Post on 01-Jun-2018
8/9/2019 Summertime Health Concerns
1/71
A Hearty Welcome toLinn-Benton Pharmacists
Association from all of us at
8/9/2019 Summertime Health Concerns
2/71
SUMMERTIMEHEALTH CONCERNS
8/9/2019 Summertime Health Concerns
3/71
8/9/2019 Summertime Health Concerns
4/71
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*
8/9/2019 Summertime Health Concerns
5/71
POISON OAK
8/9/2019 Summertime Health Concerns
6/71
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
8/9/2019 Summertime Health Concerns
7/71
Poison Oak %lim ing $ine
8/9/2019 Summertime Health Concerns
8/71
Lea'es of 4hree1 Let 4hem Be5
6oung lea'es are lightgreen1 ut (ill turnyello(1 then orange or
red the fall7
8/9/2019 Summertime Health Concerns
9/71
Poison Oak +agnifiedrd 8 resin ducts
4he resin ducts contain urushiol
8/9/2019 Summertime Health Concerns
10/71
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
8/9/2019 Summertime Health Concerns
11/71
Hy&othetical mechanism for thePoison Oak Scenario
8/9/2019 Summertime Health Concerns
12/71
MANGOES
GINKGO TREE
JAPANESELACQUER TREE
CASHEWS
Also contain urushiol
8/9/2019 Summertime Health Concerns
13/71
of you (ill get the rash
8/9/2019 Summertime Health Concerns
14/71
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
8/9/2019 Summertime Health Concerns
15/71
9se %aution
!nhaled &articlesfrom urned &lantsare 'ery dangerous7La(n mo(ers and(eed (hackers canthro( &articles intothe air7
9rushiol can remainon surfacesindefinitely7
8/9/2019 Summertime Health Concerns
16/71
Rash is more diff se a!d"ides#read "he!
$o!%a$%ed %hro &h i!dire$%mea!s
8/9/2019 Summertime Health Concerns
17/71
Wash skin thoroughly as soon as&ossi le after e.&osure
C'o%hi!&( shoes( a!d e) i#me!% sho 'da'so *e "ashed
8/9/2019 Summertime Health Concerns
18/71
O4%s are a&&ro&riatefor mild cases7"rying agents Anti-inflammatory Analgesic
Skin &rotectants Antise&tics%ool com&resses
8/9/2019 Summertime Health Concerns
19/71
When to see a doctor
Reaction is se'ereOo:ing sores
de'elo&
Blisters co'er morethan => of the ody
!s on the face orgenitals
@oints s(ell A ne( rash a&&earsafter day
8/9/2019 Summertime Health Concerns
20/71
S9#B9R#
8/9/2019 Summertime Health Concerns
21/71
Sun urn
Radiation urn Sym&toms redness1 &ain1 edema1 itching1
&eeling skin1 rash1 nausea1 fe'er1 chills1
synco&e7 %an e st or ? nd degree7 Blistering sun urns can cause de ilitation
and hos&itali:ation7 %an occur in less than = minutes and is
not immediately o 'ious7
%ontinues to de'elo& for days7
8/9/2019 Summertime Health Concerns
22/71
0actors
4ime of day- et(een C a7m7 and &7m7 Pro.imity to reflecti'e surfaces
Season more se'ere in late s&ring Dsummer Altitude easier to urn at higher altitudes
Pro.imity to the e;uator 9$ inde.
8/9/2019 Summertime Health Concerns
23/71
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
$itamin % D / su&&lementation
8/9/2019 Summertime Health Concerns
24/71
4reatment
A'oid e.&osure to the sun (hile healing Best treatment is time
%ool and (et cloths 0re;uent cold sho(ers or aths Soothing lotions or gels
4o&ical anti-itch and &ain relie'ers Acetomino&hen1 i u&rofen1 as&irin
8/9/2019 Summertime Health Concerns
25/71
8/9/2019 Summertime Health Concerns
26/71
By degree
st degree - e&idermis? nd degree - dermis
+rd de&ree , s *$ %a!eo s -a. 'sio!/
8/9/2019 Summertime Health Concerns
27/71
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
8/9/2019 Summertime Health Concerns
28/71
+os;uito Bite
Round1 &uffy um& (ith a small dot at thecenter that ecomes red and hard7
8/9/2019 Summertime Health Concerns
29/71
Sand 0ly Bites
Painful red um&s and listers7
8/9/2019 Summertime Health Concerns
30/71
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
8/9/2019 Summertime Health Concerns
31/71
4ick Bites
Prefer (arm1 moist areas like arm&its1groin1 or hair
4y&ically remain attached for se'eral daysor (eeks7
8/9/2019 Summertime Health Concerns
32/71
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
8/9/2019 Summertime Health Concerns
33/71
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
8/9/2019 Summertime Health Concerns
34/71
Body Lice
%lusters of tiny dots that start out red ande.&and (ith an outer &ink ring7
8/9/2019 Summertime Health Concerns
35/71
8/9/2019 Summertime Health Concerns
36/71
8/9/2019 Summertime Health Concerns
37/71
More %ha! 0 s% a ! isa!$e
8/9/2019 Summertime Health Concerns
38/71
8/9/2019 Summertime Health Concerns
39/71
8/9/2019 Summertime Health Concerns
40/71
Sym&toms of W#$
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
8/9/2019 Summertime Health Concerns
41/71
8/9/2019 Summertime Health Concerns
42/71
Other mos;uito- orne illnesses
"engue 0e'er Plague
%hikungunya +alaria
8/9/2019 Summertime Health Concerns
43/71
%o'er 9&
8/9/2019 Summertime Health Concerns
44/71
Wear 1EET
8/9/2019 Summertime Health Concerns
45/71
C'ea! U#
8/9/2019 Summertime Health Concerns
46/71
8/9/2019 Summertime Health Concerns
47/71
Borrelia Burgdorferi
8/9/2019 Summertime Health Concerns
48/71
Na%io!a' L2me 1isease Ris3 Ma#
8/9/2019 Summertime Health Concerns
49/71
Wes%er! 4'a$3,Le&&edTi$3
-I5odes #a$ifi$ s/
8/9/2019 Summertime Health Concerns
50/71
Ti$3s Tra!smi% %he 4a$%eri mfrom Mi$e
8/9/2019 Summertime Health Concerns
51/71
GBull3s-/ye Rash
8/9/2019 Summertime Health Concerns
52/71
I!$ *a%io! 'as%s 6 , 78 da2s
$ $
8/9/2019 Summertime Health Concerns
53/71
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
8/9/2019 Summertime Health Concerns
54/71
Pre.e!%io! 9 Trea%me!%
8/9/2019 Summertime Health Concerns
55/71
8/9/2019 Summertime Health Concerns
56/71
Remo.i!& Ti$3s
SUMMER CAMP 4RINGS
8/9/2019 Summertime Health Concerns
57/71
SUMMER CAMP 4RINGSHEA1 LICE
8/9/2019 Summertime Health Concerns
58/71
WHAT ARE HEA1 LICE:
8/9/2019 Summertime Health Concerns
59/71
Head Lice
/;ual o&&ortunity &arasites %hildren of elementary school age are
most likely to get head lice Head lice cannot sur'i'e on &ets 4hey cannot ho&1 Ium& or fly
H d 'i$ 2 'i f '
8/9/2019 Summertime Health Concerns
60/71
Head 'i$e ma2 'i.e for se.era'"ee3s
8/9/2019 Summertime Health Concerns
61/71
8/9/2019 Summertime Health Concerns
62/71
8/9/2019 Summertime Health Concerns
63/71
Wh ! 2 h 'd # $% h d
8/9/2019 Summertime Health Concerns
64/71
Whe! 2o sho 'd s s#e$% head'i$e
!ntense itching /.cessi'e scratching Loss of slee& Shortened attention s&an "e&ression
Head check
8/9/2019 Summertime Health Concerns
65/71
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
8/9/2019 Summertime Health Concerns
66/71
1O HEA1 LICE SPREA11ISEASE:
8/9/2019 Summertime Health Concerns
67/71
8/9/2019 Summertime Health Concerns
68/71
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
8/9/2019 Summertime Health Concerns
69/71
S%a2i!& Li$e >ree
%heck daily for eggs !f reinfested1 re&eat treatment Head check routinely once a (eek
8/9/2019 Summertime Health Concerns
70/71
8/9/2019 Summertime Health Concerns
71/71
@eo&ardy5
LetJs &lay @eo&ardy5