Healthy & Safety On Mt. Kilimanjaro

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Safety on Kilimanjaro – Our Number one priority

One of the Seven Summits, Kilimanjaro is the highest mountain in Africa, and at 19,341 ft, the summit falls into the “extreme altitude” mountaineering category. It’s one of the few mountains of this size that requires no technical skill to reach the summit.
It should not be underestimated. Trekking at altitude in a remote location can be dangerous, and every year it’s estimated over 1,000 people are evacuated from the mountain and sadly, some never return to their families.

Key factors affecting your safety on Kilimanjaro:

  • Altitude sickness and altitude-related complications
  • Remote location
  • Experience and training of your guides
  • The right equipment for dealing with an emergency
  • Robust monitoring and evacuation processes and protocols

KILIMANJARO HIKING HIGHLIGHTS

How We Work to Keep You Safe on Kilimanjaro

Staying safe on Kilimanjaro starts with understanding the risks and knowing how to mitigate them. We ask all our climbers to fill in a comprehensive medical questionnaire, and in the case of some pre-existing conditions, we may ask for confirmation from your doctor that you are fit to climb. Your guide will need to know any existing medications you are taking (including over the counter) and whether you are taking Diamox to help acclimatization.

Guide Training

You need to know that your guide has the proper training to know how to detect the early signs of altitude sickness, and what to do about it. Our guides undergo Wilderness First Responder training, which teaches essential skills for managing medical conditions in remote locations.

We’ve partnered with the Sentinel Outdoor Institute, a high-altitude medical training organization who run in-depth training courses in Tanzania to ensure our guides are kept up to date with emerging medical protocols.

Carrying emergency equipment is useless if your guide doesn’t know how to use it.

A note on guide-to-climber ratio

It’s our mission to ensure a safe and successful summit for everyone. We have a guide to climber ratio of 1 to 2, so for every two climbers, we have one trained mountain guide. This allows for more careful observation and evaluation of the group’s condition.

Daily Health Checks & Monitoring

Communication with your guide is important. If you’re feeling under the weather, have a headache, nausea or any other symptom, you must tell your guide. While hiking, your guide will be keeping a lookout for any early signs of trouble:

  • Are you having difficulty on the trail, stumbling or very tired
  • Are you eating well, or is your appetite diminishing?
  • Do you keep stopping to catch your breath, and having difficulty breathing?
  • Are you drinking enough water?
  • Any signs of erratic behavior or confusion
Daily Health Check

Every day, you’ll have a one-to-one meeting with your guide for a comprehensive health check-up:

  • Using a pulse oximeter to measure your blood oxygen saturation and resting pulse rate, using this data in combination with:
  • Symptom picture, using the Lake Louise Scoring System to determine whether you are showing signs of altitude sickness
  • Self-assessment questions to determine how you are feeling

Constant monitoring prevents a mild case of altitude sickness from escalating into an emergency.

Emergency Oxygen & Medical Supplies

Our team carries a comprehensive medical kit, including bottled oxygen, and portable stretcher.

  • We carry supplemental oxygen for emergency use only.
  • The only cure for acute mountain sickness is immediate descent to a lower elevation.
  • In the case of an injury that prevents a climber from descending on foot, we use a portable stretcher that is provided by the National Park at each campsite.
  • Oxygen can be administered to alleviate AMS in combination with immediate descent.
  • We carry a first aid medical kit to treat minor injuries
Helicopter Evacuation on Kilimanjaro

In the event of an emergency, we use a search and rescue service that operates out of Moshi. After a distress call, a helicopter will be dispatched to the nearest landing point and the patient can be airlifted off the mountain and taken to the local hospital. Of note, in the event of adverse mountain weather, a helicopter may not be able to land, and if this is the case, a manual evacuation will need to take place via a stretcher provided by the National Park.

Other Important Safety Aspects on Kilimanjaro

It’s important that you take responsibility for your safety, including:

  • Don’t ignore symptoms. If you have a headache, loss of appetite, nausea or any unusual symptom, tell your guide immediately
  • Don’t try to “push through”. Mild signs of altitude sickness can often be successfully treated without evacuation, but ignoring them can be dangerous
  • Keep an eye on your team-mates. If you see someone struggling or behaving erratically, tell your guide
  • Follow your guide’s instructions at all times.
Equipment & Gear

Trekking on Kilimanjaro takes you through five major climate zones, from the warmth of the low slopes to the bitterly cold, sub-zero temperatures at the summit.

In addition to the medical and emergency equipment, the quality of kit used in camp is also an important consideration. Weather on any mountain can be unpredictable, and keeping safe, warm, and dry at night is imperative to the health of any climber.

  • Rugged tents suitable for changing mountain conditions, that stay dry even in torrential rain
  • Comfortable waterproof dining tent with table and chairs
  • Sanitary toilet facilities

Arriving for a Kilimanjaro climb without proper cold-weather clothing, adequate hiking boots or a sleeping bag appropriate for expedition conditions is asking for trouble. We’ve put together a comprehensive packing list for Kilimanjaro explaining what you need and why.

  • If you haven’t got the right boots, you can easily turn an ankle or injure yourself on the rocky trails
  • Without effective rain gear, you’ll get soaking wet and quickly turn hypothermic
  • If you don’t protect yourself from the sun, you can end up with a nasty case of sunburn or sunstroke
  • Never stay in wet clothes
  • Our Kilimanjaro packing list details everything you need to bring to be properly prepared
Hygiene, food & water safety

There are no showers on Kilimanjaro, and we recommend you bring hand sanitizer and wash your hands frequently, especially before you eat. A combination of being tired from hiking, altitude, and dietary changes can make you more susceptible to traveler’s diarrhea or other ‘stomach bugs’.

During the day:

  • Eat regularly, even if you think you’re not hungry, this keeps your energy levels up
  • Drink plenty of water, dehydration will quickly lead to fatigue and can compromise the acclimatization process

We go to great lengths to ensure your food is prepared safely, to avoid gastrointestinal problems. We boil, filter and purify all drinking water, including the water used to wash food products.

By providing private toilet tents for our climbers, we avoid the unsanitary conditions found in some of the public facilities at the campsites.

Physical Preparation

Safety begins at home, before you arrive in Tanzania.

  • Medical check-up from your doctor, discussing any existing medical conditions or medications you’re taking
  • Kilimanjaro Recommended vaccinations and for the areas you are traveling to
  • Consider taking Diamox to help acclimatization, discuss this with your doctor for any interactions with existing medications
  • Arrange your travel insurance for Kilimanjaro Climb – it’s mandatory to have comprehensive travel insurance to cover emergencies

You should have a good standard of fitness in order to hike over rugged terrain for multiple days. While it’s not technical, the hiking is tough and exhausting. Start your fitness program well ahead of your climb, follow our complete guide to training for Kilimanjaro.

Prepare, Prepare, Prepare

We take your safety very seriously and don’t believe in leaving anything to chance. Emergencies can and do occur, due to the nature of the remote, high-altitude environment. Climbing Kilimanjaro with an operator who has well-trained guides, robust safety procedures, and good quality equipment reduces the incidence and severity of any issues that arise.

You can prepare yourself by being fit, bringing the right gear, and taking adequate precautions on the trail.

You will never regret a hike, but you will always regret not going

Embark on an unforgettable adventure with our Kilimanjaro tours! Conquer the iconic peak, witness breathtaking landscapes, and immerse yourself in the rich culture of Tanzania. Our expert guides ensure a safe and rewarding journey. Book now for a once-in-a-lifetime experience!

What customers have to say about what we do

We have been receiving reviews from our served clients, and Mighty Africa Xpeditions is rated 5/5 by customers. This honor is given to us by customers because we always remain committed to all our customers to do whatever is needed by them to make their safari fully satisfied. 

Alaine D
Alaine D
2025-09-10
Verified
Fun Kilimanjaro Trekking & Safari We had an incredible experience on Kilimanjaro with guides Masai, Bonni and Musa of Mighty Africa Xpeditions.We joined a group of 4 other climbers and it was well planned and well taken care of from start to finish. Pick up at the airport was timely, the hotel in Moshi clean and comfortable.The Trek took us 6 days on the mountain to reach the summit and then we went on a 3 day safari to Ngorongoro, Tarangire and Manyara.I have to commend Walter for planning the whole adventure for it was flawless and also reasonably priced.
Mihkel P
Mihkel P
2025-09-03
Verified
Fantastic! We had a great time on the day trip to Materuni waterfalls and local villages where they grow coffee. The hike to the waterfalls through the forest and bushy trail was nice, relaxing as Walter took the time to share so much information about Tanzania, culture and so many things. His charm made time pass exta fast. We found about 14 other visitors at the waterfall and it was really nice. Later we went to a village where we visited a coffee farmer, which was in bloom, afterwards we went through the coffee drying and roasting process and managed to buy very good coffee.Was a day well spent!
Linar L
Linar L
2025-08-12
Verified
Top Notch Operator & A Wonderful Experience My family of six had a wonderful time on our Tanzania safari. We are grateful to the people at Mighty Africa Xpeditions and particularly the Director Walter who was exceptional as we created an itinerary that suited our needs and budget. The actual tour was seamlessly organized, with the game drives through Tarangire, Serengeti, and Ngorongoro with guide Mushi. The accommodations organized were top notch as they were not only comfortable, but there was great food, a relaxing atmosphere, and really nice places. We are so happy with the overall work done in getting us a great 4x4 off-roader, securing all the permits and tickets to the parks correctly, timely transfers, and attention to the smallest details regarding our trip. I highly recommend this local tour operator.
Jokubas
Jokubas
2025-02-02
Verified
Great trip I had a perfect solo trek. I joined a group with 3 other climbers and the experience was awesome. The trek turned out to be tougher than I expected and without the support of our crew I would not have made it to the summit. Jabali the lead guide was assisted by Mark and Philip and they were outstanding. You could tell that they have done this assignment numerous times as they knew what to do at every juncture. All the meals on the mountain were prepared by cook Steve and he did a splendid job despite the difficult mountain conditions. I go to learn a lot about Kilimanjaro from Mark who was always close to me. He also ensured that I was comfortable with the pace and closely monitored my health with checks in the morning and evening.Despite the difficult terrain I thoroughly enjoyed the trek because of the fresh mountain air, great views and great company of the crew and fellow climbers. I rate this trip so highly for the efforts that Walter and his team have put down to have high standards of equipment, food and hygiene. It was impressive and I highly recommend Mighty Africa Xpeditions for Kilimanjaro Trekking and Photographic Safaris.
Otto
Otto
2025-01-23
Verified
Unforgettable African holiday Of all the holidays we have taken as a couple, our recent trip to Tanzania is the most remarkable. The trip took us to Manyara, Ngorongoro and Serengeti, all fantastic places to find different wildlife species in abundance and in their natural habitat.Our guide Jack was incredible. He drove well and also knew the routes that led to places where we discovered wildlife. His patience and attention to us throughout the journey were remarkable.We booked a mix of lodges and camps, all of which were excellent accommodations.
Tatiana
Tatiana
2024-11-20
Verified
Incredible experience Our trip on Kilimanjaro with Mighty Africa Xpeditions was wonderful. We both owe a lot of gratitude to Juma and Calisto our guides. They gave us such an incredible experience, putting themselves out there in the cold snow and rough terrain to get us there. The journey was both challenging and rewarding, the body tired from the constant hiking over rough terrain and low oxygen levels. It was difficult for us to continue the trek despite eating well and if it wasn't for the amazing support from the crew, we wouldn't have reached the top.A big thank you to everyone involved in organizing and executing our trip.
Bert O
Bert O
2024-11-08
Verified
The safari of our lives I would like to say that everything about our recent trip to Tanzania with Mighty Africa Xpeditions was absolutely amazing. Walter organized a six-day safari that can only be described as the trip of a lifetime.The safari took us to Tarangire, Serengeti and Ngorongoro with star guide Malki. He was knowledgeable and very informative about the animals and habitats we visited. The accommodations were fantastic rest areas with great food and excellent service.
Gemma Sullivan
Gemma Sullivan
2024-10-20
Verified
Awesome Experience This was our second time in Tanzania and we had an incredible experience during the safari. Walter had done a superb organizing this trip with his thorough attention to detail that he included everything that we wanted on the schedule, and booked all the accommodations, communicated our dietary restrictions, transport in a great Landcruiser and above all, he assigned guide Bravin to us. Bravin gave us an amazing safari, he knew all the routes in the parks well and found wildlife with ease. He freely shared information about the flora and fauna we encountered on the safari as well as keeping us safe and comfortable during the entire trip.The overall experience was awesome!!
Fawzi Hassan
Fawzi Hassan
2024-10-09
Verified
Very Professional Team and Excellent Arrangements We are truly grateful for the excellently organized trek on the Lemosho route. We have absolutely no regrets for having chosen to go with this amazing team. I must confess that I was a bit scared of sending all that money to a company that I had not deal with before, however they proved to be trustworthy and delivered an amazing trip.The organization was top class, smooth and we had Walter as our trip designer. The actual trek was great, they had prepared and made all the necessary arrangements. We went with a very experienced and dedicated crew who took excellent care of us.The views and overall trekking experience is unlike any other. Refreshing but very challenging. We both made it to the summit and I have nothing but praise.I highly recommend Mighty Africa Xpeditions!
Aberico G
Aberico G
2024-08-20
Verified
The best vacation of my life The trip was great. We planned the entire trip with Walter, who helped us create our own private itinerary. We saw all the big 5 in the Serengeti and Ngorongoro. These parks are absolutely wonderful and are full of wild animals. The lodges were very nice and excellent places to rest.This was the best vacation of my life.

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