On January 24, 2018, Deputy Commissioner, Leh signed an order to introduce medical examination for trekkers wishing to go on Chadder Trek. Here are the contents of the order:
Responsibility of Adventure Tour Operators
All adventure tour operators shall take all the trekkers to Sonam Norbu Memorial (SNM) Hospital, Leh between 14:00 and 15:00 on the second day of arrival of the trekkers for medical examination. The operators shall contact medical superintendent of the hospital.
The trekkers have to fill the first part of specially designed 2-part High Altitude Visitors Health Questionnaire and Advisory form. The second part will be filled by the doctor.
The medical examination will be mandatory for the 2018-19 season. The trekkers will have to undergo a medical examination on the third day of their arrival. They have to collect the medical certificate and preserve it to show at the Wildlife Post, Chilling. If the certificate is not produced, trekkers will not be allowed to start the Chadder trek in January 2019.
Health/Medical Insurance for Foreign Tourists
Foreign tourists will have to attach a copy of a valid health/medical insurance at the time of submitting an application for Inner Line Permit (ILP) irrespective of the season of their visit to Leh. Without insurance they will not get the permit.
Reason behind Order
The authorities observed that the medically and physically unfit trekkers tried to go on Chadder Trek.
The order was addressed to the presidents of All Ladakh Tour Operators Association (ALTOA), Hotel and Guest House Association, and Taxi Union.