RT Book, Section A1 Rao, Suchitra A2 Bunik, Maya A2 Hay, William W. A2 Levin, Myron J. A2 Abzug, Mark J. SR Print(0) ID 1190373161 T1 Travel Medicine T2 Current Diagnosis & Treatment: Pediatrics, 26e YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781264269983 LK accesspediatrics.mhmedical.com/content.aspx?aid=1190373161 RD 2022/07/06 AB Twenty-seven million people from the United States travel internationally per year; one-third of them travel to developing nations. Approximately 50%–70% of travelers become ill during their travel overseas. The number of children traveling with families continues to increase. Children who travel are especially susceptible to infectious diseases, trauma, and other health problems, which vary with the destination. Preparation for travel with children and infants includes consideration of destination-specific risks, underlying medical problems, and administration of both routine and travel-related vaccines. Pretravel counseling should ideally take place at least 1 month prior to travel, given the need to develop an effective immune response from any travel-associated vaccinations. The physician involved in pretravel counseling should focus on the issues listed in Table 45–1. Since COVID-19 was declared a public health emergency of international concern on January 30, 2020, air travel and tourism has been drastically reduced worldwide in an effort to curb the spread of SARS- CoV-2, and local transmission rates and individual level of risk need to also be taken into consideration during pre-travel counseling.