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In fact, only 2.6% of children younger than 18 years are reported to have onychomycosis, but as many as 90% of elderly people have onychomycosis Risk factors for onychomycosis include family history, advancing age, poor health, trauma, living in a warm climate, participation in fitness activities, immunosuppression (can occur from HIV or certain drugs), bathing in communal showers (such as at a gym), and wearing shoes that cover the toes completely and dont let in any airflow