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Childhood Infections

With all the sore throats, runny noses, intestinal disorders, and allergies that plague our kids, childhood must sometimes seem like a constant blur of illnesses--especially to the parent doing the nursing. But even though these ailments are debilitating and take an enormous toll on the young patient, most of the problems clear up pretty quickly, are not life-threatening, and carry few long-term effects. (See the appropriate chapters for information on these disorders.)

Even so, parents still need to be particularly vigilant about safeguarding their children's health. The recent rise in the incidence of serious diseases--including whooping cough, rubella, measles, mumps, and hepatitis B--makes a compelling case for keeping vaccinations up-to-date. One of the latest vaccines, now recommended for all newborns, is for hepatitis B, a viral infection that causes an inflamed liver, and may lead to chronic infection and even cancer of the liver.

Routine medical checkups, proper diet, and plenty of rest are also essential to give children the protection they need. When a child falls ill or shows any unexplained or persistent symptoms, prompt medical advice and attention are crucial. This strategy helps keep minor illnesses from getting out of control and ensures early treatment for more serious disorders.

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Treating the Diseases of Childhood

Despite great strides in preventive medicine, many familiar diseases of childhood continue to haunt us. Here's a closer look at the most common, and the ways they are treated today.

Chickenpox

Chickenpox remains one of the most prevalent childhood diseases, occurring most frequently in those between two and eight years of age. This highly contagious disease begins with a slight fever, loss of appetite, and malaise. Next, the distinctive itchy, blister-like rash appears, usually on the trunk or scalp at first, later spreading over the body. Scratching the blisters may result in scarring, impetigo, boils, and other infections. Children mustn't scratch.

Children must be isolated until the blisters are crusted, usually five to seven days from the time of onset. The contagious period starts one or two days before the rash appears, so keep an eye on your child if he or she has been around someone who later broke out in a rash. The time between exposure and onset of the illness is usually 14 to 16 days. Cases have been known to occur as early as 11 or as late as 20 days after exposure.



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