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Varicella (Chickenpox)

Varicella, commonly known as chickenpox, is a highly contagious infection caused by the varicella-zoster virus. While anyone can get chickenpox, it is most common in children.

Although chickenpox often leads to mild symptoms, it can be severe for infants, the elderly, and those with weakened immune systems. It poses additional risks to newborns if their mothers have chickenpox around the time of delivery.  

Causes and Risk Factors

Chickenpox spreads easily through airborne droplets when an infected person coughs or sneezes, and sometimes through direct contact with the rash.

Symptoms usually appear 7 to 21 days after exposure, and individuals with chickenpox are contagious from 1 to 2 days before the rash appears until the spots stop forming and dry up. Once you have had chickenpox, it’s very unlikely you’ll get it again because your body has built up immunity.  

Signs and Symptoms of Chickenpox

The first sign of chickenpox is a blister-like rash filled with clear fluid that eventually breaks and dries. The rash usually appears on the face, scalp, and body, and can be quite itchy. Different stages of the rash (red spots, vesicles, scabs) may appear at the same time.

In vaccinated individuals who contract chickenpox, lesions may not crust, and they remain contagious until no new lesions have developed for 24 hours.

Other common symptoms include:

  • Fever. This may start 1 to 2 days before the rash appears and last for 4 to 5 days. It usually abates once the rash has completely appeared.
  • Tiredness
  • Loss of appetite
  • Headache
  • Mouth ulcers 

Treatment of Chickenpox

Treatment focuses on relieving fever, discomfort, and itching. Common treatments include fever reducers and anti-itch medications. Antiviral medications can be effective if taken within the first 72 hours of symptoms, especially within the first 24 hours. This helps to lessen the severity and duration of the illness, particularly in those with severe symptoms or weakened immunity.

Avoid aspirin as it can lead to a serious illness called Reye’s syndrome, which can cause severe liver and brain damage.  

What to do if my child contracts chickenpox?

1. Consult a Doctor

Schedule an appointment with a paediatrician to confirm the diagnosis and discuss the best course of treatment.  

2. Manage symptoms

It is also important to prevent kids from scratching and picking at the blisters, which may allow bacteria to infect the sores and lead to bacterial infections.

Help your child relieve itchiness and discomfort:  

  • Take cool baths to help relieve itching
  • Pat (don’t rub) the body dry
  • Dab calamine lotion on spots to help relieve itching, avoiding the face and eyes  

Seek Immediate medical help if your child:

  • Has difficulty breathing or wheezing.
  • Develops a high fever (above 39°C or 102°F) that persists or worsens.
  • Shows signs of confusion, severe headache, or extreme drowsiness.
  • Experiences severe rash changes, such as increased redness, swelling, or pain.
  • Displays signs of dehydration, like dry mouth, lack of tears, or decreased urine output.
  • Has a persistent cough or difficulty breathing, which could indicate pneumonia.
  • Develops any unusual symptoms such as tremors, loss of muscle coordination, or extreme lethargy.  

Prevention of Chickenpox (Vaccination)

The chickenpox vaccination is the most effective way to prevent chickenpox.

Chickenpox Vaccine Details

  • No of doses: 2
  • When to take: 2 doses from age 12 months onwards, at least 3 months apart.

This schedule protects over 90% of children. Most vaccinated individuals do not contract chickenpox again, and if they do, symptoms are generally milder with fewer lesions and lower fever. If an unvaccinated child is exposed to chickenpox, they can still receive the vaccine within 24 to 72 hours to help reduce the likelihood of developing the disease.

Risks of Not Vaccinating

Without vaccination, chickenpox has a 90% attack rate, meaning there’s a high chance of contracting the disease after exposure.

Although most healthy children recover within 1 to 2 weeks, in less common cases, severe complications can arise, especially in individuals with weakened immunity:

  • Bacterial skin infections (red, warm, painful lesions)
  • Chest infections (pneumonia)
  • Brain infections (encephalitis)
  • Dehydration due to reduced fluid intake

Chickenpox can lead to severe complications and even death, even in healthy children. The best way to protect your child is through chicken pox immunisation.

Where to Get the Chickenpox Vaccine in Singapore

In Singapore, parents can easily find the chicken pox jab at various clinics and hospitals. It’s important to check with your local healthcare provider or paediatrician for information on where to get the chickenpox vaccine in Singapore.

Our SBCC Baby & Child Clinics provide childhood vaccines recommended by the Ministry of Health Singapore. As our SBCC Baby & Child clinics are Baby Bonus approved, your child’s Baby Bonus can be used for their Childhood Immunisations. Call your nearest SBCC Baby & Child clinic to book an appointment for your child’s vaccination today!

SBCC Childhood Immunisation Packages

SBCC Childhood Immunisation packages cover all your child’s vaccination needs based on Singapore’s National Childhood Immunisation Programme, including the chickenpox vaccine for toddlers and children.