Most authorities recommend repellents containing N, N-diethylmetatoluamide (DEET) as an active ingredient. DEET repels mosquitoes, ticks, and other arthropods when applied to the skin or clothing. In general, the more DEET a repellent contains, the longer time it can protect against mosquito bites. However, there appears to be no added benefit of concentrations greater than 50%. DEET is toxic when ingested and may cause skin irritation in sensitive persons. Be advised that the possibility of adverse reactions to DEET will be minimized if they take the following precautions:
• Use enough repellent to cover exposed skin or clothing. Do not apply repellent to skin
that is under clothing. Heavy application is not necessary to achieve protection. If repellent is applied to clothing, wash treated clothing before wearing again.
• Do not apply repellent to cuts, wounds, or irritated skin.
• After returning indoors, wash treated skin with soap and water.
• Wash treated clothing before wearing it again.
• Do not spray aerosol or pump products in enclosed areas; do not breathe in.
• Do not apply aerosol or pump products directly to the face. Spray your hands and then
rub them carefully over the face, avoiding eyes and mouth.
• When using repellent on a child, apply it to your own hands and then rub them on your
child. Avoid the child’s eyes and mouth and apply sparingly around the ears.
• Do not apply repellent to children’s hands. (Children tend to put their hands in their
• Do not allow children under ten years old to apply insect repellent to themselves; have
an adult do it for them. Keep repellents out of reach of children.
• Protect infants two months of age and under by using a carrier draped with mosquito
netting with an elastic edge for a tight fit.
• Bed nets, repellents containing DEET, and permethrin should be purchased before
traveling and can be found in hardware, camping, sporting goods, and military surplus stores. Overseas, permethrin or another insecticide, deltamethrin, may be purchased to treat bed nets and clothes.
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DEET and Children
No definitive studies have been published about what concentration of DEET is safe for children. No serious illness has arisen from use of DEET according the manufacturer’s recommendations. DEET formulations at 30% are recommended for both adults and children >2 years of age by SCHD. Lower concentrations are not as long lasting, offering short-term protection only and necessitating more frequent reapplication. Repellent products that do not contain DEET are not likely to offer the same degree of protection from mosquito bites as products containing DEET. Non-DEET repellents have not necessarily been as thoroughly studied as DEET and may not be safer for use on children. Parents should choose the type and concentration of repellent to be used by taking into account the amount of time that a child will be outdoors, exposure to mosquitoes, and the risk of mosquito-transmitted disease in the area. Many doctors feel that mosquito repellant for very young children should contain no more than 10% DEET and that no repellant should be used on infants. Experts have implied to only apply mosquito repellent dependent on the time of day they are outdoors and the outdoor activity. This includes the morning and evening hours and if the children are going to play in a wooded area or near water. Also, dressing children in light colored clothes decreases their chance of being bitten.
Other Repellents
• Citronella is commonly used as a repellent. Protection of topically applied Citronella
is short lasting. Studies show that 10% Citronella lasts less than 30 minutes.
• Bath oils such as Avon Skin So Soft, do offer some protection from mosquito bites
and contain repellents recognized by the EPA. Tests have shown that repellency lasts less than 30 minutes.
• Soybean Oil can also be used. Products containing 2% soybean oil have shown
repellency to last for over one hour, on average.
Mosquito Barriers
• Limit outdoor activities when mosquitoes are most active, dusk and dawn. • Keep windows and doors sealed tight and maintain window and door screens to
prevent mosquitoes from entering the house.
• If outside, where protective clothing such as shoes, long pants, and a light colored long
• Mosquito netting can also be used over your face and neck or placed over infant
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Table 1. Protection Times of Insect Repellents.*
Source: New England Journal of Medicine, Vol 347, No. 1, July 4, 2002; www.nejm.org
ACTIVE INGREDIENT AND CONCENTRATION COMPLETE- PROTECTION (MINUTES)
OFF! Skintastic for Kids (SC Johnson) DEET, 4.75%
Skin-So-Soft Bug Guard Plus (Avon) IR 3535, 7.5%
Herbal Armor (microencapsulated) (All Citronella, 12%; peppermint oil 2.5%; cedar oil, 2%;
Green Ban for People (Mulgum Hollow Citronella, 10%; peppermint oil, 2%
Repello Wristband (Repello Products) DEET, 9.5%
Gone Plus Repelling Wristband (Solar Citronella, 25%
• Plus-minus values are the means ± SD of the times to the first bite in the tests of all 15 subjects. DEET
denotes N,N-diethyl-3- methylbenzamide (formerly known as N,N-diethyl-m-toluamide), HOMS Home Operations and Management Systems, and IR3535 ethyl butylacetylaminopropionate.
References
1. CDC Website: www.cdc.gov/travel/bugs.htm 2. Texas A & M University: http://bexar-tx.tamu.edu/IPM/Lanscape/F2/Insect Repellents.htm 3. Washington State University: www.wsu.edu/commun/WNVpreventingbites.htm 4. University of Maryland Medicine: www.umm.edu/features/bugs_kids.html
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1. Introduction The purpose of the information contained in the present document is to give a brief outline of the main characteristics and risks associated to financial instruments in which you may invest. Should you have any specific queries or if you are interested in particular financial instruments, we recommend that you contact us if you need further information. This document does
Dr. Hort Keeps You Informed have been studied and labeled for pediatric use. The Pediatric Drug Testing pediatric research that has been done includes some frightening results: of the older drugs just recently being studied in children, 87% were being improperly prescribed. Children were getting medicine that didn’t Harry Shirkey, a medical practitioner, coined the term wo