There are so many sunscreen products available. Which SPF number is sufficient, and what else should i look for?

It is critical to choose a sunscreen with broad-spectrum or multi-spectrum protection for both UVA and UVB. Sunscreen products are rated by their “sun protection factor” (SPF). This rates how well the sunscreen protects against one type of cancer causing UV ray, ultraviolet B (UVB.) UVA rays do not cause the skin to burn, but do increase the risk of skin cancer and are largely responsible for the wrinkles associated with prolonged sun exposure.

For the vast majority of people, SPF 15 is fine. People who have very fair skin, a family history of skin cancer, or other conditions like Lupus that increase sensitivity to sunlight should consider SPF 30 or higher.

Keep in mind that the higher the SPF, the smaller the increased benefit: contrary to what you might think, SPF 30 isn’t twice as strong as SPF 15. While SPF 15 filters out 93% of UVB, SPF 30 filters out 97%. Generally, the cost of sunscreen products increases with the higher SPF rating.

The sensitive skin of babies and children is easily irritated by chemicals found in adult sunscreens, so avoid sunscreens with para-aminobenzoic acid (PABA),sulisobenzone, oxybenzone or dioxybenzone. Children’s sunscreens use ingredients less likely to irritate the skin, like titanium dioxide and zinc oxide.

My dad never gets a flu shot. What can I tell him to try to change his mind?

If your father enjoys visiting with his children or grandchildren, let him know that he is putting his family at risk by not getting vaccinated. That might be adequate motivation!

I would also tell him that by not getting immunized he also puts others at risk. If he won’t choose to do it for himself perhaps he could do it for the benefit of others.

My young daughter got the nasal spray flu vaccine last year and really liked it. Is that still a good option?

Earlier this year, the American Academy of Pediatrics and the Centers for Disease Control issued statements discouraging use of the nasal vaccine in children. Unfortunately, the nasal vaccine has proven to be not as effective as the injectable vaccine.

All children age six months and older should receive the flu vaccine beginning any time in October. This should provide immunity for the entire 2016-17 influenza season. Always consult with your pediatrician or primary care physician if you have any concerns about the vaccine. You may also obtain the vaccine at a certified urgent care center.

How is MRSA treated, and what is the recovery process?

MRSA is a very treatable bacterial infection, but the key is seeking medical attention early before symptoms worsen and the infection progresses. Boils or abscesses must be evaluated by a health care professional for incisions and drainage. The primary treatment is medications and antibiotic therapy that is not resistant to MRSA. Sometimes intravenous (IV) antibiotics are necessary if the infection does not respond to oral antibiotics. The recovery process varies and depends upon how quickly treatment is sought, the severity of the infection and response to treatment.

How can I identify the symptoms of MRSA?

MRSA symptoms in children and adults are the same, although can vary based upon the initial skin infection or its severity. In general, seek medical attention when you see skin containing pus or fluid, such as an abscess, blister or boil. Also look for areas where the skin may be red and swollen, and feels hot and tender to the touch. This could be cellulitis, a common potentially serious bacterial skin infection. The rash of cellulitis may also begin with red bumps that begin to spread.

What can I do to protect my family from getting MRSA?

The basics of good hygiene apply to best protect yourself and your family from MRSA and other bacterial related infections. Frequently wash your hands with soap and water or an alcohol-based hand sanitizer for at least 30 seconds. Avoid sharing toiletries like razors and towels. For those involved in athletics, avoid sharing sports equipment, and always wear shower shoes in the locker room. Avoid touching others who have visible skin cuts or abrasions. If you have cuts or abrasions, cover them to protect yourself and others. MRSA is most commonly contracted from contaminated items and surfaces in crowded living conditions, like dorms, barracks and athletic settings, where skin to skin contact can occur.

The Detroit News reported a case of MRSA at a local hospital recently. What is MRSA?

MRSA (Methicillin-resistant Staphylococcus aureus) is a type of bacterial infection which commonly affects the skin causing boils, abscesses and other skin infections. If MRSA goes unrecognized or untreated it can extend to deeper tissue and even enter the bloodstream. It can also result in bacterial infections like pneumonia, meningitis and other life threatening illnesses very rapidly. The most significant concern regarding MRSA is its resistance to commonly used antibiotics, which can make the MRSA infection more aggressive and difficult to treat.

Who is affected most by extreme hot weather?

The elderly, people with significant underlying chronic diseases, including heart and lung disease, weakened immune systems, mental health disorders and dementia are most effected by extreme heat. People who work outdoors or in extreme heat conditions – outdoors or indoors are also at risk.

You can be more or less vulnerable to health risks from extreme heat based on these factors:

Sensitivity – the degree to which you are affected by a stressor such as higher temperatures

Exposure – the physical contact between you and higher temperatures

Adaptive capacity – your ability to adjust to or avoid potential hazards

Why are the combination of high heat and high humidity so dangerous?

Heat is the number one weather-related killer, and as carbon pollution continues destroying earth’s atmosphere, global temperatures will keep climbing, bringing us hotter summers and more dangerous heat.

The ability to sweat is one of the primary mechanisms your body uses to cools you down.

When humidity levels rise, sweat does not evaporate as efficiently, which keeps your body from releasing heat as fast as it may need, and this leads to overheating.

Always drink plenty of fluids when you are sweating. Excessive sweating can accelerate dehydration and worsen the situation in high heat environments.

What can I do to protect my family during high heat and humidity weather days?

Staying well-hydrated is the number one action we can all take to limit the effects of extreme heat. When the temperatures and heat index begins to reach 100 degrees or more, it is especially important to drink water and other drinks that contain electrolytes (salts and minerals in the body that are found in body fluids) – avoid sodas and alcoholic beverages! Contrary to popular belief, it is perfectly fine to hydrate with coffee or tea.

Limit exposure time to extreme temperatures; hydrate often; wear light colored, loose fitting and sweat absorbing clothing. Avoid the outdoors during extreme heat and stay out of the direct sun. If you must work outside, slow down and take frequent breaks. Avoid strenuous exercise during the hottest part of the day. Finally, consider postponing outdoor games and activities.