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{{CMG}}
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{{CMG}}; {{AE}} {{ARK}}
{{Chickenpox}}
{{Chickenpox}}
==Overview==
==Overview==
The [[incidence]] of [[chickenpox]] varies among various age groups. [[Varicella]] commonly affects children less than 10 years of age with the highest [[incidence]] among children 1-4 years of age. The [[incidence]] of [[chickenpox]] for children between 0 to 4 years of age is 5234 per 100,000 individuals. Between the years 1990-1994, the [[case fatality rate]] of [[chickenpox]] in the US/UK was 2-3 per 100,000 individuals. In developed countries, [[chickenpox]] causes around 3 deaths per 100,000 individuals.


==Epidemiology==
==Epidemiology==
Primary [[varicella]] is an [[endemic]] [[disease]]. Cases of varicella are seen throughout the year but, like other viruses spread by the [[respiratory]] route eg. [[measles]] and [[rubella]], they are seen more commonly in the winter and early spring. This is unlike that for [[enteroviruses]] and lends some support to the view that varicella is spread mainly by the respiratory route. [[Herpes zoster]], in contrast, occurs sporadically and evenly throughout the year. Varicella is one of the classic diseases of childhood, with the highest prevalence occurring in the 4 - 10 years old age group. Like rubella, infection is uncommon in preschool children. Varicella is highly communicable, with an attack rate of 90% in close contacts. Most people become infected before adulthood but 10% of young adults remain susceptible. However, this pattern of [[infection]] is not universal, eg. in rural India, varicella is predominantly a disease of adults, the mean age of infection being 23.4 years. It was suggested that this could be due to interference by other respiratory [[viruses]] that the children are exposed to at an early age.<ref name="EpidemiologyURL">{{cite web
|url=http://virology-online.com/viruses/VZV3.htm
|title=Epidemiology of Varicella Zoster Virus Infection, Epidemiology of VZV Infection, Epidemiology of Chicken Pox, Epidemiology of Shingles
|format=
|work=
|accessdate=2008-04-22
}}</ref>


Historically, varicella has been a disease predominantly affecting preschool and school-aged children. Although mostly noted in preschool and primary levels, the said disease has also been noticed among adults, with the pocks being darker and the [[scars]] more prominent than their younger counterparts.<ref name="EpidemiologyURL"/>
===Incidence===
 
The [[incidence]] of [[chickenpox]] varies among various age groups. The [[incidence]] rates per 100,000 persons in each age group were as follow:
*For age groups 0 to 4 years 5234 per 100,000 individuals
*For age groups 5 to 9 years 4132 per 100,000 individuals
*For age groups 10 to 14 years 1404 per 100,000 individuals
*For age groups 15 to 19 years 610 per 100,000 individuals
*For age groups >20 years 175 per 100,000 individuals
The rates of [[incidence]] of [[chickenpox]] declines for older age groups.<ref name="pmid7658062">{{cite journal |vauthors=Choo PW, Donahue JG, Manson JE, Platt R |title=The epidemiology of varicella and its complications |journal=J. Infect. Dis. |volume=172 |issue=3 |pages=706–12 |year=1995 |pmid=7658062 |doi= |url=}}</ref>
[[Image:Chickenpox Graph 1.jpg|center|thumb|500px|Source: https://www.cdc.gov/]]
 
===Case Fatality Rate===
Between the years 1990-1994,  case fatality rate in the US/UK is 2-3 per 100,000.
*The [[case fatality rate]] among children was 1 per 100,000.
*In 2008 the [[case fatality rate]] in Brazil estimated [[case fatality rate]] is 4 per 100,000. <ref name="urlwww.who.int">{{cite web |url=http://www.who.int/immunization/sage/meetings/2014/april/2_SAGE_April_VZV_Seward_Varicella.pdf |title=www.who.int |format= |work= |accessdate=}}</ref>
*In 2000 the [[case fatality rate]] in Guinea Bissau was approximately 129 per 100,000 cases, 50 times higher than US/UK.
*In 1970, the [[case fatality rate]] in India among adults was 52 per 100,000 cases, 20 times higher than US/UK.
*Worldwide, the [[case fatality rate]] among adults was 20-25 per 100,000. <ref name="urlwww.who.int">{{cite web |url=http://www.who.int/immunization/sage/meetings/2014/april/2_SAGE_April_VZV_Seward_Varicella.pdf |title=www.who.int |format= |work= |accessdate=}}</ref>
[[Image:VZV - Case Fatality Rate.jpg|center|500px|source: WHO.int]]
 
==Demographics==
 
===Age===
*The [[prevalence]] of chicken pox decreases with age.
*Varicella commonly affects children less than 10 years of age with the highest [[incidence]] among children 1-4 years of age.
[[Image:VZV_-_Age 2.jpg|center|600px|source: WHO.int]]
[[Image:Chickenpox Graph 3.jpg|center|600px|source: WHO.int]]
 
===Gender===
 
*The [[prevalence]] and [[incidence]] of chickenpox generally do not vary by gender.
*Chickenpox is more prevalent in females between the ages of 15 - 24 as compared to males.<ref name="pmid14979582">{{cite journal |vauthors=Fleming DM, Cross KW, Cobb WA, Chapman RS |title=Gender difference in the incidence of shingles |journal=Epidemiol. Infect. |volume=132 |issue=1 |pages=1–5 |year=2004 |pmid=14979582 |pmc=2870070 |doi= |url=}}</ref>
 
===Race===
*There is no racial predilection for chickenpox.
 
===Developed Countries===
The [[epidemiology]] and [[demographics]] of chickenpox in developed countries are as follows:<ref name="urlwww.who.int">{{cite web |url=http://www.who.int/immunization/sage/meetings/2014/april/2_SAGE_April_VZV_Seward_Varicella.pdf |title=www.who.int |format= |work= |accessdate=}}</ref>
 
*[[Incidence]]
**1500 – 1600 per 100,000 persons per year
*[[Case fatality rate|Case-fatality rate]]
**3 deaths per 100,000 cases
 
==Gallery==
 
<gallery>
Image:Chickenpox Graph 1.jpg
Image:Chickenpox Graph 2.jpg
Image:Chickenpox Graph 3.jpg
Image:VZV_-_Case Fatality Rate.jpg
Image:VZV_-_Age 2.jpg
 
Image: Chickenpox40.jpeg| Varicella cases and states reporting, United States, 1972-1996. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>
 
</gallery>


==References==
==References==
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{{Reflist|2}}
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Latest revision as of 20:53, 29 July 2020


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Reddy Kothagadi M.B.B.S[2]

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Overview

The incidence of chickenpox varies among various age groups. Varicella commonly affects children less than 10 years of age with the highest incidence among children 1-4 years of age. The incidence of chickenpox for children between 0 to 4 years of age is 5234 per 100,000 individuals. Between the years 1990-1994, the case fatality rate of chickenpox in the US/UK was 2-3 per 100,000 individuals. In developed countries, chickenpox causes around 3 deaths per 100,000 individuals.

Epidemiology

Incidence

The incidence of chickenpox varies among various age groups. The incidence rates per 100,000 persons in each age group were as follow:

  • For age groups 0 to 4 years 5234 per 100,000 individuals
  • For age groups 5 to 9 years 4132 per 100,000 individuals
  • For age groups 10 to 14 years 1404 per 100,000 individuals
  • For age groups 15 to 19 years 610 per 100,000 individuals
  • For age groups >20 years 175 per 100,000 individuals

The rates of incidence of chickenpox declines for older age groups.[1]

Source: https://www.cdc.gov/

Case Fatality Rate

Between the years 1990-1994, case fatality rate in the US/UK is 2-3 per 100,000.

source: WHO.int
source: WHO.int

Demographics

Age

  • The prevalence of chicken pox decreases with age.
  • Varicella commonly affects children less than 10 years of age with the highest incidence among children 1-4 years of age.
source: WHO.int
source: WHO.int
source: WHO.int
source: WHO.int

Gender

  • The prevalence and incidence of chickenpox generally do not vary by gender.
  • Chickenpox is more prevalent in females between the ages of 15 - 24 as compared to males.[3]

Race

  • There is no racial predilection for chickenpox.

Developed Countries

The epidemiology and demographics of chickenpox in developed countries are as follows:[2]

Gallery

References

  1. Choo PW, Donahue JG, Manson JE, Platt R (1995). "The epidemiology of varicella and its complications". J. Infect. Dis. 172 (3): 706–12. PMID 7658062.
  2. 2.0 2.1 2.2 "www.who.int" (PDF).
  3. Fleming DM, Cross KW, Cobb WA, Chapman RS (2004). "Gender difference in the incidence of shingles". Epidemiol. Infect. 132 (1): 1–5. PMC 2870070. PMID 14979582.
  4. "Public Health Image Library (PHIL)".


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