Children and travel vaccines — key differences from adults
Children are not small adults when it comes to travel health. Several important differences apply:
- Malaria medications must be dosed by weight — bring your child's weight to the consultation
- Some vaccines have minimum age restrictions
- Children are at higher risk of rabies (more likely to approach animals; less likely to report bites)
- Children in specific age groups may need different vaccine options (e.g., injectable typhoid rather than oral Vivotif for under 6)
Vaccines safe for children by age
| Vaccine | Minimum Age | Notes |
|---|---|---|
| Hepatitis A | 12 months | Safe and recommended for all ages 1+ |
| Typhoid injectable | 2 years | Oral Vivotif: 6 years+ |
| Dukoral | 2 years | 3 doses for children 2–6; 2 doses for 6+ |
| Yellow Fever | 9 months | Absolute contraindication under 9 months |
| Rabies pre-exposure | Any age | Strongly recommended for children in endemic areas |
| Malarone (atovaquone-proguanil) | Weight ≥5 kg | Pediatric tablets available; dose by weight |
Why rabies pre-exposure is especially important for children
Children are at significantly higher risk of rabies exposure than adults. They are more likely to approach stray animals, feed animals, and not report a bite or scratch. In India, Southeast Asia, and Africa, stray dogs are common — and children's natural curiosity puts them at risk.
Pre-vaccination means any bite requires only 2 booster doses (no immunoglobulin — which is often unavailable in remote areas). Without pre-vaccination, a child needs immunoglobulin PLUS 4–5 vaccine doses — a much more complicated situation in rural settings.
Book your children's travel consultation
Our ISTM CTH® physicians are experienced in pediatric travel medicine. Bring your child's weight and immunization records to the consultation. We serve families from Mississauga, Brampton, Markham, Ottawa, and all of Ontario.
Sources: PHAC — Children and Travel | CDC — Travelling with Children
Need travel health advice?
Our licensed physicians create a personalized travel health plan for your destination. Vaccines administered at our Toronto pharmacy.
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