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Why won't some health care workers get vaccinated?

COVID-19 vaccination rates among health care workers in nursing homes and long-term care facilities have been lower than expected. Is this an information problem or does it stem from other issues –– and what can be done?

Is poison ivy contagious?

Ask the doctors

Q. I'm very allergic to poison ivy. My spouse currently has a bad poison ivy rash that he got while trimming some bushes in our yard. I'm afraid I'm going to get a rash from him. Is it contagious?

A. Good news: poison ivy rashes are not contagious. You will get a rash from poison ivy only if you come into contact with urushiol oil, which is the plant oil in poison ivy that triggers the rash. In addition, a poison ivy rash, even one with open blisters, won't spread to other areas of the body. The rash only occurs on parts of the body that were actually exposed to the plant oil. Poison ivy rashes can appear to spread if urushiol oil is trapped under your fingernails and you scratch an itch. While you can't get a rash from coming from your spouse, you can get it from clothing or other items that have the plant oil on them. For example, the clothes your spouse was wearing that came into contact with the poison ivy plant. Poison ivy oil can cling to garden tools or even pet fur. The oil from poison ivy is known to linger. According to the FDA, it can stick around on surfaces, sometimes for years, until it is washed away using water or rubbing alcohol. So be certain that all surfaces that are potentially contaminated are cleaned thoroughly to reduce your risk.

Beware do-it-yourself cosmetic injections

Research we're watching

Cosmetic procedures, including injection of neurotoxins (like Botox) and dermal fillers, have become very popular for their power to smooth wrinkles and minimize signs of aging. But the American Academy of Dermatology is warning that these procedures are not for DIYers. An article published in the April 2020 issue of the Journal of the American Academy of Dermatology outlined an uptick in the number of illegal injectable fillers and neurotoxins being sold to the public online. When used by trained providers, these products are generally safe, but serious complications can arise, including stroke, infections, blindness, and tissue death. In rare cases, improper use leads to fatal complications. Some people have been purchasing these products online and following Internet tutorials to inject the products themselves. If you are planning on having any of these treatments, be certain to have the procedure performed in a medical office by a licensed medical professional.

Image: © Anastasiia Kurman/Getty Images

Good news: Deaths due to HIV are way down

A new study cites a remarkable decline in deaths due to HIV infection, and dramatically fewer new cases of HIV infection in the US over the past decade. But there is still a long way to go before declaring victory over HIV/AIDS.

Take a soak for your health

The benefits of tub baths are more than skin deep. Bathing regularly can help ease pain and potentially benefit your heart.

You know that sinking into a warm bath at the end of a long day can help you relax and unwind, but did you know it might also be good for your health? Research shows that using baths as a form of medical therapy, sometimes referred to as balneotherapy (see "Balneotherapy, or bath therapy"), can bring health benefits — among them, easing certain types of chronic pain, helping your skin, and potentially even improving heart health.

Balneotherapy, or bath therapy

The name balneotherapy is derived from the Latin word balneum, or bath. Today, balneotherapy may refer to the use of a typical bath (warm or cold) as a treatment for an illness or condition. However, the term historically and sometimes still refers to mineral baths or mineral-rich mud packs to coat the body. Some medical professionals also consider saunas or steam baths as balneotherapy.

Medication and your skin

Certain drugs or treatments may affect the skin, causing side effects like excessive dryness or blue spots.

Having problems with your skin? You may want to look in your medicine cabinet. Numerous prescription drugs and even over-the-counter treatments may bring unexpected skin changes, says Dr. Suzanne Olbricht, an associate professor of dermatology at Harvard Medical School. Medications to look out for include the following.

Blood-thinning medications

Spontaneous bruising that occurs even without bumping into something becomes more common as you get older. Doctors call it senile or actinic purpura and it happens often in people who take medication to prevent blood clots, such as warfarin (Coumadin) or even a baby aspirin. "As you age, the dermis, the thick middle layer of the skin, begins to thin and doesn't support the blood vessels inside as well as it used to," says Dr. Olbricht. This can make the blood vessels more likely to break. Even the tiniest injury can release blood under the skin, leading to the discoloration and dark purple bruises that characterize this condition.

Does lupus or arthritis affect your prognosis if you get COVID-19?

People with certain chronic conditions are at increased risk for severe COVID-19. These include a compromised immune system, which can happen for a number of reasons. Many people with rheumatoid arthritis or lupus take drugs that suppress the immune system, and new research examined the risks associated with such a situation.

Pregnant and worried about the new coronavirus?

If you are pregnant, naturally you have concerns about COVID-19 and its potential effects on you and your fetus or newborn. Although there is limited data on the new coronavirus and pregnancy, some questions can be answered.

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