Dr. Neil & Gargji Thank you so much for this information.I thought i
was immune to these pests but having been a recent victim during my
Thattekad visit,i now know better :(( Will keep this advice in mind on
my next trip! Thanks again.
Ranjini Kamath
On 2/8/10, J.M. Garg <[email protected]> wrote:
> Forwarding pl.
>
> ---------- Forwarded message ----------
> From: Neil Soares <[email protected]>
> Date: 3 February 2010 18:32
> Subject: Update on Insect and 'Biting Pests' repellants
>
>
>
>
> Hi,
> Had previously written in August 2007:
>
> As a Consultant Dermatologist in private practise for many years and having
> traversed the four corners of India, including the war zone [read
> leech-infested areas]; I would like to offer a few words of advice.
> - Some bites especially Soft tick [Argasid] bites result in
> formation of a granuloma [a small nodule] which may itch for many months to
> years. They may remain quiescent for a long period of time, only to flare-up
> on being bitten again by the same or another species of ‘biting pests’. It
> is important to note here that these lesions do not readily respond to
> regular treatment even with topical super-potent steroids [eg.Halobetasol,
> Clobetasol] and oral antihistaminics [eg.Polaramine, Atarax, Avil]; hence it
> is advisable to take a short course of systemic steroids [eg.Wysolone] in a
> staggered dose. This can be prescribed by your local G.P.
> - Insect repellent sprays containing Diethyltoluamide [Deet] eg.
> Johnsons’ Deep Woods OFF, are effective but not available in India.
> - My personal choice is Permethrin available as an anti-scabetic
> [Permite,HHMITE] or an anti-lice preparation [Perlice]. It is affective
> against most biting pests and has the added advantage of having a residual
> staying effect on the skin. On my recommendation it is now being used by
> most B.N.H.S. members during camps. It can be applied directly on exposed /
> covered areas of the body including the face. Leech guards should be soaked
> in it and dried before use. Ditto for shoes and mosquito nets.
> - And finally, no outdoor protection is complete without adequate
> sun protection. This could be in the form of a cap, a hat with a 3 inch
> brim, a long-sleeved shirt and a sunscreen with a Sun Protective Factor
> [SPF] greater than 15 for Indian skin, preferably waterproof.
>
>
> Would now like to add:
>
> For those venturing out into the wild, additional protection can now be
> obtained by bathing with a soap containing Permethrin [available as HHMITE
> soap or PSCAB soap]. Clothes can also be [incompletely] rinsed using the
> same soap.
> With regards,
> Neil Soares.
>
>
>
>
>
> [Non-text portions of this message have been removed]
>
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