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A pretravel health assessment with a health care provider or travel medicine specialist is an important first step.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How can parents help relieve ear pain in children during flights?",{"text":68,"@type":64},"Yawning, chewing (gum or sweets), swallowing (bottle or breastfeeding for infants), sucking on a pacifier, drinking from a cup, or placing a warm towel over the ear may help relieve pain. Decongestants are generally not recommended for children younger than 12 years.",{"name":70,"@type":61,"acceptedAnswer":71},"What is the best approach to handle traveler’s diarrhea and dehydration in children?",{"text":72,"@type":64},"Oral rehydration solution (ORS) is the best treatment, along with obtaining safe water for food and formula preparation. 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Use of decongestants in children younger than 12 years is not recommended.  \n Because children are more prone to travelers' diarrhea and dehydration, carry oral rehydration solutions or Pedialyte, obtain safe water, and use safe water for preparing formula (breastfeeding is optimal with infants when possible) . Seek medical care if fever over 38.5°C (101 .5°F) or persistent vomiting is present. Antibiotics may be needed with health care provider guidance. Loperamide may be used in children older than 2 years.  \n Be aware that some routine vaccines (hepatitis A and MMR) need to be accelerated for travel (not all pediatricians know this) . Some destination-specific travel vaccines cannot be given to children younger than a minimum age for that vaccine.  \n Use DEET or 20% Picaridin on all exposed skin. Zika, malaria, and dengue are worse in children. A weekly antimalarial (such as mefloquine) is more convenient to administer to young children than a daily drug.  \n Teach children to report all contact with animals; a low threshold for administering preexposure rabies vaccination to children exists.  \n Carry pictures of the children in case they become separated from family. Label inside of clothing in small children. Avoid any external exposition of a name to prevent strangers from calling out to a child. Have explicit written consent for travel and for medical care from any unaccompanying parent.  \nIntroduction  \nWhen planning travel with children, parents should discuss the risks and benefits of such travel with their child's health care provider or a travel medicine specialist. A pretravel health assessment is an important first step. Children have the same travelrelated risks that adults have, but they are more prone to diarrhea, parasitic skin infections, and animal bites and are more likely to require hospitalization if they become ill. Prevention of intestinal infection and rapid initiation of oral rehydration supplementation to treat diarrhea should be a high priority in infants and children because they dehydrate more quickly (and have more serious consequences) than adults do. Dengue and malaria are more serious in young children; therefore, personal protective measures should be emphasized. Despite the magnitude of Zika virus outbreaks and its association with birth defects, such abnormalities have not been reported in infants with postnatal Zika virus infection.  \nIn addition to addressing health and safety issues, parents should plan an itinerary and pace that allow time for age-appropriate activities, adequate rest, and regular feeding and sleeping schedules. Parents should also consider destination-appropriate methods for transporting young children, such as using backpacks rather than strollers.  \nAir Travel  \nCheck with the airlines to see if they have a minimum age for flying. Some airlines have a minimum age requirement (e.g. , age of 1-2 weeks) and may require a medical clearance letter for children younger than this age. Also ask about the need to purchase a separate seat ticket for the child and requirements for the use of child-restraint seats. See Air Travel.  \nA lap child must be held without any additional tie-ins or restraints during taxi, take-off, and landing. Infants and toddlers usually have poor inner ear tube function and often have bouts of otitis media, which can increase the risk of ear pain, especially during descent. Many expert pediatricians do not recommend the use of decongestants for children younger than 12 years to prevent ear pain, due to potential side effects. If the child experiences ear pain while flying, yawning, chewing (gum or sweets), swallowing (b","cbCaisHZDHCXD7cO","https://ap.wps.com/l/cbCaisHZDHCXD7cO","pdf",25918,"English","# Traveler Summary Key Points\n## Introduction\n## Air Travel\n## Diarrhea and Dehydration","[{\"question\":\"What should parents confirm before traveling with very young children?\",\"answer\":\"Parents should ascertain the minimum age for travel set by airlines and destinations, and ensure the appropriate use of child safety seats. A pretravel health assessment with a health care provider or travel medicine specialist is an important first step.\"},{\"question\":\"How can parents help relieve ear pain in children during flights?\",\"answer\":\"Yawning, chewing (gum or sweets), swallowing (bottle or breastfeeding for infants), sucking on a pacifier, drinking from a cup, or placing a warm towel over the ear may help relieve pain. Decongestants are generally not recommended for children younger than 12 years.\"},{\"question\":\"What is the best approach to handle traveler’s diarrhea and dehydration in children?\",\"answer\":\"Oral rehydration solution (ORS) is the best treatment, along with obtaining safe water for food and formula preparation. Parents should carry ORS packets, practice strict hand hygiene and cleaning, and seek medical care for fever over 38.5°C or persistent vomiting.\"}]","Young Children and Travel - Traveler Summary Key Points | PDF",1790546355]