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Dr.
Perri Klass about family health
Summer is coming and we know we should protect our children from the sun.
There is strong evidence that early exposure to sunlight increases the risk of advanced skin cancer in children, as well for dark skin
Children with less likely skin burns.
Boston and Miami Beach offer free sunscreen in public, and now New York is talking about it.
Parents of course already know more about sun protection, although they sometimes feel a little overwhelmed by the variety of products and the need to keep up with proper use.
With old concerns about ticks and new concerns about mosquitoes
Parents do not know if they should also apply insect repellent to the skin exposed by the child.
But baby's delicate skin is easier to penetrate than adults, so any chemicals we use can be absorbed and their immature organs may not be able to handle these chemicals very well.
Things left on the skin may be absorbed;
But things that remain on the skin do not shield.
Skin toxicology includes considering the balance between "wash in", "risk of absorbing potential toxic substances through the skin" and "wash out", losing material protection due to sweating, water exposure or friction.
Both are very complex processes, with many variables that don't necessarily learn well in younger children.
For the little ones, the advice always depends on reducing exposure, reducing the shade and clothes of the sun, and increasing the screen and the net to prevent bugs.
Both the US Food and Drug Administration and the American Academy of Pediatrics have stressed that babies under 6 months should be kept away from direct sunlight and protected in a shade, shielded with sunshades and protective clothing when they have to go out, instead of relying on sunscreen.
The proportion of the baby's skin surface to body volume and internal liquid is large, which makes them face a high risk of high temperature and dehydration.
So make sure they drink a lot and don't get wet.
Adults and children are advised to avoid maximum exposure between 10 and 2, and to avoid going out in areas with large numbers of mosquitoes at dusk.
This is not easy, of course.
Sun caps and protective clothing are important for older babies and toddlers, as are avoiding rush hours.
For children under 2 years of age, the rule of thumb for this age group is to dress first, says Jacqueline Thomas, assistant professor of dermatology and surgery at New Southeast University in Lauderdale, who is a senior author of the review of children's sunscreen and sun safety guidelines published last year in the journal Clinical Pediatrics.
Dark and tighter fabrics are more effective.
As for sunscreen, experts say, do not choose according to the market for children or babies, and do not read the labels carefully. In 2011, the F. D. A.
Require more information to be standardized on sunscreen labels;
The American Academy of Dermatology recommends that parents should look for products with an SPF of 30 or higher and make sure they are labeled "waterproof (
For 40 minutes in water)
Or "very waterproof "(80 minutes)
As a wide spectrum, this means that they can block both UVA and UVA rays, which can cause damage.
There is no waterproof sunscreen.
Active substances in sunscreen can be chemical interceptors or physical interceptors, which are safer for children because they are less likely to be absorbed.
For children between the ages of 2 and 12, look for products of titanium or zinc as their active ingredient, rather than chemical reagents, which have indeed not been studied in children.
Suggested amount for adults-
The size of the body is described differently as shot glass and golf balls for the torso and limbs;
For children under the age of 12, some authorities have recommended using the number of cup-shaped hands filled with children as a rough guide.
Need to re-apply after two hours because the efficacy is gone, even if you can still feel the lotion on the skin, the higher sunscreen for SPFs lasts longer than the lower sunscreen for SPFs (
In fact, there is no evidence that more than 50 SPFs are more protective). Although spray-
It is very popular on sunscreen, their efficacy has not been studied yet, and people are worried about children's inhalation of sunscreen. The F. D. A.
More data is requested.
What about insects?
Mosquito repellent usually contains one of DEET, picaridin, or several essential oils, and the most common is lemon eucalyptus oil as an active ingredient;
Chlorhexidine, designed to be suitable for clothing (
Or sometimes the manufacturer has already applied)
Work repels ticks.
There have been concerns about DEET toxicity in the past, suggesting avoiding DEET and picaridin for infants under 2 months and avoiding lemon oil for children under 3 years of age.
But most pediatricians would recommend using all these substances very carefully in infants and young children, applying them only to exposed skin before going out, wash them off when you come back.
Don't let young children apply these things on their own, and don't keep them away from the eyes, mouth and hands if they want to put them in their mouths.
Put insect repellent on clothes or tents if possible;
And clips --
Can be connected to the equipment on the stroller. Dr. Adelaide A.
Hebert, professor of dermatology and pediatrics at the McGovern School of Medicine at the University of Texas Health Science Center in Houston, said she tends to recommend picaridin-
Insect repellent based on pesticides, such as Cutter, is more advanced and cleaner for children than insect repellent containing DEET.
Picaridin â x80 x9c as I.
I don't think parents are too worried about using it in terms of toxicity, she said.
The strength of these insect repellent will also vary, so it is also important to read the labels.
We do not recommend DEET strength over 20% due to concerns about toxicity, Dr. Hebert said.
The combination is another problem, although a lotion that can protect both sun and insect is very attractive.
"I never recommend a combined product," said the doctor . "Hebert.
We don't want to re-apply the insect repellent as much as we can because we may need to re-apply the sunscreen.
In addition, there is evidence that this mixture may reduce the effectiveness of sunscreen and that chemicals are more likely to be absorbed.
So keep the baby out of the sun and be careful about Sun caps and protective clothing, screens and mosquito nets.
Don't forget to protect your eyes as your child grows;
Think about the vast
Hats and sunglasses.
If you need anti-insect, apply the insect repellent on the sunscreen, and after two hours, re-apply the sunscreen on the basis of the insect repellent, which does not have to be repeated so frequently.
The skin is the largest organ of the body, a large proportion of the smallest child, it needs our care and attention to protect it.
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