Thursday, September 29, 2005

Would you deliberately infect your kids with chickenpox by
taking them to “pox parties”?
It sounds like a plot line from The Simpsons. In fact, it is a plot
line from The Simpsons. Who else but America's favorite dunderhead,
Homer Simpson, would do such a thing?
Surprisingly, pox parties are popping up in neighborhoods in
several U.S. cities. On Internet bulletin boards and blogs, rumors
spread that the chickenpox vaccine is somehow unsafe or ineffective.
Parents worried by these rumors join email rings. When one of these
parents' children gets chickenpox, the parents invite others in the
community to a pox party.
But doctors warn against this practice. A safe and effective
chickenpox vaccine is part of the recommended childhood vaccination
series. It keeps 85 percent of vaccinated kids from ever getting the
illness, says chickenpox virus expert Anne A. Gershon, MD, director of
the division of pediatric infectious diseases at New York's Columbia
University.
"In a time when we have the chickenpox vaccine available -- one of
the safest vaccines we have ever had, and one that works very well --
there is no point in exposing your child to the natural infection,"
Gershon tells WebMD.
A Dangerous Recipe
A "natural mothering" web site gives a recipe for spreading
varicella zoster virus -- the chickenpox germ. It advises parents to
pass a whistle from the infected child to other children.
"It is absolute lunacy," UCLA infectious disease specialist Peter
Katona, MD, tells WebMD.
Adults who get chickenpox for the first time get a much more
serious disease than do children. But even for children, chickenpox
isn't a walk in the park. And every once in a while, a child gets a
very serious form of the disease. One in 50,000 kids gets a brain
infection that causes retardation or death. And itchy chickenpox
blisters can get infected with dangerous bacteria.
"Imagine losing a child because you were dumb enough to bring him
to a pox party," Gershon says.
Gershon, in fact, favors giving kids a second chickenpox
vaccination. That, she says, would ensure that virtually all kids
would safely develop immunity. And it would prevent waning immunity
after a first shot, which sometimes happens in the 15% of kids who
don't get full immunity from the recommended vaccination at age 12-15
months.
There's another reason for kids to get the chickenpox vaccine:
shingles. Chickenpox virus is a herpes virus that stays in the body
for life. When it gets reactivated, a person gets shingles. Sometimes
this causes a very painful condition called postherpetic neuralgia --
a condition that may be permanent.
A growing body of evidence, Gershon says, suggests that childhood
chickenpox vaccination prevents adult shingles.
If you've already had chickenpox, there's still hope. A new,
high-dose chickenpox vaccine shows promise for preventing shingles in
the elderly.