We report two representative cases of complicated varicella in immunocompetent children highlighting the significant vaccine preventable varicella burden in the Indian population. A robust surveillance programme followed by incorporation of varicella vaccine in routine immunization would be the way forward to mitigate this illness.
Varicella and herpes zoster vaccines: WHO position paper, June 2014. Wkly Epidemiol Rec. 2014; 89:265–287.
3.
DennyJTRockeZMMcRaeVA, et al.Varicella pneumonia: case report and review of a potentially lethal complication of a common disease. J Investig Med High Impact Case Rep2018; 6: 2324709618770230.
4.
KellyECullenGMcGurkC. When an MI is not an MI: A case of varicella zoster myocarditis. Cardiology2008; 109: 193–195.
5.
SpoulouVAlainSGabuttiG, et al.Implementing universal varicella vaccination in Europe: the path forward. Pediatr Infect Dis J2019; 38: 181–188.
6.
QuinnHEGiddingHFMarshallHS, et al.PAEDS (Paediatric active enhanced disease surveillance) network. Varicella vaccine effectiveness over 10 years in Australia; moderate protection from 1-dose program. J Infect2019; 78: 220–225.
7.
LopezBJPeterHGayatriA. Burden of varicella complications in secondary care, England, 2004 to 2017. Euro Surveill2019; 24: pii = 1900233.
8.
MarinMBroderKRTemteJL, et al.Use of combination measles, mumps, rubella, and varicella vaccine: recommendations of the advisory committee on immunization practices (ACIP). Morbidity & Mortality Weekly Report 2010; Recommendations & Reports2010; 59: 1–12.
9.
WutzlerPBonanniPBurgessM, et al.Varicella vaccination - the global experience. Expert Rev Vaccines2017; 16: 833–843.
10.
DehalNKrishanKKanchanT, et al.Public-funded immunisation: key to varicella control in India. Lancet2015; 386: 2389–2390.