Better Public Services Result 3 - Case Study: Rotavirus return exhausts family
For two months, rotavirus was an ongoing nightmare for Jan Goddard's family. A Waikato pharmacist and pharmacy manager, Jan returned to work part-time after seven months parental leave with baby daughter Abigail. The second day after Abigail started at daycare, Jan arrived to find eight of Abigail's new playmates were home with a tummy bug.
Five nights later Abigail vomited all over Jan and down the back of the couch. And so began the cycle, day and night, of vomiting, diarrhoea, breastfeeding and washing.
Between bouts Jan managed to keep breastfeeding Abigail while also giving her a fluid replacement solution and paracetamol.
"I was changing clothing and bedding after every feed. I had to start putting cloth nappies over the bedding to cut down on the washing."
Jan took Abigail to their doctor. While waiting for test results things continued to go downhill at home with six-year-old Molly waking the next morning saying her bed was wet. It was vomit. Now Molly was at home too.
By now it was confirmed Abigail had rotavirus, a virus that usually lasts two to 10 days. The doctor assured her Abigail should be okay if she stayed hydrated.
"Perseverance was the key," says Jan, who was now in a routine of scrubbing and disinfecting every surface and toy in the house to prevent further spread of infection.
"Rotavirus spreads like wild fire so we also had sterile hand gel everywhere so any unexpected visitors could keep their hands clean."
After eight days, Abigail began to improve. She put on weight and within a few days she had returned to daycare and Jan felt life was back to normal. But she was being optimistic. About a month later Abigail had a touch of diarrhoea, then vomited. Rotavirus was back.
Initially Jan tried to continue working part time, sending Abigail to her parents, but then her parents got the virus, Abigail got worse, and Jan went down with it. She spent 24 hours in bed and had to rely on her sister to help care for the children.
Finally, 11 days after the second bout, Abigail started to improve again and this time the virus didn't return.
Abigail is now six years old, but Jan remembers vividly the impact of rotavirus on her baby and family's lives.
"I still can't forget the smell and sense of exhaustion and concern. It can be so devastating and there is such a fine line with health. If she hadn't stayed hydrated, she could have very easily ended up in hospital."
What is rotavirus?
A highly infectious virus of the gut, rotavirus affects 90 percent of New Zealand children by the age of three years. It is estimated that one in 43 Kiwi children will have been hospitalised because of rotavirus by their fifth birthday, says Ministry of Health Chief Advisor Dr Bryn Jones.
Symptoms include rapid onset vomiting and watery diarrhoea that can last up to eight days. Vomiting usually settles within three days. Children can also have a fever and abdominal pain. It is most severe for babies and young children. Adults exposed to rotavirus usually don’t develop significant symptoms. Anyone in contact with an infected child needs to be very diligent about hand washing, especially after changing nappies to prevent spread through contact with infected faeces.
As this illness is caused by a virus, antibiotics do not help. Frequent small amounts of water or rehydration solutions are recommended to prevent dehydration. If parents are concerned, they should call Healthline 0800 611 116 or see their doctor.
Free vaccination protects against rotavirus
The best way to protect against rotavirus is to immunise. From 1 July 2014 the free rotavirus vaccine, RotaTeq, is available for all young babies. It’s an oral vaccine – not an injection. It is important that infants start the three-dose course of RotaTeq before 15 weeks of age, and have it completed by eight months. It will be offered to babies at their six-week, three and five-month immunisation visits.
This vaccine provides excellent protection against infection during the first three to five years of life – the time that children are most susceptible to rotavirus gastroenteritis.
"Although a small number of children who have been vaccinated may still develop rotavirus gastroenteritis, the illness is on average much milder than for unvaccinated children," Dr Jones says.