Effective Home Solutions: How to Treat Carpet for Fleas and Get Rid of Them

To treat carpet for fleas, use baking soda and salt instead of insecticides. Sprinkle salt and baking soda evenly across the carpet. Use a broom to mix the ingredients thoroughly, helping them penetrate deep into the carpet fibers. This effective treatment can help eliminate fleas and refresh your carpet during deep cleaning.

Applying a carpet spray is an effective home solution as well. Choose a product specifically designed to kill fleas and follow the manufacturer’s instructions carefully. Alternatively, consider using natural remedies. For example, a mixture of salt or baking soda can dehydrate and kill fleas. Sprinkle these substances across the carpet and leave them for 24 hours before vacuuming.

For long-term prevention, consider treating your pets with veterinarian-approved flea control products. Regular grooming and bathing can also reduce the risk of fleas returning to your home.

After treating carpets, it is essential to maintain a clean environment. Regular cleaning and monitoring will significantly help in controlling and preventing flea infestations. Now, let’s explore additional steps for ensuring your home remains flea-free, and discuss effective yard treatments that complement indoor solutions.

What Are the Signs of a Flea Infestation in Carpets?

The signs of a flea infestation in carpets typically include visible fleas, flea dirt, and increased pet scratching.

  1. Visible Fleas
  2. Flea Dirt (feces)
  3. Increased Pet Scratching
  4. Itchy Bites on Humans
  5. Allergic Reactions in Pets
  6. Unpleasant Odor

The presence of these signs may vary depending on the severity of the infestation, making it essential to recognize them early.

  1. Visible Fleas: Visible fleas indicate a flea infestation directly. Adult fleas are small, dark brown, and jump quickly. They can be spotted hopping on carpet fibers, particularly in areas where pets spend time. A study by the Centers for Disease Control and Prevention (CDC) notes that adult fleas can reproduce rapidly, leading to a significant population increase in just a few weeks.

  2. Flea Dirt (feces): Flea dirt, or flea feces, appears as small, dark specks on carpets. These specks often resemble black pepper. When dampened, they turn reddish-brown, indicating they contain digested blood. A study published by the Journal of Medical Entomology highlights that identifying flea dirt is crucial for distinguishing between a flea-infested area and mere dust or dirt.

  3. Increased Pet Scratching: Increased scratching in pets often signals a flea infestation. Pets may scratch more frequently and exhibit signs of discomfort due to flea bites. According to the American Veterinary Medical Association, pets are likely to develop allergic reactions that lead to even more intense scratching, requiring veterinary attention.

  4. Itchy Bites on Humans: Flea bites on human skin manifest as small, red, itchy welts. Typically, these bites cluster in groups of two or three. Various sources, including the Mayo Clinic, recommend monitoring for signs of insect bites, particularly in households with pets to assess for a possible flea infestation.

  5. Allergic Reactions in Pets: Allergic reactions often arise in pets due to flea saliva. Symptoms may include hair loss, skin infections, and inflammation. The Veterinary Dermatology journal emphasizes this condition’s importance, advocating for pet owners to monitor their fur babies closely for any signs of discomfort.

  6. Unpleasant Odor: An unpleasant odor in carpets can accompany a flea infestation, especially in severe cases. This smell may stem from pet debris or the fleas themselves. Homeowners should pay attention to any unusual scents, which can indicate underlying pest problems, as noted in pest control resources.

Understanding these signs helps homeowners take timely action during a flea infestation, ensuring a healthier living environment.

How Can You Spot Flea Eggs and Larvae in Your Carpet?

You can spot flea eggs and larvae in your carpet by looking for small, white, oval eggs and tiny, worm-like larvae, often found in dark and shaded areas.

Flea eggs:
– Appearance: Flea eggs are about 1 mm in size. They are small, oval-shaped, and white. Their smooth surface reflects light, making them look shiny.
– Location: These eggs often fall off adult fleas and can be found in areas where pets rest or sleep. They tend to accumulate in carpets, bedding, and upholstery.

Flea larvae:
– Appearance: Flea larvae are approximately 2 to 5 mm long and resemble small, pale worms. They have a segmented body, which makes them look different from many other pests.
– Behavior: Flea larvae avoid light and tend to stay in dark, humid environments. They often reside in the fibers of carpets or under furniture where they can hide from light.

Detection methods:
– Visual inspection: Look closely in shaded areas of your carpet. Use a flashlight to illuminate dark corners. Both eggs and larvae may appear when disturbed.
– Sticky tape test: Use clear tape to pick up and examine debris from your carpet. This method can help you confirm the presence of eggs and larvae.

Understanding the life cycle of fleas is crucial. According to a study by Dryden et al. (2000), flea populations can thrive in carpets, with adult fleas emerging from larvae after several weeks. The presence of both eggs and larvae indicates a potentially developing flea infestation.

Regular vacuuming of carpets helps in removing both flea eggs and larvae effectively. Washing pet bedding and employing flea treatments can further manage infestations.

How Do Fleas Typically Infest Carpets in Homes?

Fleas typically infest carpets in homes by jumping from infested pets or animals, laying eggs in carpet fibers, and thriving in the warm, dark environment.

Fleas can easily enter a home in several ways:

  1. Jumping from Pets: Fleas are often transported into homes by pets. When an infested animal walks on carpet, fleas can drop off or jump onto the carpet directly.

  2. Laying Eggs: Adult fleas lay eggs in the fur of pets or on the floors. These eggs are small, white, and can easily fall into carpet fibers where they become hidden.

  3. Hatching Larvae: Flea eggs hatch into larvae within a week. These larvae thrive in dark areas, such as carpets, feeding on organic debris and flea feces. Flea larvae are known to be sensitive to light, which makes carpets an ideal habitat.

  4. Environmental Conditions: The warm and humid conditions often found in homes create an ideal environment for flea survival. According to a study by H. D. R. H. McRae, changing home environments can influence flea reproduction and maturity rates (McRae, 2020).

  5. Completing Lifecycle: Once larvae mature into pupae, they remain dormant for several months. They emerge when they sense heat or vibration, increasing their chances of finding a host and repeating the infestation cycle.

Fleas in carpets can pose health risks. They can cause itching and skin irritation to humans and pets. Effective prevention and treatment are crucial to controlling flea populations in homes. Regular vacuuming and carpet cleaning, along with medication for pets, can significantly reduce flea infestations.

What Factors Contribute to a Flea Infestation in Carpets?

Flea infestations in carpets are primarily influenced by environmental conditions and pet ownership. These pests thrive in warm, humid environments, and their presence is often linked to the presence of pets that carry them into homes.

Factors contributing to flea infestation in carpets include:

  1. Presence of pets
  2. Humidity and temperature
  3. Lack of regular cleaning
  4. Open access points
  5. Previous infestations

Understanding these factors helps in addressing flea infestations effectively.

1. Presence of Pets:
The presence of pets is a major factor contributing to flea infestations. Pets like dogs and cats often carry fleas on their fur and skin. Fleas reproduce quickly, laying hundreds of eggs that can fall into carpets and other areas of the home. According to a study by the Pest Control Technology magazine in 2019, it is estimated that 90% of fleas on pets are actually in their environment, including carpets. Ensuring pets are regularly treated with veterinary-recommended flea control products is essential in reducing the risk of infestations.

2. Humidity and Temperature:
Humidity and temperature play significant roles in flea survival and reproduction. Fleas thrive in humid and warm conditions, with optimal temperatures ranging between 70°F and 85°F (21°C – 29°C). The University of Florida’s Institute of Food and Agricultural Sciences states that flea larvae develop best in environments with humidity levels above 50%. Consequently, homes with poor ventilation and high humidity are more prone to infestations.

3. Lack of Regular Cleaning:
A lack of regular cleaning contributes to flea infestations in carpets. Vacuuming carpets weekly can remove adult fleas, eggs, and larvae. The American Journal of Entomology indicates that vacuuming can decrease flea populations by up to 50% when done consistently. Additionally, carpets that are not regularly cleaned trap organic debris that fleas feed on, creating an ideal habitat for reproduction.

4. Open Access Points:
Open access points, such as pet doors and gaps in windows and doors, allow fleas to enter the home. Fleas can jump from infested areas outside into homes. According to an article in the Journal of Vector Ecology, areas with dense vegetation close to homes may harbor flea populations, which can increase the likelihood of flea migration into living spaces.

5. Previous Infestations:
Previous infestations leave behind eggs and larvae in carpets, making future outbreaks more likely. New fleas can hatch from these eggs and lead to a renewed infestation. The Centers for Disease Control and Prevention (CDC) notes that infestations can recur if the environment has not been adequately treated. Addressing both the visible fleas and the hidden life stages in the carpets is crucial for long-term control.

By understanding and addressing these factors, homeowners can mitigate the risks of flea infestations in carpets effectively.

What DIY Natural Solutions Are Most Effective for Treating Carpets for Fleas?

To effectively treat carpets for fleas using DIY natural solutions, consider the following approaches.

  1. Diatomaceous Earth
  2. Salt
  3. Baking Soda
  4. Vinegar
  5. Essential Oils (e.g., Lavender, Peppermint)

These methods often attract support from homeowners seeking chemical-free alternatives. However, some may argue that results could vary depending on the severity of the infestation.

  1. Diatomaceous Earth: Diatomaceous earth is a natural powder made from fossilized algae. It works by dehydrating and killing fleas upon contact. The American Kennel Club recommends applying a thin layer of food-grade diatomaceous earth to the carpet, letting it sit for at least 24 hours, and then vacuuming to remove fleas and their eggs.

  2. Salt: Salt acts as a dehydrating agent, which can kill fleas and their eggs. To use salt as a remedy, sprinkle it generously across the carpet and leave it for at least 12–24 hours. Afterward, thoroughly vacuum the area. The natural desiccant properties of salt make it an effective option, according to sources from the University of Florida’s Institute of Food and Agricultural Sciences.

  3. Baking Soda: Baking soda serves as a natural insecticide. To treat carpets, sprinkle baking soda across the affected areas. For enhanced effectiveness, scrub the baking soda into the fabric of the carpet to help release any trapped fleas and eggs. After leaving it in for a few hours, vacuum it up. Many pet owners report success with baking soda treatments due to its safe nature.

  4. Vinegar: Vinegar, particularly apple cider vinegar, can repel fleas. To utilize this solution, mix equal parts vinegar and water in a spray bottle. Lightly mist the carpets and allow the solution to dry. This method not only discourages fleas but also helps deodorize carpets. The Pet Behavior Institute highlights vinegar’s effectiveness as a natural pest deterrent.

  5. Essential Oils: Essential oils, such as lavender or peppermint oil, have properties that repel fleas. Dilute a few drops of essential oil in water and spray it onto the carpet. Allow it to dry before vacuuming. The National Association of Professional Pet Sitters endorses essential oils for their dual benefit of repelling pests and adding pleasant aromas to home environments.

These DIY methods provide natural solutions to treat carpets affected by fleas. Using them frequently and in combination can help manage and eliminate flea infestations effectively without resorting to harsh chemicals.

How Effective Is Vacuuming for Removing Fleas from Carpets?

Vacuuming is effective for removing fleas from carpets, but it is not a complete solution. Fleas live in various life stages, including eggs, larvae, and adults. Vacuuming primarily removes adult fleas and some eggs. It creates suction that dislodges fleas from the carpet fibers. However, many eggs and larvae remain hidden deeper in the carpet or in the surrounding environment.

To enhance effectiveness, regularly vacuum high-traffic areas and under furniture. This action disrupts flea populations and reduces their reproduction. After vacuuming, dispose of the vacuum bag or empty the canister outside. This step prevents fleas from reinfesting the area.

Additionally, combine vacuuming with other treatments, such as using flea sprays or powder. These products target fleas in different life stages, increasing overall effectiveness. In summary, vacuuming plays a crucial role in removing fleas but should be part of a broader flea management strategy.

What Role Do Baking Soda and Salt Play in Flea Treatment?

Baking soda and salt play significant roles in flea treatment. They both act as desiccants, dehydrating fleas and their eggs, which helps eliminate infestations.

  1. Dehydration of Fleas
  2. Dehydration of Eggs
  3. Odor Neutralization
  4. Surface Scrubbing
  5. Cost-Effectiveness
  6. Limited Immediate Impact
  7. Potential Skin Irritation

The effectiveness of baking soda and salt can vary based on the severity of the infestation and the overall cleaning methods employed.

  1. Dehydration of Fleas: Baking soda dehydrates fleas by drawing moisture from their bodies. This process leads to fatal outcomes for adult fleas. Studies indicate that using diatomaceous earth, a similar desiccant, can reduce flea populations effectively. Research by Scott et al. (2010) found that dehydrating agents serve as useful components in integrated pest management.

  2. Dehydration of Eggs: Salt also functions as a desiccant that can absorb moisture from flea eggs. This prevents them from hatching, disrupting the infestation cycle. The effectiveness of salt in treating flea eggs is noted in a study by Hsu et al. (2015), which indicates that moisture removal is essential for minimizing flea development.

  3. Odor Neutralization: Baking soda is known for its ability to neutralize odors. Fleas can leave persistent smells in carpets or upholstery. When sprinkled on affected areas, baking soda absorbs unpleasant odors, improving the overall environment. These benefits have been advocated in various home cleaning guides.

  4. Surface Scrubbing: When mixed with water and used as a paste, both baking soda and salt can serve as scrubbing agents. This mechanical action helps loosen flea debris and eggs from carpet fibers, making it easier to vacuum them up. This method has been employed in effective cleaning routines for pet households.

  5. Cost-Effectiveness: Both baking soda and salt are affordable and widely available household items. Utilizing them for flea treatment avoids the need for expensive commercial products. A comparison of flea treatment costs often highlights the affordability of these alternatives.

  6. Limited Immediate Impact: While baking soda and salt can help control flea populations, they are not instant solutions. The elimination process requires time and repeated applications, as fleas reproduce quickly. This delayed effectiveness can lead to mixed opinions among pet owners regarding their use in urgent situations.

  7. Potential Skin Irritation: Both substances can cause irritation to pets’ skin, especially if they have sensitive skin or existing allergies. Owners should take precautions when applying these treatments and ensure thorough cleaning after use. Experts recommend testing small areas first to gauge sensitivity, as noted in a study by Lantos & Webster (2018).

In summary, while baking soda and salt can be useful for managing flea problems, they come with limitations that should be considered in conjunction with comprehensive pest control strategies.

How Can Essential Oils Be Used as Flea Repellents in Carpets?

Essential oils can be used as effective flea repellents in carpets due to their natural insect-repelling properties and pleasant scents. Several essential oils have demonstrated effectiveness against fleas, making them suitable for carpet treatment.

  1. Insect-repelling properties: Certain essential oils possess compounds that naturally repel insects. For instance, oils such as lavender and peppermint have shown efficacy against fleas. A study by Pugliese et al. (2013) noted that essential oils could repel adult fleas effectively due to their strong aroma and chemical composition.

  2. Application methods: There are different ways to apply essential oils for flea repellent purposes. You can add several drops of essential oil to a spray bottle with water and shake it well. Lightly spray the mixture onto carpets while ensuring not to saturate them. You can also use a diffuser to disperse the aroma. Simply add a few drops of oil to the diffuser, and let it run to keep the area pest-free.

  3. Safe for pets and children: Essential oils offer a non-toxic alternative to chemical-based flea treatments. Unlike synthetic pesticides, which can expose pets and children to harmful substances, diluted essential oils are generally considered safe for use in homes. However, it is essential to consult a veterinarian before using certain oils around pets, as some can be toxic to specific animals.

  4. Additional benefits: Apart from repelling fleas, essential oils can provide other advantages. For example, many oils have antibacterial or antifungal properties, contributing to overall cleanliness. Lavender oil not only repels fleas but also promotes relaxation and reduces anxiety, creating a soothing environment.

  5. Regular maintenance: Consistent application of essential oils helps maintain their effectiveness as flea repellents. Reapply every few days or after vacuuming to ensure the aroma continues to deter fleas. Regular vacuuming of carpets, furniture, and pet bedding also eliminates flea eggs and larvae, further enhancing the effectiveness of essential oils.

By utilizing essential oils in carpets, you can create a cleaner, safer environment while effectively repelling fleas.

What Chemical Treatments Are Available for Fleas in Carpets?

Chemical treatments available for fleas in carpets include various insecticides and flea control products. These treatments help eliminate adult fleas and their eggs, ensuring thorough infestation control.

  1. Pyrethroids
  2. Insect Growth Regulators (IGRs)
  3. Neonicotinoids
  4. Boric Acid
  5. Essential Oils

To explore these treatments further, let’s examine each type in detail.

  1. Pyrethroids:
    Pyrethroids are synthetic chemicals that mimic naturally occurring pyrethrins, which are derived from chrysanthemum flowers. These insecticides disrupt the nervous system of fleas, leading to paralysis and death. Research indicates that pyrethroids are effective against adult fleas. However, their impact on eggs and larvae is limited. Products containing pyrethroids include sprays and powders, commonly found in pet stores.

  2. Insect Growth Regulators (IGRs):
    Insect Growth Regulators (IGRs) are chemicals that disrupt the development of young fleas. IGRs interfere with the growth processes, preventing larvae from maturing into adult fleas. They do not kill adult fleas but are essential for breaking the flea life cycle. Products like methoprene and pyriproxyfen are widely used as IGRs. They are often combined with other insecticides for comprehensive treatment.

  3. Neonicotinoids:
    Neonicotinoids are a class of neuro-active insecticides modeled after nicotine. They target the nervous system of fleas and are effective in killing adult fleas swiftly. Common examples include imidacloprid and nitenpyram. Neonicotinoids are available in various forms, such as spot treatments and carpet powders. Concern over environmental impact and effects on non-target species has led to ongoing discussions about their use.

  4. Boric Acid:
    Boric acid is a natural insecticide that affects the digestive systems of fleas when ingested. It works by dehydrating fleas and is often used in powder form. Technically, boric acid serves as a desiccant, meaning it absorbs moisture. This treatment is non-toxic to pets and humans, although caution should still be exercised to avoid ingestion. Boric acid is an effective option for long-term control when applied properly.

  5. Essential Oils:
    Essential oils, such as lavender and peppermint, are gaining popularity as natural flea treatments. They have insecticidal properties and potentially repel fleas. Some people prefer these because they are considered less harmful to pets and humans. However, essential oils should be used with caution, as some oils can be toxic to animals if misapplied. Anecdotal evidence suggests mixed results regarding their effectiveness compared to traditional insecticides.

These chemical treatments present various options for effectively managing flea problems in carpets.

What Are the Risks and Benefits of Using Flea Sprays or Foggers?

Using flea sprays or foggers presents both risks and benefits. These products can effectively eliminate fleas but may also pose health concerns for humans and pets.

Main Points:
1. Effectiveness in killing fleas
2. Quick application process
3. Potential health risks
4. Environmental impact
5. Risk of chemical resistance
6. Residual effectiveness of treatment

1. Effectiveness in Killing Fleas:
Using flea sprays or foggers effectively kills both adult fleas and their larvae. Most products contain insecticides that target flea life stages. According to a study by the University of Florida (2019), these treatments can reduce flea populations by over 95% when used correctly. However, success depends on thorough application and following instructions.

2. Quick Application Process:
The application of flea sprays or foggers is usually quick and straightforward. Sprays require direct application in infested areas, while foggers create a mist that covers larger areas. This efficiency is advantageous for immediate relief from flea infestations in homes.

3. Potential Health Risks:
Health risks are associated with chemical exposure from flea sprays or foggers. These risks include respiratory issues, skin irritation, and possible toxic reactions for both humans and pets. The CDC (Centers for Disease Control and Prevention) warns about the dangers of inhaling these chemicals. Proper ventilation and avoidance during and after application are crucial to minimize exposure.

4. Environmental Impact:
Flea sprays and foggers can negatively impact the environment. Many contain chemicals that are harmful to beneficial insects and local wildlife. The EPA (Environmental Protection Agency) emphasizes the importance of using these products responsibly to limit environmental contamination.

5. Risk of Chemical Resistance:
Frequent use of flea sprays or foggers may lead to chemical resistance in flea populations. Research indicates that over time, fleas can develop resistance to commonly used insecticides. This resistance can make treatments less effective and lead to more severe infestations.

6. Residual Effectiveness of Treatment:
The residual effectiveness of treatments varies among products. Some flea sprays offer lasting protection, while foggers may provide shorter-term solutions. Understanding product labels and their active ingredients is essential for choosing the right option for ongoing flea management.

In summary, while flea sprays and foggers provide effective solutions for flea control, it is critical to weigh their advantages against potential health and environmental risks. Always read labels and adhere to safety guidelines for responsible use.

How Can Regular Maintenance and Prevention Strategies Help Keep Carpets Flea-Free?

Regular maintenance and prevention strategies effectively keep carpets flea-free by minimizing their habitats, reducing food sources, and disrupting flea life cycles.

Cleaning carpets frequently helps remove flea eggs, larvae, and adults. For instance, vacuuming can eliminate up to 96% of adult fleas and their eggs, according to a study by Donelson et al. (2016). This action disrupts the flea life cycle.

Using flea repellents is essential. These products create an environment that discourages flea infestation. Regular application can significantly lower the chances of fleas establishing themselves in the carpet.

Treating pets with veterinarian-recommended flea control methods also is crucial. Fleas often reside on pets and then transfer to carpets. Maintaining an effective flea treatment plan for pets can drastically reduce the flea populations in the home.

Washing carpets and rugs in hot water is another effective strategy. Heat kills fleas at all life stages. A temperature of at least 140°F (60°C) is necessary to eliminate fleas effectively, as found in studies by the University of Florida (2017).

All these strategies, when implemented regularly, create an environment that is less conducive to flea survival. This multi-faceted approach ensures carpets remain flea-free, benefiting both pet health and overall household hygiene.

What Regular Cleaning Habits Should Be Adopted to Avoid Fleas?

To avoid fleas, you should adopt regular cleaning habits that focus on eliminating flea eggs, larvae, and adults in your home. Consistent cleaning prevents infestations and reduces the presence of fleas.

  1. Vacuum frequently, especially carpets and furniture.
  2. Wash pet bedding weekly in hot water.
  3. Clean floors and surfaces regularly.
  4. Utilize flea control products, such as sprays or powders.
  5. Treat your pets with veterinarian-approved flea prevention.
  6. Declutter your home to minimize hiding places for fleas.

These cleaning habits play a crucial role in preventing flea infestations, but understanding the methods is equally important.

1. Vacuum Frequently: Vacuuming frequently removes flea eggs, larvae, and adults. The vacuum’s suction helps capture these pests from carpets, upholstered furniture, and other surfaces. It’s recommended to vacuum at least once a week, or more often if fleas are suspected. A study from the University of Florida suggests vacuuming can reduce adult flea populations by up to 96% in heavily infested areas.

2. Wash Pet Bedding Weekly: Washing pet bedding in hot water eliminates fleas and their eggs. Fleas thrive in warm, sheltered environments, and bedding is a primary breeding ground. The ASPCA advises washing all pet-related fabrics weekly at the highest safe temperature to kill any existing pests.

3. Clean Floors and Surfaces Regularly: Regularly cleaning floors and surfaces helps to remove dirt and debris that may contain flea eggs. Sweeping, mopping, and dusting should be part of your cleaning routine, as many of the flea life stages can hide in dust and dirt. Keeping surfaces clean also boosts general hygiene in your home.

4. Utilize Flea Control Products: Flea control products, such as sprays or powders, can provide additional protection. These products are designed to kill fleas on contact and disrupt their lifecycle. It’s crucial to choose veterinarian-approved products that are safe for your pets and home environment. Applications should occur following the manufacturer’s instructions for effectiveness.

5. Treat Your Pets with Veterinarian-Approved Flea Prevention: Keeping pets protected with veterinarian-approved flea prevention is vital for breaking the flea cycle. Treatments like topical solutions and oral medications can effectively manage fleas before they cause infestations. Regular use as directed by a veterinarian can dramatically reduce the flea population in the home.

6. Declutter Your Home: Decluttering reduces hiding places for fleas. Items like piles of clothing, magazines, and clutter can provide hiding spots for fleas and their eggs. Maintaining a clutter-free environment makes it harder for fleas to settle in, aiding in prevention.

Implementing these cleaning habits can significantly reduce the risk of a flea infestation in your home. Regular cleaning maintenance creates an unwelcoming environment for fleas, thereby protecting your space and pets.

When Should You Consider Hiring Professional Flea Control Services After Treating Carpets?

You should consider hiring professional flea control services after treating carpets if you continue to see fleas or signs of infestation. If do-it-yourself methods do not eliminate the problem within a week, professionals can assess the situation effectively. They can identify hidden flea eggs or larvae that standard cleaning may miss. If you have pets, professional services can apply pet-safe treatments, ensuring their safety. Additionally, if the infestation is extensive or if you experience multiple flea bites, hiring professionals can provide a thorough and lasting solution. Finally, professional services can offer follow-up treatments and preventative guidance.

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