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Chicken Pox

Chicken pox is a common childhood illness caused by the varicella-zoster virus. Though chicken pox usually occurs in children, anyone who is not immune can catch it. Once a person has had chicken pox, they normally cannot get it again.

Symptoms

The symptoms of chicken pox can include some or all of the following:

  • Itchy rash
  • Red spots anywhere on the body. The spots then become blisters. Eventually, the blisters pop and scab over.
  • A general feeling of being unwell
  • A high temperature
  • Not feeling like eating
  • Being tired

Causes

Chicken pox is very contagious (it is easy for one person to pass it onto someone else). A person who is not immune to chicken pox can catch it if they are around an infected person. The infection is spread by small drops coughed or sneezed by an infected person or by coming into contact with the fluid in the skin blisters. A person infected with chicken pox can spread the disease to others from up to 48 hours before the rash appears until all the spots have crusted over.

Risk Factors

Most people get chicken pox as a child. While it is an uncomfortable disease, it usually resolves on its own in a few weeks. Some people are more at risk of having complications of chicken pox. Those at higher risk include:

  • Pregnant people
  • People who have HIV/AIDS
  • People who have had an organ transplant
  • Infants under the age of one
  • People who smoke
  • People who take certain types of medication that suppress the immune system

Diagnosis

A healthcare provider can diagnose chicken pox after hearing a patient’s symptoms and examining the rash. If there’s a question whether a person has had chicken pox in the past, a blood test can tell.

Complications

While uncomfortable, chicken pox is usually mild without long lasting complications.

However, in people at higher risk, possible complications can include:

  • Viral pneumonia (a serious infection of the lungs)
  • Birth defects. Babies born to mothers who suffer chicken pox during their pregnancy may have deformities of their arms or legs. If a mother gets chicken pox right before she gives birth, there is also a risk that a serious infection could be passed to the baby.
  • Shingles (herpes zoster) – this is a possible complication for any person who has ever had chicken pox. After the body fights off the infection, the virus hides in the spinal cord. Many years later, the virus may reactivate and cause very painful blisters along a person’s nerves. This often occurs in older people, people undergoing severe stress, or people with other diseases.

Treatment

Chicken pox usually goes away without treatment in a few weeks. For severe cases, antiviral medications may be given.

Over the counter medications, such as soothing lotions for the rash, antihistamines to help with itching, and painkillers for fever or headaches are often recommended.

Prevention

The best prevention for complications of chicken pox is to get the disease as a youngster and develop immunity. For people in higher risk categories, there is a vaccine available. The vaccine is not part of the regular childhood vaccination schedule in South Africa, except for children who are considered high risk. For parents who wish to vaccinate their normal risk child, the vaccine can be acquired from private paediatric clinics for a fee.

 
 
 

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