What should I look for -- or avoid -- in a bug-repellent to use on my children, ages 3 and 6? - Samantha in Portland, Oregon
This is one of those questions where I will tell you what my advice is as a physician -- and then I will answer as a hiking, camping mother of two toddlers in bug-infested areas.
I would assume that Portland, being so wet, would have a very persistent, aggressive and not-so-seasonal mosquito population, putting you and your children at a constant risk of being attacked.
Some preventative measures are dressing your children in light-colored clothing rather than dark clothing. The insects are naturally repelled by whites and tans. Wearing long sleeves and long pants with white socks pulled over the pant cuffs really make a difference (this also works against ticks). Keeping yourself and your children as unscented as possible also helps: Use unscented shampoo and unscented soap, and do not apply any fragrant lotions.
Now for the insect repellent question. Mostly the debate is over using products containing N,N-diethyl-m-toluamide (DEET) -- a known effective pesticide which has been cited for causing allergy-induced seizures in children, and, in at least one case, resulting in death. This active ingredient is sold over the counter in varying strengths, from 100% down to about 6% DEET. The lesser strengths are formulated to be used on children and are purported to be safe.
Whether or not to use DEET is a decision is left to be made by the parents. Unlike years ago when there were no good non-DEET alternatives, we are no longer forced to watch our children get attacked by insects or put adult-strength DEET on them. We can now put very low percentage products on them, shop our health food stores for natural formula insect repellents or buy Avon Skin-So-Soft products.
I know I began this answer by stating that I would tell you what I do with my toddlers, although I can't endorse it as a physician: I spray the kids' pants and back of their clothing with a DEET product. This way, I'm not directly exposing their skin and systems to DEET, yet they have the advantages of its protection.
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