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Yes, poison ivy can be spread through contact despite the patient's washing the affected areas prior to the interaction. An oil-based soap does not stop the effects of urushiol from spreading since poison ivy's toxin is soluble in oil. Proper containment procedures instead require washing with a mixture of 50 percent alcohol and 50 percent diluted 5 percent chlorine, followed by cleaning with an alkaline soap.

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Q: Can you give someone poison ivy after you have washed?
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