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Fast Fact
"Huffing," or inhaling volatile substances, is becoming increasingly popular among children, especially among 12- to 14-year-olds (Archives of Pediatric and Adolescent Medicine, 1998;152(8):781--786).
Alarmingly, about 20% of eighth-graders report having done it (International Journal of Addiction, 1993;28:1613--1621).
Besides sudden cardiac arrest (the most common cause of death from inhalants), huffing can kill quickly in a number of other ways. Motor vehicle accidents, falls, and other traumatic injuries are common and horrible. Others die from suffocation, burns, suicide (from the depression that can follow the high), and from choking--on their own vomit.
Huffing can kill the very first time children experiment with it. About 22% of those who die from huffing do so the first time they try it (Human Toxicology, 1989;8:261--269).
When huffing doesn't kill quickly, it damages the body each time--especially the brain. Huffing can cause memory loss, impaired concentration, hearing loss, loss of coordination, and permanent brain damage. Chronic use can cause permanent heart, lung, liver, and kidney damage as well.
Solvents (found in glues, paints, and polishes), fuels (such as butane), nitrites (found in deodorizers), and almost any kind of aerosol spray can be responsible.
Most huffing takes place with friends (although kids who sniff correction fluid in class when their teachers turn away are not uncommon). Be observant of your child and his or her friends.
Inhalants gradually leave the body for 2 weeks following huffing--mostly through exhaling. The characteristic odor is the biggest clue. Be on the lookout for breath or clothing that smells like chemicals. Look for clothing stains. Watch for spots or sores around the mouth.
Nausea, lack of appetite, weight loss, nervousness, restlessness, and outbursts of anger can all be signs of inhalant abuse. A drunk, dazed, or glassy-eyed appearance might mean your child is abusing inhalants right now.
If you suspect or discover that you child is huffing, get professional help. Treating inhalant abuse is very difficult and requires expert intervention. Withdrawal symptoms may last for weeks. The relapse rate without a long-term (2-year) program is very high.
Preventing huffing is far better than trying to treat an inhalant addiction. Talking with your child about it is more powerful than anything else (NIDA Research Monograph, 1988;85:8--29).
Start talking with your child about it now. Although huffing peaks between the ages of 12 and 15 years, it often starts "innocently" in children only 6 to 8 years old (Pediatrics, 1996;97:3).
Literally thousands of easily available substances can be inhaled, so you can't keep your child away from them. You can, however, educate and inspire.
For more information on huffing, I recommend visiting www.inhalant.org.
Even though skin cancer occurs in adults, the serious skin cancers are caused by the radiation damage (particularly the sunburns) that occurred in our youth. Children are at the highest risk for sun damage, and more than half of a lifetime’s sun exposure usually happens during childhood.
Try to avoid the sun's most intense rays by staying out of the sun during the middle of the day -- and don't be lulled into complacency by overcast days, since most of the sun's harmful rays will get through the clouds.
Keep babies younger than 6 months out of direct sunlight. Shade can be found under a tree, umbrella, or the stroller.
Be especially careful if you are around water, sand, snow, or any surface that will reflect and therefore intensify the sun's rays. Remember, the sun’s rays are more intense the higher you get in elevation.
When purchasing sunscreen, select a PABA-free brand with an SPF of at least 15, preferably greater. Choose a sunscreen that says “broad-spectrum” on the label – this means it will provide protection against both UVA and UVB rays.
In general, infants' skin is much thinner and more sensitive to the sun than adults' skin, even in individuals with darker complexions. The amount of sunscreen needed depends on how light the child’s complexion is. I would recommend using sunscreen with an SPF of at least 30 for very fair-skinned children.
The AAP used to recommend not putting sunscreen on infants under six months of age. This is no longer the case, because the danger from sunburns outweighs the risk of sensitivity to sunscreens. For babies younger than 6 monhts, use sunscreen on small areas of the body, such as the face and the backs of the hands.
Sunscreen is most effective if first applied 20-30 minutes before sun exposure.
Use sunscreen whenever you expect to be in the sun for thirty minutes or more, and re-apply after swimming.
Even waterproof sunscreens should be re-applied every 80 minutes or so, after being in the water.
Most of the treatments for poison ivy, oak and sumac are aimed at reducing the itching, until the self-limited rash runs its course, which takes about two weeks. Click here for Dr. Greene’s tips on treating these allergic reactions.
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