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However, patients and healthcare personnel (HCP) continue to introduce varicella zoster virus (VZV) into healthcare settings. Herpes zoster (HZ) is less contagious than varicella, but it can also result in exposures. Unrecognized varicella and HZ may lead to extensive contact investigations, control efforts, and HCP furloughs that result in significant disruption of healthcare activities as well as substantial costs. Robust occupational health and infection prevention programs that ensure healthcare personnel immunity and prompt recognition and isolation of patients with varicella or HZ will lower the risk of VZV transmission and reduce or eliminate the need to furlough exposed HCP and associated costs.<\/jats:p>","DOI":"10.1093\/infdis\/jiac254","type":"journal-article","created":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T15:57:07Z","timestamp":1661356627000},"page":"S456-S462","source":"Crossref","is-referenced-by-count":9,"title":["Prevention and Control of Nosocomial Varicella During the United States Varicella Vaccination Program Era"],"prefix":"10.1093","volume":"226","author":[{"given":"Marci","family":"Drees","sequence":"first","affiliation":[{"name":"Department of Medicine, ChristianaCare , Wilmington, Delaware , USA"},{"name":"Department of Medicine, Sidney Kimmel Medical College at Thomas Jefferson University , Philadelphia, Pennsylvania , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J","family":"Weber","sequence":"additional","affiliation":[{"name":"Department of Medicine, School of Medicine, University of North Carolina , Chapel Hill, North Carolina , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,10,21]]},"reference":[{"key":"2022102100075513400_jiac254-B1","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1002\/1096-9071(200101)63:1<64::AID-JMV1009>3.0.CO;2-6","article-title":"Rapid contamination of the environments with varicella-zoster virus DNA from a patient with herpes zoster","volume":"63","author":"Yoshikawa","year":"2001","journal-title":"J Med Virol"},{"key":"2022102100075513400_jiac254-B2","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/S0140-6736(52)91357-3","article-title":"Infectiousness of communicable diseases in the household","volume":"260","author":"Hope Simpson","year":"1952","journal-title":"Lancet"},{"key":"2022102100075513400_jiac254-B3","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1017\/S0195941700003076","article-title":"Prevention and control of varicella-zoster infections in healthcare facilities","volume":"17","author":"Weber","year":"1996","journal-title":"Infect Control Hosp Epidemiol"},{"key":"2022102100075513400_jiac254-B4","doi-asserted-by":"crossref","first-page":"S111","DOI":"10.1002\/jmv.10364","article-title":"Varicella in Americans from NHANES III: implications for control through routine immunization","author":"Kilgore","year":"2003","journal-title":"J Med Virol"},{"key":"2022102100075513400_jiac254-B5","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1542\/peds.70.2.199","article-title":"Hospital infection control for varicella zoster virus infection","volume":"70","author":"Myers","year":"1982","journal-title":"Pediatrics"},{"key":"2022102100075513400_jiac254-B6","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1056\/NEJM198002213020807","article-title":"Airborne transmission of chickenpox in a hospital","volume":"302","author":"Leclair","year":"1980","journal-title":"N Engl J Med"},{"key":"2022102100075513400_jiac254-B7","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1542\/peds.70.4.550","article-title":"An outbreak of airborne nosocomial varicella","volume":"70","author":"Gustafson","year":"1982","journal-title":"Pediatrics"},{"key":"2022102100075513400_jiac254-B8","first-page":"548","article-title":"Outbreak of varicella in a newborn intensive care nursery","volume":"138","author":"Gustafson","year":"1984","journal-title":"Am J Dis Child"},{"key":"2022102100075513400_jiac254-B9","first-page":"196","article-title":"Nosocomial varicella. 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