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Your Child

Recess Is Important for Kids

1.45 to read

Add recess to reading, writing and arithmetic says a report from the American Academy of Pediatrics (AAP.)  The pediatricians believe that recess can be as important to a child’s overall development as standard classes and should never be denied, especially as a punishment.

"We consider it essentially the child's personal time and don't feel it should be taken away for academic or punitive reasons," said Dr. Robert Murray, who co-authored the new policy statement for the AAP.

According to the authors, recess is a “crucial and necessary component of a child’s development.”

Other reasons given for the importance of recess are that it helps students develop better communication skills, counteracts the time sitting in classrooms, and may foster skills such as cooperation and sharing - all good things.

The authors noted that previous research has found that children are able to pay closer attention and perform tasks better after a recess break.  A year ago, 14 studies were reviewed and researchers found that kids who get more exercise do better in school. Recess and sports related activities offer children the opportunity to exercise and burn off excess energy.  They also get a chance to recharge their brains and bodies.

Other organizations have recommended that children need recess as well. The American Heart Association and U.S. Centers for Disease Control and Prevention (CPSC) both call for schools to offer recess to kids.  You might think that recess in schools is a given, but in a 2011 survey of 1,800 elementary schools, researchers discovered that a third of the schools did not offer recess to their third-graders.  However, most schools do offer recess of between 15 and 30 minutes once or twice a day.

Is there a particular time of day that helps kids most?  Before lunch seems to be the consensus from government agencies, CPSC and the U.S. Department of Agriculture. Previous studies have found that children waste less food and behave better for the rest of the day when their recess is before their scheduled lunch, the pediatricians' statement notes.

They also agree that PE should not be substituted for recess. "Those are completely different things and they offer completely different outcomes," said Murray. "(Physical education teachers are) trying to teach motor skills and the ability of those children to use those skills in a bunch of different scenarios. Recess is a child's free time."

Free time means no structured activities by adults such as games. "I think it becomes structured to the point where you lose some of those developmental and social emotion benefits of free play," said Murray.

"This is a very important and overlooked time of day for the child and we should not lose sight of the fact that it has very important benefits," he added.

I remember recess fondly.  A group of friends would gather and run from one end of the schoolyard to the other at full gallop. The first one back would win the honor of becoming the “lead horse.” Yes, in our recess fantasy we were a heard of horses – whinnying and throwing our heads around (showing off our glorious manes.)

It was fun and exhilarating as we trotted around strutting our stuff.

Recess isn’t only important because it breaks up the monotony of sitting, studying and listening, it can also spark the imagination!

Source: http://news.yahoo.com/pediatricians-kids-recess-during-school-0547374

Your Teen

Acne Gel Linked to Rare Side Effect

1:45

Nearly all teens will get acne at one time or another. For those that get severe acne, it can be devastating to their self-esteem. While acne isn’t a serious health problem, it’s not something that is easy to hide.

For a lot of teens, over-the–counter face washes and drying agents help keep acne under control. For more serious acne, families often turn to a dermatologist for prescription medicine.

In certain people, Aczone- the skin gel version of the drug Dapzone -may lead to a rare blood disorder called methemoglobinemia according to a new study.

That’s what a 19 year-old female in Pittsburgh was using to treat her acne before she entered the emergency room with a headache, shortness of breath, and blue lips and fingers. At first, her doctors were at a loss as to what was causing her condition.

The patient had been using a “pea-size” amount of Aczone on her face twice daily during the previous week and didn’t think to tell the doctors about it when questioned about any medications she was taking.

"We went over all her meds and herbal supplements," said Dr. Greg Swartzentruber, a medical toxicology fellow at the University of Pittsburgh Medical Center. "And we couldn't come up with a cause, even after interviewing her and her family. Aczone was just never mentioned."

Topical medicines can have systemic adverse effects on people, but many patients don’t think about topical creams or gels when asked about medications they are on by their doctor.

The study authors noted that prior research has shown that Dapsone pills, in very rare instances, can trigger methemoglobinemia, the abnormal production of a red blood cell protein that delivers oxygen throughout the body.

But the current case appears to be the first time that this condition has been associated with Aczone, the skin gel version of Dapsone, they said.

Dapzone pills have been available for decades and were once used to treat leprosy. In 2005, the FDA approved Aczone - the 5 percent topical cream – for acne treatment use. Dapzone and Aczone have been very effective for treating acne.

However, if someone has the rare genetic defect that makes it impossible to properly metabolize the drugs, it can cause serious health problems.

"The blood cells blow up, basically," said Dr. Darrell Rigel, a clinical professor of dermatology with New York University Medical Center in New York City. Rigel added. "The prevalence of this deficiency is very low. Maybe it affects less than 1 percent of the population, but those that have it can end up with serious problems."

Doctors were finally able to diagnose the young woman’s illness through a urine test. She was successfully treated and released from the hospital after two days.

Rigel noted that dermatologists who prescribe Aczone have a responsibility to always screen patients for this issue. "And patients have to know that when they're asked to give their drug history they can't forget their topicals," he said.

The young woman’s case was described in a letter published in the New England Journal of Medicine.

Source: Alan Mozes, http://www.webmd.com/skin-problems-and-treatments/acne/news/20150129/acne-gel-linked-to-rare-side-effect-doctors-warn

Your Baby

Gut Bacteria Linked to Kid’s Asthma

2:00

Four types of gut bacteria may reduce a child’s risk of developing asthma according to a recent Canadian study.

Most Infants - but not all - typically receive these bacteria from their environment or mothers after birth. Sometimes babies are given antibiotics that not only kill bad bacteria, but eliminating the helpful gut bacteria as well.

"We now have particular markers that seem to predict asthma later in life," lead researcher Brett Finlay, a professor of microbiology and immunology at the University of British Columbia in Vancouver, said during a news conference Tuesday.

"These findings indicate that bacteria that live in and on us may have a role in asthma," he said. This seems to happen by 3 months of age in ways that still aren't clear.

Previous studies have shown that certain environmental bacteria, such as living on a farm or having pets, appear to decrease the chances of children developing asthma.

Another interesting clue to asthma is what populations seem to have the most cases. Instances of asthma have increased in western countries where hygiene standards are higher. "Ironically, it has not increased in developing countries," Finlay said.

Organizations that specifically track asthma cases around the world say that as developing countries move from poverty into low-to-middle income, cases of childhood asthma begin to increase.

The "hygiene hypothesis," says environments that are too clean may actually impede development of the immune system.

For the study, Finlay and colleagues looked for four types of bacteria in stool samples of 319 infants at 3 months of age. The bacteria are called FLVR (Faecalibacterium, Lachnospira, Veillonella and Rothia).

The researchers found that 22 children with low levels of these bacteria at age 3 months also had low levels at age 1 year.

These 22 children are at the highest risk of developing asthma, and eight have been diagnosed with the respiratory disease so far, the researchers said.

Study co-author Dr. Stuart Turvey, professor of pediatric immunology at the University of British Columbia, said at the news conference that it's "not surprising how important early life is."

In the first 100 days of life, gut makeup influences the immune response that causes or protects kids from asthma, he said.

Turvey also noted that testing infants for these bacteria might help identify children who will be at high risk for asthma. Babies without FLVR bacteria could be followed and treated earlier for better outcomes he said.

Whether giving kids probiotics -- good bacteria -- might reduce asthma risk isn't known, the researchers said. Turvey said the probiotics available in over-the-counter forms do not include the four bacteria identified in this study.

"Studies like ours are identifying specific bacteria combinations that seem to be missing in the children at the highest risk of asthma," he said. "The long-term goal is to see if we could offer these bacteria back, not the general nonspecific probiotics."

Finlay said the findings need to be replicated in larger groups and in different populations. He said the researchers also want to know if all four bacteria are protective, or just one or two.

As with most studies, the results did not prove a cause and effect only a connection, in this case between gut bacteria and asthma risk in children.

The report was published online in the journal Science Translational Medicine.

Source: Steven Reinberg, http://www.webmd.com/parenting/baby/news/20150930/gut-bacteria-tied-to-asthma-risk-in-kids

 

 

Your Child

Whooping Cough Vaccine Effectiveness Fades

2:00

While the measles outbreak was making headlines around the country, another vaccine related outbreak was already an epidemic.

In the last five years, state health officials twice declared whooping cough (also known as pertussis) an epidemic – once in 2010 and again in 2014. Eleven thousand people were sickened and three infants died.

Whooping cough is a serious infection of the respiratory system caused by bacterium. It is easily spread from person to person.

Symptoms include runny nose, nasal congestion, fever and severe coughing that can sometimes end in the “whooping” sound when a person gasps for air.

Pertussis mainly affects infants younger than 6 months old before immunizations, and kids 11 to 18 years old whose immunity has started to fade.

Although whooping cough can also make adults very ill, sometimes leading to pneumonia and hospitalization, another major concern is that adults are the most common source of infection in infants.

An analysis of a recent whooping cough epidemic in Washington state shows that the effectiveness of the Tdap vaccine (tetanus, diphtheria and pertussis)  used to fight the illness waned significantly over time.

For adolescents who received all their shots, effectiveness within one year of the final booster was 73 percent. The effectiveness rate plummeted to 34 percent within two to four years.

The vaccine has changed over the years and those changes may be responsible for the fading effectiveness. The pertussis protection is from the acellular pertussis vaccine. It was introduced in 1997 to replace the whole-cell vaccine, which caused more side effects. Monday's report confirms earlier analysis that the acellular pertussis vaccine may be safer, but less effective, than the old one.

The latest analysis does not mean or even suggest that children and adults should not get the pertussis vaccine. Someone who is vaccinated, but becomes sick with whooping cough, should have a less severe course of illness. The Tdap vaccine is also recommended for college students who did not receive the vaccine as a preteen or teen.

The authors said that new vaccines are "likely needed to reduce the burden of pertussis disease." But Dr. Art Reingold, who leads the CDC's Advisory Committee on Immunization Practices group on pertussis, said he doesn't know of any pertussis vaccine development in the pipeline.

An added dose doesn’t seem to help either according to research that was presented to the ACIP group. "(An additional dose) would have very little impact on pertussis," Reingold said, "in terms of cases prevented."

Unvaccinated babies are at the highest risk for whooping cough. Since infants can’t be vaccinated until they are 2 months old, the Centers for Disease Control and Prevention (CDC) recommends that women get the Tdap vaccine during the last trimester of their pregnancy.

"Babies will be born with circulating antibodies," Reingold said, "and there's pretty good evidence that that will reduce the risk of hospitalization and death in babies."

Reingold also drew an interesting distinction between measles and pertussis having to do with herd immunity. If a large enough percentage of the population is immunized against measles, both individuals and the broader community are protected against outbreak. That's because the measles vaccine protects you against the virus that actually causes the measles illness.

But in pertussis, toxins that are released by bacteria cause the disease. The pertussis vaccine protects you against those toxins, but may not prevent you from spreading the bacteria to others — and causing illness in them.

While the vaccine is helpful in reducing symptoms, Reingold believes that "Pertussis is not going to go away with the current vaccine."

Sometimes there can be a bit of confusion between the DTaP and Tdap vaccines; the letters are similar and they are used to help prevent the same diseases.

DTaP is the vaccine that helps children younger than 7 - years  - old develop immunity to diphtheria, tetanus and pertussis. Tdap is the booster immunization given at age 11 that offers continued protection.

The Tdap vaccine is the one discussed in this study published in the journal Pediatrics.

Sources: Lisa Aliferis, http://www.npr.org/blogs/health/2015/05/05/404407258/whooping-cough-vaccines-protection-fades-quickly

http://www.webmd.com/children/vaccines/dtap-and-tdap-vaccines

 

 

Your Baby

Eating Chocolate While Pregnant May Improve Mom and Baby’s Health!

1:45

 Put another check in the win column for a reason to eat chocolate - as though anyone really needs one!

 A new study suggests that moms-to-be that eat a small piece of chocolate every day may improve their baby’s cardiovascular health and reduce the risk for preeclampsia.

 Researchers found that their findings held up regardless of whether the chocolate consumed contained high or low amounts of flavonoids, a group of phytochemicals that have antioxidant abilities. Various studies have also suggested that flavonoids may offer heart health benefits.

 As with most studies, the research did not prove that eating chocolate during pregnancy caused better circulatory health in pregnant women and their babies, only that there was an association.

 "Our observations suggest that a regular small consumption of dark chocolate -- whether or not the level of flavanol is high -- from the first trimester of pregnancy, could lead to an improvement of placental function," said study author Dr. Emmanuel Bujold. He is a professor of obstetrics and gynecology at Universite Laval in Quebec City, Canada.

 Bujold's team decided to see whether differences in flavanol content had any effect on the pregnancies of nearly 130 women.

 All of the women in the study were at the 11- to 14-week mark of their pregnancy, and carrying one child.

 All were instructed to consume 30 grams of chocolate (a little more than one ounce) each day over a 12-week period. That's equivalent to about one small square of chocolate per day, Bujold said.

 Half of the women consumed high-flavanol chocolate, while the other half was given low-flavanol chocolate. All were then tracked until their delivery date.

 Regardless of which type of chocolate was consumed, the women faced the same risk for both preeclampsia and routine high blood pressure. Placental weight and birth weight was also the same in both groups, the investigators found.

 Similarly, fetal and placental blood circulation levels, as well as in-utero blood velocity, did not appear to be affected by shifting flavanol levels.

 However, simply consuming a small amount of chocolate -- no matter what the flavanol content -- was associated with notable improvements in all blood circulation and velocity measures compared to the general population, the researchers said.

 Bujold said this suggests that there's something about chocolate, apart from flavanol levels, that may exert a positive influence on the course of pregnancy. Finding out exactly what that is "could lead to improvement of women's and children's health, along with a significant reduction of treatment cost," he said.

 While that’s good news for chocolate lovers, Bujold cautions that pregnant women keep the portion small and calorie intake low.

 So, a bit of chocolate daily while pregnant is not going to hurt you, in fact it just may give you and your baby’s health a little boost.

 The findings were scheduled for presentation at the Society for Maternal-Fetal Medicine's annual meeting, in Atlanta. The data and conclusions should be viewed as preliminary until published in a peer-reviewed journal.

 Source:  Alan Mozes, http://consumer.healthday.com/vitamins-and-nutrition-information-27/food-and-nutrition-news-316/small-square-of-chocolate-each-day-during-pregnancy-may-help-mom-and-baby-707736.html

Your Baby

No Link Between Vaccines and Autism

1.30 to read

A new study slated to appear in the Journal of Pediatrics, says that there is no association between the amount of vaccines a young child receives and autism. Some parents have worried that there may be a link and have opted out of having their child vaccinated or reduced the number of vaccines recommended.

The percentage of children diagnosed with autism spectrum disorder (ASD) has increased by 72% since 2007. Some experts believe that changes in the diagnostic criteria may account for some of the increase as well as better screening tools and rating scales.

According to a statement released from the journal, researchers from the Centers for Disease Control and Prevention and Abt Associates analyzed data from children with and without ASD.

Researchers examined each child's cumulative exposure to antigens, the substances in vaccines that cause the body's immune system to produce antibodies to fight disease, and the maximum number of antigens each child received in a single day of vaccination, the journal's statement said.

The antigen totals were the same for children with and without ASD, researchers found.

Scientists believe genetics play a fundamental role in the risk for a child developing autism (80-90%), but recent studies also suggests that the father’s age at the time of conception may also be a contributor by increasing risks for genetic mistakes in the sperm that could be passed along to offspring.

Parents have worried about a link between vaccines and autism for decades despite the growing body of scientific evidence disproving such an association.

Source: Luciana Lopez, http://www.reuters.com/article/2013/03/29/us-usa-health-autism-idUSBRE92S0GO20130329

Your Teen

More Teens Taking Ecstasy

2.15 to read

More than two-thirds of these ER patients were between 18 and 29 years old, but a sizable number, nearly 18 percent, were from 12 to 17, the report said, noting Ecstasy use is increasing among teens. More parents are receiving the phone call they dread the most- “this is (local hospital name here) your child is in our emergency room… please come quickly."

According to a new study released by the Substance Abuse and Mental Health Services Administration (SAMHSA) medical emergencies relating to the illegal drug Ecstasy jumped 75% between 2004 and 2008. More than two-thirds of these ER patients were between 18 and 29 years old, but a sizable number, nearly 18 percent, were from 12 to 17, the report said, noting Ecstasy use is increasing among teens. The study said in 2008, hospital emergency rooms treated 17,865 patients for Ecstasy related medical problems. In 2004, the number was 10,200. The resurgence of Ecstasy use is cause for alarm that demands immediate attention and action, said SAMHSA Administrator Pamela S. Hyde in an agency news release. Ecstasy, also known as MDMA, is often used at parties and gatherings by teens that are unaware of its potential dangers. Its reputation as a "club" or party drug can give teens the false impression that casual use of the drug is harmless. Addiction, blurred vision, high blood pressure, heat stroke, muscle cramping and kidney failure are linked to Ecstasy use, the report said. "Amphetamine use continues to be a significant problem for adolescents and young adults. It is associated with significant morbidity and mortality," said Dr. Lewis Goldfrank, chairman of emergency medicine at NYU Langone Medical Center in New York City. "It remains to be determined how severe the long-term neurotoxic effects may be on the brain," Goldfrank said. "There is no reason for anyone to believe that the use of this drug is safe at some dose -- the risk is consequential at any dose." 31 percent of the ER visits involved Ecstasy use with at least one other drug, while 17.5 percent of patients had combined Ecstasy with four or more other drugs. According to the study, 50 percent of patients 21 or older had used alcohol with Ecstasy compared with 20 percent of those 20 and younger. Cocaine use with Ecstasy was also more likely among people 21 and older (43 percent) compared with those 20 and under (nearly 15 percent), the researchers found. While Ecstasy use alone can present multiple psychiatric and physical problems, the combination of Ecstasy with other drugs can present seriously ill or life-threatening emergencies. Parents are often unaware of Ecstasy use by their child, since teens and young adults tend to use the drug at locations other than at home. There are many website resources dedicated to giving parents, and caregivers, information on the symptoms of Ecstasy use, as well short and long term psychological and physical effects. http://www.educatingvoices.org offers these signs of Ecstasy use and possible long-term medical problems. Signs of Ecstasy Use - Confusion - Panic attacks - Depression - Loss of memory - Headaches - Hallucinations - Sore jaw from involuntary jaw clenching - Grinding teeth - Paranoia - Anxiety - Acne and skin rash - General fatigue Ecstasy Paraphernalia - Pacifiers, Blo-Pop suckers and Popsicle sticks are used to counteract the teeth grinding. - Candy necklaces, Altoids tins, M&M's, Skittles, Tootsie Rolls are used to conceal   Ecstasy tablets. - Glo-Sticks are used for stimulation. - Vick's Vapo Rub is smeared on the inside of a surgical mask and then worn to enhance the dilated bronchi. - Vick's Vapo Inhalers is used to blow into a partners face and eyes to enhance the effects. - Bottles of water are a common sight at parties, used to treat overheating, sweating and dehydration. - Ecstasy is used at all-night dance parties or Rave parties with techno music and laser lights, concerts and in small groups. - Users of Ecstasy have suppressed appetites, thirst and the need to sleep. EEcstasy use can result in effects similar to Alzheimer's. Research suggests Ecstasy use increase the risk of developing Parkinsonism, a disease similar to Parkinson, later in life. In these cases Ecstasy is shown to destroy dopamine neurons, the chemical messenger that is involved in controlling movement, emotional and cognitive responses and the ability to feel pleasure. Ecstasy users risk significant brain damage; damage that is evident through brain scans showing actual holes in the brain. The brain of a young person having used Ecstasy is similar to that of a 60 to 70-year old who has had a number of strokes. If you think your son or daughter is using Ecstasy, or any illegal drug, watch for the warning signs and discuss your concerns with your child. Avoid making direct accusations; instead stay calm and rational during the discussion. Ask a lot of questions and do a lot of listening. Remember, the warning signs of drug use could be connected to emotional problems or physical illnesses not related to drug use. You may want to discuss the possibilities with your Pediatrician or family doctor, and consider taking your son or daughter in for a physical exam to see if a medical condition exists.

Your Baby

Breastfeeding May Improve Infant’s Dental Development.

2:00

Infants that breastfeed exclusively or predominately for their first three to six months of life are less likely to develop any kind of dental misalignment later on according to a new study.

The researchers, led by Karen Peres at the University of Adelaide in Australia, tracked just over 1,300 children for five years, including how much they breast-fed at 3 months, 1 year and 2 years old.

The children were also monitored for pacifier use.  About forty percent used a pacifier daily for four years.

When the children were 5, the researchers determined which of them had various types of misaligned teeth or jaw conditions, including open bite, cross bite, overbite or a moderate to severe misalignment.

The risk of overbite was one-third lower for those who exclusively breast-fed for three to six months compared to those who didn't, the findings showed. If they breast-fed at least six months or more, the risk of overbite dropped by 44 percent.

Similarly, children who exclusively breast-fed for three months to six months were 41 percent less likely to have moderate to severe misalignment of the teeth. Breast-feeding six months or longer reduced their risk by 72 percent.

The reason breastfeeding might offer protection from dental misalignments is the way it works an infant’s jaws. Breastfeeding involves coordinated tongue and jaw movements that support the normal development of teeth and facial muscles.

Dr. Danelle Fisher, vice chair of pediatrics at Providence Saint John's Health Center in Santa Monica, California, agrees that it’s the jaw movement.

"Breast-feeding requires the use of jaw muscles more so than bottle-feeding, so the mechanics of breast-feeding stimulate muscle tone in the jaw," Fisher said.

Open bite, overbite and moderate to severe misalignment were generally less common overall among the children who mostly or exclusively breast-fed. Children who mostly breast-fed but also used pacifiers, however, were slightly more likely to have one of these misalignment issues, the study found.

"Pacifiers are used for non-nutritive sucking but when overused, they can put pressure on the developing jaw and lead to more problems in older children with malocclusion [teeth/jaw misalignment]," Fisher said.

Parents oftentimes depend on the pacifier to help babies relax and self-soothe. The key is moderation of use.

The American Academy of Pediatrics recommends parents consider using a pacifier for an infant's first six months because pacifiers are associated with a reduced risk of sudden infant death syndrome (SIDS).

"Most infants need to suck for comfort or non-nutritive sucking," Fisher said. "Pacifiers can be helpful in the newborn period and even help reduce incidents of SIDS in infants who sleep with them."

Instead, parents should simply limit pacifier use, she said. In addition, pacifiers are not needed past the first six to 12 months, Fisher said, so parents can begin weaning after that time.

Like most studies, the results did not prove cause and effect, but an association.

The findings were published online in the journal Pediatrics.

Source: Tara Haelle, http://www.webmd.com/parenting/baby/news/20150615/breast-feeding-may-have-dental-benefits-study-suggests

Your Child

2 Doses of Chickenpox Vaccine Almost 100 Percent Effective

2:00

Chickenpox is one of the most common childhood illnesses. It is a viral infection caused by the Varicella zoster virus and produces a painful, itchy rash with small, fluid-filled blisters.

It occurs most often in early spring and late winter and is highly contagious. Typically, chickenpox occurs in kids between 6 and 10 years of age.

A new study shows that among schoolchildren, two doses of the chickenpox vaccine is more effective than one.

Giving the first dose at age 1 and the second dose at ages 4 to 6 is nearly 100 percent effective in preventing the once common childhood disease, researchers have found.

"A second dose of varicella [chickenpox] vaccine provides school-aged children with better protection against the chickenpox virus, compared to one dose alone or no vaccination," said lead researcher Dana Perella, of the Philadelphia Department of Public Health.

Two doses of the vaccine protected against the moderate to severe chickenpox infections that can lead to complications and hospitalizations, she said.

Before routine chickenpox vaccination began in 1995, virtually all children were infected at some point, sometimes with serious complications. About 11,000 children were hospitalized each year for chickenpox, and 100 died annually from the disease, according to the CDC.

One-dose vaccination greatly reduced incidence of chickenpox, but outbreaks continued to be reported in schools where many kids had been vaccinated. That led the CDC in 2006 to recommend a second vaccine dose.

To evaluate effectiveness of the double- dose regimen, Perella and colleagues collected data on 125 children with chickenpox in Philadelphia and northern Los Angeles and compared them with 408 kids who had not had the disease.

They found that two doses of the vaccine was slightly more than 97 percent effective in protecting kids from chickenpox.

"With improved protection provided by two-dose varicella vaccination compared with one-dose only, continued decreases in the occurrence of chickenpox, including more severe infections and hospitalizations, are expected as more children routinely receive dose two between the ages of 4 and 6 years," Perella said.

For children with weakened immune systems that cannot take the vaccine, having their classmates and playmates protected by the vaccine helps protect them against the viral infection.

School vaccine requirements should include two-dose varicella vaccination, Perella said.

"In addition, 'catch-up' varicella vaccination is also important," she said. This applies to anyone over 6 who haven’t had a second vaccine dose, especially if they could be exposed to chickenpox or shingles - a painful condition in older people caused by reactivation of the chickenpox virus, she said.

Most healthy children who get chickenpox do not have serious complications from the illness. But there are cases when chickenpox has caused hospitalization, serious complications and even death.

A child may be at greater risk for complications if he or she:

·      Has a weakened immune system

·      Is under 1 year of age

·      Suffers from eczema

·      Takes a medication called salicylate

·      Was born prematurely

The report was published online March 14 and will appear in the April print issue of the journal Pediatrics.

Story sources: Steven Reinberg, http://www.webmd.com/children/news/20160314/two-dose-chickenpox-shot-gets-the-job-done-study-shows

http://www.parents.com/health/vaccines/chicken-pox/chickenpox-facts/

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