Chickenpox

Introduction 

Can I get chicken pox more than once?

After having chickenpox once, it is very rare to get the condition again. It is commonly believed that after you have had chickenpox, your body develops immunity to the varicella-zoster virus, which prevents you from getting the condition in the future. 

Evidence suggests re-infection is possible

However, there is some evidence to suggest that it may be possible to get chickenpox more than once. For example, in studies that were carried out in the USA between 1995 and 1999, it was found that 4.5%-13.3% of people who were diagnosed with chickenpox reported that they had had the condition previously.

Other American studies also found evidence that after having chickenpox, some people did not develop the antibodies that are needed to protect against further infection.

For example, a report produced in 1996 by the Centers for Disease Control (CDC) highlighted that in people who have previously had a chickenpox infection, there is a 97-99% chance of protective antibodies developing.

Furthermore, a 2007 study showed that after having chickenpox, 75% of children between 1-4 years of age had developed immunity against the varicella-zoster virus, a figure that increased to 89% for children between 5-9 years of age, and 100% for adults who were between 20-29 years of age.

The references section provides further details about these studies.

Most experts agree that if you have chickenpox once, it is very likely that you will develop antibodies which will prevent you getting the condition again in the future. However, studies such as these show that there is a possibility that re-infection can occur.

Other possible theories

As well as medical evidence to explain how someone can get chickenpox more than once, there are also a number of theories about how re-infection might occur. These include:

  • Misdiagnosis - some healthcare professionals believe that some cases of suspected chickenpox may have been misdiagnosed first time around, and that the patient may have had another condition with similar symptoms.
  • Genetics - in the American studies conducted between 1995 and 1999 (mentioned above), about half of those who reported previously having chickenpox said that other members of their family had also had the condition on more than one occasion. This suggests that there may be a genetic link to multiple infection.
  • Multiple strains - there may be more than one strain of the chickenpox virus making it possible for someone to be infected by each strain on separate occasions.

However, it should be noted that at the moment there is no scientific evidence to substantiate the above theories.

Chickenpox is caused by a virus called the varicella-zoster virus (varicella is the medical name for chickenpox).

Chickenpox is a mild but highly infectious disease that most children catch at some point. It is most common to catch the disease between March and May. It takes 10-21 days for the symptoms to show after you have come into contact with the virus. This is called the 'incubation period'.

Chickenpox is most common in children who are between two and eight years of age, although you can develop chickenpox at any age. You are infectious from about two days before the rash appears until roughly five days after. Therefore you or your child should stay at home until all of the blisters have fully crusted over, and this usually happens five to seven days after the first blister appears. After the last blister has burst and crusted over, you are no longer infectious.

Chickenpox spreads via tiny droplets of saliva and nasal mucus in sneezes and coughs from an infected person. The virus is already in these droplets, which is why it spreads so fast.

Once you have had chickenpox, you will very rarely catch chickenpox for a second time. This is because your body develops immunity to the chickenpox virus, which stops you from becoming re-infected.

Shingles

After a chickenpox infection, the virus stays in the body's nerve tissues (remains dormant). It does not do any harm because it is kept under control by the immune system, the part of the body that fights infection. At any time later in life, but usually when you are an adult, the virus can be reactivated (come back), causing a different form of the virus, known as shingles.

The first sign of shingles is usually a pain in the area of the affected nerve. Seven days later a rash will usually appear, followed by blisters, that tend to only affect one side of your body. If you have shingles you are contagious to anyone who has not had chickenpox. However, it is not possible to catch shingles from someone who has chickenpox.

Pregnancy

More than 90% of pregnant women are immune to the chickenpox virus (as a result of having it earlier on in life), so most women need not worry about developing the disease. Even if you develop shingles during pregnancy, it should not affect your baby in any way.

Chickenpox occurs in approximately three in every 1,000 pregnancies and can cause serious complications for both you and your child. Your GP will be able to advise you on any necessary tests or treatment you may require (see diagnosis and complications sections for further information).

  • show glossary terms

Disease


A disease is an illness or condition that interferes with normal body functions.

Tissues

Body tissue is made up of groups of cells that perform a specific job, such as protecting the body against infection, producing movement or storing fat.

Immune system

The immune system is the body's defence system, which helps protect it from disease, bacteria and viruses.

Pain


Pain is an unpleasant physical or emotional feeling that your body produces as a warning sign that it has been damaged.

Contagious

Contagious is when a disease or infection can be easily passed from one person to another.

Last reviewed: 16/01/2008

Next review due: 16/01/2010

What are these?

northantsmum said on 25 January 2010

I found some chickenpox relief cooling gel at the pharmacy that's helped a great deal. It stops the itching and scratching by cooling the skin down so it doesn't feel itchy any longer. It's worth looking out for, and much easier to apply than Calamine lotion.

Report this content as offensive or unsuitable

mifreedouth said on 05 January 2010

Yes, you CAN HAVE it TWICE! My child had a really bad bout of chicken pox eight months ago (took 2.5 weeks to get over) and today was diagnosed with it again. Seems like a much milder version though, no temperature and the spots are clustered in two areas on the trunk only... so far...
Couldn't believe it!

Report this content as offensive or unsuitable

karencook71 said on 24 June 2009

my nine month baby has had chickenpox since monday and this afternoon he has been vomiting quite a lot what should i do

Report this content as offensive or unsuitable