Chapter 14
Omer turned pale, called Thahir aside and asked him to take the necessary measures. His country had many doctors, and all of them well trained, with the best possible training and with great salaries, and none of them until now had made any diagnosis about a possible pandemic of chickenpox (chickenpox) in their population.
Omer had his head on fire from thinking so much, he knew the seriousness of this disease, he remembered the symposium that he participated in the training of his doctors where he remembered well the voice of the professor saying:
Chickenpox (varicella) is an infectious disease, highly contagious, but generally benign, caused by the Varicella-Zoster virus, which manifests itself more frequently in children and with an incidence in late winter and early spring. The main clinical characteristic is the polymorphism of the cutaneous lesions (on the skin) that appear in different evolutionary forms (macules, papules, vesicles, pustules and crusts), accompanied by pruritus (itching). In children, it is usually benign and self-limiting. In adolescents and adults, in general, the clinical picture is more exuberant. Chickenpox (varicella) is an infectious and highly contagious disease caused by the Varicella-Zoster virus that manifests itself more frequently in children. The main clinical feature is skin lesions accompanied by itching. Important: Once the Varicella virus is acquired, the person becomes immune to chickenpox. However, this virus remains in our body for life and can be reactivated, causing Herpes-Zoster, also known as shingles. Chickenpox is easily transmitted to other people. Contagion takes place through contact with the liquid in the bubble or through coughing, sneezing, saliva or objects contaminated by the virus, that is, direct contact or respiratory secretions. Indirectly, it is transmitted through objects contaminated with secretions from vesicles and mucous membranes of infected patients. Rarely, chickenpox (chickenpox) is transmitted through contact with skin lesions. The incubation period for the Varicella virus, which causes Chickenpox, is 4 to 16 days. Transmission takes place between 1 to 2 days before the appearance of skin lesions and up to 6 days later, when all lesions are in the crusting phase. Important: The child must be kept away from the day care center or school for 7 days, from the beginning of the appearance of the red spots on the body. The symptoms of chickenpox, in general, begin between 10 and 21 days after the disease is transmitted. The main signs and symptoms of the disease are:
red spots and blisters on the body; malaise; tiredness; headache; loss of appetite; low fever.
Blisters initially appear on the face, trunk or scalp, spread and turn into small vesicles filled with a clear fluid. In a few days the liquid darkens and the blisters begin to dry and heal. This process causes a lot of itching, which can infect the lesions due to bacteria from the nails or objects used to scratch.
At the first symptoms, it is necessary to seek a health service so that a professional can guide the treatment and assess the severity of the disease. To avoid contagion, it is necessary to restrict the child or adult with chickenpox from public places until all skin lesions are healed, which happens, on average, within a period of two weeks. Hands, clothing and bedding, as well as other objects that may be contaminated, must undergo rigorous hygiene. People with chickenpox should not come into contact with newborns, pregnant women or anyone who has low immunity (such as people with AIDS or undergoing chemotherapy), as the disease can be more severe in these groups. In the treatment of chickenpox, in general, analgesics and antipyretics are used to relieve headache and lower fever, and antihistamines (antiallergic) to relieve itching. Hygiene care is very important and should only be done with soap and water. To reduce itching, the ideal is to make a cold-water compress. Vesicles should not be scratched and scabs should not be picked off. To prevent this from happening, the nails must be neatly cut. The medication to be administered must be guided by health professionals, as the use of analgesics and antipyretics based on acetylsalicylic acid is contraindicated and can cause serious problems.
The main measures to prevent and control chickenpox (chickenpox) are:
Vaccination.
Wash hands after touching lesions.
Isolation: children with uncomplicated chickenpox should only return to school after all lesions have developed into scabs. Children who are immunosuppressed or who have a prolonged clinical course should only return to activities after the vesicular eruption has ended.
Inpatients: contact and respiratory isolation until the scab stage.
Disinfection: concurrent with objects contaminated with nasopharyngeal secretions.
Immunoprophylaxis in hospital environment outbreaks.
The more he thought, the more Omer turned pale, how to make his entire population adhere to all control prevention measures, how would they be, because this gang had to fight with his security for him to find out, what else was going on in the country that he was still unaware of. His daughter and a doctor from Brazil, in a matter of moments and just looking at the patients from afar, even without touching them managed to diagnose the disease in a matter of minutes and their best doctors and teams could not safeguard their people.
He advised Thahir to make all arrangements. The castle was ordered to empty everything, general cleaning, only those who had the disease could stay, everyone from the restaurant was taken to the castle to be in isolation. The people were sent to their village and it was closed until the risk of contamination was over and together several soldiers and medical teams with medicine and food for the village. The beginning of the lockdown was reported in the kingdom, no one could enter or leave their village, due to the imminent risk of high contamination.
The following days many of the palace had fever, itches and sores, Geany being one of the worst. Carla and Raquel took turns looking at everyone in the palace. Omer and Roan, who had already caught the disease for years, helped with the meals. Fran and Thahir had a high fever, but they were still better than the Geany. Carla and Raquel to take care of all the sick.
Omer was impressed with the agility and how the two synchronized the service, they knew what the other wanted just by looking. That night Raquel would spend with Geany and fourteen other women who were placed in a single room. And Carla with Thahir, Fran and nineteen other men, who she put all of them in a big room on several mattresses on the floor.
Carla and Raquel, they were already exhausted, but even so they didn't stop, Carla insisted on bathing all the women helping Raquel and then alone she bathed her twenty-one sick men, as she said to Omer she was a nurse she was already there used to these procedures, that's why I was helping Raquel, as a doctor, she wouldn't normally do that. Even feeling embarrassed, the men had to allow her to give everyone a bed bath, always taking care not to touch or leave parts of their bodies exposed and giving everyone maximum privacy, she shaved everyone, tidied the hair , fed and medicated them , the last one she touched was Thahir , when she went to make a cold compress on him to reduce his fever, she took advantage and caressed his black hair where a strand insisted on leaving the place, that's when he noticed her eyes open, looking directly into his green eyes and after she smiled he fell asleep.
Three days later, only Geany, still very fragile, was still in bed in the women's room. The others, already much better, began to take care of themselves. Unfortunately, three deaths inside the castle were inevitable. Fran was loving Carla more every day, He commented to Thahir that he never imagined having an older sister as warlike as Carla and with such a kind heart. He was so proud of his new sister. It felt like he had known her forever. She had a few hours of sleep, she was lying on the hard floor next to where the sick men slept all curled up with the cold, Fran got up and got her serum and a blanket on the big couch and covered Carla. When she came back to sit on the bed, she saw Thahir looking at her and said:
- My sister is a wonderful person, don't you think Thahir? I have to thank God a lot for the two sisters I have. I can't let Carla go to Basileu; I wouldn't know how to live far from my sister. I love this girl so much, and we've only known her for a few days.
-Thahir smiled and said that she was amazing, that there was no way not to fall in love with her, because she captivated everyone. She has never seen a person with an inner light like her.
Thahir had already told Fran and Geany of the suffering that Carla went through all her life, Fran was disgusted with what they did to her sister and promised that no one would get close to her and do any harm, she had a brother and he would not allow no harm to her.
News began to reach Omer that some villages closed in lockdown due to the epidemic, they were without any doctors or food, there was a revolution and many doctors in fear were not taking their posts, and those bad men, who wanted power in their country at the expense of human lives, they were preventing teams from entering certain villages with threats and weapons.
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