Flying in last to Leh in January I met a lot of tourists heading for the Chaddar trek , with minimal awareness of AMS and rushed itineraries. Interesting medical experiment. Leh Council has apparently grown tired of the resulting high workload at the Sonam Norbu Hospital.
* from this season a check up at the hospital is recommended
before setting out , with a health declaration to be filled in first.
* from next season this check up will be mandatory on day three after arriving Leh.
* foreigners will be required to show proof of travel insurance when applying for PAP/ILP permits for Pangong Tso , Nubra etc.