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Varicella vaccination in adults

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Center for Disease Control and Prevention Introduction Severe acute varicella and its serious complications are not a part of the past but they are dramatically actual. Varicella is an acute infectious disease caused by varicella zoster virus VZV , highly contagious and endemic worldwide. Pneumonia is the most common complication and cause of death among non immunocompromised adults affected by this illness. Immunocompromised persons who get varicella can be sick longer than immunocompetent persons and are at risk of developing visceral dissemination leading to pneumonia, hepatitis, encephalitis and disseminated intravascular coagulopathy. The worry is that enough adults with severe varicella will be infected after vaccination to counterbalance the benefit in reduction in children. Also in vaccination era, the average age of infection did not seem to shift among adults and then the study are able to exclude an increase of case of complicated varicella due to the UMV.
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Vaccination for adults

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Chicken Pox (Varicella) — Pediatric EM Morsels %

Human papillomavirus vaccination Routine vaccination Females through age 26 years and males through age 21 years: HPV vaccination complete, no additional dose needed If completed valid vaccination series with any HPV vaccine, no additional doses needed Special situations Immunocompromising conditions including HIV infection through age 26 years: HPV vaccination not recommended until after pregnancy; no intervention needed if vaccinated while pregnant; pregnancy testing not needed before vaccination Influenza vaccination Routine vaccination Persons age 6 months or older: Generally should not be vaccinated Measles, mumps, and rubella vaccination Routine vaccination No evidence of immunity to measles, mumps, or rubella: Born before except health care personnel , documentation of receipt of MMR, laboratory evidence of immunity or disease diagnosis of disease without laboratory confirmation is not evidence of immunity Special situations Pregnancy with no evidence of immunity to rubella: MMR contraindicated during pregnancy; after pregnancy before discharge from health care facility , 1 dose MMR Non-pregnant women of childbearing age with no evidence of immunity to rubella: MMR contraindicated Students in postsecondary educational institutions, international travelers, and household or close personal contacts of immunocompromised persons with no evidence of immunity to measles, mumps, or rubella:
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Improving HCP Immunization Rates

Also, studies were conducted in Japan which indicated protection for at least 20 years. In these cases, people show very little sign of illness. This has been the case of children who get the vaccine in their early childhood and later have contact with children with chickenpox. Some of these children may develop a mild chickenpox also known as breakthrough disease.
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Chickenpox is a highly contagious disease caused by infection with the varicella zoster virus, which causes fever and an itchy rash. The rash typically consists of between and blister-like lesions covering the body that are usually concentrated on the face, scalp, and trunk. Chickenpox can be spread from an infected person who sneezes, coughs, or shares food or drink, even before the infected person has any symptoms. Adolescents and adults who contract chickenpox are more at risk for severe symptoms than are children. Most people will get chickenpox at some point in their lives unless they have gotten the varicella vaccine.
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