Home' Trinidad and Tobago Guardian : October 13th 2015 Contents Since school began there
seems to be an outbreak of
chickenpox or varicella zoster as
it's called by doctors who, like
politicians, love to impress people
with big words.
Chickenpox is a mild commu-
nicable childhood disease, caused
by a virus and there are many
explanations why it is so called.
One of them is that the skin
lesions look like blistered chick
peas or burnt channa placed
upon the skin. We should call it
channapox! It is the most conta-
gious of all childhood diseases.
The older the child is the more
severe it tends to be.
Humans are the only beings
that get chickenpox and the only
way to catch it is by being
around a person who has it. Dur-
ing the illness, the virus is found
in the nose and throat and
spread in the air when an infect-
ed person coughs or sneezes. It
can also be spread by touching or
breathing in the virus that has
been released from a burst vesi-
cle.When you get infected with
any virus, it takes a while for the
virus to replicate enough to cause
symptoms. This period is called
the incubation period. The incu-
bation time for chickenpox can
be up to 24 days, but is usually
Most people know about the
rash, but chicken pox starts out
looking just like a common cold.
Runny nose, sneezing, cough and
fever are typical first symptoms
of chickenpox. Then about three
days later the rash shows up,
always first on the trunk, never
The rash itself looks like dots
ranging from the size of a mos-
quito bite to a channa. Within
each of these dots is a fluid filled
vesicle which may pop over the
course of the following days. The
lesions may be painful, itch, but
in most children are not bother-
some at all. They may be found
anywhere on the skin, in the
mouth, nose and conjuntiva and
within the vaginal area and even
unseen within the penis.
In general, the lesions stop
popping up about two-three days
after the first one appeared. It
then takes about five days for the
lesions to crust over.
The most contagious time
occurs when the person is going
through the cold-like symptoms
three days before the rash shows
up. Therefore, the time in which
someone is most contagious
occurs before the person even
knows he has chicken pox! That
is why it spreads like mad in
schools before anyone knows
what is happening.
After the rash appears, the per-
son is infectious for about five
days or until all the lesions have
begun crusting over.This does not
mean the lesions need to have
gone away or fallen off, just
crusted over. Children can go
back to school seven days after
the rash begins. Daycare facilities
and schools often have their
own, little, unreasonable rules
that may require the child to stay
out longer than this.
There's nothing much you need
to do for most children with
chickenpox. If there is fever,
paracetamol in the usual doses
can be used. Never use anything
containing aspirin. Aspirin and
chickenpox together can cause
deadly liver disease.
Traditional treatment for itch-
ing is calamine lotion. There are
a number of other anti-itch
preparations on the market. Wet
compresses with cool wash cloths
are useful. Oatmeal baths, if you
have a tub, can help. Cut the
child's fingernails to reduce the
risk of the child damaging the
skin and leaving it open for
infection. Syrups for itching can
be prescribed by your doctor.
Acyclovir is an anti-viral med-
ication that decreases the symp-
toms of chicken pox, decreases
the number of lesions and
decreases the amount of time it
takes for the lesions to crust
over. This decrease is small, only
one day of illness and is only
effective if the medication is
started the first day the rash
appears. In addition, it is rather
expensive and must be taken four
times a day, therefore, the cur-
rent recommendation is to not
use this medication unless the
child is at particular risk of hav-
ing severe chicken pox.
Chickenpox is a relatively
benign infection for most. Seri-
ous complications do occur and
the skin can get infected. This is
what caused the scarring you can
see in older folks. In children or
adults over the age of 12, an
inflammation or swelling of the
brain causing serious problems
may occur. Pneumonia is another
rare complication and there is an
association with Group A Strep-
tococcus bacteria (the same one
that causes skin sores) and
chickenpox. This bacteria may
invade deeper tissues of the body
causing life-threatening illness.
Except for children and adults
who have immune system prob-
lems, getting chicken pox confers
life-long immunity, so it's almost
impossible to get it twice. Some-
one always has a story about
how some member of her family
got it twice. While this is a pos-
sibility, it is extremely rare. Most
of the time, it turns out that the
original chickenpox infection was
really mosquito bites.
The most effective way to pre-
vent chickenpox in children is to
get the vaccine. The vaccines
licensed in T&T have been used
internationally for over 20 years
now and are safe. The immunity
developed by a single shot as a
child is quite strong and so far
persists until adult life. However,
because the protection with one
injection is not 100 per cent, a
second "booster shot," which can
be given any time after the first
(with at least a four week inter-
val), is now recommended.
Tuesday, October 13, 2015 www.guardian.co.tt Guardian
OFFERS ARE INVITED FOR THE
Two (2) contiguous parcels of freehold
land comprising 10 Acres 1 Rood 24
Perches and 9 Acres 1 Rood 37
Perches situate along Dandrade Road,
Off Aripo Road, Heights of Aripo.
The property is being sold "as is" without any respon-
sibility of the vendor to provide statutory approvals,
surveying data or warranty on its suitability for use
for any purpose.
The property is being sold subject to any existing ten-
ancies, occupancy or encroachments however created
The mortgagee does not bind itself to accept the highest or
any offer. The property will be sold subject to all rates, taxes
and other outgoings that may be due at the time of the sale.
NOTICE TO SHAREHOLDERS
On August 6, 2015 the Board of Directors of Guardian Media Limited declared
an Interim Dividend of $0.18 per Ordinary Share and 4% per Preference Share.
This Dividend is payable on November 6, 2015 to shareholders on record at
close of business on October 23, 2015.
Notice is hereby given that in accordance with the Companies Act (Chap:81:01)
the Directors have fixed October 23, 2015 as the Record Date for determining
the shareholders who are entitled to receive the Interim Dividend.
The Register of Members will be closed on closed on October 27 and 28, 2015
for processing of transfers to facilitate payment of this Dividend.
Cheques for this Dividend will be mailed out to Shareholders on November 6, 2015.
By Order of the Board
October 13, 2015
22-24 St. Vincent Street
Port of Spain
Firstly I wish to express my condolences to the
family of the individual who perished during the hard-
core event. He perished doing what he loved. That is
the only consolation we can take away from this sad
We can talk from now till the cows come home, but
no amount of talk now will bring him back. We can,
however, ensure this never occurs again.
Hardcore is a military-style obstacle course over
five-miles open to individuals and corporate teams. It
was held in Santa Cruz.
Make no mistake about it people, this is no Sunday
stroll in the park. To compete, there must be adequate
preparation and training for prolonged periods. Proper
diet and exercise regimens must be adhered to.
One cannot wake up one morning and decide to
compete. It will not work, not here not now. Detailed
medicals must be completed prior to the event and
yet things can go wrong on the day.
The individual was 59 years old.
Extreme cold water does not auger well with racing
pounding hearts. Were there competent medical per-
sonnel on site?
I know the vigorous detailed checks I have to en-
dure for "Advanced Sea Survival" to eliminate acci-
This is about teamwork, people working in har-
mony with each other, not the trini definition of team
work which is carrying news on each other.
Thanks to all who tried their best. Let this be the
first and the last.
Ensure this does
not happen again
DAVID E BRATT, MD
CHICKENPOX OR CHANNAPOX?
There's nothing much you
need to do for most
children with chickenpox.
If there is fever,
paracetamol in the usual
doses can be used. Never
use anything containing
aspirin. Aspirin and
chickenpox together can
cause deadly liver disease.
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