Most children living in orphanages are not getting enough calories or the proper proportion of various nutrients. They may have Zinc deficiency, which can affect the immune system and/or the skin. Eczema is quite common and identified by very dry, rather scaly, red skin. Scabies, which will be discussed later, also may precipitate eczema. Bathing in very hot or cold water also contributes to very dry skin. Hydrocortisone 1% cream or ointment, Aquaphor, or Cetaphil cream may be used to treat eczematous skin. Use Aquaphor or Cetaphil twice a day as a maintenance regimen to keep the skin moist. Applying cream for dry skin is a nice way to introduce the child to tactile stimulation via massage. Steroid cream can be used judiciously to manage more angry and red areas of skin especially on those sweet little faces. You may substitute any emollient that you already have in your treasure trove of creams at home; avoid using perfumed creams. Unscented Dove soap is the least allergenic soap and good for all-purpose body washing for adults and children. Don't use a rough washcloth to wash the baby; a soft sponge will do.