching prides on foot in lion reserves. A judicial inquiry found that the management of a KwaZulu-Natal Reserve was culpable for the remaining death.Tourist ignorance of animal behavior and flagrant disregard of rules contributed to the two fatalities involving hippopotami.The unusual behavior manifested by the bull elephant responsible for the final death, resulted from discomfort caused by a dental problem to this pachyderm. During the same period there were 14 nonfatal attacks on tourists, including five by hippo, three by buffalo, two by rhino, and one each by a lion, leopard, zebra and musth elephant. Only the latter occurred while the visitor was in a motor vehicle.Tourist ethological naivete and failure to determine the experience of trail guides prior to travel, resulted in inadvertent agonistic behavior, unnecessary risk-taking and avoidable injury. ConclusionsThis retrospective study has shown that attacks on tourists by wild mammals in South Africa are an uncommon cause of injury and death. Sensible precautions to minimize this risk include remaining in a secure motor vehicle or adequately fenced precincts while in the vicinity of large mammals, rigidly observing nature reserve instructions, never approaching animals that appear ill, malnourished, displaying aggressive behavior traits or female wild mammals with young, and demanding adequately trained and experienced game rangers when embarking on walking trails. Any behavior that might be construed as antagonistic and which could provoke an attack by large mammals should be avoided (e.g., driving directly a t a lion). Visitors need to be informed of classic signs of aggression, in particular in elephants, which will allow timely avoidance measures to be taken.The risk-enhancing effect of excessive alcohol intake is undesirable in the game reserve setting, as is driving at high speed after dusk in areas where hippos graze. Local advice on personal safety in wildlife reserves and the credentials of trail guides should be obtained from lodge or reserve management, tourism authorities or the travel industry prior to travel to game reserves. South Africa is a burgeoning tourist destination and the South Afi-ica Tourism Board recorded almost 5 million international visitors to South Africa during 1996, which was a 10% increase when compared to 1995.’ A prime attraction is the opportunity to observe Africa’s magnificent mammals in the wild. In 1996, almost 1 million tourists alone visited the Kruger National David N. Durrheim, MPH TM, MACTM: Consultant in Communicable Disease Control, Mpumalanga Department of Health, South Africa; Peter A. Leggat, FAFPHM, FACTM: Deputy Head, School of Public Health andTropical Medicine, James Cook University, Australia. Reprint requests: Dr. David N. Durrheim, Consultant in Communicable Disease Control, Private Bag X11285, Nelspruit, 1200, South Africa. JTravel Med 1999; 6:172-179. Park, which at over 1.949 million hectares, is the largest wildlife or nature reserve in a single Af?ican country.’ The capacity of ecotourism to contribute to societal development has been recognized by the South African government with a resultant White Paper on Tourism3 Commenting on the W h t e Paper, Mike Fabricius, Chief Director of the Department of Environmental Affairs and Tourism, indicated that a 17%growth in international tourism arrivals to the year 2000 was projected, with a resultant rise in foreign earnings of R23 bihon (US04.6 billion) per annum and sustainable job creation of between 550,000 and 860,000 (Weekly Mail and Guardian, April 24-29 edition, 1998). T ~ Igrowth S of tourism in South Akica has also made it imperative to identify and quantify important risks to travelers, so that advice and precautions can be based on sound evidence. Malaria risk, for example, was recently investigated by means of a postal survey of KNP visitors and a low attack rate of 4.5 cases of Plasrnodiumfalcipanrm 172 D u r r h e i m a n d L e g g a t , Risk t o T o u r i s t s P o s e d b y Wild M a m m a l s i n S o u t h A f r i c a malaria per 10,000 visitors during the highest risk month of April, was d o ~ u m e n t e d . ~ Concern has been expressed that constant harassment, tourist pollution, poaching and in the case of elephants, culling, could lead to the abandonment ofnatural behavior patterns by large wild mammals and aggressive, unprovoked attacks on humans.’ Attacks by these mammals can be exceptionally newsworthy with potentially deleterious effects on tourism. Little is known about the risk of injury and death caused by wild mammals to visitors to South Africa’s nature reserves. The aim of this study was to determine the incidence of fatal and nonfatal attacks on tourists by wild mammals in South Afiica and to ascertain avoidable factors, if any. Methods Interviews with executive staff of the South African Tourism Board (SATOUR) and Association of South African Travel Agencies (ASATA),the chief inspector of the Tourist Safety Task Group of the South African Police Services, and staff of the Research and Information Unit at the National Parks Board which is the central regulatory body of South African game reserves, confirmed that no recording system for wildlife-associated tourist injuries existed in South Africa. Similarly, searches of Medhne and Reuters electronic databases did not yield any relevant information. Independent Newspapers, based in Johannesburg, South Africa, were approached to obtain data on tourist deaths and injuries. Independent Newspapers publishes two national weekend newspapers, The Sunday Independent and Saturday Star; two dally papers, Diamond Fields Advertiser and Pretoria News; and two national daily newspapers, Business Report and The Star, the latter enjoying the largest circulation of the group with a daily readership of 200,000. Independent Newspapers central library maintains a complete record of articles published in South Africa during the past two decades by their own and all other national newspapers. Press records pertaining to tourists, both domestic and international, and South African wildlife for a 10year period from January 1988 to December 1997 inclusive, were manually examined. A database of all deaths, injuries .and near mishaps resulting from interaction between tourists and wild mammals in South Africa was established. These events were categorized as resulting from interactions with lions, leopards, cheetahs, rhinos, buffalo, hippos, elephants and other wild mammals. In addition, demographic data available for the tourists involved in these incidents, together with possible factors contributing to the event, were collected. Reports in other newspapers were used to verify the completeness and accuracy of reported details. 173 The small number of cases and uncertain denominator of persons at risk, precludes calculation of a reliable risk estimate and statistical analysis of interactions between covariates. The descriptive approach is therefore adopted tb hghlight avoidable errors prevalent in t h s case series. Results Between January 1988 and December 1997 inclusive, seven tourists were killed by wdd mammals in South Africa. Three of these were foreigners, two young Thai’s and a German. During the same period there were 1 1 tourists injured in encounters with wild mammals in various parts of South Akica (Table 1).A description of these incidents follows. lions During the review period, lions were responsible for four tourist deaths. An elderly tourist from Durban (67), who was celebrating her husband’s 70rhbirthday at Phinda Game Reserve, KwaZulu-Natal, during December 1993 was killed in an attack by three lionesses. The attack occurred while the couple were wallung between the main lodge restaurant and their sleeping quarters afier dinner. Her husband was seriously wounded in the attack. A legal inquiry into this incident resulted in Phinda Reserve management being found guilty of culpable homicide, for “failing to fence the precinct around the main lodge, provide reasonable protection and to warn visitors that dangerous animals did enter the area.” Reserve management was fined R20,000 (US$4,000). A month earlier, in November 1993, two Thai tourists were killed by lions a t the Lion Park near Johannesburg. These tourists, both students, a 24-year-old male and a 25-year-old female, left their car to pose for a photograph in front of a pride of lions. This was despite repeated warning signs next to the road, “You are in lion country, stay in your car and keep your windows closed.” At least one student had a reasonable grasp of English, having been enrolled in an elementary Enghsh course for 5 months prior to the visit. During September 1989, a 23-year-old male student from Cape Town was killed and eaten by lions, a t the Soetdoring Nature Reserve near Bloemfontein, when he left his car to take photographs. A judicial inquiry into his death found that he had been drinking heavily prior to the tragedy. He had not only left his vehicle but walked 30 meters towards a pride of lions. Two tourist groups also experienced harrowing, though nonfatal, encounters with lions. In the first incident, during January 1990, a group of domestic tourists on a hiking trail in the KNE’ were attacked by two angry Journal of Travel M e d i c i n e , Volume 6, Number 3 174 Table 1 Tourist Encounters with Wild Mammals in South Africa Resulting in Injury or Death, Jan 1988-0ec 1997 ~ Country No. oforigin Gender Age ~~ OJ Date Came Reserve Province* Im'dent Mammal Involved Outcome Factors Contributory Principle Media Sourcet 1 SA Female 67 Phnda KZN Dec 93 Lion Fatal N o fencing of lodge precincts Cit, 9/12/93 2 SA Male Phinda KZN Dec 93 Lion Nonfatal Cit. 9/12/93 3 Thailand Female 25 Lion Park Gau Nov 93 Lion Fatal 4 Thailand Male 24 LionPark Gau Nov93 Lion Fatal N o fencing oflodge precincts Left vehicle and approached lion pride on foot Left vehicle and approached lion pride on foot 5 Male 23 Soetdoring FS Sep89 Lion Fatal Alcohol, left velucle and approached lions on foot S, 13/9/89 6 Germany Male 30 Pilansberg NW Mar 93 Elephant Fatal Mpu Apr 96 Elephant Nonfatal 7 SA SA 70 Male unk. Kruger ST, 7/ 11/93 ST, 7/ I 1/93 Elephant dental abscess, SS, 3/4/93 no evasive action taken Musth bull, no evasive B, 15/4/96 action taken Walked into nonfenced Cit, 24/2/93 area, breached rules 8 SA Female 50 Mabalingwe NP Feb 93 Hippo Fatal 9 SA Female 77 Sanbonani Mpu Jd92 Hippo Fatal Walked to within two meters ofhippo calf S, 17/7/92 10 SA Female 48 Sanbonani Mpu Jul 92 Hippo Nonfatal Walked to within two meters of hippo calf S, 17/7/92 11 SA Male Mabalingwe NP May91 Hippo Nonfatal Blocked hippo's path S, 8/5/91 to water while on foot 12 SA Female 16 Lapa-lala NP Dec94 Hippo Nonfatal 13 SA Male 69 Kruger MPU Aug94 Hippo Nonfatal Paddling canoe amongst Cit, 16/12/94 hippos Left vehicle to inspect S, 16/8/94 injured hippo 14 SA Male unk. Hluhluwe KZN July94 Hippo Nonfatal Blocked hippo's path S, 12/7/94 to water while on foot 15 SA Male 43 Kruger KNP Mar 93 Rhino Nonfatal Walking trail participant ST, 24/3/93 surprised black rhino 16 SA Male 37 Pilansberg NW Mar95 Rhino Nonfatal 17 SA Female 32 Hluhluwe Male unk. Weenen Male unk. Weenen KZN KZN KZN Mar97 Buffalo Nonfatal Apr92 Apr92 Buffalo Buffalo Nonfatal Nonfatal Walking trail participant surprised black rhino Walking in long grass Walking in long grass Walking in long grass Mpu Gau Mar89 Leopard Nonfatal 18 SA unk. 19 SA 20 Lesotho Male 40 Kruger 21 SA Female unk. Private May93 Zebra Nonfatal Camping in open tent Walked close behind zebra S, 12/3/95 ST, 3013197 S, 21 /4/92 S, 2 1/4/92 Cit, 6/3/89 SS, 1/5/93 ~~~~ 'Prowncer KZN = KwaZulu-Natal. Gau = Gauteng, FS = Frce Sate. NW = North West. Mpu = Mpumalanga, NP = Northern Province +Newspapers Cir = Ctnzen.ST = Sunday Tunes, S = Star, SS = Saturday Star; B = Beeld lionesses. T h e experienced ranger leadmg the party shot one lioness and the other fled. In the second incident, a group of Arab businessmen from Abu Dhabi and O m a n were terrified when an adult lion swatted the windows of their minibus in the Lion Park near Johannesburg d u r i n g D e c e m b e r 1992. Unfortunately t h e driver responded by accelerating towards t h e lion w h i c h responded by jumping onto and sinking its claws into the roof of their vehicle which was similar to the van that usually delivered food. D u r r h e i m a n d L e g g a t , R i s k t o T o u r i s t s Posed b y W i l d M a m m a l s i n S o u t h A f r i c a Elephants Only one tourist succumbed due to South African elephants during the period 1987-1997. A 30-year-old German tourist was photographing two young bull elephants when one charged his vehicle and rolled it. His 3-year-old daughter was thrown out of the vehicle and he was gored and trampled to death by the two elephants when he left his vehicle to rescue her. It was later ascertained that the elephant that had led the attack had an abscess at the base of a tusk (Dr S.Johnson,Bophuthatswana Parks Board, personal communication). A young bull elephant, orphaned through culling, charged a tourist without injury in Pilansburg Game Reserve near Sun City during July 1996. The same elephant stampeded and kded the professional hunter contracted to c d it the following day, after he only managed to wound it. During the same year, a group of foreign tourists in an open-air vehicle were charged but with no resultant injuries in Hluhluwe Game Reserve. Also dur- 175 ing 1996 a domestic tourist from the Cape interrupted a pair of amorous elephants in the KNP, to the annoyance of the bull. H e responded by attacking the unfortunate voyeur’s trailer, flipping it onto its side and draggmg it several meters. The tourist only suffered minor cuts and bruises before other visitors chased the elephant off,but his vehicle was written off. Hippopotamus Hippos were responsible for many attacks on villagers and illegal migrants in rural areas of the Mpumalanga and Northern Province Lowveld and northern KwaZuluNatal. Tourists were, however, more fortunate with only five nonfatal attacks and two fatalities during the 10-year period under review. Both fatal attacks involved domestic tourists. During February 1993 a 50-year-old women from Pretoria was N e d by hippos, at Mabalingwe Nature Reserve near Warmbaths, while walking alone with her dog during the Figure 1 Lloyd Wilmot makes off hurriedly during one of the charges and counter-charges before he drove this large bull elephant out of his safari camp at the Savati Channel in northern Botswana. J o u r n a l o f T r a v e l M e d i c i n e , Volume 6 , N u m b e r 3 176 late morning. Dogs are not permitted in the camp, visitors a n cautioned against walking alone and she had wandered beyond the fenced safety area. Seven months earlier an elderly female visitor f k m Pretoria was killed and her 48-year-old daughter injured by a pair of hippos at Sanbonani Resort, Hazyview. This incident occurred at about 8 pm when the ladies were walking between the resort restaurant and their holiday unit. Fdty guests who were watchng the pair ofhippos grazing, warned the victims against approaching the hippos but they proceeded to walk to within 2 meters of the calf. The hippo cow responded by knocking over the older lady, before trampling and biting her to death. The hippos then turned on the daughter who attempted to intervene, and she suffered severe bite injuries but survived. During May 1991 a Johannesburg businessman visiting Mabalingwe Reserve, Warmbaths, was bitten, and suffered eight broken ribs, while walking along a riverbank and unwittingly blocking a hippo’s path to water. In the first of three incidents in 1994, a 16-year-old Johannesburg schoolgirl, was paralyzed when hippos struck her canoe at Lapa-lala Game Reserve near Nylstroom. During August of the same year, a 69-year-old tourist from Howick, near Durban, was attacked in the KNP by an injured hippo when he got out of his car to inspect its wounds. His concern was rewarded by being trampled but he miraculously d e r e d only minor injuries. Earlier, during July, a domestic visitor on a wilderness trail in Hluhluwe Game Reserve was bitten on the leg by a hppopotamus when he obstructed the mammal from a stream. Nocturnal excursions by hippos have resulted in at least four serious motor vehicle accidents during the period under review, with one death and serious injury to an additional eight South Afi-icans. male buffalo while on a game walk at Hluhluwe Game Reserve during March 1997. The buffalo unexpectedly stood up in some long grass within a few meters of the tourist and she suffered a number of broken ribs during the ensuing trampling. Two male domestic tourists who left their vehicle after dark to walk in the veldt in the Weenen Nature Reserve were also surprised,and suffered minor injuries, when they stumbled onto buffalo sleeping in long grass during April 1992. No tourists deaths were attributed to buffaloes during the review period. Leopards A visitor from Lesotho was clawed at Berg-en-Dal camping s i t e , W , one evening during 1991 but survived. Other Mammals N o records of fatal interactions between tourists and any other wild mammals were unearthed. The only other tourist injured by a wild mammal fell foul of a zebra. She suffered bruises after being kicked while walking behind a zebra drinking water from a swimming pool in a game lodge during May 1993. Discussion Rhinoceros No tourist deaths were attributed to rhinos during the review period. A shared feature of the two nonfatal black rhino attacks on tourists was that both occurred on walking trails in game reserves. During March 1993, a male visitor from Benoni, near Johannesburg, was flung into the air by one of four charging black rhinos while on the Napi walking trail in the KNP. In the other encounter 2 years later, a black rhino charged a p u p of tourists on a wallcing tra~Iin Pilansberg Game Reserve, injuring a visitor h m Johannesburg. A ranger was gored when he attempted to lure a female rhino for a wallung party by imitating the sounds of a young rhino. This study shares the limitations inherent to studies utilizing retrospective data sources not specifically designed for use in research, in this instance press case reports. Duplicate reports from multiple newspapers, however, allowed verification of the completeness and accuracy of data. Unfortunately exact proportions of the tourism market that visited specific nature reserves or wild life parks are not available, and so a precise denominator for calculating risk of fatal encounters with wild mammals remains elusive. However, the small number of fatalities documented would simply make this a theoretical exercise. There are a number of important features underlying the fatal and nonfatal interactions between tourists and wild African mammals which permit recommendations that may contribute to preventing future unfortunate episodes. A basic understandmg of the dominance hierarchies prevalent in most wild mammal species, where an-individual animal’s rank depends on its fighting ability and attack and defence are both reckoned as antagonistic behaviors, plus an appreciation of the power and species-specific behavioral attributes ofparticular large &can mammals should allow tourism authorities and the travel industry to develop a set of golden rules in personal safety for travelers interacting with these mammals.6 Buffalo Lion \Xlalhng trail enthusiasts bore the brunt of buffalo attacks. A South African nurse was charged by an adult Although lions have been feared since earliest recorded history, with this dread probably origmating from D u r r h e i m a n d L e g g a t , Risk t o T o u r i s t s P o s e d b y W i l d M a m m a l s i n S o u t h A f r i c a ancient Egypt where Sekhmet, the lion-headed goddess, was the most bloodthirsty of all Egyptian deities, preying on people is considered a behavioral aberration.’ This unusual behavior usually results from extreme hunger, disability, disturbances to the ecosystem caused by agricultural developments, constant harassment, tourist pollution or poaching.8 The impact of unnatural environments and continuous tourist harassment is clearly reflected in three of the four fatal encounters documented in the present case series. All three student fatalities occurred in s m a l l reserves or high volume “drive-through” zoos, similar to the safari parks found in Europe where natural ranging is severely restricted. There is little chance of survival for any person venturing out of a vehicle and approaching fiustrated lions (Pantheraleo) which at 240 kg are the largest of &can carnivores and boast a top speed of nearly 60 km/hr.’ Inebriation was found to have been a contributory factor to the South African student’s demise. The incident at Phinda emphasizes the importance of safety measures in camp precincts. Many of the more responsible ventures insist on tourists being accompanied by an armed and experienced ranger in nonfenced areas. It must be emphasised that tourists should remain in a secure vehicle when in “lion-country.’’ It is also imperative that prospective travelers should check with game reserve management regarding safety measures in walking areas, prior to booking. Elephants A common misconception is that elephants are aggressively territorial, but although they occupy a home range they will usually not defend it. Although the African elephant (Loxodonta afTicana), with a shoulder height of up to 4 meters and a mass of 6000 kg (males), is an awesome spectacle and despite the fact that their tusks are formidable weapons, these are usually only used in defence, as elephants are, on the whole, peaceful mammals.” Elephants can however become extraordinarily aggressive when they are sick, injured or harassed, if they have young calves or if they live in or have been moved from an area where elephants have been hunted.8 This may explain the behavior of the translocated Pilansberg bull suffering kom a tooth abscess. The aggressive response of his companion is a well documented phenomenon, where the aggressive behavior of an elephant has a cascading effect on the rest of the herd. Musth in African elephants, which is driven by a surge of testosterone and is apparent by the secretion of fluid from the temporal glands between the eye and ear on the side of the elephant’s face, is present during rutting and a wide variety of stressful circumstances. The swaggering musth bull can be vigorously aggressive to 177 other elephant bulls, other mammals such as rhinoceroses or people, as reflected by the episode of the bull that dragged the car and trailer in the KNP Both incidents may have been averted as an elephant usually displays his aggressive intent before charging. The large ears, which serve as blood vessel-rich radiators, betray the “pachyderm’s” mood and are held outward in the aggressive elephant as it kicks the ground and sways backwards and forwards prior to embarlung on a charge which may reach 40 krn/hr.’ Another prominent warning signal given by the alarmed or aggressive elephant is an unmistakable trumpet fiom a raised trunk. Elephants loathe loud noises which Hannibal learned to his detriment on the battlefield.’ It is essential that all travelers maintain a safe distance from elephants and that visitors to game reserves are made aware of the obvious danger signs of musth or the initial auricular display of an aggressive elephant and the necessity of taking immediate evasive action. Hippopotamus The hippopotamus (Hippopotatnus amphibirrs) has a huge mass, with an adult male being the biggest animal in the world to live in fresh water and weighing up to 3000 kg.” Their huge triangular canines are kept honed by constant abrasion with the corresponding teeth of the other powerful jaw and these can bisect a human body with a single bite. More local people are killed by hippos than by any other African mammal. In water they are usually victorious over crocodiles and will also attack boats that approach too close. This is particularly true of cows with calves. They pose considerable danger in water as illustrated by the case of the young school-girl canoeist, due to their ability to remain submerged and thus invisible for up to 6 minutes. Males are territorial and the herd bull establishes pear-shaped territories, with the narrow portion being where it emerges from the water. These territories are marked by dung splattering on rocks and bushes by tail wagging during defecation.” Hippos emerge kom water at sundown to graze for 5 o r 6 hours on succulent grasses, usually returning to the water by 4 am. A hippo may eat 130 kg of grass during a expedition and when food is scarce hippos may roam as far as 30 km in a night to find grazing.’ During these wanderings they may cross roads and pose a considerable threat to vehicles traveling at excessive speed. A hippo returning to water will trample any obstruction to its passage as exemplified by the Mabalingwe and Hluhluwe attacks. O n land they are surprisingly agile and can charge at 40 km/hr making it difficult to escape. A female leaves the herd to give birth and is extremely protective of her calf, with a tendency to 178 attack when disturbed. The Sanbonani attack, where the elderly lady and her daughter approached a calf, did not therefore represent unexpected behavior. Travelers to game reserves should be warned about the territorial nature of hippos and their nocturnal grazing behavior. They should be cautioned about approaching hippos on foot and be made aware of the danger of driving at high speed afier dusk in areas where hppos graze. Under no circumstances should tourists walk, swim, or row on or near bodies of water known to be inhabited by hippos. Rhino At 2200 kg, the square-lipped white rhino (Cerutorhen'um simum) is considerably larger than its hookedlipped black relative (Diceros bicoomis) at 850 kg, but it is the black rhino that has a tempestuous reputation. Bulls from both species are territorial and mark their territories by urination and defecation along the boundaries. The black rhino is most likely to attack at speeds exceeding 40 km/hr, if taken by surprise, in estrous or when leadmg a calf which it will defend against real o r potential danger.8 A r h o ' s eyesight is poor and so, as demonstrated by the current study, when wallung in areas known to host rhino, it is sensible not to move too quietly so that rhinos are warned and can move away. In South Africa, game rangers are graded on a fourlevel grading system where grade is dependent on accredited training and relevant supervised experience. Remuneration is proportional to grade, and unfortunately there is no minimum legislated prerequisite grade for trail guides. Larger game reserves and lodges usually insist on grade 3 or 4 trail guides but smaller concern may be more flexible with attendant potential risk to visitors. Inexperienced rangers can prove a menace, if in their creative anempts to provide close encounters with large mammals they resort to irresponsible behavior like imitating the sounds of a young rhno. Once again it is more sensible to remain in a secure vehicle, but those preferring to explore a game reserve on foot should insist on a trail guide with a grading of 3 or 4 and should confirm this with the game reserve or lodge prior to departure. When walking in areas where black rhinos may be present, it is preferable not to move too quietly so that rhinos are not surprised and are presented with the opportunity to withdraw. Buffdo The buffalo (Spcems cufer) is an impressive bovine with males weighing in excess of 800 kg and standing 1.4 meters at the shoulder. When in herds buffalo are usu3lly placid but old bulls are particularly irascible and prone tn charge when disturbed. The threatening poscuring IS distinctive, with the head and nose held high J o u r n a l of T r a v e l M e d i c i n e , V o l u m e 6, Number 3 or lateral display o f the massive body to the opponent. This is often followed by head tossing.' B U B Oare sensitive to heat and move into shade during the heat of day and often choose to conceal themselves in long grass or reeds, which may prove particularly hazardous to walking trail participants." This was a common feature of the attacks on tourists in this study who unwittingly disturbed i&ng bovine. Buffalo pose a greater threat to walking trail participants and therefore tourists should insist on being led by a knowledgeable and experienced game ranger (grade 3 or 4). In areas where buffalo are known to graze, walking parties should be advised to remain away fi-om shaded areas o r long grass that provide ideal camouflage to this enormous bovine. T h e distinctive aggressive posturing and head-tossing should induce immediate evasive action by any tourist. leopards Leopard (Pantheru purdus) with their smaller size have seldom been implicated in fatal attacks on humans, an exception being the infamous Chambisi leopard (in Zambia) that is reputed to have lulled 67 people. Leopards do however have the propensity to get through open doors or windows of bungalows, or tents that are not sealed as the visitor from Lesotho discovered. A trapped leopard will attack in defence. I t is therefore advisable that all windows and doors are secured or adequately screened at night in African game reserves, and that tents are securely zipped. Zebra Burchelli zebra (Equus burchellt) is usually a peaceful animal but when under perceived threat of attack it will utter a squeal and bite or lash out with a kick that can kill a spotted hyena.* T h e only tourist recorded to have suffered a kick fiom a zebra, approached it f?om behind while it was drinking from a swimming pool at a private lodge. Equine authorities warn against approaching a horse from behind and the same advice applies to its untamed cousin. I ' Conclusions The discipline of travel medicine is founded on defining the magnitude and nature of risk and then providing travelers with the means for reducing their risk, primarily by behavior modification.'2 This retrospective study has shown that attacks on tourists by wild mammals in South Afiica are an uncommon cause of injury and death. Sensible precautions to minimize this risk include: remaining in a secure motor vehicle or adequately fenced precincts while in the vicinity of large mammals; D u r r h e i m a n d Leggat, Risk t o Tourists Posed b y W i l d M a m m a l s i n S o u t h Africa rigidly observing nature reserve instructions, never approaching animals that appear ill, malnourished, displaying aggressive behavioral traits or females with young; demanding adequately trained and experienced game rangers when embarking on a walking trail and ensuring that they have adequate travel insurance, including aeromedical evacuation contingency plans. l 3 Reasons contributing to the low risk of death from wild mammals in South Afi-ica may include the travel industry’s attempts to separate humans from dangerous situations and efforts by travelers to educate themselves and to take reasonable care. Any behavior that might be construed as antagonistic and provoke attack by large mammals should be avoided (e.g., driving directly at a lion) and visitors need to be informed of classic signs of aggression, in particular in elephants, which will allow timely avoidance measures. The risk-enhancing effect of excessive alcohol intake is undesirable in the game reserve setting, as is driving at high speeds afier dusk in areas where hippos graze. Local advice on personal safety in wildlife reserves and the credentials of trail guides should be provided or obtained from lodge or reserve management, tourism authorities or the travel industry prior to travel. Acknowledgment We wish to acknowledge Shelagh Watt, Chief Librarian of Independent Newspapers, South Africa, for 179 granting access to library records and assisting with file retrieval. References 1. South Akican Tourism Board. A survey of South Africa’s international tourism market. August 1997, Pretoria. 2. Duggan A, ed. Game Parks and Nature Reserves of Southem Mica. Second Edtion. Cape Town:Readers Digest, 1990. 3. Department of Environmental Affairs and Tourism, South African National Government. Tourism White Paper. June 1997, Pretoria. 4. Durrheim DN, Braack LEO, Waner S, Gammon S. R x k of malaria in visitors to the Kruger National Park, South Africa. J Travel Med 1998; 5:173177. 5. Morris D.The animal contract. Virgin Books: London, 1990. 6 . Slater PJB, ed. The Collins encyclopedia of animal behaviour. London: Collins, 1986. 7. Morris D. The world of anunals. London:Jonathan Cape, 1993. 8. Apps P. Wild ways. Johannesburg: Southern Book Publishers, 1992. 9. Grobler H, Hall-Martin A, Walker C. Predators of Southern Africa.Johannesburg: Southern Book Publishers, 1998. 10. Smithen RHN. Land mammals of southern Africa. Johannesburg: M a c d a n South Africa, 1986. 11. Klein M. Animals my teachers. London: Collins and Harvdl Press, 1979. 12. Steffen R. Travel medicine-prevention based on epidemiological data. Trans R SOCTrop Med Hyg 1991; 85:156-1 62. 13. Leggat PA, Carne J, Kedjamne U. Travel insunnce and health. J Travel Med (in press).
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