Varicella, or chicken pox, is a very contagious disease caused by the varicella-zoster virus of the herpes family.
A skin rash of blister-like lesions, usually on the face, scalp, or trunk is the most common symptom. The rash appears first on the trunk and face, but can spread over the entire body causing between 250 to 500 itchy blisters. Children usually miss 5 or 6 days of school or childcare due to their chickenpox. About half of all children with chickenpox visit a doctor due to symptoms such as high fever, severe itching, an uncomfortable rash, dehydration or headache. In addition, about 1 child in 10 has a complication from chickenpox serious enough to visit a doctor including infected skin lesions, other infections, dehydration from vomiting or diarrhea, attack of asthma, or pneumonia. Most cases of chickenpox occur in persons less than 15 years old.
Calamine lotion and Aveeno (oatmeal) baths may help relieve some of the itching. Do not use aspirin or aspirin-containing products to relieve a child's fever. The use of aspirin has been associated with development of Reye syndrome (a severe disease affecting all organs, but most seriously affecting the liver and brain, that may cause death). Use non-aspirin medications such as acetaminophen (commonly known as Tylenol®). Your health care provider will advise you on other treatments.
Chickenpox is highly infectious and spreads from person to person by direct contact or through the air from an infected person’s coughing or sneezing. A person with chickenpox is contagious 1-2 days before the rash appears and until all blisters have formed scabs. It takes from 10-21 days after contact with an infected person for someone to develop chickenpox.
Varicella vaccine may prevent this disease. This vaccine is a requirement to attend day care and school in South Carolina.
Shingles is caused by the varicella zoster virus (VZV). This is the same virus that causes chickenpox. If you have had chickenpox in the past, then VZV is inside you. It never leaves your body and stays in a dormant state. For reasons that are not fully known, the virus can reactivate years later and cause shingles.
The only way to reduce your risk of developing shingles and PHN is to get vaccinated. Adults age 60 years or older can receive a single dose of the shingles vaccine called Zostavax®. Some people in this age group should wait to get vaccinated, or they should not get vaccinated at all if they have a weakened immune system.