Chicken pox or bulutong tubig is a common viral illness in the Philippines, especially among children. Caused by the varicella-zoster virus, this disease spreads through direct contact with the rash or airborne droplets when an infected person coughs or sneezes. It often starts with mild flu-like symptoms such as fever, fatigue, and loss of appetite, before progressing to a signature itchy red rash that turns into fluid-filled blisters. These blisters eventually crust over and heal within one to two weeks, but the experience can be very uncomfortable.
Those with chicken pox are most contagious from a day or two before the rash appears until all the blisters have scabbed. In most cases, the condition is mild and goes away on its own. However, there are situations where it can lead to more serious issues, especially for adults, pregnant women, or individuals with weaker immune systems. Because of this, it’s helpful to be familiar with how chickenpox spreads and what can be done to manage it properly.
In this guide, we’ll go over the practical ways to prevent chicken pox, how to treat it at home, and when to consult a doctor. We’ll also address common questions like whether it’s okay to take antihistamines to ease the itching.
How to Prevent Chicken Pox
- Get Vaccinated
The most effective way to prevent chicken pox is through vaccination. In the Philippines, the varicella vaccine is available in most private pediatric clinics and hospitals, and may also be offered in barangay health centers. While it is not currently part of the Department of Health's routine immunization program, many healthcare providers recommend it as an essential preventive measure, especially for young children and adults who have not yet had chicken pox. Aside from reducing your risk of contracting the virus, the vaccine also lessens the severity of symptoms if you do get infected.
- Practice Good Hygiene
In addition to vaccination, practicing good hygiene plays a key role in preventing the spread of chicken pox. Frequent handwashing with soap and water, especially after touching potentially contaminated surfaces or being around sick individuals, can limit transmission. It’s also wise to avoid sharing personal items, such as towels or utensils, and to isolate infected individuals to minimize contact with others, especially those who have not been vaccinated.
- Boost Your Immune System
Another important layer of protection involves strengthening your immune system. Eating a well-balanced diet rich in vitamins A and C, iron, and antioxidants helps your body fight off infections more effectively. You can also take supplements in accordance with doctor’s advice. Staying well-hydrated, getting sufficient sleep, and managing stress are also essential to keeping your immune system in top condition.
- Community Awareness
Beyond individual efforts, community responsibility also plays a major role in prevention. If your child is showing signs of chicken pox, keep them at home and notify the school or daycare center so other parents can be alerted of potential infection.
How to Treat Chicken Pox at Home
- Manage Symptoms
One of the most common and uncomfortable symptoms is itching, caused by the fluid-filled blisters. To reduce fever, paracetamol is recommended; aspirin should be strictly avoided, especially in children, due to the risk of Reye’s syndrome, a potentially fatal condition. To soothe itching, you can give lukewarm oatmeal baths, apply calamine lotion or cream, and ensure the patient stays in a cool environment.
In cases of more severe itchiness, antihistamines may be recommended. Medications like cetirizine or diphenhydramine are commonly used to relieve itching and help children (and adults) sleep better. These medications are available over the counter in most pharmacies like Southstar Drug, but it's important to follow dosage instructions carefully.
Parents should also consult a pediatrician before administering antihistamines to young children, as some may cause drowsiness or interact with other medications.
- Prevent Infection of Blisters
Scratching the itchy blisters can cause open wounds, which increases the risk of bacterial infections. To prevent this, keep the patient’s nails trimmed short and consider using mittens or soft gloves for young children during sleep. Additionally, gently and regularly clean the skin with mild soap and water to keep the blisters clean without bursting them. Meanwhile, light, breathable cotton clothing can help prevent overheating and irritation.
- Stay Hydrated and Rested
Rest and hydration are vital during recovery. Offer plenty of fluids, such as water or buko juice, to support the immune system and keep the body cool. While the patient may have a reduced appetite, encourage small, frequent meals and healthy snacks. Last but not least, best rest should be prioritized until all the blisters have dried up, typically within 7 to 10 days.
Chicken pox is a common illness and typically resolves on its own. With effective home treatment strategies, Filipino families can minimize discomfort and avoid complications. That said, if the patient has a high, persistent fever, difficulty breathing, blisters that become swollen and painful, or symptoms that worsen instead of improve, consult your doctor immediately.
In the end, prevention remains the best cure. So if you or your loved ones haven’t been vaccinated against chicken pox yet, now is a great time to speak to a healthcare provider and take that step toward better protection.