Management in Custody

Staff with chicken pox should stay off work until the end of the infective period (approx 7-14 days). Those in contact with disease who are known to be nonimmune or who have no history of disease should contact the designated occupational health physician.

Detainees with the disease should not be kept in custody if at all possible (especially pregnant women). If this is unavoidable, then nonimmune or immunocompromised staff should avoid entering the cell or having close contact with the detainee.

Nonimmune, immunocompromised, or pregnant individuals exposed to chickenpox should seek expert medical advice regarding the administration of VZIG. Aciclovir (or similar antiviral agent) should be given as soon as possible to people who are immunocompromised with chicken pox. It should also be considered for anyone over 15 years old because they are more likely to develop complications.

Anyone suspected of severe complications should be sent straight to the hospital.

6.2. Herpes Zoster (Shingles)

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