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Posts for tag: repellents

By contactus@priority-pediatrics.com
May 14, 2019
Category: Prevention
Tags: repellents   ticks   insects   bugs   mosquitos   camping   outdoors.  

Choosing an Insect Repellent for Your Child

 

Mosquitoes, biting flies, and tick bites can make children miserable. While most children have only mild reactions to insect bites, some children can become very sick.

One way to protect your child from biting insects is to use insect repellents. However, it’s important that insect repellents are used safely and correctly.

Read on for more information from the American Academy of Pediatrics (AAP) about types of repellents, DEET, using repellents safely, and other ways to protect your child from insect bites.

Types of Repellents

Insect repellents come in many forms, including aerosols, sprays, liquids, creams, and sticks. Some are made from chemicals and some have natural ingredients.

Insect repellents prevent bites from biting insects but not stinging insects. Biting insects include mosquitoes, ticks, fleas, chiggers, and biting flies. Stinging insects include bee​s, hornets, and wasps.​​Available Insect Repellents - Chart

NOTE: The following types of products are not effective repellents:

  • Wristbands soaked in chemical repellents

  • Garlic or vitamin B1 taken by mouth

  • Ultrasonic devices that give off sound waves designed to keep insects away

  • Bird or bat houses

  • Backyard bug zappers (Insects may actually be attracted to your yard). ​

About DEET

DEET is a chemical used in insect repellents. The amount of DEET in insect repellents varies from product to product, so it’s important to read the label of any product you use. The amount of DEET may range from less than 10% to more than 30%. DEET greater than 30% doesn’t offer any additional protection.

Studies show that products with higher amounts of DEET protect people longer. For example, products with amounts around 10% may repel pests for about 2 hours, while products with amounts of about 24% last an average of 5 hours. But studies also show that products with amounts of DEET greater than 30% don’t offer any extra protection.

The AAP recommends that repellents should contain no more than 30% DEET when used on children. Insect repellents also are not recommended for children younger th​an 2 months.

Tips for Using Repellents Safely

Dos:

  • Read the label and follow all directions and precautions.

  • Only apply insect repellents on the outside of your child’s clothing and on exposed skin. Note: Permethrin-containing products should not be applied to skin.

  • Spray repellents in open areas to avoid breathing them in.

  • Use just enough repellent to cover your child’s clothing and exposed skin. Using more doesn’t make the repellent more effective. Avoid reapplying unless needed.

  • Help apply insect repellent on young children. Supervise older children when using these products.

  • Wash your children’s skin with soap and water to remove any repellent when they return indoors, and wash their clothing before they wear it again.

Dont's:

  • Never apply insect repellent to children younger than 2 months.

  • Never spray insect repellent directly onto your child’s face. Instead, spray a little on your hands first and then rub it on your child’s face. Avoid the eyes and mouth.

  • Do not spray insect repellent on cu​ts, wounds, or irritated skin.

  • Do not use products that combine DEET with sunscreen. The DEET may make the sun protection factor (SPF) less effective. These products can overexpose your child to DEET because the sunscreen needs to be reapplied often. 

Reactions to Insect Repellents

If you suspect that your child is having a reaction, such as a rash, to an insect repellent, stop using the product and wash your child’s skin with soap and water. Then call Poison Help at 1-800-222-1222 or your child’s doctor for help. If you go to your child’s doctor’s office, take the repellent container with you.

 

Other Ways to Protect Your Child from Insect Bites

While you can’t prevent all insect bites, you can reduce the number your child receives by following these guidelines:

  • Tell your child to avoid areas that attract flying insects, such as garbage cans, stagnant pools of water, and flowerbeds or orchards.

  • Dress your child in long pants, a lightweight long-sleeved shirt, socks, and closed shoes when you know your child will be exposed to insects. A broad-brimmed hat can help to keep insects away from the face. Mosquito netting may be used over baby carriers or strollers in areas whe​re your baby may be exposed to insects.

  • Avoid dressing your child in clothing with bright colors or flowery prints because they seem to attract insects.

  • Don’t use scented soaps, perfumes, or hair sprays on your child because they may attract insects.

  • Keep door and window screens in good repair.

  • Check your child’s skin at the end of the day if you live in an area where ticks are present and your child has been playing outdoors.

  • Remember that the most effective repellent for ticks is permethrin. It should not be applied to skin but on your child’s clothing.

By contactus@priority-pediatrics.com
May 26, 2018
Tags: repellents   Lyme   tick   tick bite   insects   removal  
 
November 13, 2017 from the American Academy of Pediatrics

Know myths, facts about Lyme disease

Trisha KoriothStaff Writer
 
  • Parent Plus
 

When parents hear the word “tick,” another four-letter word often pops into their head: Lyme.

If you’ve already typed those eight letters into an internet search bar, beware. Next to child health information, you might see false reports about “chronic Lyme disease” from tick bites.

The American Academy of Pediatrics (AAP) offers the following truths about ticks.

“Chronic Lyme disease” is not a medical diagnosis. Some patients and even a few doctors think that “chronic Lyme” is the cause for lasting problems with pain and fatigue. But many health problems can cause pain and fatigue, according to Eugene D. Shapiro, M.D., FAAP, a Lyme disease expert.

If a tick bites your child (or you), you probably don’t need to take a Lyme disease lab test. To diagnose Lyme disease, you and your child’s pediatrician should look for signs of a circular rash at the bite area that grows to more than 5 centimeters wide. These rashes sometimes look like a bullseye, though most often they are red throughout, and usually appear seven to 14 days after the bite. Other signs of Lyme disease are facial palsy muscle paralysis on one side of the face or joint swelling. “Antibiotic treatment is very effective. Complications are rare. An untreated rash will last for weeks,” Dr. Shapiro said.

A small number of children have pain, fatigue, and joint and muscle aches after they are treated for Lyme disease. This is called post-treatment Lyme disease syndrome. More antibiotics are not the answer, the AAP says. Sometimes, it takes months for such symptoms to go away.

Lyme test results are sometimes misinterpreted. The AAP does not recommend lab tests or antibiotics if the child’s only symptoms are fatigue or joint pain, or if no tick was found.

The AAP does not recommend testing ticks for Lyme disease. But if you bring the tick to the pediatrician in a plastic sandwich bag, she may be able to see if it is the type that carries Lyme disease. Follow these instructions to remove the tick, http://bit.ly/2wtGTDI

Not all ticks spread Lyme disease. Two types that do are the blacklegged tick (deer tick) and the western blacklegged tick.

Ticks that spread Lyme disease live in certain areas of the U.S. Most cases are in New England, the eastern Mid-Atlantic states and the upper Midwest. Lyme disease spreads between spring and fall. Other parts of the U.S. have ticks that carry different diseases. Find information at http://bit.ly/2fOhyxp

By contactus@priority-pediatrics.com
May 14, 2018
Category: Prevention
Tags: repellents   ticks   removal   tweezers  

From the CDC:

If you find a tick attached to your skin, there's no need to panic. There are several tick removal devices on the market, but a plain set of fine-tipped tweezers will remove a tick quite effectively.

How to remove a tick

  1. Use fine-tipped tweezers to grasp the tick as close to the skin's surface as possible. Do NOT use your fingers!
  2. Pull upward with steady, even pressure. Don't twist or jerk the tick; this can cause the mouth-parts to break off and remain in the skin. If this happens, remove the mouth-parts with tweezers. If you are unable to remove the mouth easily with clean tweezers, leave it alone and let the skin heal.
  3. After removing the tick, thoroughly clean the bite area and your hands with rubbing alcohol, an iodine scrub, or soap and water.
  4. Dispose of a live tick by submersing it in alcohol, placing it in a sealed bag/container, wrapping it tightly in tape, or flushing it down the toilet. Never crush a tick with your fingers

 

  clipart image of a tickAvoid folklore remedies such as "painting" the tick with nail polish or petroleum jelly, or using heat to make the tick detach from the skin. Your goal is to remove the tick as quickly as possible–not waiting for it to detach.

 

Clipart image showing how to remove an embedded tick with a pair of tweezers.

Follow-up

If you develop a rash, fever or severe headache within a month of removing a tick, see your doctor. Be sure to tell the doctor about your recent tick bite, when the bite occurred, and where you most likely acquired the tick.

And

Treating Tick Bites

Reassurance

  • Most tick bites are harmless.
  • The spread of disease by ticks is rare.
  • If the tick is still attached to the skin, it will need to be removed.
  • Covering the tick with petroleum jelly, nail polish, or rubbing alcohol doesn't work. Neither does touching the tick with a hot or cold object.
  • The best prevention of tick diseases is removal of the attached tick within 24-36 hrs.
  • Try one of the following techniques:

Wood Tick Removal: Try Soapy Cotton Ball First

  • Apply liquid soap to a cotton ball until it's soaked.
  • Cover the tick with the soap-soaked cotton ball.
  • Let it stay on the tick for 30 seconds.
  • The tick will usually be stuck to the cotton ball when you lift it away.

Wood Tick Removal: Try Tweezers Second

  • Use tweezers and grasp the tick close to the skin (on its head).
  • Pull the wood tick straight upward without twisting or crushing it.
  • Maintain a steady pressure until it releases its grip.
  • If tweezers aren't available, use fingers, a loop of thread around the jaws, or a needle between the jaws for traction.

Deer Tick Removal

  • Tiny deer ticks need to be scraped off with a fingernail or credit card edge.

Tick's Head

  • If the wood tick's head breaks off in the skin, remove it.
  • Clean the skin with rubbing alcohol.
  • Use a sterile needle to uncover the head and lift it out.
  • If a small piece of the head remains, the skin will eventually shed it.
  • If most of the head is left, call your doctor.

Antibiotic Ointment

  • Wash the wound and your hands with soap and water after removal to prevent catching any tick disease.
  • Apply antibiotic ointment such as Polysporin to the bite once (no prescription needed).

Expected Course

  • Tick bites normally don't itch or hurt. That's why they often go unnoticed.

Call Your Doctor If

  • You can't remove the tick or the tick's head.
  • Fever, rash and/or severe headache in the next 2-4 weeks.
  • Bite begins to look infected.
  • Your child becomes worse.

Preventing Tick Bites

Prevention

  • When hiking in tick-infested areas, wear long clothing and tuck the ends of pants into socks. Apply an insect repellent to shoes and socks.
  • Permethrin products applied to clothing are more effective than DEET products against ticks.

Tick Repellent for Skin: DEET [Dr. T likes Sawyer Family DEET Product]

  • DEET is an effective tick repellent.
  • Use 30% DEET for children and adolescents (American Academy of Pediatrics recommendation, 2003) (30% DEET protects for 6 hours).

Tick Repellent for Clothing: Permethrin [Dr. T likes the Sawyer Family Permethrin Product]

  • Permethrin-containing products (eg, Duranon, Permanone) are highly effective tick repellents.
  • An advantage over using DEET is that they are applied to and left on clothing instead of skin. Apply it to clothes, especially pants, cuffs, socks, and shoes. You can also put it on other outdoor items (eg, mosquito screen, sleeping bags).
  • Do not apply permethrin to skin (Reason: it's rapidly degraded on contact with skin).

And remember, contact your doctor if your child develops any of the "Call Your Doctor" symptoms.

By contactus@priority-pe
October 12, 2017
Category: Infectious Disease
Tags: repellents   mosquito   DEET   Pecaridin   Eucalyptus  

Don't stop as temps drop!

As summer turns to fall, mosquitoes are still around. Don't forget to protect yourself against bites.

 

Protect yourself and your family from mosquito bites

Use Insect Repellent

Use Environmental Protection Agency (EPA)-registered insect repellents with one of the active ingredients below. When used as directed, EPA-registered insect repellents are proven safe and effective, even for pregnant and breastfeeding women.

 

 

*See EPA’s search tool here.

Tips for Everyone

  • Always follow the product label instructions.
  • Reapply insect repellent as directed.
    • Do not spray repellent on the skin under clothing.
    • If you are also using sunscreen, apply sunscreen first and insect repellent second.

Tips for Babies & Children

  • Always follow instructions when applying insect repellent to children.
  • Do not use insect repellent on babies younger than 2 months old.
  • Do not apply insect repellent onto a child’s hands, eyes, mouth, and cut or irritated skin.
    • Adults: Spray insect repellent onto your hands and then apply to a child’s face.
  • Do not use products containing oil of lemon eucalyptus (OLE) or para-menthane-diol (PMD) on children under 3 years old.

Natural insect repellents (repellents not registered with EPA)

  • We do not know the effectiveness of non-EPA registered insect repellents, including some natural repellents.
  • To protect yourself against diseases spread by mosquitoes, CDC and EPA recommend using an EPA-registered insect repellent.
  • Choosing an EPA-registered repellent ensures the EPA has evaluated the product for effectiveness.
  • Visit the EPA website to learn more.

Protect your baby or child

  • Dress your child in clothing that covers arms and legs.
  • Cover crib, stroller, and baby carrier with mosquito netting.

Wear long-sleeved shirts and long pants

  • Treat items, such as boots, pants, socks, and tents, with permethrin* or buy permethrin-treated clothing and gear.
    • Permethrin-treated clothing will protect you after multiple washings. See product information to find out how long the protection will last.
    • If treating items yourself, follow the product instructions.
    • Do not use permethrin products directly on skin.

*In some places, such as Puerto Rico, where permethrin products have been used for years in mosquito control efforts, mosquitoes have become resistant to it. In areas with high levels of resistance, use of permethrin is not likely to be effective.

Take steps to control mosquitoes inside and outside your home

  • Use screens on windows and doors. Repair holes in screens to keep mosquitoes outside.
  • Use air conditioning when available.
    • Sleep under a mosquito bed net if air conditioned or screened rooms are not available or if sleeping outdoors.
  • Once a week, empty and scrub, turn over, cover, or throw out items that hold water, such as tires, buckets, planters, toys, pools, birdbaths, flowerpots, or trash containers. Check inside and outside your home. Mosquitoes lay eggs near water.

Control mosquitoes outside your home

Remove standing water where mosquitoes could lay eggs

  • Once a week, empty and scrub, turn over, cover, or throw out any items that hold water like tires, buckets, planters, toys, pools, birdbaths, flowerpot saucers, or trash containers. Mosquitoes lay eggs near water.
  • Tightly cover water storage containers (buckets, cisterns, rain barrels) so that mosquitoes cannot get inside to lay eggs.
  • For containers without lids, use wire mesh with holes smaller than an adult mosquito.
  • Use larvicides to treat large containers of water that will not be used for drinking and cannot be covered or dumped out.
  • If you have a septic tank, repair cracks or gaps. Cover open vent or plumbing pipes. Use wire mesh with holes smaller than an adult mosquito.

Kill mosquitoes outside your home

  • Use an outdoor insect spray made to kill mosquitoes in areas where they rest.
  • Mosquitoes rest in dark, humid areas like under patio furniture, or under the carport or garage. When using insecticides, always follow label instructions.

Control mosquitoes inside your home

Keep mosquitoes out

  • Install or repair and use window and door screens. Do not leave doors propped open.
  • Use air conditioning when possible.

Remove standing water where mosquitoes could lay eggs

  • Once a week, empty and scrub, turn over, cover, or throw out any items that hold water like vases and flowerpot saucers. Mosquitoes lay eggs near water.

Kill mosquitoes inside your home

  • Kill mosquitoes inside your home. Use an indoor insect fogger* or indoor insect spray* to kill mosquitoes and treat areas where they rest. These products work immediately, and may need to be reapplied. When using insecticides, always follow label directions. Only using insecticide will not keep your home free of mosquitoes.
  • Mosquitoes rest in dark, humid places like under the sink, in closets, under furniture, or in the laundry room.

 

By contactus@priority-pediatrics.com
January 29, 2017
Tags: repellents   ticks   travel   vacation   Lyme Disease   DEET  

Ticks Carrying Lyme Disease Confirmed in Eastern National Parks

U.S. National Park Service and CDC advise using insect repellents on clothes and skin by Randy Dotinga Tuesday, January 17, 2017.

(HealthDay News) ‑‑ Planning a hiking trip in an eastern U.S. national park? Better pack tick repellent ‑‑ a new study found these parks are home to ticks that carry Lyme disease. Blacklegged ticks ‑‑ also known as deer ticks ‑‑ carrying Lyme disease were found in nine national parks: Acadia National Park in Maine; Catoctin Mountain Park and Monocacy National Battlefield in Maryland; Fire Island National Seashore in Long Island, N.Y.; Gettysburg National Military Park in Pennsylvania; Rock Creek Park in Washington, D.C., and Manassas National Battlefield Park, Prince William Forest Park and Shenandoah National Park in Virginia.

This is the first time researchers have confirmed that the ticks are living at the parks, although it's long been suspected that the ticks were there because of human Lyme disease infections. "We know Lyme disease is increasing both in numbers of infections and in geographic range in the United States," said researcher Tammi Johnson in a news National Institutes of Health / U.S. National Library of Medicine release from the Entomological Society of America. Johnson is with the U.S. Centers for Disease Control and Prevention. "This is the first large‑scale survey in multiple national parks, and though suspected, it had not been previously confirmed that ticks in many of these parks were infected. It's quite likely that ticks infected with Lyme disease spirochetes are present in other parks in Lyme disease endemic areas, too," she explained.

Lyme disease symptoms include fever, headache and rash. Left untreated, the infection can spread to the heart, joints and nervous system, according to the CDC. Visitors to the parks can reduce their risk of infection by following these guidelines, according to the U.S. National Park Service and the CDC: Use insect repellents that contain 20‑30 percent DEET. Apply them to exposed skin and clothing. You can use permethrin‑containing products on clothing as well. Don't sit or lean on logs when you're out on the trail. Check yourself for ticks ‑‑ and check pets and gear. Remove any ticks you find attached.

Once you leave an area that's home to ticks, shower within two hours. This will help rid your body of ticks. To kill ticks on your clothing, put your clothes in a dryer and heat them on high setting for 10 minutes.

"The results of this study serve as a reminder that while enjoying the parks, visitors can and should take steps to help protect themselves and their loved ones from tick and other bites," Johnson said. The study findings were published in the Journal of Medical Entomology. SOURCE: Entomological Society of America, news release, Jan. 3, 2017