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Okuni
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Wednesday November 3, 2010
Chicken-pox can be an adult problem, too
By LIM WEY WEN
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KUALA LUMPUR: News that Prime Minister Datuk Seri Najib Tun Razak is down with chicken-pox on Monday has come as a reminder that it’s not a disease that’s confined to children. While many Malaysians are aware of chicken-pox, more common in children below 10, many do not know that adults can get it, too.
Most people think it is a childhood disease and may not realise that it can also occur for the first time in adults, said senior consultant dermatologist Dr Steven K.W. Chow. Chicken-pox is an infectious and contagious disease caused by the Varicella-zoster virus. It can be easily spread through contact with fluids from chicken-pox blisters or the inhalation of air-borne droplets that contain the virus when a person who has chickenpox coughs or sneezes.
Children usually develop mild fever and itchy, fluid-filled blisters on their skin. In adults, the disease is more intense and severe. “There is a higher incidence of viral lung infection for adults. The acute phase lasts longer and the skin lesions tend to be more severe and are more likely to leave scarring,” said Dr Chow yesterday. The symptoms usually last five to seven days. Generally, one can get life-long immunity after recovering from chicken-pox.
However, if a person is only partially immune, a second infection can occur. “Usually, adults tend to develop what is known as shingles or herpes-zoster from the reactivation of the virus, which hibernates in the nerve roots after a chicken-pox infection during their childhood,” said Dr Chow. As for treatment, there were specific anti-viral medications to stop the virus from multiplying and lessen the severity of the illness. “These medications must be taken as early as possible to be effective,” he said.
Dr Chow explained that while chicken-pox vaccination offered protection for children (above 12 months) and adults who have not had it before, vaccinating the whole population was unlikely to have any major impact as a large number of people would have had natural protection from previous, mild chickenpox disease. “Hence a vaccination campaign must be very specific and targeted at those at risk of severe disease,” he said.