CHICKEN POX

Usually occuring in children, often 3 weeks after known contact. Rash appears as small red patches 2-3mm across, rapidly developing small blisters in the centre. Scalp often affected and occasionally the palate making swallowing uncomfortable. As new patches develop over the next 3 - 4 days, early patches turn crusty and fall off.

Calamine lotion is often soothing together with Paracetamol and cool baths.

The most infectious period is 2 - 3 days before the rash appears and 4 - 5 days afterwards. Children can return to school after 7 days after the first spots appear.

Chicken Pox in adults is often more severe - consult your doctor.

If you are pregnant and think you might have chicken pox - contact your doctor.

MEASLES

Blotchy red rash appears on face and body about 4th day of illness. Dry cough, red eyes and intolerance of bright lights often present. Infectivity commences 2 to 3 days prior to the rash, 8 to 10 days afterwards.

Umlimited fluid should be given. Paracetamol helps to relieve the discomfort and control the fever.

Inform the surgery.

MUMPS

Causes swelling of the parotid glands just in front of the ear. Both sides usually affected though often with 1 to 2 days interval between. Infectious from 2 to 3 days before swelling to 8 to 10 days after.

Contact the surgery - especially inform your doctor if Paracetamol not controlling the pain or temperature.

RUBELLA (GERMAN MEASLES)

Usually a mild disease often with no symptoms other than mildly aching joints. Small pink patches occur on trunk and limbs on 1st day of illness, often disappearing in 24 hours. Infectious for 2 to 3 days prior to the rash until the rash disappears.

NB The only danger is to unborn babies. All contacts should be informed so that anyone who might be pregnant can contact their doctor.