. time now for "sunday house call". >> joining us as always is dr. mark seeing of "the sick code and your health." >> good to see you doctors. >> happy sunday. >> we're going to begin this week with the increasing concerns about what many are describing as a serious public health crisis along the u.s.-mexico border. tens of thousands of illegal immigrants entering the country

without undergoing any sort of medical screening. dr. siegel, you wrote a very great article on this. >> health and human services is calling this a humanitarian crisis right now. and i spoke to hhs, and they basically said, look, we have an unaccompanied alien children program. but that doesn't mean they can get into these camps and get children. but these children are coming into the united states illegally and david and i are practicing physicians, we care about these children and if we took care of them we wouldn't differentiate them for one second. but if children are not screened they can bring diseases in, like chicken poxs and please 8s.

and skabis. there's more tuberculosis being found in areas of texas where these children are being sheltered. so i'm concerned without the centers for disease control more actively involved, they are at a cdc alert right now, meaning they are on a 36 hours alert. i want to see more involvement to try to keep things more contained to get in there and get these children properly screened and cared for. >> well, you know, i think it's a very difficult situation over here because there's a humanitarian part of it that we all really feel bad for these kids coming in, the parents really giving their kids to smugglers to bring them across the border, not knowing if they're going to see them again. it's just unimaginable. you have to keep that in mind, politics aside they're still human beings who have their

rights. they are medical issues we're talking about. they're bringing certain diseases, that's transmittable easily to other people, whether it's a sexually transmitted disease, what it's going to be drug resistant tuberculosis, which is on the rise in texas which you haven't seen before. and the fact they're going to busses and airports ang s and p they're going to give it to somebody else. >> let's say they have tuberculosis, do they get inoculated before they go to these sites? they're going to oklahoma, michigan, they're talking about going to new york state, all across the country, would the public health services actually let a young child who has tuberculosis get on a plane or a bus and go to eat state. >> if they're aware of this. first of all there's a shortage

of doctors over there, because we know that since the beginning of the year, we have about 50,000 of these kids that have come across the border. by september, it's going to be about 90,000. that's a huge volume of kids coming through and we don't have enough people there. if they see someone with with high fever and coughing, of course they're going to pull them aside and keep them spl separate, there are guidelines as far as careening. whether you're legal or illegal, they have to be screened before they go there. if they don't tell you what they have had the mmrs and the vaccinations, you would never kn know. >> if you're a 9-year-old american kid you get the mmr. >> the problem is these kids are not getting screened, the border people are kind of overrun at these centers. so let's say they go into one of these communities bringing in

the tuberculosis-- >> before i waanswer it, i wanto make the point that hhs is not aware of it, they will screen uncompany children, they will find it. what do they bring out into the communities? >> scabies is one thing. tuberculosis is hard to transmit. so it's not likely that you're going to see a big outbreak of t tuberculosis. here's the most important thing, if you have kids who are going to be going to school, if they haven't been vaccinated with the mmr, or varicela, get them

vaccinated now. >> these diseases are so rare in this county troy because they have been eradicated. the first thing that comes in his mind is not going to be tuberculosis, it's going to be so many other things that can be confusing this. but if you look at the pictures, they have put these kids in a huge, kind of like an army base, they're all in one room. even if have of them are doing well, and they have the vaccine and they're perfect, the others are going to pass on all this lice and scabies. >> they're close together, they're crowded together. that's how you spread disease. >> we need more doctors at the border to put in the screens and catch them there and whatever the politics pans out, that's a whole different story. >> hopefully the authorities can get a handle on this and it doesn't happen.

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have you heard about this? a new report showing an alarming increase in the number of young people who are smoking hooka. the author of that study says one of the biggest misconceptions out there is that hooka is completely safe, a safe al teriniternative to cigarette >> it's not being as addictive to smoking cigarettes or as

harmful, a lot of people perceive it as the hooka has a all the c doesn't have all the contamin t contaminants and that's not the case. >> obviously the new fashion hire in the u.s. but if you really the history of hooka, it comes from a place that i'm very familiar with it. it's called pursa. and in purza language, there's something called galioun. it's really the same thing as hooka that you have, and mark is going to talk about the whole to be -- but it means glass, so you have this glass and there's a long history on this, it goes back to centuries ago, even i grew up as a kid going to some of these small cafes and it's a social scene, so you would see three or four people and they have the pipe and the vapor of the smoke comes n and it was a great place for a lot of

old-timers to talk about politics, to talk about what to do and make all the decisions in the city. now centuries later, it went on to india, found its way to egypt, eventually came to europe, and now there are different names for hook can. it's very interesting and now we have it in new york city and of course the whole u.s. this is also becoming a misconception, there's a myth behind this. people think that smoking is not good for you, and also e cigarette is not good for you so it's cool to hang out in these places and there's a booshl coming and it's really preventing the toxins and the nicotine to get to you. >> i love that you said that e cigarettes are not good either. people want to debate that. dr. siegel, hooka vapor, nicotine free, does the pipe filter out toxic components and those flavors make the hooka

pipe les toxic? >> they think the water is filtering out the tobacco, regular cigarettes at least have a filter. and water doesn't filter out anything. there's justi ee's just as much nicotine in hooka and the flavors draw people to it so it makes a more addictive. if you went occasionally to one of these sessions, but the use of a hooka for an hour, gives you as much toxins as a cigarette does. >> this is absolutely important, because what more just mentioned, just that sentence alone, if you smoke one cigar or cigaret cigarette, it's a short period and you're done until the next time. the average time you spend on hooka is about 40 to 60 minutes. plus the fact, forget about the

risk of copd, heart disease and lung cancer, you're also, a lot of people share this, so they give the pipe to one another. >> that would stop me right there. >> we talked to them about that. they gave me a mouthpiece when i was there, but they don't change them in between people. arno and in addition to young cancers there,'s a risk of oral cancers. we talked to some users there and you're going to see how happy they are with these things. >> i think it's somewhere to go when there's nowhere else to do, it's something to do. >> it's relaxing, you hang out and you smoke it and you just relax. you don't get high or anything, there's no naurrcotics, it's ju a hang out things. >> they were aware of these kids, but they said, we do it anyway because it's pleasurable and it's social. >> and i wonder whether he tried

to smoke some of that while he was there or not. >> did you? >> no comment. >> final message is basically don't do it. >> final message is that the big issue is that there's no regulation, just like ecigarettes are not being regulated these are not being regular lated and the whole social scene could be very tricky and it could be endangering these teenagers. and the tar and the toxins that come to it are also cancer generalic. >> acne can be a real problem for many adults and what can you do if you have it. wire going to come back what those answers, don't go anywhere. sunday house call continues. blx

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. now for should i worry? our weekly segments for everything that worries us. i am 30 years old and i still have acne, should i worry. can you break down what is acne and why would a 30-year-old still have it? >> when your pores get clogged with something like black heads, which are really like dirt, they get filled with dirt and then they get inflamed and you get pimples and then white heads form from the pus. you get bacteria, you get dirt, you get pus forming and you get acne. >> i just lost my appetite. but go ahead. >> okay. i'm sorry for the vivid detail. now what do you do? i'll tell you why i say that,

because what do you do when you have it? you try to get the skin dryer, because it's the oil that's clogging those pores, you use antibiotic creams and lotions and you try pores, so use been zonzoyl pero or other products and you try to get the skin less oily. why would people have it as they get older? one in five women have it into adulthood and it's because of hormones, because hormones and changes of hormones of any kind, when you have a change in estrogen, a change in your insulin level, any hormone changes makes your skin more oily, and that's the problem. i would tell people that a lot of people at that age get desperate and try something called acutane. that has to be prescribed by a very good dermatologist.

i want you to understand that after a while, this is going to wear off. acne wears off but their skin will get better in the meantime. >> i think if you really have oily skin, you need to wash it at least twice a day and make sure you get rid of the oil. once those pores get clogged, then all of a sudden everything backs up and you start touching it and you introduce bacteria and you can get it infected. then you have the whole cycle going on. sometimes it could be genetics, and you see some family members just go on and on, and their kids have it, and there's nothing you can do about it except you use something like benzoyl medications to clear it up. obviously hormones have a lot to do with it. in women, if you go on oral contraceptive pills, that could be the reason. or if you stop it. menopausal women go through the

same thing. stress is a huge part of it, because stress changes androgen, it hits the oil and that's what you see. i also warn women about looking at the products and skin care they use. look for oil-free products. go to my website and you will see great products. i started to have a problem since i came to fox news. it's a great network, but i'm always rushing, right? so you have to wash all that makeup. >> will the makeup do it to you? >> yes, it will do it. >> you get certain hy hypoallergenic makeup that will help. david is right that birth can take a toll, change in hormones, but stress is something you can do something about. also not eating dairy is another

thing. you can have dark chocolate, but milk chocolate can precipitate acne. we don't know why. >> as a girl, sometimes you just rinse your face off. sometimes you need an actual washcloth to get it off. >> but don't scrub hard to get it off. and drink seven glasses of water. hydration helps. >> when you get older, you don't want to overdo the skin-drying products. benzoyl peroxide is more for the 13-year-olds, not the 22-year-olds. she's in the 22 range now. >> i'm actually 29. if you have a question for the doctors' e-mail, it's housecall@foxnews.com. we'll air your questions but keep it confidential. >> we have to be in control coming up next. it's summertime and doctors call it a silent epidemic now that summer is here. it's lyme disease.

a lot of people worry about that. if you get those little ticks, what do you do? how do you prevent lyme disease if you're out in the woods?

i'm back now with sunday "housecall." there is a virus that represents the flu and many don't even know they have it. that's lyme disease. you do that full body check, you look for the deer ticks that spread lyme disease? >> that's right. if you're exposed to it and you see it, use a tweezer and very steadily remove the tick and make sure you wash with iodine and alcohol and check with your doctor. what you look for also, if you have a rash, it's called bull's eye rash. it looks like a bull's eye. you will have flu symptoms. after that you want to get

treated for two to four weeks with antibiotics. the problem with lyme disease, we see now about 30,000 cases a ye year. the cdc says there could be 300,000 of them because there's also unreported. there is also chronic lyme disease. people can go on to get paralyzed. they can get meningitis from this so you really want to pay attention. common symptoms like fibromyalgia, like gluten sensitivity. like lyme disease, they have a lot of common symptoms that doctors can miss. if this goes on for a while, make sure you get a second opinion and treat it, because it can be really harmful. >> dr. segal, oftentimes people don't even know they have lyme disease. they don't even see the tick we're talking about. tell me about that and why it precipitates other illnesses, and can it be sexually transmittable? >> everyone heard the last

question so i'll answer that first. yes, it can be sexually transmitted and they're finding that out now, that it can transmit through sexual intercourse. number one, the other point you're making, david mentioned the blood test that you do. i should say he mentioned the rash. the rash is only present about 60% of the time, this big, red bull's eye rash. if you don't have it, you still could have lyme disease. i test everyone with a blood test for lyme disease, but that's only present about 60 or 70% of the time. the most common symptom i look for is fatigue. when people live in eastern maryland where i have a house, connecticut, i get criticized for saying this, every state in the union can have lyme disease, but most often it's the upper midwest or the northeast. if i see fatigue or joint aches or that rash, i will treat it early. if i see a tick that's been on there for a long time, i will treat with antibiotics early. >> you want to make sure you have light-colored clothing, not dark ones.

stay away from my kind of damp area or wooded area, stay in the sun, and always tuck in your pants into your socks. it may not look good, but it protects you. >> that does it for us. >> thank you for watching "housecall" here every sunday on fox. the number of unaccompanied minors coming to the u.s. illegally has tripled in the last three years. where are they going, how long will they stay, and what is the administration doing about a crisis they say it provoked? also -- >> we're using missile defense to protect our civilians and they're using civilians to protect their missiles. >> the ongoing battle against israel and hamas. it's warning civilians to take shelter rather than be used as shields as casualties mount in gaza. president netanyahu mounts his