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Chickenpox
Signs Symptoms & Prevention
Causes of Chickenpox
Chickenpox is a
very contagious and common skin disease that affects mainly children and is caused by a virus called varicella-zoster virus (VZV). Chickenpox is an airborne disease i.e. it spreads in the air through when and infected person sneezes or coughs. It can also spread through direct contact with fluid from inside the chickenpox blisters. Chickenpox is an extremely contagious disease if exposed to the disease 80-90% of those who have not had the disease will catch it.
Chickenpox in adulthood
Chickenpox is common in persons under the age of fifteen but anyone can get it.
A single attack of chickenpox gives a person lifelong immunity against the
disease. It is less common among adults because Chickenpox is a very common
childhood disease and most adults will have already contracted it in their
childhood and developed the natural immunity against it. The VZ virus however
remains dormant in the nerves and may reappear later in life as Shingles or
Herpes Zoster if an individuals immune system is compromised.
Shingles are not contagious and cannot be
passed on to another person directly. A person can only get shingles if they
have previously suffered from chickenpox.
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Chickenpox Symptoms
or Signs
Fever
The early signs of chickenpox are
a fever stuffy nose, joint pains headache backache sore throat and a general
malaise. Coughing or sneezing may also occur.
Itchy Rash
Soon after a rash which starts as
small very itchy red bumps which usually first appear on the abdomen or back and
face, and then quickly spreads to rest of the body, including the scalp, mouth,
nose, ears, and genitals.
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The rash turns into fluid filled blisters within
hours. The symptoms are often more severe in adults. The Chickenpox blisters
develop into thin-walled blisters filled with clear liquid. The liquid in the
blisters then becomes cloudy. The blister breaks open, leaving sores, which
finally dry up to become dry, brown scabs. Chickenpox blisters are about a
quarter to half an inch wide, have a reddish base, and appear in bouts over 2 to
4 days. The rash clears off within two weeks but may leave scars. Seek medical attention immediately as soon as you begin to see any of these symptoms
especially if you haven’t been vaccinated or haven’t had this illness before.
Never break the blisters scratch or peel off the scabs as this cause secondary
infections and scars
Chickenpox
Complications
Certain groups of people are more likely to have a more severe
form of the illness that could lead to complications. These include pregnant
women Infants, and other adults with compromised immune systems from either illnesses
e.g. AIDS or from medications such as long-term steroid use.
Secondary Infections
Secondary Bacterial infections of the blisters
may occur
Pneumonia
Secondary Lung infection sometimes result in
adults leading to Pneumonia
Encephalitis of
Brain Inflammation
Inflammation of the brain can occur in very rare
cases which can result in brain damage.
Chickenpox during Pregnancy
If a pregnant woman contracts chickenpox there is a greater possibility that the fetus will have
congenital. The risk is even higher before the first 20 weeks of pregnancy. If a few days before and after giving birth a mother contracts chickenpox the baby will get infected and has lesser chances of surviving the infection because the mother’s immune system would not have had sufficient time to produce antibodies and transfer them to the fetus before birth.
Suppressed Immune System
People with a compromised immune system resulting
from illnesses such as AIDS Cancer treatment or from prolonged steroid use
should not be near a person with Chickenpox because complications are likely to
arise if they are infected.
Chickenpox Treatment
Normally, chickenpox is a mild illness
and will clear away within two weeks without much intervention. Its advisable to
seek medical help as soon as possible. Doctors may prescribe some pain relievers
to control the fever and other medications to treat any symptoms and
complications which may arise.
How contagious is Chickenpox?
Chickenpox is extremely contagious, meaning that someone who has it can easily spread it to someone else. An infected person is most contagious during the first 2 to 5 days of getting infected. That's usually about 1 to 2 days before the rash comes out meaning most people start spreading chickenpox without even knowing that they have it. If a child has contracted chickenpox keep them out of school at least until the blisters are crusted over. This should be about a week
or two.
How can I protect myself from Chickenpox?
If possible avoid contact with persons suffering from smallpox especially if you have not had the disease in the past. Get vaccinated against the disease. Most children get vaccinated when they are a year old and may not even remember it. If you have not had the shot get one and make sure all your kids get one too.
Chickenpox Vaccine
The Chickenpox vaccine can protect
you from chickenpox. The Majority of people who get vaccinated against
chickenpox will not suffer from it. And even those few who get it even when they
have been vaccinated only show symptoms of very mild Chickenpox. They will
have fewer blisters, are unlikely to have a fever and recovery is often much
faster.
Children who have never had chickenpox
should get two doses of the chickenpox vaccine at these ages:
-First Dose: 12-15 months of age
-Second Dose: 4-6 years of age (This dose may be administered earlier but should
be at least 3 months after the 1st dose)
-Adults 13 years of age and up should get two doses of the vaccine at least 28
days apart.
-Teenagers who have never been vaccinated against chickenpox should get two dose
of the vaccine the timing of which will be specified based on the age of the
individuals
Chickenpox vaccine can be given along with
measles-mumps-rubella (MMR) vaccine in a combination vaccine called MMRV.
Is the Chickenpox Vaccine Safe? Does it have
any side effects?
The chickenpox vaccine like any other medication
can cause serious problems such as allergic reactions but the chances of that
happening are very minimal and their effects a not likely to be worse than
getting the disease itself.
Of all people who receive the vaccine side
effects can occur as follows:
20% of children and 30% adults and adolescents
get a sore or swelling around the area where the vaccine was injected.
10% or so will get a fever after receiving the chickenpox vaccine and in about
0.1% the fever can lead to seizures.
5% get a mild rash within a month of getting vaccinated and in very rare cases
may infect people they live with.
In extremely rare cases Pneumonia may occur as a result of the vaccine.
When should the Chickenpox Vaccine be avoided?
Generally speaking
getting the chickenpox vaccination is a lot safer that getting the chickenpox
disease and is recommended for everyone. Only under a few special circumstances
should it be avoided.
The vaccine should
only be administered to a person in good health at vaccination time otherwise
they should wait until they are well again before they get the chickenpox
vaccine.
The Chickenpox vaccine must not be administered if the person has ever had a
life-threatening allergic reaction to gelatin, the antibiotic neomycin, or a
previous dose of chickenpox vaccine.
Pregnant women must not get the chickenpox vaccine until after they have
given birth and pregnancy must be avoided for at least a month from the time a
woman has recovered from a bout of chickenpox.
Person with a compromised immune system due to factors such as HIV/AIDS or other
conditions that affect the immune system such as chemo therapy or radiation
treatment and treatments that involve the use of steroids for more that two
weeks must consult a doctor before they get the chickenpox vaccine.
People who recently had
a blood transfusion should consult their doctor about when they can get the
chickenpox vaccine.
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