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Well&Good 2002, Issue 2

Hazards and hints


It'll soon be summertime and the livin' will be easy if you remember these hints to avoid the hazards of the season.

Ticks and Lyme disease go hand in hand and, while not all ticks carry diseases, avoiding ticks is the best way to avoid Lyme disease. To avoid ticks, be aware of their habitat--tall grasses and brushy areas. If you're going walking in the woods, wear light colored clothing so you can easily spot ticks if they hop on you. Wear long sleeves, long pants tucked into socks, and a hat. When you get home, wash your hiking clothes in hot water to kill any ticks that might hide in seams. If you discover a tick on you, use a tweezers, not your fingers, to remove the tick. Grasp it as close to your skin as possible, pulling back firmly and slowly. Try not to crush the tick's body. Wash the area with soap and water. Put the tick in a jar for identification if necessary.

If a rash or pustule develops at the site of the bite, contact a UI Family Care physician immediately, or call UI Health Access, 800-777-8442 or 319-384-8442. Lyme disease is a bacterial, multisystem inflammatory disease that affects the skin in its early stages and spreads to the joints and nervous system says Michael Jurgens, M.D., UI Family Care physician at the Southeast Iowa City site. If caught early, Lyme disease is almost always readily cured. Most people who get lyme disease may not recall either a tick bite or a rash.

The best treatment for poison ivy is to avoid it. Learn to recognize the plant. "Leaves of three, let it be" is excellent advice. Wear long pants and long sleeves when walking in the woods.

If you come in contact with poison ivy, wash your skin in cool water like a stream, lake, or garden hose, being careful not to contaminate other areas of the body. When possible, take a cool shower, using soap to gently clean the affected area. Wash your clothes in hot water to deactivate the urushiol, the substance that causes the reaction. The skin begins absorbing urushiol upon contact so the sooner you can wash it off, the less severe the reaction will be.

"If you get a rash, over-the-counter medications such as hydrocortisone creams and antihistamines can help relieve some of the symptoms, while calamine and menthol lotions are good at relieving the itch," says Jurgens. If signs of infection occur, or you have poison ivy on your face, contact a UI Family Care physician to determine if a prescription is necessary.

When it comes to insect bites, mosquitos are common culprits and it's difficult to avoid their signature bites that produce localized allergic swelling and itching. There are a plethora of over-the-counter repellents available to combat these pests. The best protectors contain DEET. Permethrin containing insect repellants may be used on clothing as well. Be sure to use the repellents as often as directed on the product label. If swimming, remember to reapply the repellant when you come out of the water. Wear loose-fitting long pants and long-sleeved shirts and try to stay indoors at dawn and dusk when the pests are most active. Avoid areas of stagnant water because stagnant water is a breeding area for mosquitos.

"When you do get bit, the best thing to do is also the hardest--don't scratch. Some home remedies include making a paste of water and baking soda and putting it on the bite or rubbing bath soap on the bite. Over-the-counter hydrocortisone creams may also help reduce the irritating itch," says Jurgens.


For More Information

Listed above are several Web sites that offer additional information on this topic. University of Iowa Health Care does not sponsor or endorse these sites, or guarantee the accuracy of the information contained on these sites. These links are here for general information only, and should not be used for personal diagnosis or treatment. If you have any questions, please contact UI Health Access.

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Last modification date: Fri Dec 21 11:01:26 2007
URL: http://www.uihealthcare.com /news/wellandgood/2002issue2/hints.html