In this course, we will learn about the risks of varicella-zoster virus (VZV) and why vaccination is important.
For many of us, chickenpox is an itchy illness we experienced as kids or have seen on TV series like Friends, where characters used oatmeal baths and taped-on oven mitts as DIY treatments.
But did you know that chickenpox can cause severe disease in some cases? This is why it’s important for parents or caretakers to consider vaccinating their children. Continue to learn more.
The name “chickenpox” is a misnomer. Chickenpox has nothing to do with chickens or smallpox. But it is a viral infection that can cause a rash and blisters.
90% of cases occur in children under the age of 15. It is an airborne disease that spreads through coughing and sneezing as well as contact with a chickenpox blister or liquid from a blister.
The most common symptoms are rash, fever, discomfort and itchiness. In severe cases, patients may need to be hospitalized and can experience long-term scarring.
The best way to prevent severe illness and complications from chickenpox is by vaccination. Before vaccination in the US, chickenpox caused more than 100 deaths per year, many in children. Now fewer than 20 people die from chickenpox each year.
The varicella vaccine was first developed in the 1970s in Japan with the help of Dr. Michiaki Takahashi. Today, Varivax is the varicella vaccine commonly used in the US.
The vaccine is administered in two doses. The first dose is typically given to kids at 12-15 months of age. The second is given to kids at 4-6 years of age.
From 1995 to 2005, almost 48 million doses were administered in the US. The most common side effects of the vaccine include rash, fever, or pain, redness, or soreness at the injection site.
If chickenpox is normally a mild illness, why is it important for children to be vaccinated? In rare instances, the disease can be very serious and even fatal. Doctors also can’t really predict who will have a serious case. But the vaccine helps to prevent severe disease and need for hospitalization.
There is also a connection between chickenpox and shingles—the same virus causes both. Shingles can cause severe pain, rash, discomfort and fever.
Once a person contracts chickenpox, the virus is stored inactive in nerve tissue near their spinal cord and brain. Years later, the virus can reactivate as shingles.
A person gets shingles only after contracting varicella as a child. The varicella vaccine lowers the risk that the virus will ever get into a child’s body.
For adult immunity from shingles, there is a shingles vaccine called Shingrix. The CDC recommends that adults 50 years and older get two doses of the shingles vaccine, regardless of whether they had chickenpox or the varicella vaccine previously.
Certain people should avoid these vaccines. These people include pregnant persons, persons with a known allergy to the vaccine, and immunocompromised persons.
Summary
VZV causes chickenpox and sometimes, later in life, shingles. The varicella vaccine has reduced chickenpox cases by 90%, and shingles cases by over 70%. The biggest reasons to get your child vaccinated are to protect your child from the discomfort of chickenpox and also provide your child with increased immunity from shingles as an adult.
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Shelagh Fraser, MD MS
Shelagh combines her 25 years of clinical experience with a dedication to staying current with evidence-based advancements in medicine.
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Angie Brown
Angie is an accomplished business person and an MBA graduate. Her history includes non-profit management, program coordination, teaching and entrepreneurship.
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Paige Brown Jarreau
Paige is a biomedical engineer turned science communicator! She got her PhD in Mass Communication studying how scientists use social media. She is the co-founder of Lifeology.
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Eliza Wolfson
Eliza is a postdoctoral microbiologist turned full time freelance scientific illustrator, with a particular love for bacteria and scicomm.