The festive season is here, and many South African families are ready to hit the road for some sunshine, relaxation, and adventure. But if your destination falls within a malaria zone,  it’s important to plan ahead especially when travelling with babies and young children.

Malaria is a mosquito-borne illness caused by a parasite that enters the bloodstream through the bite of an infected Anopheles mosquito. It remains one of the most significant health risks in southern Africa’s warmer, low-lying regions, particularly during the rainy season from October to May, when mosquito activity increases.

Travelling to a Malaria risk zone with an infant

If your baby weighs less than 5kg, malaria prevention can get tricky. That’s because most anti-malaria medications are not approved or tested for infants under 5kg. It is highly advised not travel at this stage, but if you do – extra precautions are necessary.

When it comes to protecting children from malaria, age and weight matter. Most medications used for prevention are only suitable for children above a certain threshold, as their bodies process medicine differently from adults. Here’s a simple breakdown:

Atovaquone–proguanil (Malarone): Suitable for children weighing 5kg or more. The dose is based on weight, and it’s usually well tolerated. It’s not recommended for infants under 5kg, as there’s limited safety data for that age group.

Mefloquine (Lariam): Can be used in children over 5kg, but it must be prescribed with care since some children experience side effects like vivid dreams or restlessness. It’s often given once weekly, which some families find convenient for longer trips.

Doxycycline: Only suitable for children aged 8 years and older, because it can affect developing teeth and bones in younger children. It’s generally used for older kids and adults travelling to high-risk zones.

Chloroquine: Once widely used for malaria prevention, but in many parts of Africa, including southern Africa, the malaria parasite has developed resistance. Chatting to your medical practitioner is vital to find the right anti-malaria medication.

Important safety tips to take

• Talk to your pharmacist or doctor early: Ideally a few weeks before your trip. They’ll check your baby’s weight, your destination, and advise on the safest prevention options.

• Avoid high-risk malaria areas if possible, especially with newborns and young infants under 5kg.

• Double up on mosquito protection:

  • Use insecticide-treated bed nets around sleeping areas.

  • Dress your baby in light, long-sleeved clothing in the evenings.

  • Apply baby-safe mosquito repellents (ask your pharmacist which are suitable).

  • Keep windows and doors closed or use screens and fans at night.

• Monitor closely for symptoms after your trip. This includes fever, irritability, or tiredness – they could be early warning signs of malaria and should never be ignored.

Travelling with little ones can be both exciting and nerve-racking, but with the right preparation, it doesn’t have to be stressful. Understanding your child’s age, weight, and what preventive measures are safe for them is the first step towards an enjoyable holiday.

Before you head off on your holiday adventure, chat to your nearest Ringpharm pharmacist for tailored guidance on malaria prevention for you and your little one. Our team is here to help you travel safely, stay protected, and enjoy every moment this festive season  because at Ringpharm, your family’s health always comes first.

This blog post is intended for informational purposes only and is not a substitute for professional medical advice. For personalised health guidance, consult with your healthcare provider or visit your local Ringpharm pharmacy.