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The authorities do try to minimise the number of deaths: guides are given some training in what to do if one of their group is showing signs of acute mountain sickness (AMS) and trekkers are required to register each night upon arrival at the campsite and have to pay a US$20 (plus VAT) ‘rescue fee’ as part of their park fees (though what this actually gets you is unclear). But you, too, can do your bit by avoiding AMS in the first place. The following pages discuss in detail what AMS actually is, how it is caused, the symptoms and, finally, how to avoid it.
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Henry Stedman (Kilimanjaro: The Trekking Guide to Africa's Highest Mountain (Trailblazer Guide): also includes Mount Meru & guides to Arusha, Moshi, Marangu, Nairobi & Dar es Salaam)