As tens of thousands people climb Mount Kilimanjaro every year to experience the incredible journey to the summit, it should be noted that it can be quite dangerous.
There are very high success rates for Kilimanjaro climbs and you only need to have an average level of fitness to make it to the top, but if you’re thinking about taking on the challenging trek, then you need to be aware of all the risks.
While the exact number of deaths that occur on Mount Kilimanjaro is unknown, it is estimated that about 3-8 people die on the mountain per year, including porters.
Now let’s put this into perspective:
About 30,000 climbers and 80,000 porters and guides hike up Kilimanjaro every year. That is approximately 110,000 people in total.
So what is the chance of death?
Even if we take the higher estimate of 8 deaths per year, statistically speaking, the chance of dying on Mount Kilimanjaro would be about 0.007%.
Compare this to the mortality risk of a motor-vehicle accidents in the United States, which is 0.012% or to the 0.018% chance of fatal poisoning.
To avoid any accidents, it is crucial to do your research and educate yourself on all the life-threatening possibilities that could affect you on the climb.
It’s also very important that you choose a good climb operator that has a good safety protocol and trained guides that know what actions to take in order to ensure your health and safety.
We’ve put together a list of the main dangers that you could potentially face on Kilimanjaro, what preventative measures you can take and what actions you should take should you experience any of the symptoms.
Let’s have a look at what they are in more detail, as well as the list of preventative measures below in order to help you prepare for a successful summit.
Acute Mountain Sickness (AMS), also referred to as altitude sickness, is one of the most common and well known risks of climbing Mount Kilimanjaro (or any other high altitude mountain).
Altitude sickness happens when your body fails to acclimatize properly or struggles to acclimatize quick enough as you ascend.
There is less oxygen in the air you breath at higher altitude, so your body needs time to adjust to the lower oxygen intake and create more red blood cells to compensate.
At any point, if you feel any symptoms of altitude sickness you need to tell your guides so that proper safety measures can be taken and they can advise you on how to proceed.
Many people will experience some of the symptoms of Mild AMS as they ascend above 10,000 feet, at which point it is important to go slower and stay hydrated to ensure the symptoms don’t get worse.
These symptoms include headaches, nausea, fatigue, dizziness, shortness of breath and loss of appetite. Symptoms are generally worse at night and may cause disrupted sleep as well. Mild AMS may be uncomfortable but as your body acclimatizes, the symptoms should subside.
Moderate AMS causes severe headaches, nausea, vomiting, ataxia and shortness of breath. If you experience any of these symptoms it is very important to descend to a lower altitude and get the necessary advanced medications.
Ataxia is decrease coordination, so you’ll need to turn back before being unable to walk by yourself. Descending to a lower altitude will greatly improve the symptoms.
Severe AMS is very serious and can be fatal. The symptoms of Severe AMS are shortness of breath when at rest, decline in mental state, inability to walk and fluid build-up in the lungs.
Immediate descent to an altitude around 2 000 feet lower is required for Severe AMS or it could quickly result in death.
There are two very serious conditions that result from Severe AMS: High Altitude Pulmonary Edema (HAPE) and High Altitude Cerebral Edema (HACE).
Immediate descent, followed by evacuation to a medical facility are crucial in these severe cases.
High Altitude Pulmonary Edema is when fluid builds up in the lungs and prevents oxygen from getting around the body in the bloodstream.
This leads to cyanosis, a bluish tint to the skin due to low blood oxygen levels, impaired mental functions and ultimately, death. Symptoms include coughing up white fluid, shortness of breath, chest tightness, fatigue, weakness and confusion.
High Altitude Cerebral Edema is when the brain tissue swells with fluid that leaks through the blood-brain barrier.
This causes the following symptoms: disorientation, fatigue, weakness, nausea, memory loss, ataxia and can result in coma or death if not immediately treated.
HACE progresses to a fatal point very quickly so it is absolutely vital that the afflicted person descends to a lower altitude and is evacuated to a hospital immediately.
While everyone is susceptible to altitude sickness, there are some precautionary measures to take to prevent it:
Most of the routes up Kilimanjaro are perfectly safe to travel on, however the Western Breach area has risks of rock falls and avalanches, which have lead to tragic deaths in the past.
There are no risks of rock falls on the other routes so it’s recommended to avoid the Western Breach Route.
If you have all the right gear and layers of warm clothing, then you shouldn’t really be at risk of hypothermia.
Porters are more likely to suffer from it as they generally don’t pack extra clothes and luggage for themselves. Book with a climb operator that practices fair porter treatment to help reduce the chances of porters developing hypothermia.
Climbing Kilimanjaro is a very physical challenge so make sure you get a health check up and consult with your doctor beforehand to make sure you’re not at risk.
Mark has trekked extensively in Asia, Europe, South America and Africa. He founded Mountain IQ in 2014 with the sole aim to be the best online information portal to some of the most popular mountain destinations around the world. When not writing for Mountain IQ, Mark is out exploring the outdoors with his wife!