Summertime Health Concerns

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    A Hearty Welcome toLinn-Benton Pharmacists

    Association from all of us at

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    SUMMERTIMEHEALTH CONCERNS

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    Agenda Seasonal Wounds and Rashes

    Poison Oak Sun urn

    Skin A rasions !nsect Bites

    !nsect-Borne "iseases

    West #ile $irus Lyme "isease Summer %am& Brings Head Lice !nteracti'e Re'ie( )if time allo(s*

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    POISON OAK

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    Poison Oak +ost dangerous inthe s&ring andsummer

    +emorial day is the, day for e.&osure/ach leaf has threeoak-like leaflets

    +ost &re'alent inthe (est0orms a dense1leafy shru a out -23 high

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    Poison Oak %lim ing $ine

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    Lea'es of 4hree1 Let 4hem Be5

    6oung lea'es are lightgreen1 ut (ill turnyello(1 then orange or

    red the fall7

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    Poison Oak +agnifiedrd 8 resin ducts

    4he resin ducts contain urushiol

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    9rushiol sensiti'ityOn the first e.&osure to urushiol oil1 sensiti'ityde'elo&s ut an allergic reaction does not usuallyoccur7

    +ost &eo&le are sensiti:ed after se'eral e.&osures7

    Su se;uent e.&osures may &roduce a reaction7

    4he more sensiti:ed a &erson is to the oil1 the ;uickerthe reaction

    A &erson3s sensiti'ity changes o'er time7

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    Hy&othetical mechanism for thePoison Oak Scenario

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    MANGOES

    GINKGO TREE

    JAPANESELACQUER TREE

    CASHEWS

    Also contain urushiol

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    of you (ill get the rash

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    Rash egins (ith itching1 redness ors(elling1 follo(ed y listers7

    Blisters e'entually dry u&1 lookingcrusty or scaley7Lasts -? (eeks or longer7Poison oak lesion highlights the area(here urushiol streaked across theskin7

    SCALEYLINEAR

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    9se %aution

    !nhaled &articlesfrom urned &lantsare 'ery dangerous7La(n mo(ers and(eed (hackers canthro( &articles intothe air7

    9rushiol can remainon surfacesindefinitely7

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    Rash is more diff se a!d"ides#read "he!

    $o!%a$%ed %hro &h i!dire$%mea!s

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    Wash skin thoroughly as soon as&ossi le after e.&osure

    C'o%hi!&( shoes( a!d e) i#me!% sho 'da'so *e "ashed

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    O4%s are a&&ro&riatefor mild cases7"rying agents Anti-inflammatory Analgesic

    Skin &rotectants Antise&tics%ool com&resses

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    When to see a doctor

    Reaction is se'ereOo:ing sores

    de'elo&

    Blisters co'er morethan => of the ody

    !s on the face orgenitals

    @oints s(ell A ne( rash a&&earsafter day

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    S9#B9R#

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    Sun urn

    Radiation urn Sym&toms redness1 &ain1 edema1 itching1

    &eeling skin1 rash1 nausea1 fe'er1 chills1

    synco&e7 %an e st or ? nd degree7 Blistering sun urns can cause de ilitation

    and hos&itali:ation7 %an occur in less than = minutes and is

    not immediately o 'ious7

    %ontinues to de'elo& for days7

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    0actors

    4ime of day- et(een C a7m7 and &7m7 Pro.imity to reflecti'e surfaces

    Season more se'ere in late s&ring Dsummer Altitude easier to urn at higher altitudes

    Pro.imity to the e;uator 9$ inde.

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    Pre'ention

    Limit 9$ e.&osure 4ime in midday sun Watch 9$ inde. Seek shade Wear &rotecti'e clothing D (ide rim hat 9se sunscreen

    A&&ly =-EC minutes efore e.&osure Rea&&ly =-EC after e.&osure egins

    $itamin % D / su&&lementation

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    4reatment

    A'oid e.&osure to the sun (hile healing Best treatment is time

    %ool and (et cloths 0re;uent cold sho(ers or aths Soothing lotions or gels

    4o&ical anti-itch and &ain relie'ers Acetomino&hen1 i u&rofen1 as&irin

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    By degree

    st degree - e&idermis? nd degree - dermis

    +rd de&ree , s *$ %a!eo s -a. 'sio!/

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    4reatment

    %lean and remo'e de ris A&&ly a to&ical antimicro ial (ith lidocaine

    %o'er the (ound A'oid e.&osing to the sun /'aluate tetanus status

    %an take u& to a month or longer to fullyheal7

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    +os;uito Bite

    Round1 &uffy um& (ith a small dot at thecenter that ecomes red and hard7

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    Sand 0ly Bites

    Painful red um&s and listers7

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    0lea Bites

    Small1 red um&s (ith a red Ghalo around

    the ite center Bites in grou&s of three or four or in a

    straight line

    Around the legs or ankles

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    4ick Bites

    Prefer (arm1 moist areas like arm&its1groin1 or hair

    4y&ically remain attached for se'eral daysor (eeks7

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    S&ider Bite

    S(elling1 red (elt and skin damage !m&ortant to reduce risk of infection 0e'er1 chills1 stomach u&set1 rash1

    headaches1 s(elling1 etc71 see a doctor7

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    Bed Bug Bites

    Red1 s(ollen area and a dark red center Bites in a line or grou&ed together Blisters or hi'es

    Areas that are e.&osed (hile slee&ing

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    Body Lice

    %lusters of tiny dots that start out red ande.&and (ith an outer &ink ring7

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    More %ha! 0 s% a ! isa!$e

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    Sym&toms of W#$

    out of = don3t sho( any sym&toms 0e'er

    +uscle (eakness Stiff neck %onfusion

    Se'ere headache Sudden sensiti'ity to light /.treme s(elling or infection at the site

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    Other mos;uito- orne illnesses

    "engue 0e'er Plague

    %hikungunya +alaria

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    %o'er 9&

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    Wear 1EET

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    C'ea! U#

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    Borrelia Burgdorferi

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    Na%io!a' L2me 1isease Ris3 Ma#

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    Wes%er! 4'a$3,Le&&edTi$3

    -I5odes #a$ifi$ s/

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    Ti$3s Tra!smi% %he 4a$%eri mfrom Mi$e

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    GBull3s-/ye Rash

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    I!$ *a%io! 'as%s 6 , 78 da2s

    $ $

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    Some Sho" o!'2 No!,S#e$ifi$S2m#%oms

    0e'er Headache 0atigue

    +uscle &ain A lood test may e hel&ful for diagnosis !f left untreated1 it may cause arthritis and affect

    the heart and ner'ous system7 4here is still no 'accine for Lyme "isease

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    Pre.e!%io! 9 Trea%me!%

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    Remo.i!& Ti$3s

    SUMMER CAMP 4RINGS

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    SUMMER CAMP 4RINGSHEA1 LICE

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    WHAT ARE HEA1 LICE:

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    Head Lice

    /;ual o&&ortunity &arasites %hildren of elementary school age are

    most likely to get head lice Head lice cannot sur'i'e on &ets 4hey cannot ho&1 Ium& or fly

    H d 'i$ 2 'i f '

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    Head 'i$e ma2 'i.e for se.era'"ee3s

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    Wh ! 2 h 'd # $% h d

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    Whe! 2o sho 'd s s#e$% head'i$e

    !ntense itching /.cessi'e scratching Loss of slee& Shortened attention s&an "e&ression

    Head check

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    Che$3i!& for Head 'i$e

    White to(el test Hold head o'er a light colored to(el or (hite

    &iece of &a&er

    Brush the hair 'igorously to(ard the to(el or&a&er

    %arefully ins&ect the head1 &aying s&ecial

    attention to the na&e of the neck and aroundthe ears7

    1O HEA1 LICE SPREA1

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    1O HEA1 LICE SPREA11ISEASE:

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    Pes%i$ide resis%a!$e

    4he result of a mutation caused ychemical &esticides

    !f it didn3t (ork1 s(itch to another &roduct(ith a different acti'e ingredient

    9se a &ro'en natural &roduct that (orksmechanically that the louse can3t ecomeresistant to

    Remo'e nits and lice y hand

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    S%a2i!& Li$e >ree

    %heck daily for eggs !f reinfested1 re&eat treatment Head check routinely once a (eek

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    @eo&ardy5

    LetJs &lay @eo&ardy5