I've ommitted all the obvious stuff like passport, clothes, etc. Here are the most useful items in my pack.
Rubber bands – compacts everything and holds similiar stuff together
Ziplock bags – keeps small items together and keeps everything watertight
Superglue – I’ve even repaired clothing with this.
Sunblock – You are out in the sun more than you think
Water – You never know when you will find clean water. You run out quicker than you think. Also keeps your stomach working right.
First aide kit – Even tiny cuts can be deadly.
Medicine kit - Cipro, aspirin, bandages, hydrogen peroxide, petobismol, valerian (natural sleep aide for jetlag and difficult sleep situations) etc
Multitool – For everything!
Earplugs – New environments can disturb sleep patterns and sleep is critical to good travel. If you’re tired, you make mistakes.
Headlamp – Keeps your hands free to do other things
Book – For those long boring waits for bus, train etc
Snacks – Food is more scarce than you think during long waits.
Vitamins – You eat terribly on the road.
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