Journal of Archives in Military Medicine

Published by: Kowsar

Outbreaks of Varicella Zoster in a Military Nursing Institute: Infection Control in Hospital and Institutional Environments

Inam Danish Khan 1 , * , Anupam Chattoraj 2 , Ravi Nimonkar 3 , KS Rajmohan 1 , Rajiv Mohan Gupta 4 , Sourav Sen 5 , Anuradha Makkar 1 , Mercy Anthony 6 , Shazia Khan 7 , Arun Kumar Dwivedi 1 and Muhammad Shaikhoo Mustafa 8
Authors Information
1 Army College of Medical Sciences and Base Hospital, Delhi Cantt 110010 India
2 Command Hospital (EC), Kolkata 700027, India
3 O/C Station Health Organization, Kolkata 700027
4 Army Hospital (R & R), New Delhi 110010, India
5 Armed Forces Medical College, Pune 411040 India
6 College of Nursing, Command Hospital (EC), Kolkata 700027, India
7 INHS Kalyani, Vishakhapatnam 530047, India
8 O/C Station Health Organization, Chennai, India
Article information
  • Journal of Archives in Military Medicine: June 2018, 6 (2); e62800
  • Published Online: May 29, 2018
  • Article Type: Research Article
  • Received: October 13, 2017
  • Revised: March 12, 2018
  • Accepted: March 13, 2018
  • DOI: 10.5812/jamm.62800

To Cite: Danish Khan I, Chattoraj A, Nimonkar R, Rajmohan K, Mohan Gupta R, et al. Outbreaks of Varicella Zoster in a Military Nursing Institute: Infection Control in Hospital and Institutional Environments, J Arch Mil Med. 2018 ; 6(2):e62800. doi: 10.5812/jamm.62800.

Copyright © 2018, Journal of Archives in Military Medicine. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
1. Background
2. Methods
3. Results
4. Discussion
  • 1. European Centre for Disease Prevention and Control. Varicella vaccination in the European Union. Stockholm: ECDC; 2015. Available from:
  • 2. Bhatti VK, Budhathoki L, Kumar M, Singh G, Nath A, Nair GV. Use of immunization as strategy for outbreak control of varicella zoster in an institutional setting. Med J Armed Forces India. 2014;70(3):220-4. doi: 10.1016/j.mjafi.2014.03.006. [PubMed: 25378773]. [PubMed Central: PMC4213892].
  • 3. Khan ID, Sahni AK. Bacterial infections and emerging resistance in renal transplant recipients. Bangladesh J Med Sci. 2015;14(1):14.
  • 4. CDC. Prevention of Varicella: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR; 2007. Available from:
  • 5. Sarit S, Shruti S, Deepinder C, Chhina RS. Chicken pox outbreak in the Intensive Care Unit of a tertiary care hospital: Lessons learnt the hard way. Indian J Crit Care Med. 2015;19(12):723-5. doi: 10.4103/0972-5229.171397. [PubMed: 26816447]. [PubMed Central: PMC4711205].
  • 6. Kumar A, Moulik NR, Verma N. Successful prevention of varicella outbreak in an overcrowded paediatric oncology ward using oral acyclovir prophylaxis. J Trop Pediatr. 2015;61(2):151. doi: 10.1093/tropej/fmv008. [PubMed: 25797060].
  • 7. Khan ID, Sahni AK, Sen S, Gupta RM, Basu A. Outbreak of Prototheca wickerhamii algaemia and sepsis in a tertiary care chemotherapy oncology unit. Med J Armed Forces India. 2017. doi: 10.1016/j.mjafi.2017.07.012.
  • 8. Gupta SN, Gupta N, Gupta S. Concurrent multiple outbreaks of varicella, rubeola, german measles in unvaccinated children of co-educational mount carmel senior secondary school, thakurdwara palampur of northern himachal, India. J Family Med Prim Care. 2015;4(1):117-23. doi: 10.4103/2249-4863.152267. [PubMed: 25811001]. [PubMed Central: PMC4366981].
  • 9. Fu J, Wang J, Jiang C, Shi R, Ma T. Outbreak of varicella in a highly vaccinated preschool population. Int J Infect Dis. 2015;37:14-8. doi: 10.1016/j.ijid.2015.06.003. [PubMed: 26072038].
  • 10. Khan ID, Dogra PM, Ramphal SK, Khan S, Konar J, Palit A, et al. Polymicrobial infections in a teenaged Renal Transplant Recipient. J Basic Clin Med. 2015;4(1).
  • 11. Depledge DP, Gray ER, Kundu S, Cooray S, Poulsen A, Aaby P, et al. Evolution of cocirculating varicella-zoster virus genotypes during a chickenpox outbreak in Guinea-Bissau. J Virol. 2014;88(24):13936-46. doi: 10.1128/JVI.02337-14. [PubMed: 25275123]. [PubMed Central: PMC4249134].
  • 12. California Department of Public Health. Varicella Investgation Quicksheet. 2016. Available from:
  • 13. Jindal AK, Pandya K, Khan ID. Antimicrobial resistance: A public health challenge. Med J Armed Forces India. 2015;71(2):178-81. doi: 10.1016/j.mjafi.2014.04.011. [PubMed: 25859082]. [PubMed Central: PMC4388962].
  • 14. Marin M, Marti M, Kambhampati A, Jeram SM, Seward JF. Global Varicella Vaccine Effectiveness: A Meta-analysis. Pediatrics. 2016;137(3). e20153741. doi: 10.1542/peds.2015-3741. [PubMed: 26908671].
  • 15. Liu J, Kochin BF, Tekle YI, Galvani AP. Epidemiological game-theory dynamics of chickenpox vaccination in the USA and Israel. J R Soc Interface. 2012;9(66):68-76. doi: 10.1098/rsif.2011.0001. [PubMed: 21632611]. [PubMed Central: PMC3223620].
  • 16. Davis MM, Patel MS, Gebremariam A. Decline in varicella-related hospitalizations and expenditures for children and adults after introduction of varicella vaccine in the United States. Pediatrics. 2004;114(3):786-92. doi: 10.1542/peds.2004-0012. [PubMed: 15342855].
  • 17. Gould PL, Leung J, Scott C, Schmid DS, Deng H, Lopez A, et al. An outbreak of varicella in elementary school children with two-dose varicella vaccine recipients--Arkansas, 2006. Pediatr Infect Dis J. 2009;28(8):678-81. doi: 10.1097/INF.0b013e31819c1041. [PubMed: 19593254].
  • 18. Daskalaki I, Thermitus R, Perella D, Viner K, Spells N, Mohanty S, et al. Varicella outbreak in a daycare: challenges and opportunities for preventing varicella outbreaks in this setting. Pediatr Infect Dis J. 2014;33(4):420-2. doi: 10.1097/INF.0000000000000127. [PubMed: 24136372]. [PubMed Central: PMC5749226].
  • 19. Cowan JB, Davis TS. Varicella outbreak among Afghan National Civil Order Police recruits-Herat Regional Military Training Center, Herat, Afghanistan, 2010. Mil Med. 2012;177(8):924-7. [PubMed: 22934371].
  • 20. Zimmerman L, Fajardo M, Seward J, Ludwig S, Johnson J, Wharton M. Varicella susceptibility and validity of history among U.S. Coast Guard recruits: an outbreak-based study. Mil Med. 2003;168(5):404-7. [PubMed: 12775178].
  • 21. Cramer EH, Slaten DD, Guerreiro A, Robbins D, Ganzon A. Management and control of varicella on cruise ships: a collaborative approach to promoting public health. J Travel Med. 2012;19(4):226-32. doi: 10.1111/j.1708-8305.2012.00621.x. [PubMed: 22776383].
  • 22. Khan ID, Basu A, Kiran S, Trivedi S, Pandit P, Chattoraj A. Device-Associated Healthcare-Associated Infections (DA-HAI) and the caveat of multiresistance in a multidisciplinary intensive care unit. Med J Armed Forces India. 2017;73(3):222-31. doi: 10.1016/j.mjafi.2016.10.008. [PubMed: 28790779]. [PubMed Central: PMC5533520].
  • 23. Khan ID, Sahni AK, Bharadwaj R, Lall M, Jindal AK, Sashindran VK. Emerging organisms in a tertiary healthcare set up. Med J Armed Forces India. 2014;70(2):120-8. doi: 10.1016/j.mjafi.2013.09.005. [PubMed: 24843199]. [PubMed Central: PMC4017190].
  • 24. Khan ID, Khan S, Ali Khan M, Mustafa MS, Kidwai MS, Khan SA, et al. Indian Medical Mission at Hajj-2016: Mass-Gathering Medicine Perspectives, Challenges, and Opportunities in a Mission Posture. Int J Travel Med Glob Health. 2017;5(3):94-101. doi: 10.15171/ijtmgh.2017.20.
  • 25. Khan ID, Asima B, Khan SA. Operations Throughput as a Determinant of Golden-Hour in Mass-Gathering Medicine. Int J Med Med Res. 2017;(1). doi: 10.11603/ijmmr.2413-6077.2017.1.7804.
  • 26. Khan ID, Khan SA, Asima B, Hussaini SB, Zakiuddin M, Faisal FA. Morbidity and mortality amongst Indian Hajj pilgrims: A 3-year experience of Indian Hajj medical mission in mass-gathering medicine. J Infect Public Health. 2018;11(2):165-70. doi: 10.1016/j.jiph.2017.06.004. [PubMed: 28668659].
  • 27. Khan ID, Gupta N, Rangan NM, Singh R, Sharma AK, Khurana A, et al. Evaluation of pre and post analytical variables in clinical microbiology services in multidisciplinary icu of a medical college and tertiary care hospital. J Basic Clin Med. 2016;5(1).
  • 28. Dehal N, Krishan K, Kanchan T, Singh J. Public-funded immunisation: key to varicella control in India. Lancet. 2015;386(10011):2389-90. doi: 10.1016/S0140-6736(15)01190-3. [PubMed: 26700523].

Featured Image:

Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments