Travel vaccinations for babies and toddlers

The good news is that the standard vaccinations your baby will receive at the age of two months, three months, four months and 12 months will protect her from a lot of the diseases you might come across when travelling. That said, there are of course plenty of further flung destinations for which additional travel vaccinations are recommended. The advice for older children, as for adults, is to make an appointment with your GP or practice nurse six to eight weeks before departure to ensure that everyone is up-to-date with travel vaccinations, but for babies and toddlers it’s worth having that conversation before you book the trip as some vaccines can only be given above a certain age.

Here are a few common travel vaccines and antimalarials, along with their lower age limits (helpfully provided by a doctor friend – thanks Anna!), that I hope might be helpful for the purposes of advance trip planning. For example, if hepatitis A is a major risk in a destination you’re considering visiting, but your baby is less than a year old, you might want to postpone that particular trip until she’s old enough to be vaccinated for hepatitis A. It’s important to stress here that I’m not a medical professional so this information is for guidance only.

A baby receives a vaccination
“Vaccine Reaction, Double Exposure” by Teddy Kwok is licensed under CC BY 2.0

Travel vaccines:

Hepatitis A – from 12-months-old
Typhoid – from 24-months-old
Yellow fever – from six-months-old; given between the ages of six and nine months only during major outbreaks
Japanese encephalitis – from two-months-old
Combined measles, mumps and rubella (MMR) –from nine-months-old

Antimalarial medications:

Malarone – not recommended for children weighing less than 11kg
Doxycycline – not recommended for children
Mefloquine (Lariam) – not recommended for children weighing less than 5kg

Travelling without vaccinations

A baby receives a vaccination
“P1030972” by Daniel Hatton is licensed under CC BY 2.0

If you want to travel with your baby before she’s received the standard NHS vaccinations, it’s a matter of weighing up the risks of the trip against its benefits. When planning our first proper adventure with the baby girl – to the northern Spanish city of Santiago di Compostela when she was six-weeks-old – we reasoned that although she would not have been immunised by the time of the trip, she was at no higher risk of infection in Santiago than she was in London. By the time of our next adventure – 10 days in Goa a few months later – we had to do that risk/benefit calculation again as we considered the dangers of taking the baby girl away before she had received the combined measles, mumps and rubella (MMR) vaccine. Again, we decided that the destination didn’t present very much of an increased risk, so away we went.

In the case of trips to destinations where a particular disease is a risk but a vaccine isn’t available, talk to your doctor or nurse about preventative measures. This might mean only drinking and brushing your teeth with bottled water, for example, or protecting against mosquito bites with the help of repellents and nets. I’ll be covering how to deal with mosquitos in an separate post – sign up for the mailing list so you don’t miss it.

Essential kit: pop-up tent travel cot

I’m not looking forward to the day the baby girl outgrows her pop-up tent travel cot. We bought it for a trip to Goa when she was four-months-old, and have used it every time we’ve gone away since then, at hotels, B&Bs, in our campervan, at festivals, when staying with friends and relatives, and for nearly a month when working in Edinburgh in summer 2017.

The benefits of a pop-up tent travel cot

The pop-up tent travel cot fits neatly into small spaces

It’s handy for a lot of reasons, primarily that it functions almost like a separate space within the room because it’s entirely enclosed once it’s zipped up. It’s not soundproof, and it doesn’t entirely block out the light, but it’s better than an open cot in both respects. (If it’s not dark enough in the room, we might drape a breathable blanket over the top). The zip itself is important too: zipping the tent closed works as a sleep cue – for our baby at least (except when it doesn’t, of course). And once it’s closed, it’s a barrier to mosquitos and other insects.

Given how different sleeping in the tent is from sleeping in a cot, you’ll want to do a few practice runs before you go away. It took the baby girl two naps in the tent in our living room at home to get used to it when she was three months old.

Daytime uses for a pop-up tent travel cot

Depending on your destination and type of trip, you might find the tent useful in the daytime too; and for more than just napping. We put the baby girl in it all the time in Goa so she could roll around with her teething rings and toys in a relatively clean environment. We must have looked ridiculous carting it to and from our room all the time, but the staff took it in their stride. We thought we’d have the tent on the beach a lot, as it provides UV protection, but ultimately it was too hot to do that, so we stayed in the beachside restaurant most of the time and took turns going for dips in the sea.

We’ve used it camping too, as a way of safely stowing away the baby girl for the moments when two sets of hands are required to set up or strike camp. Further perks are that it packs down very small and is very light. It’s so small and so light in fact that you can take the tent as carry-on on a plane or pack it into your luggage. Cunningly concealing the tent like this, you can pass off another small bag as a travel cot, thereby making the most of your infant baggage allowance of (usually) travel cot, pushchair and car seat.

The downsides of the pop-up tent travel cot

A major downside of the tent is that it doesn’t provide complete shade, so you can’t rely on it in sunny places – you’ll still need sunscreen and a sun hat. It gets pretty warm in there too – in Goa we used a little battery-operated fan and covered the baby girl with damp muslins to keep her cool.

It’s very easy to pop up and pack away, but the fact that you have to be either on the floor or in a very deep bend to get your child in and out means that it won’t be ideal for all parents/carers. We use the more conventional BabyBjörn Travel Cot Easy Go when we take the baby girl to stay at her grandparents’ house.

Baby on holiday in a pop-up tent travel cot on a beach in Goa, with the sun setting over the sea. A mini fan is keeping the baby cool. There are sun loungers on the beach.
The baby girl in her pop-up tent travel cot on the beach in Goa, her miniature fan keeping her cool.