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All states were encouraged to conduct ongoing varicella surveillance to monitor vaccine impact on morbidity. States are encouraged to report varicella cases to the National Notifiable Diseases Surveillance System (NNDSS) via the National Electronic Disease Surveillance System (NEDSS).
Chickenpox, or chicken pox, also known as varicella, is a highly contagious, vaccine-preventable disease caused by the initial infection with varicella zoster virus (VZV), a member of the herpesvirus family.
Case-based reporting of varicella provides the data needed to assess the changing epidemiology of varicella and evaluate the effectiveness of current immunization strategies. It also provides greater opportunity to implement exposure follow-up for high-risk contacts and outbreak control measures.
All histories of varicella illness must be supported by a written statement from a physician or the childs/students parent or guardian containing wording such as: This is to verify that (name of student) had varicella disease (chickenpox) on or about (month/day/year) and does not need varicella vaccine or by
Whole infected cell (wc) ELISA is the most commonly used test to determine if a person has antibodies to VZV from past varicella disease. Wc ELISA is done on blood samples. It can readily detect seroconversion to natural infection with VZV.

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Examination of rash The diagnosis of varicella is made upon observation of the characteristic chickenpox rash. This rash appears in crops. Skin lesions initially appear on the face and trunk, beginning as red macules and progressing over 12-14 days to become papular, vesicular, pustular, and finally crusted.
Even mild cases can be contagious. CDC works with state health departments to monitor varicella outbreaks. For more information, see the Chapter on Varicella in the Manual for the Surveillance of Vaccine-Preventable Diseases. States are encouraged to report varicella outbreaks to CDC quarterly.
Varicella (chickenpox) is an acute infectious disease. It is caused by varicella-zoster virus (VZV), which is a DNA virus that is a member of the herpesvirus group. After the primary infection, VZV stays in the body (in the sensory nerve ganglia) as a latent infection. Primary infection with VZV causes varicella.

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