title: [Counsel for traveling children].
abstract: Consultation of child traveler has two main objectives: to assess of health risk related to the child's health status and history and also the risk related to travel environment; to counsel and prescribe preventive measure to reduce these travel health risks. The evaluation is based on physical examination and a detailed interview including personal history and information regarding the regions of proposed travel. Up to date knowledge of the epidemiology of visited sites, preventive measures and presumptive treatment is required. Essential health recommendations include, in case of exposure, prevention of malaria, arthropod borned diseases and vaccine preventable diseases. For all destinations advice regarding prevention of diarrhea, accident risks and aggravation of preexisting chronic diseases is needed. Universal primary prevention counselling is valuable for all travellers regardless of their age. In the case of children, special attention must be given to food and water hygiene, sun and heat exposure, swimming risks and transports security measures. Evaluation of risk and health education take time and often several visits are needed to complete the immunization schedule before departure.
authors.affiliation: Service de pédiatrie, hôpital Necker, Paris, France. freedso@gmail.com
authors.forename: F
authors.initials: F
authors.lastname: Sorge
authors.forename: D
authors.initials: D
authors.lastname: Gendrel
mesh_terms: D002648:Child; D002675:Child, Preschool; D003376:Counseling / Q000379:methods; D003967:Diarrhea / Q000382:microbiology / Q000517:prevention & control / Q000821:virology; D004671:Encephalitis, Arbovirus / Q000517:prevention & control; D006801:Humans; D008288:Malaria / Q000517:prevention & control / Q000635:transmission; D018570:Risk Assessment; D012307:Risk Factors; D014195:Travel; D014611:Vaccination / Q000379:methods