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About The Evening herald. (Klamath Falls, Or.) 1906-1942 | View Entire Issue (Oct. 27, 1938)
SIXTEEN THE NEWS AND THE HERALD, KLAMATH FALLS, OREGON October 27, 1938 Klamath County Health Chief Discusses Chicken-pox in First of Series of Articles (Edltor'i note: Dr. P. H. Ro sendal, county health officer, will write weekly articles on health problems. These supplement the Family Doctor articles appearing dally on the editorial page and will be devoted particularly to mattera of timely local Interest.) By Dtl. P. H. noZKXDAI, County Health Officer Since there seem to be Quite a few cases of chicken-pox In the city at the present time, we will be concerned In this column with the subject of chicken-pox, Chicken-pox Is a rather diffi cult communicable disease to con trol as It Is highly contagious and is one of the so-called children's diseases. Many people feel thai It Is a disease every child must have and they might as well get It now and get It over with. They also feel that It Is not dangerous as far as severeness is concerned. This la not always the case. Complications may develop, es pecially in run-down Individuals. The pox may become Infected, de veloping into bolls, middle ear In fection and suppurativa glands. Even erysipelas hna boon report ed, also localised gangrene around the pox. But In the average case a prompt recovery within two weeks may be safely predicted. It Is now thought that a virus Is the cause of chicken-pox and Is constantly found In the fluid In the vesicles or blisters on one who has the disease. It Is also pre sumed that the Infective virus Is also found In the secretions of the nose and throat. Therefore we presume that the contagion en ters the body through the mouth and nose. Infection is produced by contact with an Infected In dividual. Due to Its high degree of Infec- tlvtty the disease la usuully con tracted by- the first exposure. It can also be carried by Infected articles and by a third person. The characteristic lesion of chicken-pox la a red spot which develops Into a pimple and then Into a blister. In these, blisters the fluid absorbs and leaves a scab. These scaba should not be scratched off, for this will result In Infections and scars. There la practically no Immun ity to chicken-pox except perhaps In the very young Infant. Second attacks are extremely rare. The Incubation period or In other word the time from ex posure to the first appearance of the eruption Is around 14 days. During this period thore Is usually no evidence of Ill-health, nor Is the exposed person able to trans mit the disease until probably the last day. Frequently In children there Is no evidence of Illness until the rash appears. But older children and adults frequently experience fover, tiredness, headache and loss of appetite. The appearance of the rash may bo very sudden, One hour thore may bo no rush, and In the next hour lovoral red spots may hare appeared, and a fow hours luter the child may have the lesions In all Its forms, The lesions usually appear first on the skin of the body and In the scalp, then on the extremities and may oven bo found on the pnliua of the hands and soles of tho feet, The active course of chicken pox la usually entirely over In two weoks. As lo the period of Infectlvlty of chicken-pox. according lo the evidence now available, this per iod should bo considered ns last ing from nt least 24 hours before tho appearance of tho eruption un til seven dnya at least after Its ap pearance That Is, the danger Is over when there aro no longer actual hllstora or pustules. U Is considered that dry scabs cannot transmit the disease. , As In the control of chicken pox, Wo do not tiuuiuiillun for tho disease, hut we do 'require that the pullnnt bo Isolated anil kept homo from school until 14 days after appearance of first eruption or until at least 48 hours after the appearance of tho lust blister. Theoretically the child should ho kept from school from lite tenth day to the elKhtenuth day after exposuro and, If ho comes down with tho dlaouso, un til 14 days after appearance of the first bllator, Exposure date can not always he determined, so It may ho difficult to follow this procedure As far as going to school Is concerned wo should follow this rule; If children have not hnd the disease, they may go to school If tho parent will cnretully examine t Ho child In the morning boforu going to school, The teachers urn Inntruclod to exnmlno the child during tho day for appear ance of titty rash. If any appears, the child will be excluded from school, lly doing this your child may be spared losing too much lime from school and also may help lo control lit sproad of tho disease, Kxponeil children who liavo had tho dlxoiiHo may continue to school, provided I hero la no furth er close exposure to tho disease. That Is, koep the child with the dlsean separated from those who do not hnvo tho dlseaso. Iletoro closing, I want tn urge all parents of children who are not seen by physicians to report any case of chicken-pox' to the county lion I Mi department, Tho dlsvnso Is frequently so mild that parents do nut call their family physician, llo can Instruct the parents as lo (ho care of (ho child and thus of Ion prevent any com. plications which may hinder 111 chllil from a prompt recovery. 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