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The 15 Best Portable Travel High Chairs and Booster Seats [2023]

Erin Miller

Content Contributor

188 Published Articles

Countries Visited: 26 U.S. States Visited: 28

Keri Stooksbury

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Table of Contents

The different types of travel high chairs, things to consider with a travel high chair or booster seats, the 8 best travel high chairs and booster seats under $30, the 5 best travel high chairs and booster seats under $60, the 2 best travel high chairs and booster seats under $90, final thoughts.

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Feeding on the go can be a messy business if you aren’t able to seat your little one at the table with you. A travel high chair or booster seat can make mealtimes far less stressful.

Don’t rely on restaurants, cafes, and other eateries to be able to seat your baby — take your own portable high chair with you instead.

Hook-on High Chairs

Perfect for babies 6 months or older, hook-on high chairs attach to the side of any table using rubber handles that can be securely tightened to remain stable and safe.

Your child will sit close to the table at the right height to enjoy eating and communing with you as you enjoy a family meal together. There are no folding trays to worry about or straps to attach to chairs. Although there is a maximum weight restriction of around 40 pounds depending on the chair, these are the most convenient way to seat your child when traveling.

Bottom Line: Collapsible and lightweight, you can take your hook-on high chair virtually anywhere.

Booster Seats

Booster seats do just that — raise the seat height of your child’s chair to enable them to reach the table. Compact enough to fit into their very own carry bags in transit, these easy-to-clean high chair alternatives are a popular choice for children 12 months or older.

The only thing you need to ensure the success of your booster seat at dinner time is a stable dining chair with a back to tie it to.

Bottom Line: Designed for children weighing up to 50 pounds, booster seats are a highly portable addition to your child-friendly vacation kit.

Made entirely from fabric, chair wraps are just about the most portable feeding devices ever made. Small enough to fit in any purse or carry-on , these oversized scarves are designed to harness your toddler to an adult chair.

While your inner hippie may be happy that you have chosen a natural and traditional way to help your child eat with the grown-ups, you need to be very adept at attaching the wrap to the chair by pulling a cover over the back and tightening the ends to secure your baby.

Bottom Line: Fantastic for those who know how to use them, a huge amount of stress for those that don’t.

When choosing the right travel high chair or booster seat for your next vacation, consider the following:

Keeping your baby safe while sitting at the table is a crucial concern for every parent. While high chairs with straps and large plastic trays feel somehow more secure and sturdy, a child can still fall out if not securely strapped in.

When using a travel high chair or booster seat, be sure that it offers a durable and robust harness , and that the one you choose has enough support to suit the developmental age of your baby.

Hot Tip: To reduce the risk of falling, your child should not exceed the suggested maximum weight for the product.

Wipe-clean fabrics and plastic cushions are best suited to the messy business of babies, and your travel high chair should be just as easy to clean. Foldable booster seats are incredibly easy to clean, and their flexible design makes it possible for you to reach all the tiny seams and creases where crumbs tend to gather.

Hot Tip: Hook-on high chairs with washable, fabric covers are pretty low maintenance as long as you can throw it in the machine.

Size and Portability

Portability is the key to traveling light with a baby, so big, bulky folding high chairs are best left at home on this occasion. You should, however, look beyond the dimensions of any potential travel high chair, and instead focus on a combination of size, weight, and portability.

While wraps are the most lightweight and portable option out there, a compact booster chair that folds up small and weighs very little is still a good alternative. A hook-on that can be folded and kept in a carry bag should also be considered, especially if you are traveling by car or public transport where weight is less of an issue.

Ease of Use

Feeding time with your children can be stressful enough without having to worry about shoehorning your 1-year old into an overly complicated high chair harness. Likewise, holding a baby in your arms while you try to attach a wrap to a chair without any success is also likely to put you off taking your little one out to eat with you.

Whatever type of travel high chair or booster seat you decide to go for, make sure that it’s easy for you to use. Hook-on chairs are more fiddly as you need to screw the handles onto the table to ensure that they are safe, and wraps take some getting used to.

Bottom Line: Booster seats are straightforward to use and easy to insert your child into.

1. Find the Right Position for Your Baby With This Adjustable Booster Seat

Summer infant deluxe comfort folding booster seat.

The Summer Infant Deluxe Comfort Folding Booster Seat is a convenient addition to your baby travel gear and one that will allow them to safely eat their food at the same level as you. Weighing just 3.66 pounds, this booster seat is suitable for children from 6 months to 33 pounds.  The compact folding mechanism makes it small enough to take anywhere with you.

Your little one will be safe in the 3-point harness, and you will be able to find the right height setting with 2 different levels of height adjustment. Use it without the feeding tray for a toddler booster seat at the table, or let your younger baby use the tray. Simple to use and highly portable, this little booster seat is brilliant.

What We Like

• Has 2 height levels

What We Don’t Like

• The chair cover isn’t great

2. A Foldable Travel Chair With its Very Own Carry Case

Hiccapop omniboost travel booster seat with tray.

This very useful little travel chair is perfect for letting your little one eat with you wherever you may be. The folding frame pops open to form a low-level camping chair complete with a food tray that toddlers and small children will be happy to sit, eat, or play in. Wide, stable feet help to keep the chair balanced at all times, and the tray is removable so your child can join you at the table.

The 3-point adjustable harness will keep your little one safe as they eat, and when you are finished, simply fold the chair back down and pop it back into the carry bag . To ensure that the chair is always clean and hygienic, the cover can be machine washed and the tray is made from dishwasher-safe, BPA-free material.

Cute and completely portable, this is the perfect camping chair for junior diners.

• Has a removable and washable cover
• Tray table can be difficult to get on and off

3. High Chair Complete With Wipeable Food Tray and Cute Looks

Summer infant pop and sit portable booster.

Looking every bit as cute as a tiny camping chair, this incredibly portable booster chair from Summer Infant is a little bit different from the rest. Designed to be used on the floor, or a chair, your little one can eat independently or with you.

Featuring a lightweight, folding frame that can be erected in sections , this little booster seat even comes with its own carry case. The detachable, dishwasher-safe BPA-free tray is perfect for playing or snacking, and the 3-point safety harness will keep your precious little one safe and secure. By using the built-in safety straps to attach the seat to an adult chair, you and your child (ages 6 months and older) can eat and play together, everywhere you go.

• Folds up small to save space
• Harness straps sit very low

4. A Fabulous, Full-Height Folding High Chair for Meals on the Go

Summer infant pop and sit portable high chair.

With its lightweight design and full-height feeding chair, the Summer Infant Pop N’ Sit Portable High Chair is perfect for families on the go. Easy to fold down into its very own compact carry bag, this is an easy-to-use travel high chair for your baby.

Suitable from 6 months onwards, the chair comes complete with a removable, BPA-free tray that can be popped into the dishwasher for easy cleaning. The non-slip rubber feet will grip to most surfaces, making this a stable and safe place to feed your children. The easy pop-up unfolding mechanism makes it a dream to use on vacation, at Grandma’s house, or even just at home.

• Has a rear storage pocket
• Leg holes might be restrictive for some children

5. An Award-winning Booster Seat From Chicco

• Chicco Pocket Snack Booster Seat

Having already been awarded 5 stars in the “Best Baby and Toddler Gear Awards,” this easy-to-fold portable high chair will transform the way you and your little one eat out. Your baby will be able to sit right at the table and join you for a meal using this easy-to-secure, super-safe booster seat from Chicco.

With 3 tray positions, your child can also enjoy a snack or meal independently, and the harness straps will keep them safe while seated. With a wide padded seat and an easy-to-clean, dishwasher-safe food tray, you can be sure that this booster seat remains hygienic at all times. The Chicco Pocket Snack Booster Seat is an excellent value for money.

• Adjustable to 3 heights
• Securing chair straps are quite short

6. Compact Storage on a Wrap-style Booster Seat

• liuliuby Travel Harness Seat

So portable it can roll up to the size of an umbrella, the liuliuby Travel Harness Seat is a functional fabric booster seat. Designed with safety in mind, this may look lightweight and unsupportive, but it incorporates a 5-point harness and comfortable straps for added reassurance and unrivaled strength and durability.

Suitable for babies approximately 6 months and older that can sit up unassisted, the simple design hooks over the back of an adult chair and supports your baby while they join you to eat at the table. Machine washable, wipeable, and incredibly stylish, this is the perfect compact travel seat for eating on the go.

• Anti-slip pads mean your child will stay put
• Doesn’t fit all chairs

7. Slip Over Adult Dining Chairs for Relaxed Meals

Cozy cover easy seat portable high chair.

Suitable for babies from 6 months old up to 33 pounds, the portable Easy Seat is a convenient companion for families on the go. You and your child can avoid the questionable hygiene of restaurant high chairs and have your little one eat at the table with you.

Compact enough to carry in your bag (in its own matching carry bag), the Easy Seat simply slides over the top of your adult dining chair, and with just a quick click of the straps, your child is secured in a 5-point harness . The 100% polyester material is easy to clean in the washing machine, and the brightly-colored design helps this fabulous petite seat stand out from the rest. A great buy for busy parents.

• Comes with a matching carry bag
• Doesn’t include a tray for eating

8. Inflatable Booster Seat That Keeps Your Child Close By

The first years on-the-go booster sea t.

Quite unlike any of the other high chairs and booster seats on our list, the On-The-Go Booster Seat inflates to keep your child comfy and ensures that they can always reach the table.

Simply pull out the valve and watch it self-inflate into a full-size booster seat,  then press out the air and fold back into its carry pack when the meal is over. This seat comes with an adjustable safety belt with a T-restraint to help hold your child securely and even has its own carry bag for taking it everywhere with you. A perfect addition to your baby kit.

• Portable and inflates quickly
• Not suited for extensive use

1. Let Your Little One Eat With You Using This Portable Booster Seat

Fisher-price healthy care deluxe booster seat.

Designed to fit at the table so that your little one can eat with the grown-ups, this foldable and incredibly portable booster seat secures to most dining chairs, both at home and away.

With a snap-on feeding tray and cup holder that is completely removable and dishwasher safe, you can let your child eat at the table or eat independently. The 3 height adjustments and super-secure 3-point harness will help you to find the safest position for your baby while they eat.

With a shoulder strap for ease of mobility and a simple, ergonomic design made from easy-to-clean and durable materials, this is a clear winner for moms and dads on the go.

• No crevices to trap crumbs
• Tray table comes off too easily (infant may remove it)

2. A Stand-alone High Chair That Feels Just Like Home

Ciao baby portable high chair with tray.

This stand-alone high chair is an excellent option for anyone who wants their child to feel totally at home in their high chair. Mimicking the height and feel of a regular full-size high chair , this little beauty folds up into a compact size, making it perfect for camping, keeping as a spare, or taking on vacation with you.

Made from highly durable nylon, this high chair is built to last, and the clear vinyl food tray is wipeable and easy to keep clean. There is also a built-in cup holder for your little one’s bottle or cup. Suitable from infant to toddler (your child must be able to sit unaided to use this high chair), your baby will stay safe and secure with the lap belt and 5-point safety harness.

Easy to use and transport, this is the perfect portable high chair for children who want to be reminded of the one they have at home.

• 5-point safety harness
• The opening for the child is a bit of a squeeze

3. A Hook-on High Chair for Discerning Little Diners

Chicco caddy hook-on chair.

In theory, this sturdy and durable hook-on high chair has plenty to offer both you and your baby. It folds down to take anywhere with you, it is made from high-quality materials, and the twist-and-tighten design fastens securely to most tables. In reality, it is very bulky and weighs a lot more than most portable high chairs, at a whopping 7 pounds, even without its carry bag.

That said, the rubberized arms are well-designed and will firmly grip any table without scratching , making it an excellent choice for parents who want their baby to eat with them. The seat cover is removable for easy cleaning and the cushioned back support adds comfort for your little one.

Suitable for 6 months onwards, we are not sure if the pure size and weight of this one prevents it from truly being a travel high chair, but it would still make a useful extra if you have room to transport it.

• Attaches directly to a table
• Not suitable for fidgety children

4. This Reclining High Chair Is Great for Toddlers

• Fisher-Price SpaceSaver High Chair

Offering easy-to-clean, customizable seating for your little one, the Fisher-Price SpaceSaver High Chair is an affordable, reliable, and well-made travel booster seat that will make eating out a breeze.

Offering full-size seating dimensions in a portable package that folds up super small, this seat fits on most adult high back chairs. Suitable from around 6 months, this booster offers 2 height adjustments and 3 recline positions . The removable and dishwasher-safe feeding tray is easy to clean, and the cushioned seat will keep your little one comfy at all times.

Designed to grow with your child, the tray can be removed, and the secure strap attachments are designed to stay safely affixed to your adult chair.

• Has a machine-washable seat pad
• Doesn’t slot under the table at certain heights

5. Store Your Infant’s Extra Items in the Base of This Booster Seat

Brica goboost travel booster seat.

Perfect for dining on the go, the Brica GoBoost Booster Seat folds up small and comes complete with its own convenient carry strap. Stable and secure with a robust internal frame and wipeable, easy-to-clean material, this is the perfect booster seat for older infants on the go.

There is no 5-point harness on this seat, and it has a fixed position backrest, but with a built-in storage unit that can hold your bottles, wipes, cups, and even diapers. Xtra-Grip traction pads offer a non-slip grip on adult chairs.

• Includes storage for bottles, diapers, or other items
• Not machine washable

1. Best Hook-on Travel Seat for Curved Tables and Hungry Babies

Inglesina fast table chair  .

Incredibly versatile and perfect for use at curved dining tables, this hook-on high chair really is one of the best on the market. With twist-tight couplings that secure the chair to virtually any table and a deep seat with an adjustable 3-point harness, this high chair is also incredibly secure to keep your little one safe while snacking.

With a deeply padded seat, high backrest, waist harness, and easy-to-clean, breathable polyester material , your little one will be super comfortable. With an additional storage pocket on the rear side of the seat for a pacifier and other essentials, and a carry case for journeys away from home, this is an excellent hook-on high chair that is well-suited to families who like to dine out often.

• Comes in a range of colors
• Not the easiest material to clean

2. Award-winning High Chair for Those in the Know

Phil&teds lobster clip-on high chair .

Fans of the phil&teds stroller brand will already be familiar with their unique, high-quality designs, and the Lobster high chair is no exception. Super lightweight and incredibly compact, the Lobster has a first-class aluminum frame with padded support and a shoulder harness system that won’t let you down.

Suitable for infants 3 months old up to 3 years, or a maximum weight of 37 pounds, this high chair is still compact enough to fit into your travel bag for families on vacation. With stylish good looks and award-winning design, the world is your oyster with this high chair.

• Quick to set up and pack down
• Not compatible with all table types

Travel high chairs need to be portable, stable, and easy to clean. Younger babies need a secure harness, while older toddlers need a seat that won’t wobble about when they do.

From the simplicity of a sling-style high chair to hanging out in a hook-on, your next travel high chair or booster seat needs to be small enough to take with you, yet strong enough to hold your child safely. Make more of family mealtimes on your travels with any of the high chairs and booster seats on our list.

Frequently Asked Questions

Are hook-on high chairs safe.

Hook-on high chairs are safe as long as you adhere to the manufacturer’s maximum weight restrictions. Some other tips are:

• Make sure that the clamp is securely fastened
• Don’t use a hook-on high chair on glass tables
• Ensure all straps are securely fastened

What age can a baby sit in restaurant high chair?

Babies can use a high chair when they are able to sit up unassisted. For most babies, this will happen around the 6-month mark but can happen as early as 4 months.

What are the best travel high chairs?

Some of the best travel high chairs and booster seats include:

• Summer Deluxe Comfort Folding Booster Seat
• hiccapop Omniboost Travel Booster Seat
• Summer Infant Pop ‘N Sit Portable Booster Chair
• Summer Pop ‘n Sit Portable Highchair
• The Original Easy Seat Portable High Chair
• The First Years On-The-Go Booster Seat
• Fisher-Price Healthy Care Booster Seat
• ciao! baby Portable High Chair
• Chicco Caddy Hook On Chair
• Munchkin Brica GoBoost Travel Booster Seat
• Inglesina Fast Table Chair
• phil&teds Lobster Clip-On Highchair

Are travel high chairs portable?

While wraps are the most lightweight and portable option out there, a compact booster chair that folds up small and weighs very little is still a good alternative.

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Best travel table

Which travel table is best?

Just because you are spending time in the great outdoors doesn’t mean you need to sit on the ground when eating or having a drink with friends. Travel tables are designed with portability in mind, so most are lightweight, easy to set up and carry, and compact when folded up. The G4Free Folding Camp Table is a perfect example of this. The larger model weighs a mere 2.9 pounds yet can still support up to 40 pounds, and it stows away in a convenient carrying bag when you need to take it on the go.

What to know before you buy a travel table

If your main use for your travel table is to eat off of, play a few card games with friends or use as a prep table when cooking outdoors, any kind of simple platform that fits your size requirements should suffice. However, if you’ll be using your travel table for promotional activities or providing a service, such as painting faces at a festival or handing out brochures and signing people up for memberships, you’ll be better served by a travel table that features drawers and various storage compartments, charging ports and other useful features.

Portability

There are several properties that factor into how portable a particular travel table is. Consider both the size and weight, as these dictate how easy it is to carry and where you can fit it during transport. Look at other features that can enhance a table’s portability, such as whether or not it has a handle, if it includes a carrying bag and if it is equipped with wheels.

Fabrics such as nylon and polyester are good for use outdoors because they stand up to the elements well and won’t rust. They are very lightweight. However, they can take a while to dry after getting wet and they don’t provide a very stable surface to place things on.

Metal, plastic and wood are easy to dry after getting wet and are stable; however, they weigh more than fabric. Of these, plastic and aluminum are the lightest weight, but many may find wood to be more aesthetically pleasing.

What to look for in a quality travel table

Every travel table should have its maximum weight capacity listed somewhere in the product details. Some can only accommodate as little as 30 pounds, while others can support 100 pounds or more. 

Many travel tables feature a small shelf below the main tabletop that adds storage space. These may be made from the same material as the main table or a different material, such as fabric or mesh.

Cup holders

If you’ll be using your travel table for eating and drinking, choose one with built-in cup holders. These may be on the main table surface or on a lower shelf. The later placement is good because it reserves the main tabletop for food, plates and other items. That said, some may find having their drink on a lower shelf inconvenient.

Adjustable height

If you’d like to use your travel table when standing or sitting, look for a height-adjustable model. These can lock into place at two or more heights to accommodate various uses.

How much you can expect to spend on a travel table

The majority of travel tables cost $25-$100. However, you may have to spend up to $300 or more for a premium option with a lot of drawers and features.

Travel table FAQ

Do travel tables require assembly.

A. Most travel tables require some basic assembly; generally, this only takes a couple of minutes and doesn’t require any tools. Some of the feature-packed models, like those with drawers and wheels, may require a slightly more involved assembly.

Can you leave a travel table set up permanently in your backyard?

A. Most travel tables are designed to withstand regular exposure to the elements, but not on a permanent basis. This means they may quickly rust or degrade in some way if left outdoors at all times. If you plan on using one in your backyard, set it up when needed and put it away in protected storage space afterward. If you don’t want to deal with that, consider opting for a patio table instead.

What’s the best travel table to buy?

Top travel table.

G4Free Folding Camp Table

What you need to know: This travel table is available in two sizes and features a tough high-denier Oxford cloth top and aluminum frame, making it both durable and lightweight.

What you’ll love: Along with four mesh cup holders, it has a small mesh pocket for items you want to keep easily accessible. It sets up in seconds, without the need for any tools.

What you should consider: The soft table top can sag under heavy platters.

Where to buy: Sold by Amazon

Top travel table for the money

EXCELFU Folding Camping Table

What you need to know: At 4 feet long, this folding table offers more space than many other models, yet it is lightweight and folds up compactly for convenient transport.

What you’ll love: It is height adjustable for use while sitting and standing, and it features a mesh shelf for a bit of extra storage space.

What you should consider: The tabletop isn’t perfectly level when set up.

Worth checking out

KingCamp Bamboo Folding Table

What you need to know: If you are looking for something more attractive than the average aluminum or fabric model, the KingCamp Bamboo folding table fits the bill.

What you’ll love: The top has a four-point collapsible design that makes it surprisingly compact when folded up. It adds a bit of elegance to your outdoor dining experience.

What you should consider: It is heavier than most other models.

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Query Syntax

AT | BEFORE ¶

The AT or BEFORE clause is used for Snowflake Time Travel. In a query, it is specified in the FROM clause immediately after the table name, and it determines the point in the past from which historical data is requested for the object:

The AT keyword specifies that the request is inclusive of any changes made by a statement or transaction with timestamp equal to the specified parameter.

The BEFORE keyword specifies that the request refers to a point immediately preceding the specified parameter. If the specified parameter is the query ID of a statement, this point is just before the statement is completed. For more information, see Using the BEFORE clause with a query ID .

For more information, see Understanding & using Time Travel .

Specifies an exact date and time to use for Time Travel. The value must be explicitly cast to a TIMESTAMP.

Specifies the difference in seconds from the current time to use for Time Travel, in the form -N where N can be an integer or arithmetic expression (e.g. -120 is 120 seconds, -30*60 is 1800 seconds or 30 minutes).

Specifies the query ID of a statement to use as the reference point for Time Travel. This parameter supports any statement of one of the following types:

DML (e.g. INSERT, UPDATE, DELETE)

TCL (BEGIN, COMMIT transaction)

The query ID must reference a query that has been executed within the last 14 days. If the query ID references a query over 14 days old, the following error is returned:

To work around this limitation, use the timestamp for the referenced query.

Specifies the identifier (i.e. name) for an existing stream on the queried table or view. The current offset in the stream is used as the AT point in time for returning change data for the source object.

This keyword is supported only when creating a stream (using CREATE STREAM ) or querying change data (using the CHANGES clause). For examples, see these topics.

Using the BEFORE clause with a query ID ¶

If the parameter for the BEFORE clause is a query ID, the point in the past used by Time Travel is just before the statement is completed rather than before the statement is started. If concurrent queries commit modifications to the data between the start and end of the statement, these changes are included in your results.

For example, the following statements are being executed on table my_table in parallel in two separate threads:

As a workaround, you can use a TIMESTAMP parameter that specifies a point in time just before the start of the statement.

Usage notes ¶

Data in Snowflake is identified by timestamps that can differ slightly from the exact value of system time.

The value for TIMESTAMP or OFFSET must be a constant expression.

The smallest time resolution for TIMESTAMP is milliseconds.

If requested data is beyond the Time Travel retention period (default is 1 day), the statement fails.

In addition, if the requested data is within the Time Travel retention period but no historical data is available (e.g. if the retention period was extended), the statement fails.

If the specified Time Travel time is at or before the point in time when the object was created, the statement fails.

When you access historical table data, the results include the columns, default values, etc. from the current definition of the table. The same applies to non-materialized views. For example, if you alter a table to add a column, querying for historical data before the point in time when the column was added returns results that include the new column.

Historical data has the same access control requirements as current data. Any changes are applied retroactively.

The AT and BEFORE clauses do not support selecting historical data from a CTE .

For example, the following query is not supported:

However, these clauses are supported in a query in a WITH clause. For example, the following query is supported:

Troubleshooting ¶

Select historical data from a table using a specific timestamp:

Select historical data from a table as of 5 minutes ago:

Select historical data from a table up to, but not including any changes made by the specified transaction:

Return the difference in table data resulting from the specified transaction:

The 11 Best Travel High Chairs If Your Take Your Kid Out for Meals Often

The portability will make feeding baby — sometimes a fraught endeavor to begin with — a bit easier.

If you buy something from the links on this page, we may earn a commission. Why Trust Us?

If you've never bought one before, you're probably overwhelmed by all of the options and don't know how to determine which travel high chair is best for you — but don't worry, we have you covered. They're a great thing to add to your registry because of their more affordable price point, and they make a great gift for new parents if you're shopping.

The Best Travel High Chairs

• Best Overall: Cozy Seat Cover
• Best Budget Soft Seat: Nuby Travel Seat
• Easiest to Set Up: Chicco Travel Seat
• Great Silicone Placemat: PandaEar Travel Seat
• Most Stable for Baby: Ingenuity 2-in-1

What to Consider

Buying a travel high chair isn't a huge task, but there are a few things that you should look at when you're considering buying one. First and foremost, take into account portability , how easy it is to clean, and cost.

Portability

You want a travel high chair that's lightweight, easy to fold, and easy to stow away. If it doesn't travel well, is it even a travel high chair? We don't think so. Some come with a carrying bag, some have a strap for easy travel, and some fold up tight for small spaces.

Cleanability

Cleaning fabric on high chairs can be a pain. Is it machine-washable ? Thankfully, most travel high chairs are a cinch to clean. The more parts involved, obviously, the trickier cleaning it is, so keep that in mind if you're going to be using it a lot.

You could go with a classic high chair that attaches directly to a table, with arms that serve as cantilevers to hold the baby up safely. You can also opt for booster-style seats that strap onto a regular chair at a restaurant or someone's home.

Another option is pop-out foldable boosters, which are suited best for older children who don't need as much lift to get to the table. Rounding out the list are travel high chairs that are compact versions of the real deal. These are generally made with rugged nylon and aluminum posts and conveniently fold up like an umbrella.

How We Chose

We chose these high chairs based on extensive testing and real-parent reviews. We compared prices, materials, and overall quality to determine usefulness, durability, and value. We put them through their paces with several young and messy humans, and these are the best. Check out these picks if you're shopping for travel high chairs.

Cozy Cover The Original Easy Seat Portable High Chair

Have a washing machine? Have a baby over six months or a toddler up to 35 pounds who wiggles a ton? Like to eat out and need a place to keep them contained? Meet the Cozy Cover Easy Seat.

It has a five-point removable harness for babies and a three-point strap for toddlers, and it just slides over a chair, secures at the bottom, and then you're off to the races. It comes with its own cover that is machine-washable (which is the biggest benefit that parents love about it), but they also remark on how durable it is. This chair can really take some abuse.

The only downside is that it doesn't work on all seats. Our tester noted that low backs on chairs or chairs of odd shapes don't work as well.

More: The Best Suitcases for Kids

Nuby Easy Go Safety Lightweight Travel High Chair Booster Seat

This is a toddler seat designed for kids from nine months to 55 pounds. It can be secured to most chairs, but it doesn't fold as compactly as a slip model. That's not to say it's not compact —you can easily fit this in a standard Skip Hop diaper bag — but it's just a little bit bulkier.

Another great little option is that the high-density foam seat can be removed for comfort. It features a wipe-clean oil and water-resistant fabric, and a three-point harness. It’s a great travel high chair and it’s nice to have “just in case” in your trunk or under your stroller.

Even when we repeatedly used Lysol wipes on this chair while testing it out, the slick finish of the seat remained strong and unwarped. Lysol wipes can deteriorate finishes — and they didn't on this one.

Chicco QuickSeat Hook-On Travel High Chair

Chicco is good at making it easy for parents to remove their product covers for washing — and the Quick Seat is no different. With the unsnapping of just a few snaps, it's off and ready for the machine in a jiff.

It's suitable for babies from six months or up to 37 pounds, and the generously sized tray is also super easy to clean.

But that's not even the best part. Most claw-style chairs use some sort of twist or crank to attach them to the table. Not the Chicco — it does it with just a pull of a cinch in the back, making it the easiest travel high chair to set up by a mile.

And that's the biggest reason people love this chair: There's no guesswork. Users note they can hold the baby in one hand and easily get the seat attached using their other hand and their hip. (Your hip becomes a third hand when you're parenting a baby, it's true.)

PandaEar Portable Baby Seat Travel High Chair

This product came as a personal recommendation from a few parents. It's a great option because it folds up tiny when you're not using it.

The chair itself is made of typical camp chair material that's easy to clean off. The tray has this wonderful silicone placemat that fits inside that you throw in your dishwasher. You could even throw the entire thing on the porch and hose it down with some dish soap.

Phil & Teds Lobster Clip-On Travel High Chair

More than a few parents use this narrow travel high chair as their everyday high chair. It's suitable for use from six months or up to 37 pounds, and because it takes up such little room, it can be a great option for smaller spaces.

The chair itself is extremely durable. The cover is machine-washable and the tray is dishwasher-safe. The only drawback of this chair is that it doesn't work with round tables or glass.

Parents love how small it is, fitting well in tight kitchens. They also love how easy it is to attach, noting that the clasps are simple and durable.

Ingenuity Baby Base 2-in-1 Booster Feeding and Floor Travel High Chair

You get a lot of mileage out of this travel high chair that also happens to double as a baby floor seat . It's a soft seat molded to help keep the baby in a comfortable seated position with a removable dining tray and straps to affix it to the seat at a restaurant or home.

It has a luxe feel and keeps babies from wiggling around so much while they eat. It's sort of like a hug around the lower torso and legs, rooting them into the seat. Think of any assisted-sitting chair, and this is a little like that, but not quite as high-backed.

It's easy to clean thanks to the non-porous surface, and though it would be better if it were easier to carry around, it's overall a great product.

Summer Infant Pop ‘n Sit Portable Travel High Chair

We get that a camp-style chair just doesn't cut it sometimes — so if you're on the hunt for one with a hard tray, this is the one for you.

It's good for babies six months or up to 35 pounds, and the fabric is removable and machine-washable.

It all folds up into a carrying case just slightly larger than an umbrella, save the tray. This chair has a fun zippered pocket on the side to hold whatever you want like plastic cutlery and wipes.

Parents love how much legroom this model has. It's good for chunky baby thighs or bulky sweatsuits. Plus, pretty much everyone loves the cheerful fabric and the grippy bottoms of the feet for stability.

Chicco Pocket Snack Booster Seat Travel High Chair

You can be on the go or just in your dining room with this Pocket snack booster seat from Chicco. It folds completely flat, and it has a carrying strap. So no matter where you are or where you're going, you'll have a place for your baby.

Chicco made this utterly washable, multi-height position chair with a removable tray so that it works as a booster as well. Suitable for babies from when they can sit up unassisted to 50 pounds. And the easy 3-point harness? It takes a ton of effort to get it gunked up. (Our testers said not even grits could take it down!

Fisher-Price Healthy Care Deluxe Washable Booster Seat Travel High Chair

If you are a major fan of Lysol or Clorox wipes , this is the travel high chair for you.

It's not as compact as some of the others, though it does fold up. But the whole thing can be wiped down easily. The straps are even easy to clean. Plus, it stays clean, thanks to having such few spaces for food to get trapped in.

And it is meant for the long haul. Two different tray options click together for storage: One is plain and flat and the other is portioned out. It goes from a high back travel high chair and also transforms into a booster, giving it a second life. It can be used for babies from six months old until they no longer need it.

Ciao! Baby Camping Travel High Chair

If you go camping, spend a lot of time outside, or just want an ultra-light, collapsible high chair that doesn't need a table and chairs, this is our favorite .

This chair has a five-point harness, so it can be used for babies as soon as they can sit up on their own. It's made of a vinyl-coated canvas, which means it can easily be sprayed off with a hose, wiped clean with a cloth, or sprayed down with your favorite cleaning spray. It also has a cup holder for babies, which may not completely prevent them from flinging their bottle, but it may help. It collapses into a small bag and only weighs about eight pounds.

Users note that this is the perfect choice for the beach, the woods, or the backyard, thanks to the fabric's ease of cleanup and durability. It's an outdoor fabric, and it can take a beating.

Baby Delight Go with Me Venture Travel High Chair

Your child can start using this chair starting at 3 months of age, and they can use it virtually until second or third grade or until they reach 75 pounds. It’s not just a high chair or camp chair with a canopy — it’s also a beach chair for kids .

It has a five-point harness, removable tray, and cup holder, but the sneaky part is that the whole top piece and footrest come off to make it into a shaded chair for your kids.

Even better, the entire thing fits into a sling bag, and the extremely durable polyester can be hosed or wiped off easily.

Wiggly-butt babies have something to push against with the footrest, and you can rest easy knowing it’s safe and stable because they’re so close to the ground.

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Tour Portable

Decades of proven performance.

The Tour Portable has been our signature table since 1982.  Its unsurpassed design & quality craftsmanship has withstood rigorous use by thousands of students and chiropractors worldwide.  With ingenious upgrades available, the Tour is ready for anything when you are!

Adjustable Height Legs available (new or retrofit) Shoulder Strap included on all tables

Choice of Wood (Oak or Walnut)

Description

Standard features, optional features, table specifications, table height, flexion distraction, lateral flexion, elevating base, accessories.

• Oak Wood Construction
• Headpiece Flexion, Extension & Elevation
• Headpiece Straight Drop & Forward Motion Drop
• Thoracic Drop & Incline 30°

Pelvic Drop

Caudal drop, prone arm rest, ankle rest extension, shoulder carrying strap.

• Cocking Levers & Tension Control on one side of table (choice of Right or Left when lying prone)
• Headpiece cocking bar is always on the Right side (when lying prone)

Options / Upgrades

• Walnut Wood Construction

Adjustable Height Legs

• Abdominal Swing-Away
• Elevating Conversion Base (Note: Swing-Away, Flexion Distraction and Lateral Flexion can not be used when Tour is mounted to Conversion Base)
• Crescent Arm Rest
• Comfort Pillow
• Headpiece Extension Pillow
• Side Arm Rests
• Height Raising Legs
• Protective Cover

Airline Travel Case

Flexion distraction travel case.

• Accessory Carrying Bag
• Custom Logo
• Flexion:  0 – 5°,  Extension:  0 – 23°
• Vertical Elevation:  0 – 6.75”  (0 – 17 cm)
• Straight Drop: & Forward Motion Drop
• Drop height: Standard 0.54″ (13.7 mm) or Short 0.35” (9 mm)
• Adjustable tension
• Compound angles possible, locks into position
• Cushions are adjustable in width at front end
• Contoured cushions:  2” thick  (0.5” soft foam laminated to 1.5” firm foam)
• Cocking lever & adjustable tension control on right side (when lying prone)
• Paper Hanger, Hold-Down & Tear-Off Bar  (One roll of 8.5″ headpiece paper provided)
• Adjustable position
• Optional Crescent Arm Rest (see Accessories)

Thoracic Drop & Incline

• Drop height of 0.7”  (17.5 mm) at front
• Inclines to fixed 30°  (7.5” /19 cm) at front.  Does not drop in inclined position.
• Cocking lever and tension control on one side of table (choice of Right or Left when lying prone)
• Adjustable tension control on one side of table (same side as cocking levers)
• Stainless steel plunger (with compression spring) in high density polyethylene housing
• 1.5″ thick, high resiliency firm foam
• 16” x 20”  (41 x 51 cm)
• Drop height of 1.25”  (32 mm) at front
• Cocking lever on one side of table (choice of Right or Left when lying prone)
• 10.5” x 20”  (27 x 51 cm)
• Cocking lever on one side of table (Right or Left when lying prone)
• 1.5″ thick, high resiliency thick foam
• 20” x 20”  (51 x 51 cm)
• Adjustable Extension:  0 – 11”  (0 – 28 cm)
• Locks in any position
• 6.5” x 20”  (17 x 51 cm)
• Adjustable in length
• Padded for added comfort
• Retrofits to all Tours (includes hardware & easy instructions)
• Choice of 18 – 25″ or 21 – 30″ (46 – 63.5 cm or 53.5 – 76 cm)
• Adjustable height in 1″ increments
• Extremely durable
• No weight limit
• Available on all new Tour tables
• Retrofits to all Tour tables in the field
• Swing-Away from 0 – 7″
• Locks into position at any angle along arc
• Operates from one side of table (same side as cocking levers)
• Swing-Away section:  6.5″ x 16.5″  (23 x 42 cm)
• Quickly interchangeable chest cushions
• Soft cushion for chest comfort
• Firm cushion for Thoracic Drop technique, secure magnetic hold
• Two cushions:  9” x 20”  (17 x 51 cm) each
• Can be used with Flexion Distraction, Lateral Flexion & Conversion Base

Color Choices: Standard & Custom

NOTE: Your computer settings may affect the accuracy of the colors shown.

Click here to see photos of the Custom Colors on our tables.

Standard Colors

Custom Colors

Adobe White

Emerald Green

Olive Green

Deep Violet

Dark Cherry

Mandarin Orange

Golden Corn

The table height is the distance from the floor to the top of the table’s cushions.  To determine the best height for you, we recommend that you measure from the floor to the bottom or middle of your patella with shoes on.  Please also take into consideration your body proportions and adjusting style.

Choose a single height or adjustable height!

The Flexion Distraction Device is quick and easy to attach to the Tour and offers gentle, smooth and ergonomic operation.  It also quickly detaches so you can take it on the road too.  A customized Travel Case provides maximum protection.  Upgrade at anytime with Lateral Flexion.

• Attaches to or detaches from the Tour in one minute
• Can be added to all Tours after 2001, with table heights of 19 inches (48.3 cm) or greater
• Retrofit Kit necessary for Tours prior to May 2013

Flexion Range

• 17 – 18 inch  Tour height:  Flexion Distraction not available
• 19 – 20 inch (48.3-53.3 cm)  Tour height:  0 – 11.5 degrees
• 21 – 24 inch (55.9-61 cm)  Tour height:  0 – 13 degrees
• Locks at any angle
• Caudal Drop can be used at any flexed angle
• Available on all Tours with table heights of 19 inch (48.3 cm) or greater

Flexion Device Details

• Smooth, gas spring operation
• Star Base:  Black (Red Oak or Walnut optional), 21 inch (53.3 cm) diameter base
• Operating Knob:  Black, Red Oak or Walnut, ergonomic hand-turned hardwood, 3.25″ diameter
• 5 specialty wheels
• (2) 10 lb leg counterweights provided
• Quickly disassembles for compact transport
• Lateral Flexion can be added at anytime

Recommended Accessories

• Comfort Pillow recommended for proper patient positioning
• Plastic office mat (on all floor surfaces) for optimal rolling performance and to prevent potential wheel markings (readily available at retail stores)

Travel Case

• Black, durable corrugated plastic construction
• Custom die-cut, low abrasion foam for maximum protection of component parts
• Straps secure case closed (Blue, Red, Yellow or Black)
• 26″ x 25″ x 8″,  6 lbs

The Lateral Flexion Base offers 30 degrees right and 30 degrees left flexion.  Must be used in conjunction with the Flexion Distraction Device.  Compound angles are also possible and can be quickly locked into position any any angle.  Retrofits to all Tours after 2001, with a table height of 20 inches (50.8 cm) or greater.

• Red Oak (shroud over Metal Base)
• 5 specialty wheels offer smooth & instantaneous directional change
• Non-skid feet
• 40″  x 20″  x H (4″ less than table height)

Lateral Range

• 30 degrees right and left
• Must be used with Flexion Distraction Device
• Multiple angles possible
• Caudal Drop can be used at any angle
• Available on Tours with table height of 20 inches (50.8 cm) or greater
• Retrofits to Tours after 2001, with table height of 20 inches (50.8 cm) or greater

Two tables in one – another innovative Thuli Tables design!  Convert the Tour portable to an elevating table in minutes by mounting it to the Conversion Base. With a 10 inch (25.4 cm) vertical range at the touch of a foot switch, the perfect working height is achieved.  Retrofits to most Tours since 1990.  Please note that the Abdominal Swing-Away, Flexion Distraction and Lateral Flexion can not be used when the Tour is mounted to the Conversion Base (all can be used when the Tour is not mounted).  Eligible for the IRS Disabled Access Tax Credit.

Prone Arm Rest Shields

Tour Height Raising Legs

Accessory Bag

Tour Portable:  Operation Video

Dr. Thuli demonstrates the features and operation of the Tour.

Tour Portable:  Set-Up Video

Dr. Thuli demonstrates how to most efficiently set-up the Tour.

Tour Portable:  Fold-Up Video

Dr. Thuli demonstrates how to most efficiently fold-up the Tour.

Tour Portable:  Patient Positioning

Dr. Thuli demonstrates how to properly position your patient on our table to correctly utilize its features.

Tour Portable:  Caudal Drop

Dr. Thuli demonstrates how to position your patient over the Caudal Drop.

Tour Abdominal Swing-Away

Dr. Thuli demonstrates the operation and features on the Abdominal Swing-Away.

Determining the Table Height

Wondering what’s the best table height for you?  This video will help.

Tour Flexion Distraction

Dr. Thuli demonstrates how to attach and operate the Flexion Distraction Device.

Tour Lateral Flexion

Dr. Thuli demonstrates how to attach and operate both the Lateral Flexion Base and Flexion Distraction Device.

Tour Flexion Distraction Retrofit

For Tours built before May, 2013 with table heights of 18″ or greater.

Tour Flexion Distraction Installation

For Tours built after May, 2013 with table heights of 18″ or greater.

We build all products at our facility in Wisconsin.  Completion time varies, so please contact us for the current lead time.   We offer a Rush Service if needed.  Please inquire for details.

The shipping cost and transit time varies with location.   Please contact us with your full delivery address and we will promptly provide you with a quote.

International Sales:    Our shipping cost does not include import duty and taxes, which are determined at the time of custom clearance.  Every country uses a different formula for calculating the import duty and taxes, which are based on the value of the products ordered.  These fees are payable to the shipping company prior to delivery.  Brokerage fees are included in the shipping cost, except for UPS Standard Service to Canada and US Postal Service shipments.

Table Features

You may also like….

Flexion Distraction Device (Tour and Sport)

Elevating Conversion Base (Tour and 300)

Tour Portable: Request a Quote

Standard features include a full Headpiece (with two drops), Thoracic Drop & Incline, Pelvic Drop, Caudal Drop and Ankle Rest Extension. Choose from the options below to customize your table.

• Tour Portable Table Includes Thoracic & Pelvic Drops
• Total (Shoulder Strap included) $ 0
• Red Oak (standard)
• Right Side (standard)
• Single Height
• Adjustable Height
• 17 inch (43.2 cm)
• 18 inch (45.7 cm)
• 19 inch (48.3 cm)
• 20 inch (50.8 cm)
• 21 inch (53.3 cm)
• 22 inch (55.9 cm)
• 23 inch (58.4 cm)
• 24 inch (61.0 cm)
• 18 - 25 inches (46 - 64 cm)
• 21 - 30 inches (54 - 76 cm)
• Custom Color Options Adobe White Sand Alabaster Dove Greystone Mocha Gunmetal Dusty Jade Grotto Emerald Sage Olive Green Yew Green Wedgewood Blue Ridge Capri Blue Sky Blue Royal Blue Deep Violet Concord Rosalee Dark Cherry Paprika Yellow Orange Golden Corn Tomato
• Standard Drop: 0.54 inch (1.4 cm)
• Short Drop, Low Force: 0.35 inch (0.9 cm)
• Upgrade Your Table
• Yes ($2,275 - $3,075)
• 19.5" - 29.5"
• 20.5" - 30.5"
• 21.5" - 31.5"
• 22.5" - 32.5"
• Accessorize Your Table
• Bolster 20 inch length)
• Bolster (24 inch length)
• Logo on Table
• Herbal Mist
• Crescent Arm Rest Bag
• Comfort Pillow Bag
• Side Arm Rest Bag
• Height Raising Legs Bag
• Headpiece Extension Pillow Bag
• Bolster Bag
• Lightweight
• Name This field is for validation purposes and should be left unchanged.
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• Pin This Product

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Tour Swing-Away

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What is TravelTables?

TravelTables is a website that allows every traveller, expat, digital nomad or just a curious person to estimate cost of living in more than 8000 cities around the globe. TravelTables.com was established in December of 2017. Bird on the logo is Toucan, which is one of the most social species of birds. Logo is made by Olena Isai .

Our Mission

Our aim is to develop a tool that will help people in gathering information regarding the quality of life, cost of living, weather, sights and other valuable information in cities across the globe.

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Currently available information about prices of food, restaurants, transportation, utilities, clothing and apartment rent & buy costs and average salaries.

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Accuracy of information obtained from a single source may not necessarily be good enough. To ensure data is accurate enough it is necessary to collect information from a group of sources in order to generate an averaged data point. Data on this site is updated and modified based on contributions from thousands of users from different parts of the world.

User-contributed information greatly increases accuracy of data. All data is processed and normalized constantly. The more data is added into the site, the more accurate the overall data becomes.

We use automatic algorithms and random manual checks to ensure user inputs quality and calculate median values that have the highest probability of being accurate.

We highly suggest to always double check data you find here before you go traveling or make a decision to change the place where you live, to be absolutely sure. The more sources you check, the more accurate data you will get. Data like this is by nature dynamic and subjective.

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Things Jiri loves: Travel, books, good food and wine, mountains, music, winter, remote places, movies, dogs (though he doesn't have one - too much travelling for that!), maps, finding unexpected things in unusual places, meeting people.

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• Product Reviews
• Nursing & Feeding Product Reviews

The Best Table Booster Seat Styles, Tested by a Mom of Two

In a nutshell:

Based on advice from a pediatrician and the firsthand experience of a mother who tested eight table booster seats among her two young children, we chose the OXO Nest Booster Seat as the overall best table booster seat. This option stood out because of its sturdy, comfortable design, subtle appearance, adaptability as kids grow and easy-to-clean materials.

Whether your child is a picky eater or is a bit more adventurous than the usual dino nuggets, propping them up in a table booster seat can help them see and actually eat their food during family meals. As the mother of an independent 4-year-old son and a FOMO-prone 18-month-old daughter, I’ve seen firsthand how transitioning from high chair to booster can help kids feel like part of the pack. I can also attest to the freedom I’ve felt without a bulky highchair underfoot. Table booster seats eliminate the need for traditional high chairs while offering support and safety until your little one is ready to sit independently on a grown-up chair.

Booster seats can be used by babies as young as four to nine months old, depending on when they can sit up well unassisted. While you should never leave a child unattended in a table booster seat— Lauren Crosby , MD, a pediatrician and an official spokesperson for the American Academy of Pediatrics—reminds parents that they typically feature safety straps for peace of mind during mealtimes. If you’re looking for the perfect baby table booster seat, one for your older toddler, an on-the-go option or a budget-friendly pick, we’ve got you covered. Shop top-rated table booster seats below—plus, find out which features to consider as you browse.

How We Tested and Chose the Best Table Booster Seats

To help you find the best table booster seats, we leveraged our familiarity with leading baby brands and trusted online retailers and combed through dozens of options. After selecting the best of the best, we then put them to the test. Here’s how we created this roundup:

• I personally put eight different table booster seats to the test: I secured them to the seat, strapped my kids in, then fed them multiple meals (and set them up with various table-top crafts). I then cleaned and evaluated each booster for comfort, ease of use, ease of cleaning, adaptability, quality and value for money.
• Additionally, an independent tester reviewed one of the table booster seats featured in this article. She thoroughly tested it at home with her one-year-old and assessed it for ease of use, safety, ease of cleaning, effectiveness, style and value for money.
• We interviewed a pediatrician to learn about essential safety features and considerations when shopping for and using table booster seats.
• We researched what was being said about booster seats in The Bump community forums to learn what parents liked and disliked about certain brands and styles.
• To understand how these booster seats have worked for families, we conducted exhaustive market research, scouring external forums and message boards and reading user reviews to find out what parents nationwide looked for in table booster seats.
• We considered several factors when sourcing table booster seats, such as adjustability, ease of use, value, quality, durability and of course, safety.

Editorial integrity is at the heart of everything we publish. Read about how The Bump develops and reviews all articles , including product reviews.

Best Table Booster Seats

Overall best booster seat for table.

• Grows with child
• Rear carrying handle
• Removable cushion for easy cleaning
• Straps are shorter than expected

First on our list of the best table booster seats is OXO’s Nest Booster Seat. This top pick stood out for an array of reasons, particularly because of its simple design that offers security and versatility. When I received this booster, it went from box to breakfast in less than one minute. The two chair straps were easily connected to the chair and felt very secure. The booster features a removable foam seat liner and a high back and sides that keep little ones in place, and thanks to a three-point harness and two side-release buckles, your tot will be secure no matter how much they squirm during mealtimes. Something about the shape of the buckle made me worry about catching my fingers. This didn't happen, luckily, but it’s something to keep in mind during use.

Designed for children 9 months or older, this versatile booster seat easily converts to support children as they grow. Simply remove the liner and straps to make any grown-up chair the perfect seat for your older child. Although it takes a little muscle to get the liner to budge, there’s no question that adaptability is an awesome perk. I also really like the shape of the seat, which feels armchair-like and very comfortable.

Another awesome feature is an under-seat elastic band to contain straps when the booster is not being used. Better yet, keeping this booster clean is a breeze. I’m a fan of the seat’s easy-to-wipe surfaces—including the foam insert, which sits flush against the base so it doesn’t catch crumbs. And maybe most importantly, kids love sitting in it—including my very particular 18-month-old daughter—and parents don’t mind looking at it. The white base comes with a gray, navy, taupe or hot pink liner, so you’re bound to find one that aligns with your home decor.

Dimensions: 14.3" (L) x 12.5" (W) x 11.3" (H) | Weight: 5.2 lbs. | Capacity: 50 lbs. | Age rating: 9+ months

Our product tester says:

“The seat really cocoons my kid, and it looks super comfortable.”

Our community says:

"Our booster is the OXO Tot Nest and I have no complaints." – msjaay , The Bump forum member

Best budget-friendly booster seat for table

• Cushioned seat
• Easy to clean
• Slip-resistant
• High weight capacity
• Tricky straps, according to some parents

After testing eight table booster seats in a week, both of my kids returned to their old favorite, this affordable, no-frills booster from Prince Lionheart. It was gifted years ago and we’ve been using it ever since. Their loyalty is evidence that you don’t need to break the bank to get a dependable, sturdy toddler booster seat for the table. For under $30, you can score a sleek and safe seat with a non-slip base and a non-slip seat that offers just a little bit of give for comfort. (I would know—I’ve often sat on it despite the fact that it’s as easy to remove as it is to plop right down on.)

While there’s no tray or cushion, additional features would take away from the ease of cleaning and simplicity that makes this seat great. The lightweight seat—which my 18-month-old likes to hold overhead as she parades it from kitchen to couch—comes in a variety of bright colors, including gray for parents who are color-averse like me. While I somehow ended up with one red and one blue, the colors haven’t deterred me from recommending this model again and again, in part because the three-point harness has never failed either of my kids.

While crumbs sometimes collect on the edges of the seat base, I remove and rinse the entire seat in my kitchen sink every so often to keep buildup to a minimum. For what it’s worth, I’ve never had trouble rinsing stains out of the white belts, although I’d appreciate a darker color, just in case. Now four, my son even enjoys strapping himself in and out since the booster’s sides are low enough for him to mount and dismount himself. So it’s a good thing this booster, ideal for kids 12 months and older, has a high weight capacity of 50 lbs. All that’s to say, there’s no question it will be a go-to for many mealtimes to come.

Dimensions: 14" (L) x 14" (W) x 8" (H) | Weight: 2 lbs. | Capacity: 60 lbs. | Age rating: 18 months to 5 years

"I keep coming back to this model because it's easy to get in and out of, has a non-slip seat and is comfortable enough for me to plop in when necessary."

Best table booster seat for younger toddlers

• Adjustable height
• Inescapable seat
• Removable foam liner
• Super easy to wipe clean
• Small tray; not dishwasher-safe
• Not great for bigger toddlers

Transitioning your little one from a high chair to a booster can be nerve-wracking at first, but the Bumbo 3-in-1 puts parents at ease. You’ll appreciate its high back and sides, plus a center plastic column that creates defined leg openings to truly envelop little ones with or without the clip-on tray. I found the design to be surprisingly smart and quite thoughtful; I liked how the seat feels quite cushioned while providing ample support for good posture while eating, which is especially helpful for younger toddlers.

This booster seat is packed with convenient features. These include a rear compartment to store the tray, a three-point harness with recessed nooks on either side to clip in the belt buckles when not in use, a removable non-slip base that can be rotated to increase or decrease seat height as needed and a hollow cavity to store the removable foam liner when your little one needs more room. The versatile seat can be used on the floor, strapped onto a grown-up chair for use at the table or on its own with its tray. While perfect for finger foods like Cheerios, puffs and peas, the tray is too tiny to keep such items off the floor—let alone accommodate a plate and drink let alone baby utensils. And it can’t be put in the dishwasher, unfortunately.

Apart from that, my complaints are few and far between, especially since my 18-month-old daughter approved. I would have thought she would have found it too confining, since there’s no real way for a kid to get out without being lifted, but she didn’t even try to squirm out. (This was a feature my 4-year-old, who is technically too big for the seat anyway, didn’t love.) Oatmeal was no match for this booster, which was easy to wipe clean. There aren't too many nooks and crannies where food can get stuck, although there is a slit where the center strap connects that’s a magnet for food. The straps are dark gray and embellished with logos, which helped to conceal stains, leaving just one issue: Cleaning your actual child. Since the seat is so self-contained, I found that rogue bits of food were completely smushed into my kid's backside and the back of her thighs, a problem that might be solved by a catch-all bib.

Dimensions: 14.6" (L) x 13.4" (W) x 10.2" (H) | Weight: 4.2 lbs. | Capacity: 37 lbs. | Age rating: 6 months to 3 years

“It definitely kept my squirmy 18-month-old from Houdini-ing out of the seat.”

Best table booster seat for older toddlers

• Easy for tots to get in and out of independently
• Compact and portable
• Simple installation
• Only for ages 3+

In my experience, children nearing the end of toddlerhood want more independence to come and go during meals as they please. This booster seat is perfect for older toddlers who don’t need or want a harness anymore but could still use a little extra height when dining at the table with everyone else. Available in neutral colorways, the minimal design won’t look out of place in an array of living spaces—and, thanks to the slip-proof base, it’ll remain sturdy on your dining chair.

I found the installation of this model to be quite satisfying—dare I say pleasant? With a single, thick strap that goes underneath the dining chair’s seat, the booster’s intuitive twist-and-lock mechanism is innovative compared to competitors. No tools or directions are needed, although you can rest assured that it’s too difficult for a child to turn it accidentally or on purpose.

As I mentioned previously, this booster seat is minimal. There’s no rear strap, seatbelt or seat back. The only notable features are some slightly raised rings around the seat to provide some friction against slips and a slightly raised rear and sides to kind of envelop the kid. In other words, it’s just fancier (albeit safer!) than a phonebook, but it certainly does the trick for older toddlers.

Dimensions: 14" (L) x 14.5" (W) x 5.6" (H) | Weight: 1.4 lbs. | Capacity: 50 lbs. | Age rating: 3+ years

“It’s durable and seems like it would last through multiple kids.”

Best table booster seat for travel

• Foldable design and carry strap
• Easily wipes clean
• Tray is tricky to remove
• Crevices where food can get stuck

Next on our list of the best booster seats for the table is this pick from Chicco. The compact, flat-folding booster features a high back, a clip-on tray and adjustable legs. This way, you can easily give your little one a boost so they can reach their meal on tables of any stature. Just unfold and strap it to a dining chair, whether you’re at home, at a restaurant, visiting family or anywhere else in between.

The chair was a big hit with Taylor R., our product tester, who told us it worked well for “various places inside and outside the house, including traveling.” While her one-year-old son could slump while seated, he remained safe and secure, thanks to the three-point harness. It also features anti-slip, non-marking feet for added stability. The seat’s legs have three height positions and can be used in two modes. While many choose to attach it to a grown-up chair, it can also be used on the floor as a standalone seat for kiddos.

One issue Taylor ran into when using this booster was tray removal. “It was easy to set up, but the hardest thing was getting the tray to snap in and out,” she told us. That said, Taylor appreciated how it was “adjustable depending on how much room your child needs.” Likewise, this seat’s durable, easy-to-clean plastic facade makes up for such friction. A match for even the messiest of eaters, this seat comes in two subtle colors and is a relative bargain for a versatile seat that can be used when traveling and at home.

“I like that it’s portable and folds so it doesn't have to be out when my son is not eating.”

Most stylish booster seat for table

• Aesthetically pleasing design
• Removable, machine-washable straps
• Convertible style grows with your family
• Tray and cushions are sold separately
• High price point

For parents who are determined to maintain some semblance of an aesthetic in their home after baby arrives, this modern design from Lalo is sure to spark joy. Available in several contemporary colors, this booster seat for the table features a wide solid beechwood base and legs—a look you might like so much you’ll wish it came in your size. Luckily, you can purchase a conversion kit to transition the booster seat into a play chair with a weight capacity of 200 pounds. Also sold separately are the booster cushion, infant support insert and tray—all nice-to-haves if they fit within your budget. That being said, this booster seat is appropriate for little ones as young as 4 months old, so you can be sure it’ll be a staple in your home for years to come as your family’s needs change.

Without the extra attachments and despite its stilted design, the booster seat feels quite secure with its five-point harness—although it was a bit tricky to fish out of the seat and around a squirmy toddler. It’s super easy to clean, thanks to an airy, baby-swing-like plastic frame and removable, machine-washable straps. The seat is very roomy, which makes it a catch-all for food for better or for worse since it saves your floor but may soil your child. While the sturdy wooden base serves as a footrest and looks design-forward, beware that it’s another surface to wipe down should rogue Cheerios or even messier foods mysteriously take up residence. The bottom line: For families willing to pay more for style, this transitional booster seat is sure to check all of the boxes on your list.

Dimensions: 16" (L) x 16" (W) x 21" (H) | Weight: 8 lbs. | Capacity: 50 lbs. | Age rating: 4 months to 3 years

“It looks great with my home decor, feels sturdy when buckled in and definitely feels like something built to last for multiple kids.”

Toddler Booster Seats Comparison Chart

What to look for in a table booster seat.

There’s no shortage of options for parents in the market for a table booster seat. From products that can attach to your existing dining chairs to free-standing designs for the floor, different styles work well for different families. When shopping for your toddler booster seat, always be sure the model is appropriate for your child’s weight and age. Then, consider the following factors before making a decision:

• Ease of assembly: If you plan to install and remove your child’s booster between meals for cleaning or to make way for more mature family members who want to dine there, a booster that’s both easy to secure and unstrap for storage is ideal.
• Trays: Seats equipped with trays are perfect for younger children or on-the-go families. If your tot is prone to pulling other diners’ placemats off the table, a booster with its own tray enables you to pull their seat a bit away from the table without separation from their meal.
• Adaptability: The best booster seats for the table are adjustable, so they’ll continue to support your kiddo as they grow. These styles may have a removable insert, multiple height positions, adjustable seat straps or all of the above.
• Style and design: Table booster seats come in both neutral colors that whisper and primaries that scream, so there is really something for everybody.
• Comfort: Because the best booster seat is the one your kid agrees to sit in, comfort is key, whether that means a high backrest for support or extra padding to cushion the tush.
• Ease of cleaning: Cleaning up a table booster seat after every meal and snack can be an even greater hassle with models that have stain-prone fabric or straps, deep, crumb-catching creases or other awkward crevices. With that in mind, opt for a booster seat that’s easy to wipe down in a hurry or that features machine-washable or dishwasher-safe elements.
• Safety features: Last but definitely not least, look for a booster seat that will be secure and stable during mealtimes. The best styles often have non-slip bases and sturdy lap belts. These can make all the difference between a child who enjoys a meal at the table and one who stealthily escapes and then falls flat on the floor.

Table Booster Seat Safety Tips

As with all baby gear, it’s important to consider the safety guidelines surrounding booster seats for the table before buying one. All toddler booster seats must comply with the Consumer Product Safety Commission’s (CPSC) safety requirements as of January 2, 2020. These standards were created to minimize the risk of common injuries related to table booster seats, such as falling, entrapment or design issues. Each product is tested to ensure that it aligns with the CPSC’s standards for structural integrity, tray performance and booster seat straps. It’s better to purchase a new booster than to accept a used one, but if you’re receiving a hand-me-down booster, make sure it complies with the CPSC’s current standards.

• Here, Crosby offers some additional tips to keep top of mind when shopping for a tableside toddler booster seat:
• Be sure to read the instructions and install the product correctly. Always use the safety straps, even if your child protests or you are sitting right there. Straps should fit snugly and include a middle strap between the child’s legs so they cannot slip or climb out.
• To avoid injuries, Crosby stresses that you should never leave your child alone in a booster seat.
• Toddlers like to test boundaries but don’t allow them to stand or climb on the booster seat.

About the writer:

Elizabeth Narins is a Brooklyn-based freelance writer, content strategist, copywriter and mother of two, in no particular order. Her work has appeared in Cosmo, Women’s Health, Parade, Parents, Health, What to Expect, Verywell Family and many more. She previously led digital content at Weight Watchers, where her work was nominated for a Webby Award. She has also served as Cosmo ’s inaugural digital health and fitness editor and led social media and special projects for Women’s Health .

Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances.

Plus, more from The Bump:

The Best Baby Spoons and Forks for Feeding and Self-Feeding

The Best Portable High Chair Options, According to a Mom of Two

The Best Baby Plates and Bowls for Stress-Free Feeding

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U.S. Visa: Reciprocity and Civil Documents by Country

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What is Reciprocity?

Nonimmigrant visa applicants from certain countries*/areas of authority may be required to pay a visa issuance fee after their application is approved. These fees are based on the principle of  reciprocity:  when a foreign government imposes fees on U.S. citizens for certain types of visas, the United States will impose a reciprocal fee on citizens of that country*/area of authority for similar types of visas. 

How Do I Find Out if I Have to Pay a Reciprocity Fee?

To view the Reciprocity Page for your country* of nationality, select your country*/area of authority from the list of countries on the left side menu. On the Reciprocity Page, select the Visa Classifications tab from the column on the left

Select the type of visa you have applied for, such as a B-1/B-2 (temporary visa for business or pleasure), F-1 (student visa), etc. from the drop down menu: 

The reciprocity information for that country*/area of authority will display:

What does this table tell me?

Visa Classification:  The type of nonimmigrant visa you are applying for.

Fee:  The reciprocity fee, also known as the visa issuance fee, you must pay. This fee is in addition to the nonimmigrant visa application fee (MRV fee).

Number of Entries:  The number of times you may seek entry into the United States with that visa. “M” means multiple times. If there is a number, such as “One”, you may apply for entry one time with that visa.

Validity Period:  This generally means the visa is valid, or can be used, from the date it is issued until the date it expires, for travel with that visa. If your Validity Period is 60 months, your visa will be valid for 60 months from the date it is issued.

What is the Difference between the Reciprocity Fee and the Nonimmigrant Visa Application Fee?

The nonimmigrant visa application fee, also known as the MRV fee, is a nonrefundable fee paid by most applicants for U.S. visas, whether the application is approved or refused. It covers the costs associated with processing a U.S. visa application. Current nonimmigrant visa application fees can be found on our  Fees – Visa Services  webpage. (This webpage also lists the few visa categories for which application fees are not required.)

While most visa applicants are required to pay the visa application fee, the Reciprocity Fee is only charged to an approved nonimmigrant visa applicant after the visa interview.

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For Immigrant Visa interviews each U.S. Embassy or Consulate has specific instructions for their applicants. Please click here to select your designated interview location.

Civil Documents and How to Use Them

Immigrant visa applicants are required to submit certain civil documents as part of their visa application, such as birth certificates and police records. (Nonimmigrant visa applicants do not routinely need to submit civil documents as part of their visa application.) Each Reciprocity Page will provide detailed information about how to obtain these civil documents from the country* you have selected, as well as the location of the U.S. Embassy or Consulate where you can apply for your visa. For more information about civil document requirements for immigrant visa cases, see  civil documents .

To view the Civil Documents for your country* of nationality, select your country*/area of authority from the drop-down menu below. On the Reciprocity Page, click on the tabs on the left to see the categories of Civil Documents and how to obtain them.

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* With respect to all references to “country” or “countries” on this page, it should be noted that the Taiwan Relations Act of 1979, Pub. L. No. 96-8, Section 4(b)(1), provides that “[w]whenever the laws of the United States refer or relate to foreign countries, nations, states, governments, or similar entities, such terms shall include and such laws shall apply with respect to Taiwan.” 22 U.S.C. § 3303(b) (1). Accordingly, all references to “country” or “countries” in the Visa Waiver Program authorizing legislation, Section 217 of the Immigration and Nationality Act, 8 U.S.C. 1187, are read to include Taiwan. This is consistent with the United States’ one-China policy, under which the United States has maintained unofficial relations with Taiwan since 1979.

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This Luxury Paris Hotel Offers a Farm-to-table Cooking Class at Versailles — Here's How to Book

I took my family to a cooking class en plein air at a famed estate outside Paris. Here's what we made.

Ross Kenneth Urken is a journalist, travel writer, and memoirist. He has written for The Washington Post , The New York Times , The Paris Review , The Atlantic , National Geographic , Newsweek , New York , Esquire , The Wall Street Journal , and other publications.

One afternoon last July, I wandered through a garden in Versailles, France, herb shears in hand, in search of oregano. Elsewhere in the Domaine de Madame Élisabeth — a lush estate that Louis XVI gave to his younger sister in 1783 — my wife, Tiffan, picked basil for pesto while our three-year-old daughter, Odella, cranked dough into pappardelle. All of our efforts were guided by Simone Zanoni, the chef at Le George, one of three restaurants at the Four Seasons Hotel George V, Paris .

Elise Quiniou/Courtesy of Four Seasons

We were guests of the hotel’s garden-to-table program, the latest sustainability effort led by Zanoni. The outdoor kitchen is solar-powered, all of the restaurant’s food waste is composted, and spent coffee grounds are used to grow oyster mushrooms — earning Le George a Michelin Green Star (in addition to its existing star for culinary excellence).

When I returned with the oregano, I found Zanoni helping Odella make focaccia. He bowed to her insistence on adding more rosemary and thyme. Then as a family, we walked through the garden, plucking zucchini, tomatoes, eggplants, and cucumbers off the vine before chopping them up. We also set the wooden picnic table with hand-painted Italian plates and azure glass goblets. Odella tucked blue-and-white-striped napkins into napkin rings before wielding a pestle to crush basil and some peppermint in a mortar, with assistance from Tiffan. 

“It’s like the feeling I had as a child making lunch with my family,” said Zanoni, who grew up on a farm in Lombardy, Italy, and has worked under Gordon Ramsay at his London and Versailles restaurants. After Zanoni prepared a lemony fillet of sole on the stovetop, we dug in to the fish and the pappardelle with pesto. When Odella declined Zanoni’s offer of parmesan topping for the pasta, he feigned outrage: “You don’t like the cheese? Mamma mia!” 

Related: An Insider's Guide to Paris — Luxury Hotels, Vintage Shops, and the City's Best Restaurants

As the adults sipped from a magnum of Philipponnat champagne made exclusively for Le George, Zanoni told us more about the philosophy behind his cooking. “Luxury is not a fancy chandelier or stiff service,” he said. “It should feel like an extension of your house.”

Courtesy of Four Seasons

And in a way, it did feel like we were at home (albeit a far more luxurious one). After such an extravagant meal, there was only one thing left for us to do: the dishes.

A version of this story first appeared in the April 2024 issue of  Travel + Leisure  under the headline "Make This Garden Grow ."

Related Articles

Houston restaurant Traveler’s Table to debut second casual concept

A fter a bombastic debut in 2019,  Traveler’s Table is (finally) expanding. The minds behind the globally-inspired Houston restaurant will open Traveler’s Cart—a more casual, counter-service eatery.

Traveler’s Cart will open sometime in September at 1401 Montrose Blvd., about a mile away from its sibling restaurant along Westheimer Road. Traveler’s Cart will occupy the space previously occupied by Pronto Cucinino. Headed by owners and husband-and-wife duo, Thy and Matthew Mitchell, the new concept will feature street foods from Thailand, Japan, Morocco, Jamaica, Mexico and other countries.

Though details on the new concept’s menu are mum, fans can expect something similar to Traveler’s Table, which is also inspired by global cuisine. Favorites at the flagship restaurant have included takes on Chinese style five-spice duck and North African lamb loin chops.

In a February 2023 interview with Culture Map , Matthew Mitchell said the new concept has lunch, dinner and weekend brunch services. Menu items will be curated by Traveler’s Table’s current culinary director, Stanton Bundy. 

Fans of Traveler’s Table have been anticipating the new concept for a while. Traveler’s Cart was originally announced in February 2023 with an anticipated opening set for later that year. Delays ended up  pushing the opening even further back.

As Traveler’s Table sister restaurant, Traveler’s Cart has a big reputation to live up to. Traveler’s Table has earned accolades on the small screen, getting a visit from Food Network’s Diners, Drive-Ins and Dives in August 2021. Earlier this year, Bundy appeared as a competitor on Beat Bobby Flay , triumphing over the celebrity chef with chilaquiles. 

• Best overall
• Best for exotic trips
• Best for trip interruption
• Best for medical-only coverage
• Best for family coverage
• Best for long trips
• Why You Should Trust Us

Best International Travel Insurance for June 2024

Affiliate links for the products on this page are from partners that compensate us (see our advertiser disclosure with our list of partners for more details). However, our opinions are our own. See how we rate insurance products to write unbiased product reviews.

If you're planning your next vacation or trip out of the country, be sure to factor in travel insurance. Unexpected medical emergencies when traveling can drain your bank account, especially when you're traveling internationally. The best travel insurance companies for international travel can step in to provide you with peace of mind and financial protection while you're abroad.

Best International Travel Insurance

• Best overall: Allianz Travel Insurance
• Best for exotic travel: World Nomads Travel Insurance
• Best for trip interruption coverage: C&F Travel Insured
• Best for medical-only coverage: GeoBlue Travel Insurance
• Best for families: Travelex Travel Insurance
• Best for long-term travel: Seven Corners Travel Insurance

Compare the Best International Travel Insurance Companies

As a general rule, the most important coverage to have in a foreign country is travel medical insurance , as most U.S. health insurance policies don't cover you while you're abroad. Without travel medical coverage, a medical emergency in a foreign country can cost you. You'll want trip cancellation and interruption coverage if your trip is particularly expensive. And if you're traveling for an extended period of time, you'll want to ensure that your policy is extendable. 

Here are our picks for the best travel insurance companies for international travel.

Best International Travel Insurance Overall

Allianz travel insurance.

Allianz Travel Insurance  offers the ultimate customizable coverage for international trips, whether you're a frequent jetsetter or an occasional traveler. You can choose from an a la carte of single or multi-trip plans, as well as add-ons, including rental car damage, cancel for any reason (CFAR) , adventure sport, and business travel coverage. And with affordable pricing compared to competitors, Allianz is a budget-friendly choice for your international travel insurance needs. 

The icing on the cake is Allyz TravelSmart, Allianz's highly-rated mobile app, which has an average rating of 4.4 out of five stars on the Google Play store across over 2,600 reviews and 4.8 out of five stars from over 22,000 reviews on the Apple app store. So, you can rest easy knowing that you can access your policy and file claims anywhere in the world without a hassle.

Read our Allianz Travel Insurance review .

• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Good option for frequent travelers thanks to its annual multi-trip policies
• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Doesn't increase premium for trips longer than 30 days, meaning it could be one of the more affordable options for a long trip
• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Some plans include free coverage for children 17 and under
• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Concierge included with some plans
• con icon Two crossed lines that form an 'X'. Coverage for medical emergency is lower than some competitors' policies
• con icon Two crossed lines that form an 'X'. Plans don't include coverage contact sports and high-altitude activities
• Single and multi-trip plans available
• Trip cancellation and interruption coverage starting at up to $10,000 (higher limits with more expensive plans)
• Preexisting medical condition coverage available with some plans

Best International Travel Insurance for Exotic Trips

World nomads travel insurance.

World Nomads Travel Insurance  offers coverage for over 150 specific activities, so you can focus on the adventure without worrying about gaps in your coverage. 

You can select its budget-friendly standard plan, starting at $79. Or if you're an adrenaline junkie seeking more thrills, you can opt for the World Nomads' Explorer plan for $120, which includes extra sports like skydiving, scuba diving, and heli-skiing. And World Nomads offers 24/7 assistance, so you can confidently travel abroad, knowing that help is just a phone call away. 

Read our World Nomads Travel Insurance review .

• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Coverage for 200+ activities like skiing, surfing, and rock climbing
• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Only two plans to choose from, making it simple to find the right option
• Check mark icon A check mark. It indicates a confirmation of your intended interaction. You can purchase coverage even after your trip has started
• con icon Two crossed lines that form an 'X'. If your trip costs more than $10,000, you may want to choose other insurance because trip protection is capped at up to $10,000 (for the Explorer plan)
• con icon Two crossed lines that form an 'X'. Doesn't offer coverage for travelers older than 70
• con icon Two crossed lines that form an 'X'. No Cancel for Any Reason (CFAR) option
• Coverage for 150+ activities and sports
• 2 plans: Standard and Explorer
• Trip protection for up to $10,000
• Emergency medical insurance of up to $100,000
• Emergency evacuation coverage for up to $500,000
• Coverage to protect your items (up to $3,000)

Best International Travel Insurance for Trip Interruption

C&f travel insured.

C&F Travel Insured offers 100% coverage for trip cancellation, up to 150% for trip interruption, and reimbursement for up to 75% of your non-refundable travel costs with select plans. This means you don't have to worry about losing your hard-earned money on non-refundable travel costs if your trip ends prematurely. 

Travel Insured also stands out for its extensive "reasons for cancellation" coverage. Unlike many insurers, the company covers hurricane warnings from the National Oceanic and Atmospheric Administration (NOAA).

Read our C&F Travel Insured review .

• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Offers 2 major plans including CFAR coverage on the more expensive option
• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Cancellation for job loss included as a covered reason for trip cancellation/interruption (does not require CFAR coverage to qualify)
• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Frequent traveler reward included in both policies
• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Up to $1 million in medical evacuation coverage available
• con icon Two crossed lines that form an 'X'. Medical coverage is only $100,000
• con icon Two crossed lines that form an 'X'. Reviews on claims processing indicate ongoing issues
• C&F's Travel Insured policies allow travelers customize travel insurance to fit their specific needs. Frequent travelers may benefit from purchasing an annual travel insurance plan, then adding on CFAR coverage for any portions of travel that may incur greater risk.

Best International Travel Insurance for Medical Coverage

Geoblue travel insurance.

GeoBlue Travel Insurance offers policies that covers emergency medical treatments when you're abroad. While GeoBlue lacks trip cancellation coverage, that allows it to charge lower premiums than the other companies on this list. 

GeoBlue plans can cover medical expenses up to $1 million with several multi-trip annual plans available. It offers coinsurance plans for trips within the U.S. and 100% coverage for international trips. It also has a network of clinics in 180 countries, streamlining the claims process. It's worth noting that coverage for pre-existing conditions comes with additional costs. 

Read our GeoBlue Travel Insurance review .

• Check mark icon A check mark. It indicates a confirmation of your intended interaction. A subsidary of Blue Cross Blue Shield
• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Offers strong medical plans as long as you have a regular health insurance plan, but it doesn't have to be through Blue Cross
• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Offers long-term and multi-trip travel protection
• con icon Two crossed lines that form an 'X'. Multiple complaints about claims not being paid or being denied
• con icon Two crossed lines that form an 'X'. Does not provide some of the more comprehensive coverage like CFAR insurance
• con icon Two crossed lines that form an 'X'. Buyers who do get claims paid may need to file multiple claim forms

Best International Travel Insurance for Family Coverage

Travelex travel insurance.

Travelex Travel Insurance offers coverage for your whole crew, perfect for when you're planning a family trip. Its family plan insures all your children 17 and under at no additional cost. The travel insurance provider also offers add-ons like adventure sports and car rental collision coverage to protect your family under any circumstance. Got pets? With Travelex's Travel Select plan, you can also get coverage for your furry friend's emergency medical and transportation expenses. 

Read our Travelex Travel Insurance review .

Trip cancellation coverage for up to 100% of the trip cost and trip interruption coverage for up to 150% of the trip cost

• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Options to cover sports equipment
• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Option to increase medical coverage
• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Can cancel up to 48 hours before travel when CFAR option is purchased
• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Affordable coverage for budget-conscious travelers
• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Includes generous baggage delay, loss and trip delay coverage
• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Optional "adventure sports" bundle available for riskier activities
• con icon Two crossed lines that form an 'X'. Only two insurance plans to choose from
• con icon Two crossed lines that form an 'X'. Medical coverage maximum is low at up to $50,000 per person
• con icon Two crossed lines that form an 'X'. Pricier than some competitors with lower coverage ceilings
• con icon Two crossed lines that form an 'X'. Some competitors offer higher medical emergency coverage

Travelex travel insurance is one of the largest travel insurance providers in the US providing domestic and international coverage options. It offers a basic, select, and America option. Read on to learn more.

• Optional CFAR insurance available with the Travel Select plan
• Trip delay insurance starting at $500 with the Travel Basic plan
• Emergency medical and dental coverage starting at $15,000

Best International Travel Insurance for Long Trips

Seven corners travel insurance.

Seven Corners Travel Insurance offers specialized coverage that the standard short-term travel insurance policy won't provide, which is helpful if you're embarking on a long-term trip. You can choose from several plans, including the Annual Multi-Trip plan, which provides medical coverage for multiple international trips for up to 364 days. This policy also offers COVID-19 medical and evacuation coverage up to $1 million. 

You also get the added benefit of incidental expense coverage. This policy will cover remote health-related services and information, treatment of injury or illness, and live consultations via telecommunication. 

Read our Seven Corners Travel Insurance review .

• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Diverse coverage options such as CFAR, optional sports equipment coverage, etc.
• Check mark icon A check mark. It indicates a confirmation of your intended interaction. Available in all 50 states
• con icon Two crossed lines that form an 'X'. Prices are higher than many competitors
• con icon Two crossed lines that form an 'X'. Reviews around claims processing are mixed
• Trip cancellation insurance of up to 100% of the trip cost
• Trip interruption insurance of up to 150% of the trip cost
• Cancel for any reason (CFAR) insurance available

How to Find the Right International Travel Insurance Company 

Different travelers and trips require different types of insurance coverage. So, consider these tips if you're in the market to insure your trip. 

Determine your needs 

Your needs for travel insurance will depend on the type of trip you're taking. You'll need to consider your destination and what you'll be doing there, either business, leisure, or adventure traveling. Policies covering adventure sports and activities will cost more. Longer, more expensive trips will also cost more. 

Research the reputation of the company 

When researching a company, you'll want to closely review the description of services. You'll want to see how claims are handled, any exceptions, and limitations.

You'll also want to look at the company's customer reviews on sites like Trustpilot, BBB, and Squaremouth, as this will provide insight on the quality of customer service and the claims process. You should also take note of whether companies respond to customer reviews.

Compare prices

You can get quotes through a company's website or travel insurance aggregators like InsureMyTrip and VisitorsCoverage. You'll need to be prepared to provide the following information about your trip:

• Trip destination(s)
• Travel dates
• Number of travelers
• Traveler(s) age/birthday
• State of residence
• Total trip cost

For companies that offer travel medical insurance, you'll also want to play around with the deductible options, as they can affect your policy premium. 

Understanding International Travel Insurance Coverage Options

Travel insurance can be confusing, but we're here to simplify it for you. We'll break down the industry's jargon to help you understand what travel insurance covers to help you decide what your policy needs. Bear in mind that exclusions and limitations for your age and destination may apply. 

Finding the Best Price for International Travel Insurance

Your policy cost will depend on several factors, such as the length of your trip, destination, coverage limits, and age. Typically, a comprehensive policy includes travel cancellation coverage costs between 5% and 10% of your total trip cost.

If you're planning an international trip that costs $4,500, you can expect to pay anywhere from $225 to $450 for your policy. Comparing quotes from multiple providers can help you find a budget-friendly travel insurance policy that meets your needs.

Why You Should Trust Us: How We Reviewed International Travel Insurance Companies

We ranked and assigned superlatives to the best travel insurance companies based on our insurance rating methodology . It focuses on several key factors, including: 

• Policy types: We analyzed company offerings such as coverage levels, exclusions, and policy upgrades, taking note of providers that offer a range of travel-related issues beyond the standard coverages. 
• Affordability: We recognize that cheap premiums don't necessarily equate to sufficient coverage. So, we seek providers that offer competitive rates with comprehensive policies and quality customer service. We also call out any discounts or special offers available. 
• Flexibility: Travel insurance isn't one-size-fits-all. We highlight providers that offer a wide array of coverage options, including single-trip, multi-trip, and long-term policies.
• Claims handling: The claims process should be pain-free for policyholders. We seek providers that offer a streamlined process via online claims filing and a track record of handling claims fairly and efficiently. 
• Quality customer service: Good customer service is as important as affordability and flexibility. We highlight companies that offer 24/7 assistance and have a strong record of customer service responsiveness. 

We consult user feedback and reviews to determine how each company fares in each category. We also check the provider's financial rating and volume of complaints via third-party rating agencies. 

Read more about how Business Insider rates insurance products here.

International Travel Insurance FAQs

The best insurance policy depends on your individual situation, including your destination and budget. However, popular options include Allianz Travel Insurance, World Nomads, and Travel Guard. 

You should pay attention to any limitations regarding covered cancellations, pre-existing conditions, and adventure activities. For example, if you're worried you may have to cancel a trip for work reasons, ensure that you've worked at your company long enough to qualify for cancellation coverage, as that is a condition with some insurers. You should also see if your destination has any travel advisories, as that can affect your policy. 

Typically, your regular health insurance won't cover you out of the country, so you'll want to make sure your travel insurance has adequate medical emergency coverage. Depending on your travel plans, you may want to purchase add-ons, such as adventure sports coverage, if you're planning on doing anything adventurous like bungee jumping.

Travel insurance is worth the price for international travel because they're generally more expensive, so you have more to lose. Additionally, your regular health insurance won't cover you in other countries, so without travel insurance, you'll end up paying out of pocket for any emergency medical care you receive out of the US.

You should purchase travel insurance as soon as possible after making payment on your trip. This makes you eligible for add-ons like coverage for pre-existing conditions and CFAR. It also mitigates the chance of any losses in the days leading up to your trip. 

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• Section 5 - Leishmaniasis, Visceral
• Section 5 - Onchocerciasis / River Blindness

CDC Yellow Book 2024

Author(s): Kathrine Tan, Francisca Abanyie

Infectious Agent

Transmission, epidemiology, clinical presentation.

INFECTIOUS AGENT:  Plasmodium spp.

Multiple countries in Africa, the Americas, and Asia

TRAVELER CATEGORIES AT GREATEST RISK FOR EXPOSURE & INFECTION

PREVENTION METHODS

Avoid insect bites

Use malaria chemoprophylaxis

DIAGNOSTIC SUPPORT

• 770-488-7788 (M–F 9 a.m.–5 p.m. Eastern)
• 770-488-7100 (after hours)

Parasitological diagnosis: DPDx

Malaria in humans is caused by protozoan parasites of the genus Plasmodium , including Plasmodium falciparum , P. malariae , P. ovale , and P. vivax . In addition, zoonotic forms have been documented as causes of human infections and some deaths, especially P. knowlesi , a parasite of Old World (Eastern Hemisphere) monkeys, in Southeast Asia.

Plasmodium species are transmitted by the bite of an infective female Anopheles mosquito. Occasionally, transmission occurs by blood transfusion, needle sharing, nosocomially, organ transplantation, or vertically from mother to fetus. Malaria transmission occurs in large areas of Africa, Latin America, and parts of the Caribbean, Eastern Europe, the South Pacific, and in Asia including South Asia, Southeast Asia, and the Middle East ( Map 5-12 , Map 5-13 , and Map 5-14 ).

Map 5-12 Malaria-endemic destinations in the Americas & the Caribbean

View Larger Figure

Malaria-endemic destinations are labeled using black font; destinations not endemic for malaria are labeled using gray font. Countries with areas endemic for malaria are shaded completely even if transmission occurs only in a small part of the country. For more specific within-country malaria transmission information, see Section 2, Yellow Fever Vaccine & Malaria Prevention Information, by Country .

Map 5-13 Malaria-endemic destinations in Africa & the Middle East

Map 5-14 Malaria-endemic destinations in Asia & Oceania

Malaria is a major international public health problem. According to the World Health Organization (WHO) World Malaria Report 2019, >90 countries reported ≈228 million infections and ≈405,000 deaths in 2018. Travelers going to malaria-endemic countries are at risk of contracting the disease, and almost all the ≈2,000 cases of malaria that occur each year in the United States are imported.

The risk of acquiring malaria differs substantially from traveler to traveler and from region to region, even within a single country. This variability is a function of the intensity of transmission within the various regions and the itinerary, duration, season, and type of travel. Risk also varies by travelers’ adherence to mosquito precautions and prophylaxis recommendations. In 2016, 2,078 cases of malaria (including 7 deaths) were diagnosed in the United States and its territories and were reported to the Centers for Disease Control and Prevention (CDC). Of cases for which country of acquisition was known, 85% were acquired in Africa, 9% in Asia, 5% in the Caribbean and the Americas, and 1% in Oceania or the Eastern Mediterranean. Of US residents with malaria who reported a reason for travel, 69% were visiting friends and relatives.

Information about malaria transmission in specific countries is derived from various sources, including WHO (see Sec. 2, Ch. 5, Yellow Fever Vaccine & Malaria Prevention Information, by Country ). The information presented here was accurate at the time of publication; the risk for malaria can change rapidly and from year to year, however, because of changes in local weather conditions, mosquito vector density, and prevalence of infection. See updated information CDC website.

Malaria is characterized by fever and influenza- like symptoms, including chills, headache, myalgias, and malaise; symptoms can occur intermittently. In severe disease, acute kidney injury, acute respiratory distress syndrome, mental confusion, seizures, coma, and death can occur. Malaria symptoms can develop as early as 7 days after being bitten by an infectious mosquito in a malaria-endemic area and as late as several months or more after exposure. Suspected or confirmed malaria, especially P. falciparum , is a medical emergency requiring urgent intervention, because clinical deterioration can occur rapidly and unpredictably. See Box 5-10 for frequently asked clinical questions.

Box 5-10 Frequently asked clinical questions

How do i address concerns about side effects from prophylaxis.

• Prophylaxis can be started earlier if the traveler has concerns about tolerating a particular medication. For example, mefloquine can be started 3–4 weeks in advance to allow potential adverse events to occur before travel. If unacceptable side effects develop, the clinician has time to change the medication before the traveler’s departure.
• The drugs used for antimalarial prophylaxis are generally well tolerated. Side effects can occur, however. Minor side effects usually do not require stopping the drug. Clinicians should determine if symptoms are related to the medicine and make a medication change if needed.

WHAT SHOULD A TRAVELER DO IF THEY MISS A DOSE OF PROPHYLAXIS?

• Compared with drugs with short half-lives, which are taken daily, drugs with longer half-lives, which are taken weekly, offer the advantage of a wider margin of error if the traveler is late with a dose.
• For a weekly drug, prophylactic blood levels can remain adequate if the dose is only 1–2 days late. If this is the case, the traveler can take a dose as soon as possible, then resume weekly doses on the originally scheduled day. If the traveler is >2 days late, blood levels might not be adequate. The traveler should take a dose as soon as possible. The weekly doses should resume at this new day of the week (the next dose is 1 week later, then weekly thereafter).
• For a daily drug, if the traveler is 1–2 days late, protective blood levels are less likely to be maintained. The traveler should take a dose as soon as possible and resume the daily schedule at the new time of day.

WHAT HAPPENS IF TOO HIGH A DOSE OF PROPHYLAXIS IS TAKEN?

• Overdose of antimalarial drugs, particularly chloroquine, can be fatal. Medications should be stored in childproof containers out of reach of infants and children.

ISN’T MALARIA A TREATABLE DISEASE? WHY NOT CARRY A TREATMENT DOSE OF ANTIMALARIALS INSTEAD OF TAKING MALARIA PROPHYLAXIS?

• Malaria could be fatal even when treated, which is why prevention is always preferable to treating infections after they occur.

WHAT SHOULD BE DONE IF FEVER DEVELOPS WHILE TRAVELING IN A MALARIA-ENDEMIC AREA?

• Malaria and other potentially life-threatening infections acquired during travel could be fatal if treatment is delayed. Travelers should promptly seek medical help and continue to take malaria prophylaxis while in the malaria-endemic area.

WHAT SHOULD BE DONE IF A TRAVELER WHO TOOK MALARIA PROPHYLAXIS DEVELOPS FEVER AFTER RETURNING FROM THEIR TRIP?

• Malaria prophylaxis, while highly effective, is not 100% effective. Travelers should be advised to seek medical care immediately if fever develops, report their travel history, get tested for malaria, and get treated promptly if infection is confirmed.
• Malaria smear or a rapid diagnostic test must be performed, and results obtained immediately (within a few hours). These tests should not be sent out to reference laboratories that take days to weeks to return results. Empiric treatment with antimalarial drugs is not recommended because the malaria smear provides critical information for appropriate treatment. If a patient has an illness suggestive of severe malaria and a compatible travel history in an area where malaria transmission occurs, and malaria testing is not immediately available, start treatment as soon as possible, even before the diagnosis is established. See CDC recommendations for malaria treatment .

Travelers with symptoms of malaria should seek medical evaluation as soon as possible, even if still traveling. Consider malaria in any patient with a febrile illness who has recently returned from a malaria-endemic country. Diagnostic assistance is available from state public health laboratories or CDC. The CDC malaria laboratory can assist in speciating malaria by blood smear microscopy, or confirm species by PCR testing. The CDC laboratory also can assess malaria parasites for mutations that confer resistance to medications. Serologic testing , used in certain situations (e.g., case investigations), can also be done by CDC laboratories.

In the United States, malaria is a notifiable disease. Health care providers must report cases of malaria diagnosed via microscopy or PCR in the United States and its territories to local or state health departments. See more information on reporting malaria .

Blood Smear Microscopy

Blood smear microscopy remains the most important method for malaria diagnosis. Microscopy can provide immediate information about the presence of parasites, allow quantification of the density of the infection, and allow determination of the species of the malaria parasite—all of which are necessary for providing the most appropriate treatment. Tests should be performed immediately when ordered by a health care provider, and microscopy results should be available as soon as possible, ≤24 hours of the patient’s presentation. Assistance with speciation of malaria on smears is available from state health departments or CDC.

In resource-limited settings, and particularly in sub-Saharan Africa, overdiagnosis and the rate of false-positive microscopy for malaria can be high; warn travelers that a local diagnosis of malaria could be incorrect. In such cases, acutely ill travelers should seek the best available medical services and continue their prophylaxis regimen until they have a definitive diagnosis.

Rapid Diagnostic Testing

Rapid diagnostic tests (RDTs) for malaria detect antigens derived from malaria parasites. Malaria RDTs are immunochromatographic tests that most often use a dipstick or cassette format and provide results in 2–15 minutes. RDTs offer a useful alternative to microscopy in situations where reliable microscopic diagnosis is not immediately available. Although RDTs can detect malaria antigens within minutes, they have several limitations. RDTs cannot distinguish between all Plasmodium species that affect humans, they might be less sensitive than expert microscopy or PCR for diagnosis, they cannot quantify parasitemia, and an RDT-positive test result might persist for days or weeks after an infection has been treated and cleared. Thus, RDTs are not useful for assessing response to therapy. Furthermore, in some areas, mutations are increasingly being observed in malaria parasites, resulting in an absence of the malaria antigen usually detected by many RDTs, including the only RDT used in the United States. The absence of this parasite antigen in peripheral blood can lead to false-negative RDT test results.

Both positive and negative RDT results must always be confirmed by microscopy. Microscopy confirmation of the RDT result should occur as soon as possible, because the information on the presence, density, and parasite species is critical for optimal management of malaria. The US Food and Drug Administration (FDA) has approved an RDT (the BinaxNOW Malaria test) for hospital and commercial laboratory use; the test is not approved for use by clinicians or patients. Laboratories that do not provide in-house, on-the-spot microscopy services should maintain a stock of malaria RDTs so that they will be able to perform immediate malaria diagnostic testing when needed.

PCR Testing

PCR tests also are available to detect malaria parasites. These tests are more sensitive than routine microscopy, but results are not usually available as quickly as microscopy results, thus limiting the utility of PCR for acute diagnosis and initial clinical management. Use of PCR testing is encouraged to confirm the species of malaria parasite and detect mixed infections.

Malaria can be treated effectively if treatment begins early in the disease; delaying therapy, however, can have serious or even fatal consequences. Specific treatment options depend on the species of malaria, the severity of infection, the likelihood of drug resistance (based on where the infection was acquired), the patient’s age, and whether the patient is pregnant or breastfeeding.

See detailed CDC recommendations for malaria treatment . For assistance with the diagnosis or treatment of malaria, call the CDC Malaria Hotline (770-488-7788 or toll-free at 855-856-4713) from 9 a.m. to 5 p.m. Eastern Time. After hours, on weekends, or on holidays, call the CDC Emergency Operations Center at 770-488-7100 and ask the operator to contact the subject matter expert on call for the Malaria Branch. In addition, consult a clinician specializing in travel or tropical medicine or infectious diseases.

Travelers who decline to take prophylaxis, who choose a suboptimal drug regimen (e.g., chloroquine in an area with chloroquine-resistant P. falciparum ), or who require a less-than-optimal drug regimen for medical reasons are at increased risk for acquiring malaria and then needing prompt treatment while abroad. Medications not used in the United States to treat malaria (e.g., halofantrine, sulfadoxine-pyrimethamine) are widely available abroad. CDC does not recommend halofantrine for treatment because of documented adverse cardiac events, including deaths. These adverse events have occurred in people with and without preexisting cardiac problems, and both in the presence and absence of other antimalarial drugs. Sulfadoxine-pyrimethamine is not recommended because of widespread drug-resistant Plasmodium .

Reliable Supply of Malaria Treatment

Some travelers who take effective prophylaxis but who will be in remote areas might decide, in consultation with their travel health provider, to also carry a reliable supply of a full course of an approved malaria treatment regimen. In the event a traveler carrying a reliable supply is diagnosed with malaria, they will have immediate access to an approved treatment.

CDC recommends that the reliable supply be acquired in the United States, so clinicians can consider the traveler’s other medical conditions or medications when selecting an antimalarial drug and to avoid the possibility of travelers obtaining counterfeit drugs in the local pharmacy or market, or depleting local resources. In rare instances when access to medical care is not available and the traveler develops a febrile illness consistent with malaria, the reliable supply medication can be self-administered presumptively. Advise travelers that self-treatment of a possible malarial infection is only a temporary measure, and that prompt medical evaluation is imperative.

Two malaria treatment regimens available in the United States can be prescribed as a reliable supply for self-treatment: atovaquone-proguanil and artemether-lumefantrine. To treat malaria, CDC recommends against using the same (or related) drug that has been taken for prophylaxis. For example, atovaquone-proguanil can be used as a reliable supply medication by travelers who are not taking atovaquone-proguanil for prophylaxis. See Table 5-26 for dosing recommendations.

Table 5-26 Reliable supply regimens for malaria treatment 1

PEDIATRIC DOSE

ATOVAQUONE-PROGUANIL 2 Adult tablets:

• Atovaquone 250 mg
• Proguanil 100 mg

Pediatric tablets:

• Atovaquone 62.5 mg
• Proguanil 25 mg

4 adult tablets taken orally (as a single daily dose) for 3 consecutive days

Weight-based daily dose taken orally (as a single daily dose) for 3 consecutive days

5–8 kg: 2 pediatric tablets 9–10 kg: 3 pediatric tablets 11–20 kg: 1 adult tablet 21–30 kg: 2 adult tablets 31–40 kg: 3 adult tablets >41 kg: 4 adult tablets

Contraindicated in people with severe renal impairment (creatinine clearance <30 mL/min).

Not recommended for people taking atovaquone-proguanil prophylaxis.

Not recommended for children weighing <5 kg, or people who are pregnant or breastfeeding infants weighing <5 kg.

ARTEMETHER-LUMEFANTRINE 2 One tablet

• Artemether 20 mg
• Lumefantrine 120 mg

ADULT & PEDIATRIC DOSE

Weight-based treatment schedule for both adult and pediatric patients. Patients should take an initial dose, followed by a second dose 8 hours later, then 1 dose twice a day for the next 2 days (total of 6 oral doses over 3 days).

5 kg to <15 kg: 1 tablet per dose 15 kg to <25 kg: 2 tablets per dose 25 kg to <35 kg: 3 tablets per dose ≥35 kg: 4 tablets per dose

Not recommended for people taking mefloquine prophylaxis.

Not recommended for children weighing <5 kg, or people breastfeeding infants weighing <5 kg.

1 A reliable supply is a complete course of an approved malaria treatment regimen obtained in the United States before travel. A reliable supply is not counterfeit or substandard; will not interact adversely with the patient’s other medicines, including malaria chemoprophylaxis; will not deplete local resources in the destination country.

2 If used for presumptive self-treatment, patients should seek medical care as soon as possible.

Malaria prevention consists of a combination of mosquito avoidance measures and chemoprophylaxis. Prevention measures must address all malaria species in the travel area and apply to both short-term and long-term travelers. Although highly efficacious, interventions are not 100% effective, so all febrile persons returning from malaria-endemic areas should be tested for malaria even if they took chemoprophylaxis.

Preventing malaria involves striking a balance between effectiveness and safety: ensuring that all people at risk for infection use the recommended prevention measures, and preventing rare occurrences of adverse effects. Conduct an individual risk assessment for every traveler by collecting a detailed travel itinerary, including countries, specific areas to be visited in those countries (e.g., cities, rural areas, both), types of accommodation, season, and style of travel. Modify the risk assessment depending on traveler characteristics (e.g., pregnancy, underlying health conditions) and malaria characteristics at the destination (e.g., intensity of transmission, local parasite resistance to drugs). Depending on the level of risk, it might be appropriate to recommend no specific interventions, mosquito avoidance measures only, or mosquito avoidance measures plus chemoprophylaxis.

Several factors increase a traveler’s risk for malaria. Travel, even for short periods of time, to areas with intense malaria transmission can result in infection. Malaria transmission is not distributed homogeneously throughout a country, so review the exact itinerary to determine if travel will occur in highly endemic areas. In countries where malaria is seasonal, travel during peak transmission season also increases risk. Travelers going to rural areas or staying in accommodations without screens or air conditioning also will be at greater risk. The greatest risk for malaria is associated with first- and second-generation immigrants living in nonendemic countries who return to their countries of origin to visit friends and relatives (VFRs). VFR travelers might perceive themselves to be at no risk because they grew up in a malaria-endemic country and consider themselves immune to the disease. Tolerance acquired through continuous exposure to malaria is quickly lost, however; consider VFRs to have the same risk as other nonimmune travelers (see Sec. 9, Ch. 9, Visiting Friends & Relatives: VFR Travel ). Also remind travelers that they could become infected even if they had malaria before, and they still need to take preventive measures.

Mosquito Avoidance Measures

Because of the nocturnal feeding habits of Anopheles mosquitoes, malaria transmission occurs primarily between dusk and dawn. Travelers can reduce contact with mosquitoes by remaining in enclosed air-conditioned rooms or well-screened areas, sleeping under mosquito nets (preferably insecticide-treated), using an effective insecticide spray or mosquito coils in living and sleeping areas during evening and nighttime hours, and wearing clothes that cover most of the body.

All travelers should use an effective mosquito repellent, such as those that contain DEET (see Sec. 4, Ch. 6, Mosquitoes, Ticks & Other Arthropods ). Repellents should be applied to exposed parts of the skin. If travelers are also wearing sunscreen, they should apply sunscreen first and insect repellent second. In addition to using a topical insect repellent, a permethrin-containing product can be applied to mosquito nets and clothing for additional protection against mosquitoes. Mosquito repellant–impregnated clothing also is available.

Chemoprophylaxis

Choosing a drug to prevent malaria.

All recommended primary prophylaxis regimens involve taking a medicine before, during, and after travel to an area with malaria. Beginning the drug before travel allows the antimalarial agent to be in the blood before the traveler is exposed to malaria parasites. In choosing a prophylaxis regimen before travel, the traveler and the travel health provider should consider several factors, including the presence of antimalarial drug resistance in the area of travel, length of travel, the patient’s other medical conditions, allergy history, other medications prescribed or already being taken (to assess possible drug interactions), potential side effects, and the cost of the antimalarial. Long-term travelers, defined as people who travel for ≥6 months, have additional considerations (see Box 5-11 ). Table 5-27 lists some of the benefits and limitations of medicines used for malaria prophylaxis; see additional information about choosing a malaria prophylaxis regimen .

Recommendations for drugs to prevent malaria by country of travel can be found in Sec. 2, Ch. 5, Yellow Fever Vaccine & Malaria Prevention Information, by Country . Recommended drugs for each country are listed in alphabetical order and have comparable efficacy in that country. When >1 drug is recommended,  Table 5-27  can help with the decision-making process. No antimalarial drug is 100% protective; therefore, travelers must combine prophylaxis with mosquito avoidance and personal protective measures (e.g., insect repellent, long sleeves, long pants, sleeping in a mosquito-free setting, using an insecticide-treated mosquito net).

Table 5-27 Malaria chemoprophylaxis: prescribing considerations

REASONS TO CONSIDER USING THIS DRUG

REASONS TO CONSIDER AVOIDING THIS DRUG

ATOVAQUONE-PROGUANIL

Good for last-minute travelers because the drug is started 1–2 days before travel.

Some people prefer to take a daily medicine.

Good choice for shorter trips because the traveler takes the medicine for only 7 days after leaving malaria-endemic area, rather than for 4 weeks.

Well tolerated and side effects uncommon.

Pediatric tablets are available and might be more convenient.

Cannot be used by people who are pregnant or who are breastfeeding a child that weighs <5 kg.

Cannot be taken by people with severe renal impairment.

Tends to be more expensive than some of the other options, especially for long trips.

Some people (including children) would rather not take medicine every day.

CHLOROQUINE

Some people would rather take medicine weekly.

Good choice for long trips because it is taken only weekly.

Some people are already taking hydroxychloroquine chronically for rheumatologic conditions; in those instances, they might not have to take an additional medicine.

Can be used in all trimesters of pregnancy.

Cannot be used in areas with chloroquine or mefloquine resistance.

Can exacerbate psoriasis.

Some people would rather not take a weekly medication.

For short trips, some people would rather not take medication for another 4 weeks after leaving malaria-endemic areas.

Not a good choice for last-minute travelers, because drug needs to be started 1–2 weeks before travel.

DOXYCYCLINE

Tends to be the least expensive antimalarial drug.

People already taking doxycycline chronically to prevent acne do not have to take an additional medicine.

Doxycycline also can prevent other infections (e.g., rickettsial infections, leptospirosis); thus, might be preferred by people planning to camp, hike, and swim in fresh water where risk is high

Cannot be used by people who are pregnant or who are breastfeeding a child, or by children aged <8 years.

Some people would rather not take medicine every day.

People prone to getting vaginal yeast infections when taking antibiotics might prefer taking a different medicine.

People might want to avoid the increased risk of sun sensitivity.

Some people are concerned about the potential of getting an upset stomach from doxycycline.

Can be used in all trimesters of pregnancy and during breastfeeding.

Cannot be used in areas with mefloquine-resistant Plasmodium spp.

Cannot be used in patients with certain psychiatric conditions; some travelers without psychiatric conditions would prefer not taking a medication with known neuropsychiatric side effects.

Cannot be used in patients with a seizure disorder.

Not recommended for people with cardiac conduction abnormalities.

Not a good choice for last-minute travelers because drug needs to be started ≥2 weeks before travel.

One of the most effective drugs for prevention of P. vivax; thus, a good choice for travel to places with >90% P. vivax .

Good choice for shorter trips because the traveler takes the medicine for 7 days after leaving a malaria-endemic area, rather than for 4 weeks.

Cannot be used in patients with G6PD deficiency.

Cannot be used in patients who have not been tested for G6PD deficiency.

Costs and delays associated with getting a quantitative G6PD test might prohibit testing; however, the test only has to be done once. After a normal G6PD level is verified and documented, the test does not have to be repeated the next time primaquine or tafenoquine is considered.

Cannot be used by people who are pregnant.

Cannot be used by people who are breastfeeding unless the infant has also been tested for G6PD deficiency.

Some people are concerned about the potential of getting an upset stomach from primaquine.

TAFENOQUINE

One of the most effective drugs for prevention of P. vivax malaria but also prevents P. falciparum .

Good choice for shorter trips because the traveler takes the medicine once, 1 week after leaving malaria-endemic area, rather than for 4 weeks.

Good for last-minute travelers because the drug is started 3 days before travel.

Cannot be used in people with G6PD deficiency.

Costs and delays associated with getting a quantitative G6PD test might prohibit testing; however, the test only has to be done once. After a normal G6PD level is verified and documented, the test does not have to be repeated the next time tafenoquine or primaquine is considered.

Cannot be used by children.

Not recommended for patients with psychotic disorders.

Abbreviations: G6PD, glucose-6-phosphate-dehydrogenase

Box 5-11 Malaria prevention & prophylaxis considerations for the long-term traveler (travel >6 months)

Considerations.

• Malaria prevention measures are the same for both short- and long-term travelers.
• Longer stays mean longer duration of exposure and increased risk of acquiring malaria.
• Travelers’ attention to mosquito avoidance can wane over time.
• Travelers might not adhere to a lengthy course of malaria prophylaxis due to forgetfulness, fear of side effects, and the possible declining sense of risk and need over time.
• Travelers might move between highly endemic or low endemic areas within a country or region.
• Travelers might have a decreased sense of risk and concern about malaria after engaging in local conversations and lore, particularly regarding malaria immunity over time.
• Travelers who become ill with malaria in countries with limited access and quality of health care might not receive appropriate or effective treatment.

ADDITIONAL ADVICE FOR LONG-TERM TRAVELERS

• Travelers should not count on being able to obtain safe, reliable malaria prophylaxis medication abroad; strongly advise that before leaving the United States they purchase enough medication to last them for the entire duration of their travel to malaria-endemic areas.
• Emphasize continued adherence to and safety of malaria prophylaxis drugs.
• Develop a plan for seeking immediate care when ill with fever, including where to get promptly tested and treated for malaria.
• Advise travelers to purchase travel insurance, including contingencies for medical evacuation.
• Consider having a reliable supply of a treatment dose of antimalarial drugs available in case malaria is diagnosed while traveling.

Medications Used for Prophylaxis

Atovaquone-proguanil.

Atovaquone-proguanil (Malarone) is a fixed combination of the drugs atovaquone and proguanil. Prophylaxis should begin 1–2 days before travel to malaria-endemic areas; the medication should then be taken daily, at the same time each day, while in the malaria-endemic areas, and daily for 7 days after leaving the endemic areas (see Table 5-28 for recommended dosages). Atovaquone-proguanil is well tolerated, and side effects are rare. The most common adverse effects reported in people using atovaquone-proguanil for prophylaxis or treatment are abdominal pain, nausea, vomiting, and headache.

Atovaquone-proguanil is not recommended for prophylaxis in children weighing <5 kg (11 lb), pregnant people, people breastfeeding infants <5 kg, or patients with severe renal impairment (creatinine clearance <30 mL/min). Proguanil can increase the effect of warfarin, so travelers might need international normalized ratio monitoring or adjustment of warfarin dosage. No data are available, however, regarding the clinical impact of taking atovaquone-proguanil and warfarin at the same time.

Table 5-28 Malaria chemoprophylaxis: dosing information

INDICATIONS

DOSING / CONTRAINDICATIONS / PRECAUTIONS

Prophylaxis in all malaria-endemic areas

Adult tablets:

1 adult tablet taken orally, 1×/day

Weight-based daily dosing schedule (taken orally, 1×/day) 5 kg to <8 kg: 1/2 pediatric tablet 8 kg to <10 kg: 3/4 pediatric tablet 10 kg to <20 kg: 1 pediatric tablet 20 kg to <30 kg: 2 pediatric tablets 30 kg to <40 kg: 3 pediatric tablets ≥40 kg: 1 adult tablet

Begin taking 1–2 days before travel to malaria-endemic areas.

Take 1×/day, at the same time each day, while in malaria-endemic areas. Continue taking 1×/day for an additional 7 days after leaving endemic areas.

Take with food or a milky drink.

A pharmacist might need to prepare and dispense partial tablet doses in individual capsules, as described in the text.

Prophylaxis only in areas with chloroquine-sensitive malaria

300 mg base (500 mg salt) taken orally, once a week

5 mg/kg base (8.3 mg/kg salt), up to a maximum dose of 300 mg base (500 mg salt), taken orally, 1×/week

Begin taking 1–2 weeks before travel to malaria-endemic areas.

Take 1×/week, on the same day each week, while in malaria-endemic areas.

Continue taking 1×/week for another 4 weeks after leaving endemic areas.

100 mg taken orally, 1×/day

≥8 years of age: 2.2 mg/kg, up to a maximum dose of 100 mg, taken orally, 1×/day

Take 1×/day, at the same time each day, while in malaria-endemic areas. Continue taking 1×/day for another 4 weeks after leaving endemic areas.

Contraindicated in children aged <8 years and in people who are pregnant.

HYDROXY-CHLOROQUINE

An alternative to chloroquine for prophylaxis only in areas with chloroquine-sensitive malaria

310 mg base (400 mg salt) taken orally, 1×/week

5 mg/kg base (6.5 mg/kg salt), up to a maximum dose of 310 mg base (400 mg salt), taken orally, 1×/week

Prophylaxis in areas with mefloquine-sensitive malaria

228 mg base (250 mg salt) taken orally, 1×/week

Weight-based weekly dosing schedule (taken orally, 1×/week) ≤9 kg: 4.6 mg/kg base (5 mg/kg salt) >9–19 kg: 1/4 tablet >19–30 kg: 1/2 tablet >30–45 kg: 3/4 tablet >45 kg: 1 tablet

Begin taking ≥2 weeks before travel to malaria-endemic areas.

Contraindicated in people allergic to mefloquine or related compounds (quinidine, quinine) and in people with active depression, a recent history of depression, generalized anxiety disorder, psychosis, schizophrenia, other major psychiatric disorders, or seizures.

Use with caution in people with psychiatric disturbances or a previous history of depression.

PRIMAQUINE 1

Prophylaxis for short-duration travel to areas with principally P. vivax . Terminal prophylaxis (presumptive antirelapse therapy) to decrease the risk for relapses of P. vivax and P. ovale .

30 mg base (52.6 mg salt) taken orally, 1×/day. Same dose used for both primary and terminal prophylaxis; duration of therapy differs.

0.5 mg/kg base (0.8 mg/kg salt), up to maximum dose of 30 mg base (52.6 mg salt), taken orally, 1×/day Same dose for used both primary and terminal prophylaxis; duration of therapy differs.

Terminal prophylaxis indicated for people with prolonged exposure to P. ovale , P. vivax , or both. Take daily for 14 days after departure from the malaria-endemic area.

Contraindicated in people with G6PD deficiency.

Also contraindicated during pregnancy and breastfeeding unless the breastfed infant has a documented normal G6PD level.

TAFENOQUINE 1

200 mg orally

Not indicated for use in children

Begin taking 3 days before travel to malaria-endemic areas. Take 1×/week, on the same day each week, while in malaria-endemic areas. Take 1 additional dose 1 week after leaving endemic areas. Contraindicated in people with G6PD deficiency. Also contraindicated during pregnancy and breastfeeding unless the breastfed infant has a documented normal G6PD level.

1 Before prescribing primaquine or tafenoquine to any patient, document a normal G6PD level using a quantitative test.

Chloroquine & Hydroxychloroquine

Chloroquine phosphate or hydroxychloroquine sulfate (Plaquenil) can be used to prevent malaria only in destinations where chloroquine-resistant Plasmodium spp. are not active (see Sec. 2, Ch. 5, Yellow Fever Vaccine & Malaria Prevention Information, by Country ). Prophylaxis should begin 1–2 weeks before travel to malaria-endemic areas. Travelers should continue taking the drug once a week, on the same day of the week, during travel in malaria-endemic areas, and for 4 weeks after they leave endemic areas (see  Table 5-28  for recommended dosages).

Reported side effects of chloroquine and hydroxychloroquine include blurred vision, dizziness, gastrointestinal disturbance, headache, insomnia, and pruritus, but generally, these effects do not require travelers to discontinue the drug. High doses of chloroquine (e.g., those used to treat rheumatoid arthritis) have been associated with retinopathy; this serious side effect appears to be extremely unlikely when chloroquine is used for routine weekly malaria prophylaxis. Chloroquine and related compounds reportedly can exacerbate psoriasis. People who experience uncomfortable side effects after taking chloroquine might tolerate the drug better by taking it with meals. As an alternative, a traveler experiencing side effects might better tolerate the related compound, hydroxychloroquine sulfate.

Doxycycline

Doxycycline prophylaxis should begin 1–2 days before travel to malaria-endemic areas. Doxycycline should then be taken once a day, at the same time each day, during travel in malaria-endemic areas and daily for 4 weeks after the traveler leaves endemic areas. Insufficient data exist on the antimalarial prophylactic efficacy of related compounds (e.g., minocycline, commonly prescribed for the treatment of acne). People on a long-term regimen of minocycline who need malaria prophylaxis should stop taking minocycline 1–2 days before travel and start doxycycline instead. Minocycline can be restarted after the full course of doxycycline is completed (see  Table 5-28  for recommended dosages).

Doxycycline can cause photosensitivity, usually manifested as an exaggerated sunburn reaction. The risk for such a reaction can be minimized by avoiding prolonged, direct exposure to the sun and by using sunscreen (see Sec. 4, Ch. 1, Sun Exposure ). In addition, doxycycline use is associated with an increased frequency of vaginal yeast infections.

Gastrointestinal side effects (nausea, vomiting) can be minimized by taking the drug with a meal or by specifically prescribing doxycycline monohydrate or the enteric-coated doxycycline hyclate, rather than the generic doxycycline hyclate, which is often less expensive. To reduce the risk for esophagitis, advise travelers to swallow the medicine with sufficient fluids and to avoid taking doxycycline shortly before going to bed.

Doxycycline is contraindicated in people with an allergy to tetracyclines, in pregnant people, and in infants and children aged <8 years. Vaccination with the oral typhoid vaccine Ty21a should be completed ≥24 hours before taking a dose of doxycycline.

Mefloquine prophylaxis should begin ≥2 weeks before travel to malaria-endemic areas. Travelers should continue taking the drug weekly, on the same day each week, during travel in malaria-endemic areas and for 4 weeks after leaving endemic areas (see Table 5-28 for recommended dosages).

At prophylactic doses, mefloquine has been associated with rare but serious adverse reactions (e.g., psychosis, seizures); these reactions are more frequent with the higher doses used for treatment. Other side effects reported in prophylaxis studies include abnormal dreams, anxiety disorder, depression, dizziness, gastrointestinal disturbance, headache, insomnia, and visual disturbances. Other neuropsychiatric disorders occasionally reported include aggressive behavior, agitation or restlessness, confusion, encephalopathy, forgetfulness, hallucinations, mood changes, panic attacks, paranoia, and sensory and motor neuropathies (e.g., ataxia, paresthesia, tremors). On occasion, psychiatric symptoms have been reported to continue long after mefloquine has been stopped. FDA also includes a boxed warning about rare reports of persistent dizziness after mefloquine use.

Mefloquine is contraindicated for travelers with a known hypersensitivity to the drug or related compounds (e.g., quinidine, quinine) and in people with active depression, a recent history of depression, generalized anxiety disorder, psychosis, schizophrenia and other major psychiatric disorders, or seizures. Mefloquine should be avoided in people with psychiatric disturbances or a history of depression.

A review of available data suggests that mefloquine can be used safely in people concurrently taking beta-blockers if they have no underlying arrhythmia. Mefloquine is not recommended for people with cardiac conduction abnormalities, however. Any traveler receiving a prescription for mefloquine must also receive a copy of the FDA medication guide  [PDF].

Primaquine can cause potentially life-threatening hemolysis in people with glucose-6-phosphate-dehydrogenase (G6PD) deficiency. Rule out G6PD deficiency with a quantitative laboratory test before prescribing primaquine to patients.

Primaquine phosphate has 2 distinct uses for malaria prevention in people with normal G6PD levels: primary prophylaxis in areas with primarily P. vivax , and terminal prophylaxis for travelers who have had prolonged exposure in malaria-endemic areas. Among people with normal G6PD levels taking primaquine, the most common adverse event is gastrointestinal upset; this occurs most commonly if the drug is taken on an empty stomach, and can be minimized or eliminated if it is taken with food.

Primary Prophylaxis

When taken for primary prophylaxis, primaquine should be taken 1–2 days before travel to malaria-endemic areas, daily (at the same time each day) while in the malaria-endemic area, and daily for 7 days after leaving the area (see Table 5-28 for recommended dosages).

Terminal Prophylaxis

In addition to primary prophylaxis, terminal prophylaxis (also known as presumptive antirelapse therapy) generally is indicated for long-term travelers (e.g., military personnel, missionaries, Peace Corps volunteers) with prolonged exposure to P. ovale or P. vivax malaria. Terminal prophylaxis involves taking primaquine toward the end of the exposure period (or immediately thereafter) for the presumptive purpose of eliminating hypnozoites (dormant liver stages) of P. ovale or P. vivax , thereby preventing relapses or delayed-onset clinical presentations of malaria. Because most malaria-endemic areas of the world (except the Caribbean) have ≥1 species of relapsing malaria, travelers to these areas have some risk for acquiring either P. ovale or P. vivax , although the actual risk for an individual traveler is difficult to define.

When indicated, travelers should take primaquine for 14 days after leaving a malaria-endemic area, concurrently with their primary prophylaxis medication. If chloroquine, doxycycline, or mefloquine are used for primary prophylaxis, prescribe primaquine for travelers to take during the last 2 weeks of postexposure prophylaxis. When atovaquone-proguanil is used for primary prophylaxis, travelers can take primaquine during the final 7 days of atovaquone-proguanil, and then for an additional 7 days. If concurrent administration of primary and terminal prophylaxis is not feasible, instruct travelers to take primaquine after completing their primary prophylaxis medication. Primary prophylaxis with primaquine or with tafenoquine (see the following section) obviates the need for terminal prophylaxis.

Tafenoquine

Tafenoquine can cause potentially life-threatening hemolysis in people with G6PD deficiency. Rule out G6PD deficiency with a quantitative laboratory test before prescribing tafenoquine to patients.

Tafenoquine (Arakoda 100 mg tablets) can be used to prevent malaria in adults (see  Table 5-28  for recommended dosages). Travelers should take a daily loading dose of tafenoquine for 3 days before leaving for a malaria-endemic area; starting 7 days after the loading dose is complete, they should take a weekly maintenance dose while in the malaria-endemic area; then take a final dose in the week after leaving the malaria-endemic area. Doses should be taken on the same day each week.

Tafenoquine is contraindicated in pregnant people and during breastfeeding. Avoid prescribing tafenoquine for people with a history of psychotic disorder; rare psychiatric adverse events have been observed in people with a history of psychotic disorder using higher doses of tafenoquine. The most common adverse events reported with use of tafenoquine are dizziness, gastrointestinal disturbances, headache, and clinically insignificant decreases in hemoglobin. Tafenoquine should be taken with food.

As of 2020, CDC no longer recommends tafenoquine for terminal prophylaxis of P. ovale or P. vivax malaria.

Prophylaxis for Infants, Children & Adolescents

All children traveling to malaria-endemic areas should use recommended prevention measures, which often include taking an antimalarial drug. In the United States, antimalarial drugs are not available in liquid formulation and can taste bitter. Calculate pediatric doses carefully according to the patient’s body weight, but never exceed the adult dose. Pharmacists can pulverize tablets and prepare gelatin capsules for each measured dose. If a child is unable to swallow capsules or tablets, parents should prepare the child’s medication dose by breaking open the gelatin capsule or crushing the pill and mixing the drug with a small amount of something sweet (e.g., condensed milk, chocolate syrup, chocolate spread) to ensure the entire dose is delivered to the child. Giving the dose on a full stomach can minimize stomach upset and vomiting.

Atovaquone-proguanil can be used as prophylaxis for infants and children weighing ≥5 kg (11 lb); prophylactic dosing for children weighing <11 kg (24 lb) constitutes off-label use in the United States. Chloroquine and mefloquine are options for infants and children of all ages and weights, depending on drug resistance at the destination. Doxycycline can be used for children aged ≥8 years. Primaquine can be used for children who are not G6PD-deficient and who are traveling to areas with principally P. vivax. Pediatric dosing regimens are included in Table 5-28 .

Prophylaxis During Pregnancy

Malaria infection can be more severe in pregnant than in nonpregnant people. Malaria increases the risk for adverse pregnancy outcomes, including premature birth, spontaneous abortion, and stillbirth; thus, because no prophylaxis regimen is completely effective, advise people who are pregnant or likely to become pregnant to avoid travel to areas with malaria transmission if possible (see Sec. 7, Ch. 1, Pregnant Travelers ). If travel to a malaria-endemic area cannot be deferred, an effective prophylaxis regimen and mosquito avoidance measures are essential.

Pregnant people traveling to areas where chloroquine-resistant P. falciparum has not been reported can take chloroquine prophylaxis. Chloroquine has not been found to have harmful effects on the fetus when used in the recommended doses for malaria prophylaxis; therefore, pregnancy is not a contraindication for malaria prophylaxis with chloroquine or hydroxychloroquine.

For travel to areas with known chloroquine-resistant Plasmodium , mefloquine is the only medication recommended for malaria prophylaxis during pregnancy. Studies of mefloquine use during pregnancy have found no indication of adverse effects on the fetus.

Atovaquone-proguanil is not recommended for use during pregnancy because of limited availability of data on its safety, and because other options are available. If other antimalarial drug options are not feasible, however, clinicians and patients should weigh the options, risks, and benefits of using atovaquone-proguanil to make the best decision for the patient. Doxycycline is contraindicated for malaria prophylaxis during pregnancy because of the risk for adverse effects seen with tetracycline, a related drug, on the fetus. These adverse effects include discoloration and dysplasia of the teeth and inhibition of bone growth. Neither primaquine nor tafenoquine should be used during pregnancy; both drugs can be passed transplacentally to a G6PD-deficient fetus and cause hemolytic anemia in utero.

People planning to become pregnant can use the same medications recommended for use during pregnancy (chloroquine or mefloquine, depending on the area of travel). CDC does not make recommendations about delaying pregnancy after the use of malaria prophylaxis medicines. If the traveler or their health care provider wishes to decrease the amount of antimalarial drug in the body before conception, however, Table 5-29 provides information on the half-lives of the recommended malaria prophylaxis medicines. After 2 half-lives, ≈25% of the drug remains in the body, ≈6% remains after 4 half-lives, and ≈2% remains after 6 half-lives.

Table 5-29 Malaria chemoprophylaxis: half-lives

Prophylaxis during breastfeeding.

The quantities of antimalarial drugs excreted in the breast milk of lactating people are insufficient to provide adequate protection to nursing infants. Therefore, infants who require prophylaxis should receive the recommended dosages of antimalarial drugs listed in Table 5-28 . Because chloroquine and mefloquine can be prescribed safely to infants, infants also can be safely exposed to the small amounts excreted in breast milk. Data about the use of doxycycline in lactating people are very limited; most experts, however, consider the theoretical possibility of adverse events to the infant to be remote.

Although no information is available on the amount of primaquine or tafenoquine that enters human breast milk, test both the person breastfeeding and the infant for G6PD deficiency before initiating chemoprophylaxis with either one of these drugs. Because data are not yet available on the safety of atovaquone-proguanil prophylaxis in infants weighing <5 kg (11 lb), CDC does not recommend this drug to prevent malaria in people who are breastfeeding infants weighing <5 kg. Atovaquone-proguanil can, however, be used to treat people who are breastfeeding infants of any weight when the potential benefit outweighs the potential risk to the infant (e.g., treating a breastfeeding person who has acquired P. falciparum malaria in an area of multidrug-resistant strains and who cannot tolerate other treatment options).

Travel to Areas with Chloroquine-Resistant Malaria

Chloroquine-resistant P. falciparum is found in all parts of the world except the Caribbean and countries west of the Panama Canal. Although chloroquine-resistant P. falciparum predominates in Africa, it is found in combination with chloroquine-sensitive P. vivax malaria in South America and Asia. Chloroquine-resistant P. vivax has been confirmed only in Papua New Guinea and Indonesia. For destinations with known chloroquine-resistant Plasmodium spp., in addition to mosquito avoidance measures, prescribe atovaquone-proguanil, doxycycline, mefloquine, or tafenoquine as prophylaxis.

Travel to Areas with Chloroquine-Sensitive Malaria

Areas with chloroquine-sensitive Plasmodium spp. include many Latin American countries where malaria predominantly is caused by P. vivax . Chloroquine-sensitive P. falciparum is present in the Caribbean and Central American countries west of the Panama Canal. For destinations with known chloroquine-sensitive Plasmodium spp., in addition to mosquito avoidance measures, the many effective prophylaxis options include chloroquine, atovaquone-proguanil, doxycycline, mefloquine, and tafenoquine. In countries where P. vivax predominates, primaquine is also an option.

Travel to Areas With Mefloquine-Resistant Malaria

Mefloquine-resistant P. falciparum has been confirmed in Southeast Asia on the borders of Thailand with Burma (Myanmar) and Cambodia, in the western provinces of Cambodia, in the eastern states of Burma on the border between Burma and China, along the borders of Burma and Laos, and in southern Vietnam. For destinations with known mefloquine-resistant Plasmodium spp., in addition to mosquito avoidance measures, prophylaxis options are atovaquone-proguanil, doxycycline, and tafenoquine.

Travel to Areas With Limited Malaria Transmission

For destinations where malaria cases occur sporadically and risk for infection to travelers is considered low, CDC recommends that travelers use mosquito avoidance measures only, and no chemoprophylaxis (see Sec. 2, Ch. 5, Yellow Fever Vaccine & Malaria Prevention Information, by Country ).

Changing Medications as a Result of Side Effects During Prophylaxis

Medications recommended for malaria prophylaxis have different modes of action that affect the parasites at different stages of the life cycle. Thus, if the medication needs to be changed because of side effects before a full course has been completed, some special considerations exist (see Table 5-30 ).

Table 5-30 Malaria chemoprophylaxis: changing medications due to side effects

Obtaining medications overseas.

Medications recommended for malaria prophylaxis might be available at overseas destinations. Combinations of these medications and additional drugs that are not recommended might be commonly prescribed and used in other countries, however. Strongly discourage travelers from obtaining prophylaxis medications while abroad. The quality of these products is not known; products might be produced under substandard manufacturing practices, be counterfeit, contain contaminants, not be protective, or be dangerous. Additional information on medications obtained while traveling can be found in Sec. 6, Ch. 3, . . . perspectives: Avoiding Poorly Regulated Medicines & Medical Products During Travel , and on the FDA website .

Blood Donation After Travel to Malaria-Endemic Areas

People who have been in an area where malaria transmission occurs should defer donating blood after returning from the malaria-endemic area to prevent transmission of malaria through blood transfusion (see Table 5-31 ).

Risk assessments can differ between travel health providers and blood banks. A travel health provider advising a traveler going to a country with relatively low malaria transmission for a short period of time and engaging in low-risk behaviors might suggest the traveler use only mosquito bite precautions and no prophylaxis. Upon the traveler’s return, however, a blood bank might still choose to defer blood donations from that traveler for 1 year because of travel to an area where transmission occurs.

Table 5-31 US Food and Drug Administration recommendations for deferring blood donation in people returning from malaria-endemic areas

CDC website: Malaria

The following authors contributed to the previous version of this chapter: Kathrine R. Tan, Paul M. Arguin

Bibliography

Andrejko KL, Mayer RC, Kovacs S, Slutsker E, Bartlett E, Tan KR, Gutman JR. The safety of atovaquone-proguanil for the prevention and treatment of malaria in pregnancy: a systematic review. Travel Med Infect Dis. 2019;27:20–6.

Angelo KM, Libman M, Caumes E, Hamer DH, Kain KC, Leder K, et al. Malaria after international travel: a GeoSentinel analysis, 2003–2016. Malar J. 2017;16(1):293.

Boggild AK, Parise ME, Lewis LS, Kain KC. Atovaquone-proguanil: report from the CDC expert meeting on malaria chemoprophylaxis (II). Am J Trop Med Hyg. 2007;76(2):208–23.

Davlantes EA, Tan KR, Arguin PM. Quantifying malaria risk in travelers: a quixotic pursuit. J Travel Med. 2017;24(6):tax066. Hill DR, Baird JK, Parise ME, Lewis LS, Ryan ET, Magill AJ. Primaquine: report from CDC expert meeting on malaria chemoprophylaxis I. Am J Trop Med Hyg. 2006;75(3):402–15.

Hwang J, Cullen KA, Kachur SP, Arguin PM, Baird JK. Severe morbidity and mortality risk from malaria in the United States, 1985–2011. Open Forum Infect Dis. 2014;1(1):ofu034.

Lupi E, Hatz C, Schlagenhauf P. The efficacy of repellents against Aedes , Anopheles, Culex and Ixodes spp.—a literature review. Travel Med Infect Dis. 2013;11(6):374–411.

Mace KE, Arguin PM, Lucchi NW, Tan KR. Malaria surveillance—United States, 2016. MMWR Surveill Summ 2019;68(SS-5):1–35.

Novitt-Moreno A, Ransom J, Dow, G, Smith B, Read LT, Toovey S. Tafenoquine for malaria prophylaxis in adults: an integrated safety analysis. Travel Med Infect Dis. 2017;17:19–27.

Tan KR, Magill AJ, Parise ME, Arguin PM. Doxycycline for malaria chemoprophylaxis and treatment: report from the CDC expert meeting on malaria chemoprophylaxis. Am J Trop Med Hyg. 2011;84(4):517–31.

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The WestJet Group begins flight cancellations in anticipation of WestJet Aircraft Maintenance Engineers and other Tech Ops employees' strike

As the WestJet Group prepares for labour action by WestJet Aircraft Maintenance Engineers and other Tech Ops employees, the airline has started cancelling and consolidating flights, in order to park aircraft in a safe and organized manner. This action enables proactive communication with guests and crew to minimize the potential for being stranded and ensures the airline can avoid abandoning aircraft in remote locations. 

The decision to cancel flights comes as the WestJet Group awaits a response on behalf of the Canadian Industrial Relations Board (CIRB) to intervene under the Canada Labour Code. If accepted, this action would refer both WestJet and AMFA to arbitration for a first collective agreement and prevent labour action by either party. 

“We are immensely disheartened that we are in a position where we must activate our contingency plan and begin parking aircraft, as a result of the strike notice served by AMFA. We deeply regret the disruption this will have on the travel plans of our guests, communities and businesses that rely on our critical air service,” said Diederik Pen, President of WestJet Airlines and Group Chief Operating Officer. “Following the memberships’ nearly unanimous decision to reject a generous tentative agreement that would have made our Aircraft Maintenance Engineers the highest paid in the country, with a take-home pay increase of 30 to 40 per cent in the first year of the proposed agreement, it is clear that the bargaining process has broken down.”  

In the coming 48-hours the WestJet Group will work to park aircraft, in a measured, phased and safe approach, resulting in the following cancellations. 

Total cancellation summary

Tuesday, June 18 – Wednesday, June 19: 

~40 cancellations

Guest impact*

~6,500 guests impacted 

*WestJet is making every effort to reaccommodate all impacted guests

“We will continue to manage our operations to the highest degree of safety and will never compromise in this area,” concluded Pen. 

Guests travelling are advised to check the status of their flight prior to leaving for the airport. Please visit WestJet’s Guest Updates page for more information regarding flight status, travel changes and more. 

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