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Posts for tag: repellents

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-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 

By contactus@priority-pediatrics.com
January 28, 2017

Planning a Vacation? 


 

If you are one of the many Americans planning to travel this year, it's important that you have all the information you need to ensure a fun and relaxing vacation. Here are some things you can do before, during, and after your trip to make sure you and your family stay Zika-free.

Before you travel 

Pack wisely. Don't forget:

  • Insect Repellent 
  • Long sleeved shirts and long pants
  • Bed net
  • Condoms 

 

During your Trip

 

  • Use insect repellent and reapply as directed; I like Sawyer Family Mosquito Repellent 
  • Cover exposed skin whenever possible
  • Sleep in a screened in or air-conditioned room and use a bed net if you are sleeping outside
  • Use condoms if you are having sex 

When you Return Home

  • Watch for symptoms, like red eyes, joint pain, fever, and rash within 2-3 weeks of your return
  • Use insect repellent for 3 weeks after travel to prevent introduction of the virus to local mosquitoes when feeding on you
  • Use condoms when you have sex
  • Call your doctor if you think you may have Zika

 

 

 

 

 Want more tips to help you stay Zika-free?

 

Text PLAN 

to 

855-255-5606

 

For more information on Zika and travel, visit cdc.gov/travel 

By contactus@priority-pediatrics.com
June 10, 2016

Mosquito Repellents: Everything You Need to Know

Article by Brenda Goodman from WebMD

June 03, 2016

 

Thwack. They’re baaaack. Yep, it’s mosquito season again.

It’s not just about itchy bumps, either -- mosquito bites can make you sick, especially if you’re traveling. Think Zika, chikungunya, West Nile, dengue, or even malaria or yellow fever if you’re going to some parts of Africa.

That means you need some insect repellent -- but surprisingly, lots of people don’t use it. An April 2016 survey done by market research firm TNS Global found that only about half of Americans (49%) follow the CDC’s recommendation to use a mosquito repellent.

Zika poses a particular danger to pregnant women, since it causes birth defects. As it creeps northward from South America and the Caribbean, health officials’ mission is to get the message out loud and clear: Mosquito repellents are safe, and you should use them.

And there are more choices than ever.

The product that’s right for you will depend on why you need it. Are you pregnant or traveling to an area with a lot of mosquito-borne disease? Are you fishing or camping and handling lots of gear? Are you applying it to a young child’s skin? All those things should factor into your buying decision.

We reached out to mosquito experts for advice on choosing and using these products. Here are their rules for making mosquito repellents work for you.

What’s the best active ingredient?

According to the CDC and EPA, there are four ingredients to look for: DEET, picaridin, oil of lemon eucalyptus or PMD, and IR3535.

DEET is the granddaddy of bug stoppers. It was developed by the U.S. military in 1946, and it’s the most widely used and studied active ingredient out there. It's long gotten a bad rap as a scary chemical, but experts say that reputation isn’t justified, even for pregnant women. Extremely high doses have, on rare occasions, caused nervous system problems like seizures, tremors, and slurred speech, though, so it’s still worth handling with care.

It's found in products like Off! Deep Woods spray, Sawyer’s Ultra 30 Insect Repellent lotion, and 3M’s Ultrathon Insect Repellent lotions and sprays.

While no repellent has been studied extensively in pregnancy, DEET at least has a little data backing its safety. A study of nearly 900 pregnant women in Thailand, which followed moms and babies for a full year after birth, found no harmful effects of DEET used on the skin during the second and third trimesters. Animal studies have also failed to find any ill effects of DEET to a fetus when applied at any stage of pregnancy.

No other active ingredient has been studied during pregnancy. For that reason, some doctors say DEET should be your go-to if you’re expecting. The EPA, on the other hand, puts no restrictions on the use of any repellents during pregnancy.

But DEET has its drawbacks, too. It can be heavy and feel oily on the skin. And it has a pungent odor. It also melts plastic, which is bad news for fishing and camping gear, synthetic fabrics like spandex, or even a nice pair of sunglasses. So, if a heightened sense of smell is keeping you from putting it on, or you don’t want it to ruin your gear or clothes, choose a different option.

Picaridin is a chemical cousin of piperine, a chemical made by black pepper plants. It's been widely used in Europe and Australia, but has only been available in the U.S. since 2005. It can be found in sprays, lotions, and wipes, including Sawyer’s Premium Picaridin Insect Repellent lotions and sprays, Avon’s Skin So Soft Bug Guard Plus Picaridin Pump, and Cutter Advanced Insect Repellent Fragrance Free Wipes. In recent tests, Consumer Reports gave two picaridin products top marks for repelling the species of mosquitoes that carries the Zika virus for 8 full hours.

 

The chemical PMD (for para-menthane-3,8-diol) is also sometimes labeled as oil of lemon eucalyptus. It’s a chemical copy of a pungent oil made by the lemon eucalyptus tree. It can be found in Cutter Lemon Eucalyptus spray and Repel Lemon Eucalyptus. In Consumer Reports’ tests, the Repel product, which contains 30% PMD, kept mosquitos away for 7 hours.

IR3535 has been used in Europe for 20 years, but was only registered in the U.S. in 1999. It’s a close chemical cousin to the amino acid B-alanine. Like DEET, it can harm plastics and synthetic fabrics. Manufacturers also warn that it can mar painted surfaces, including a recent manicure. No IR3535 products made Consumer Reports’ list of recommended repellents.

How strong should your repellent be?

Depends on how long you need it to last.

The first thing you’ll notice when you start checking labels is that insect repellents come in different strengths. You can find concentrations of DEET, for example, ranging from 4% up to 100%.

Do you really need a product that’s pure DEET? Experts say no, but you want to avoid the lowest concentrations, too. Here’s why.

After being sprayed or rubbed on the skin, the active ingredients in repellents begin to evaporate, creating a chemical cloud -- or "vapor barrier" -- that hovers around you and keeps mosquitoes at bay.

It takes a concentration of about 20% DEET to create a strong-enough barrier, especially in an area that has a lot of mosquito-borne diseases. Higher concentrations help the barrier last longer. But that protection maxes out around 50%. Any more than that exposes you to more chemical, but doesn’t provide more protection.

(Dr. T advises NOT to use DEET over 30% strength in children.)

A product with 20% to 50% DEET should give you 6 to 13 hours of protection, depending on weather conditions.

Repellents with 30% PMD or oil of lemon eucalyptus keep mosquitoes away for 4 to 6 hours.

Products with at least 20% picaridin last for about 6 hours.

And repellents with at least 20% IR3535 work for 7 to 10 hours, but they don’t work as well against the species of mosquito that carries malaria. So, pick another kind of active ingredient if you’re going to an area where that’s a problem.

Time-released lotions use a lower concentration of active ingredient, but they can protect you longer.

What about natural or homemade repellents?

When fighting mosquitoes, “natural” is not the way to go. In recent tests, Consumer Reports found that four repellents made with essential oils of citronella, clove, lemongrass, or rosemary failed to keep the bloodsuckers at bay for even an hour. (PMD, or oil of lemon eucalyptus, is not considered “natural,” since it’s a chemical copy of the oil.)

Other home remedies to be wary of include Listerine, which may give you minty fresh breath but doesn’t block mosquitoes if you rub it on your skin, and garlic pills or B vitamins, since there’s no evidence they offer any protection.
 

Spray vs. lotion

Sprays work faster, says Joseph Conlon, a technical advisor for the American Mosquito Control Association.

“Lotions will take approximately 20 minutes to allow the concentration of repellent layer above the skin to exert its effect,” he says.

But lotions can have other advantages. Some have time-released ingredients so that a lower concentration of active ingredient can offer longer protection, which reduces a person’s chemical exposure, too.

Guarding against the sun and bugs at the same time?

A few studies have shown that using a bug repellent with a sunscreen can make both products less effective. But sometimes you need both. So, what do you do?

The CDC suggests starting with sunscreen, then putting mosquito repellent over it. Keep in mind that you may need to reapply the sunscreen more often than you normally would and that your bug spray may wear off more quickly than expected.

The CDC says it’s not a good idea to use products that combine a sunscreen with a repellent, since sunscreens need to be reapplied more often than repellents. Using a combination product frequently could result in higher-than-needed doses of repellent chemicals.

Do I really need a new bottle?

Maybe not. But before you fish out the rusty can you keep stashed with the camping gear, keep in mind that most products are optimally effective for 3 years after you buy them, according to S.C. Johnson, the company that makes OFF. And that’s only if they haven’t been exposed to extreme heat or cold. Most products will continue to work after that, but they may not last as long.

Is it safe to put insect repellents on kids?

Yes. Products with DEET can be used on babies older than 8 weeks of age. Picaridin is considered safe for kids over the age of 2, and products with PMD/oil of lemon eucalyptus are considered safe for kids older than 3. There’s no safety data on the use of IR3535 for kids.

 

Be sure to read the directions before applying. One survey found as many of a third of parents apply insect repellents incorrectly. A few “don’ts”:

· Don’t apply to kids’ hands, since they often put them in their mouths.

· Don’t apply before kids get dressed. Insect repellents should only be used on exposed skin and clothing. It doesn’t do any good to use it under clothing.

· Don’t forget to wash off at the end of the day with soap and water. It’s not a good idea to sleep with repellents on, since this increases the absorption of the chemicals.

Why didn’t my repellent work?

According to experts, the No. 1 reason repellents don’t work is because they were put on incorrectly, so read the directions and apply thoroughly.

“Most repellents have pretty clear instructions on the label about how to apply them, but people never, ever read the label,” says Jonathan Day, PhD, a professor at the University of Florida’s Medical Entomology Laboratory in Vero Beach, FL.

If you did everything correctly and you still came home covered in bites, there might be another explanation.

There’s emerging science to suggest that mosquitoes can become resistant to DEET and perhaps other insect repellents, too.

James Logan, PhD, is the director of ArcTec (Arthropod Control Product Test Centre) at the London School of Hygiene and Tropical Medicine in the U.K.

He applied DEET to a human arm and then let a cage full of mosquitoes approach to feed on it. Most mosquitoes stayed away, but 13% of the females weren’t repelled by the DEET. He captured and bred those mosquitoes and then repeated the experiment with their daughters. In the next generation, about half of the mosquitoes weren’t repelled by DEET.

In another set of experiments, he unleashed the bugs to a human arm covered in DEET. Then he waited 3 hours and exposed those same mosquitoes to a DEET-covered arm again. On the second try, more than twice as many mosquitoes landed and fed as they had the first time, suggesting that they had somehow gotten used to it.

“They can become resistant through genetics and behaviorally as well,” Logan says.

He’s quick to point out that his experiments were done in a carefully controlled lab, and not in a house or backyard. Researchers don’t know if mosquitoes in the wild are becoming resistant to DEET.

“What we don’t know is whether this is occurring in the field. Nobody has ever looked at it,” he says. He’s working to answer the question now.

It’s possible, he says, that people might need to use two different kinds of repellents at the same time to boost their effectiveness.

The point is that repellents should be used. They should be recommended. There should be no scare mongering about the fact that DEET may fail. That is not necessarily the case. As scientists, we need to be monitoring the situation and staying one step ahead of the game, and not making assumptions that it will be OK. Mosquitoes have a very good way of being one step ahead of us and finding a way 'round the tools we have to control them.”

SOURCES:

Amy Stead, spokesperson, Sawyer Products, Bellevue, WA.

James Logan, PhD, director, ArcTec, The London School of Hygiene and Tropical Medicine, London, U.K.

Joseph Conlon, technical advisor, The American Mosquito Control Association, Mount Laurel, N.J.

Jonathan Day, PhD, professor, The Florida’s Medical Entomology Laboratory, The University of Florida, Vero Beach, FL.

Alpern. Medical Clinics of North America, 2016.

Stanczyk, N., BMJ, Feb. 19, 2015.

CDC: "Insect Repellent Use and Safety."