Chickenpox
Classification and external resources
Male with varicella disease
ICD-10	B01
ICD-9	052
DiseasesDB	29118
MedlinePlus	001592
eMedicine	ped/2385 derm/74, emerg/367
MeSH	C02.256.466.175

Chickenpox (or chicken pox) is a highly contagious illness caused by primary infection with varicella zoster virus (VZV).^[1] It usually starts with vesicular skin rash mainly on the body and head rather than at the periphery and becomes itchy, raw pockmarks, which mostly heal without scarring. On examination, the observer typically finds lesions at various stages of healing.

Chickenpox is an airborne disease spread easily through coughing or sneezing of ill individuals or through direct contact with secretions from the rash. A person with chickenpox is infectious one to two days before the rash appears.^[2] They remain contagious until all lesions have crusted over (this takes approximately six days).^[3] Immunocompromised patients are contagious during the entire period as new lesions keep appearing. Crusted lesions are not contagious.^[4]

Chickenpox has been observed in other primates, including chimpanzees^[5] and gorillas.^[6]

Signs and symptoms[link]

It takes from 10 to 21 days after initial infection for the disease to develop.

The onset of illness with chickenpox is often characterized by symptoms including myalgia, itching, nausea, fever, headache, sore throat, diarrhea, pain in both ears, complaints of pressure in head or swollen face, and malaise in adolescents and adults. In children, the first symptom is usually the development of a vesicular rash, which begins on the trunk and then spreads to the face and limbs. ^[7] This is then followed by development of malaise, fever (a body temperature of 38 °C (100 °F), but may be as high as 42 °C (108 °F) in rare cases), sometimes severe back pains to the lower back, and loss of appetite. Typically, the disease is more severe in adults.^[8] Chickenpox is rarely fatal, although it is generally more severe in adult males than in adult females or children. Non-immune pregnant women and those with a suppressed immune system are at highest risk of serious complications. Chickenpox is believed to be the cause of one third of stroke cases in children.^[9] The most common late complication of chickenpox is shingles (herpes zoster), caused by reactivation of the varicella zoster virus decades after the initial episode of chickenpox.

Diagnosis[link]

The diagnosis of varicella is primarily clinical, with typical early "prodromal" symptoms, and then the characteristic rash. Confirmation of the diagnosis can be sought through either examination of the fluid within the vesicles of the rash, or by testing blood for evidence of an acute immunologic response.

Vesicular fluid can be examined with a Tsanck smear, or better with examination for direct fluorescent antibody. The fluid can also be "cultured", whereby attempts are made to grow the virus from a fluid sample. Blood tests can be used to identify a response to acute infection (IgM) or previous infection and subsequent immunity (IgG).^[10]

Prenatal diagnosis of fetal varicella infection can be performed using ultrasound, though a delay of 5 weeks following primary maternal infection is advised. A PCR (DNA) test of the mother's amniotic fluid can also be performed, though the risk of spontaneous abortion due to the amniocentesis procedure is higher than the risk of the baby developing fetal varicella syndrome.^[11]

Epidemiology[link]

Primary varicella is a disease that is endemic to all countries worldwide. Varicella has a prevalence that is stable from generation to generation.^[12]

In temperate countries, chickenpox is primarily a disease of children, with most cases occurring during the winter and spring, most likely due to school contact. It is one of the classic diseases of childhood, with the highest prevalence in the 4–10 year old age group. Like rubella, it is uncommon in preschool children. Varicella is highly communicable, with an infection rate of 90% in close contacts. In temperate countries, most people become infected before adulthood but 10% of young adults remain susceptible.

In the tropics, chickenpox often occurs in older people and may cause more serious disease.^[13] In adults the pock marks are darker and the scars more prominent than in children.^[14]

Pathophysiology[link]

A single blister, typical during the early stages of the rash

The back of a 30-year-old male, on day 5 of the rash

Exposure to VZV in a healthy child initiates the production of host immunoglobulin G (IgG), immunoglobulin M (IgM), and immunoglobulin A (IgA) antibodies; IgG antibodies persist for life and confer immunity. Cell-mediated immune responses are also important in limiting the scope and the duration of primary varicella infection. After primary infection, VZV is hypothesized to spread from mucosal and epidermal lesions to local sensory nerves. VZV then remains latent in the dorsal ganglion cells of the sensory nerves. Reactivation of VZV results in the clinically distinct syndrome of herpes zoster (i.e., shingles), postherpetic neuralgia, and sometimes Ramsay Hunt syndrome type II.^{[citation needed]}

Infection in pregnancy and neonates[link]

For pregnant women, antibodies produced as a result of immunization or previous infection are transferred via the placenta to the fetus.^[15] Women who are immune to chickenpox cannot become infected and do not need to be concerned about it for themselves or their infant during pregnancy.^[16]

Varicella infection in pregnant women could lead to viral transmission via the placenta and infection of the fetus. If infection occurs during the first 28 weeks of gestation, this can lead to fetal varicella syndrome (also known as congenital varicella syndrome).^[17] Effects on the fetus can range in severity from underdeveloped toes and fingers to severe anal and bladder malformation. Possible problems include:

• Damage to brain: encephalitis,^[18] microcephaly, hydrocephaly, aplasia of brain
• Damage to the eye: optic stalk, optic cup, and lens vesicles, microphthalmia, cataracts, chorioretinitis, optic atrophy
• Other neurological disorder: damage to cervical and lumbosacral spinal cord, motor/sensory deficits, absent deep tendon reflexes, anisocoria/Horner's syndrome
• Damage to body: hypoplasia of upper/lower extremities, anal and bladder sphincter dysfunction
• Skin disorders: (cicatricial) skin lesions, hypopigmentation

Infection late in gestation or immediately following birth is referred to as "neonatal varicella".^[19] Maternal infection is associated with premature delivery. The risk of the baby developing the disease is greatest following exposure to infection in the period 7 days prior to delivery and up to 7 days following the birth. The baby may also be exposed to the virus via infectious siblings or other contacts, but this is of less concern if the mother is immune. Newborns who develop symptoms are at a high risk of pneumonia and other serious complications of the disease.^[11]

Shingles[link]

After a chickenpox infection, the virus remains dormant in the body's nerve tissues. The immune system keeps the virus at bay, but later in life, usually as an adult, it can be reactivated and cause a different form of the viral infection called shingles (scientifically known as herpes zoster).^[20]

Many adults who have had chicken pox as children are susceptible to shingles as adults, often with the accompanying condition postherpetic neuralgia, a painful condition that makes it difficult to sleep. Even after the shingles rash has gone away, there can be night pain in the area affected by the rash.^[21]

Shingles affect one in three adults, especially those who are immune suppressed, particularly from cancer, HIV, or other conditions. However, stress can bring on shingles as well, although scientists are still researching the connection.^[21]

A shingles vaccine is available for adults over 50 for both adults who had childhood chickenpox or who previously had shingles.^[22] The vaccine for shingles lessens the impact of shingles and its side effects.

Prevention[link]

Hygiene measures[link]

The spread of chickenpox can be prevented by isolating affected individuals. Contagion is by exposure to respiratory droplets, or direct contact with lesions, within a period lasting from three days prior to the onset of the rash, to four days after the onset of the rash.^[23] The chickenpox virus (VZV) is susceptible to disinfectants, notably chlorine bleach (i.e., sodium hypochlorite). Also, like all enveloped viruses, VZV is sensitive to desiccation, heat and detergents. Therefore these viruses are relatively easy to kill.^{[citation needed]}

Vaccine[link]

A varicella vaccine was first developed by Michiaki Takahashi in 1974 derived from the Oka strain. It has been available in the US since 1995 to inoculate against the disease. Some countries require the varicella vaccination or an exemption before entering elementary school. Protection from one dose is not lifelong and a second dose is necessary five years after the initial immunization,^[24] which is currently part of the routine immunization schedule in the US.^[25] The chickenpox vaccine is not part of the routine childhood vaccination schedule in the UK. In the UK, the vaccine is currently only offered to people who are particularly vulnerable to chickenpox. A person who already took the vaccine is more likely to have only a few chickenpox.^[26]

Treatment[link]

Varicella treatment mainly consists of easing the symptoms as there is no actual cure of the condition. Some treatments are however available for relieving the symptoms while the immune system clears the virus from the body. As a protective measure, patients are usually required to stay at home while they are infectious to avoid spreading the disease to others. Also, sufferers are frequently asked to cut their nails short or to wear gloves to prevent scratching and to minimize the risk of secondary infections.

The condition resolves by itself within a couple of weeks but meanwhile patients must pay attention to their personal hygiene.^[27] The rash caused by varicella zoster virus may however last for up to one month, although the infectious stage does not take longer than a week or two.^[28] Also, staying in a cold surrounding can help in easing the itching as heat and sweat makes it worse.

Although there have been no formal clinical studies evaluating the effectiveness of topical application of calamine lotion, a topical barrier preparation containing zinc oxide and one of the most commonly used interventions, it has an excellent safety profile.^[29] It is important to maintain good hygiene and daily cleaning of skin with warm water to avoid secondary bacterial infection.^[30] Scratching may also increase the risk of secondary infection.^[31]

To relieve the symptoms of chickenpox, people commonly use anti-itching creams and lotions. These lotions are not to be used on the face or close to the eyes. Neem leaves can be made into paste form and can be applied on the rashes. Warm water bath with neem leaves may be helpful. Water bath may be done at least seven days from the onset of the vesicles. It should be done so because the vesicles contain the virus and may splash while bathing and it may cause the vesicles to appear on subsequent regions. An oatmeal bath also might help ease discomfort.^[32]

Children[link]

If oral acyclovir is started within 24 hours of rash onset it decreases symptoms by one day but has no effect on complication rates. Use of acyclovir therefore is not currently recommended for immunocompetent individuals (i.e., otherwise healthy persons without known immunodeficiency or on immunosuppressive medication). Children younger than 12 years old and older than one month are not meant to receive antiviral medication if they are not suffering from another medical condition which would put them at risk of developing complications.^[33]

Treatment of chickenpox in children is aimed at symptoms whilst the immune system deals with the virus. With children younger than 12 years cutting nails and keeping them clean is an important part of treatment as they are more likely to scratch their blisters more deeply than adults.^[34]

Aspirin is highly contraindicated in children younger than 16 years as it has been related with a potentially fatal condition known as Reye's syndrome.^[35]

Some parents believe that it is better for children to contract chickenpox than to get the vaccine. They even go to the extent of exposing their children to others who have the disease – even by taking them to "chickenpox parties." Doctors counter that children are safer getting the vaccine, which is a weakened form of the virus, than by getting the disease, which can be fatal.^[36]

Adults[link]

Infection in otherwise healthy adults tends to be more severe and may be fatal. Treatment with antiviral drugs (e.g. acyclovir or valacyclovir) is generally advised, as long as it is started within 24–48 hours from rash onset.^[33] Remedies to ease the symptoms of chickenpox in adults are basically the same as those used on children. Adults are more often prescribed antiviral medication as it is effective in reducing the severity of the condition and the likelihood of developing complications. Antiviral medicines do not kill the virus, but stop it from multiplying. Adults are also advised to increase water intake to reduce dehydration and to relieve headaches. Painkillers such as paracetamol (acetaminophen) are also recommended as they are effective in relieving itching and other symptoms such as fever or pains. Antihistamines relieve itch and may be used in cases where the itch prevents sleep, because they are also sedative. As with children, antiviral medication is considered more useful for those adults who are more prone to develop complications. These include pregnant women or people who have a weakened immune system.^[37]

Sorivudine, a nucleoside analogue has been reported to be effective in the treatment of primary varicella in healthy adults (case reports only), but large-scale clinical trials are still needed to demonstrate its efficacy.^[38]

Prognosis[link]

The duration of the visible blistering caused by varicella zoster virus varies in children usually from 4 to 7 days, and the appearance of new blisters begins to subside after the 5th day. Chickenpox infection is milder in young children, and symptomatic treatment, with sodium bicarbonate baths or antihistamine medication may ease itching.^[39] Paracetamol (acetaminophen) is widely used to reduce fever. Aspirin, or products containing aspirin, should not be given to children with chickenpox as it can cause Reye's Syndrome.^[40]

In adults, the disease is more severe,^[41] though the incidence is much less common. Infection in adults is associated with greater morbidity and mortality due to pneumonia,^[42] hepatitis, and encephalitis.^{[citation needed]} In particular, up to 10% of pregnant women with chickenpox develop pneumonia, the severity of which increases with onset later in gestation. In England and Wales, 75% of deaths due to chickenpox are in adults.^[11] Inflammation of the brain, or encephalitis, can occur in immunocompromised individuals, although the risk is higher with herpes zoster.^[43] Necrotizing fasciitis is also a rare complication.^[44]

Varicella can be lethal to adults with impaired immunity. The number of people in this high-risk group has increased, due to the HIV epidemic and the increased use immunosuppressive therapies.^[45] Varicella is a particular problem in hospitals, especially when there are patients with immune systems weakened by drugs (e.g., high-dose steroids) or HIV.^[46]

Secondary bacterial infection of skin lesions, manifesting as impetigo, cellulitis, and erysipelas, is the most common complication in healthy children. Disseminated primary varicella infection usually seen in the immunocompromised may have high morbidity. Ninety percent of cases of varicella pneumonia occur in the adult population. Rarer complications of disseminated chickenpox also include myocarditis, hepatitis, and glomerulonephritis.^[47]

Hemorrhagic complications are more common in the immunocompromised or immunosuppressed populations, although healthy children and adults have been affected. Five major clinical syndromes have been described: febrile purpura, malignant chickenpox with purpura, postinfectious purpura, purpura fulminans, and anaphylactoid purpura. These syndromes have variable courses, with febrile purpura being the most benign of the syndromes and having an uncomplicated outcome. In contrast, malignant chickenpox with purpura is a grave clinical condition that has a mortality rate of greater than 70%. The etiology of these hemorrhagic chickenpox syndromes is not known.^[47]

See also[link]

• List of cutaneous conditions
• Pox party

References[link]

External links[link]

• Chickenpox at the Open Directory Project
• "Chicken pox care map". Map of Medicine. London, UK: Map of Medicine Limited. http://eng.mapofmedicine.com/evidence/map/chickenpox1.html. (Registration required)

Barbara Walters
Barbara Walters in New York City, June 2011
Born	Barbara Jill Walters (1929-09-25) September 25, 1929 (age 82) Boston, Massachusetts, U.S.
Occupation	Journalist
Years active	1961–present
Notable credit(s)	Co-anchor and contributor of ABC Evening News and ABC World News Today show anchor (1961–1976) Not For Women Only host (1971–1976) ABC Evening News anchor (1976–1978) 20/20 host (1984–2004) The View creator/co-host (1997–present)
Salary	$12 million (2007)[1]
Spouse	Robert Henry Katz (m.1955–1958; annulled) Lee Guber (m.1963–1976; divorced) Merv Adelson (m.1981–1984; divorced) Merv Adelson (m.1986–1992; divorced)
Children	1

Barbara Jill Walters^[2] (born September 25, 1929) is an American broadcast journalist, author, and television personality. She has hosted morning television shows (Today and The View), the television news magazine (20/20), former co-anchor of the ABC World News, and current contributor to ABC News.

Walters was first known as a popular TV morning news anchor for over 10 years on NBC's Today, where she worked with Hugh Downs and later hosts Frank McGee and Jim Hartz. Walters later spent 25 years as co-host of ABC's news magazine 20/20. She was the first female co-anchor of network evening news, working with Harry Reasoner on the ABC Evening News, and continuing as a contributor to the network news division and its flagship program, ABC World News.

In 1996, Walters was ranked #34 on TV Guide's 50 Greatest TV Stars of All Time.^[3]

Early life[link]

Walters was born in 1929 in Boston, the daughter of Dena (née Seletsky) and Louis "Lou" Walters (born Louis Warmwater).^[4] Her parents were both Jewish^[5] and descendants of refugees from the former Russian Empire, now Eastern Europe.^[6] Walters' paternal grandfather, Abraham Isaac, was from what is now Łódź, Poland, and first immigrated to England, changing his name first to Warmwater and later to Abraham Walters (the original family surname was Waremwasser).^[6][7][8] Walters' father was born there c. 1894, and moved to the United States with his family in 1900.^[9] In 1937, her father opened the New York version of the Latin Quarter; he also worked as a Broadway producer (he produced the Ziegfeld Follies of 1943).^[10][11] He also was the Entertainment Director for the Tropicana Resort and Casino in Las Vegas, Nevada, where he imported the "Folies Bergere" stage show from Paris to the resort's main showroom.^[12] Walters' brother, Burton, died in 1932 of pneumonia.^[13] Walters' elder sister, Jacqueline, was born mentally disabled^[14] and died of ovarian cancer in 1985. She has another half sister, Walda Walters Anderson, born to a different mother.^{[citation needed]}

According to Walters, being surrounded by celebrities when she was young kept her from being "in awe" of them.^[14] When she was a young woman, Walters' father lost his nightclubs and the family's penthouse on Central Park West. As Walters recalled, "He had a breakdown. He went down to live in our house in Florida, and then the Government took the house, and they took the car, and they took the furniture." Of her mother, she said, "My mother should have married the way her friends did, to a man who was a doctor or who was in the dress business."^[15]

After attending Ethical Culture Fieldston School and Birch Wathen Lenox School^[16][17] private schools in New York City,^[13] Walters graduated from Miami Beach High School in 1947. In 1951 she received a B.A. in English from Sarah Lawrence College.^[18]

Career and accolades[link]

From left: Gene Shalit, Barbara Walters, and Frank McGee in The Today Show, 1973.

After a brief period as a publicist with Tex McCrary Inc. and a job as a writer at CBS News, Walters joined NBC's The Today Show as a writer and researcher in 1961.^[14] She moved up to become that show's regular "Today Girl", handling lighter assignments and the weather. In her autobiography, she describes this era before the Women's Movement as a time when it was believed that nobody would take a woman seriously reporting "hard news". Previous "Today Girls" (whom Walters called "tea pourers") included Florence Henderson, Helen O'Connell, Estelle Parsons and Lee Meriwether.^[19] Within a year she had become a reporter-at-large developing, writing, and editing her own reports and interviews.^[14] When Frank McGee was named host, he refused to do joint interviews with Walters unless he was given the first four questions. She was not named co-host of the show until McGee's death in 1974, when NBC officially designated Walters as the program's first female co-host.

Walters has seldom minced words when describing the visible, on-the-air disdain her co-anchor, Harry Reasoner, displayed for her when she was teamed up with him on the ABC Evening News in 1976–78. Reasoner had a difficult relationship with Walters because he disliked having a co-anchor, even though he worked with former CBS colleague Howard K. Smith nightly on ABC for several years. In 1981, five years after the start of their short-lived ABC partnership and well after Reasoner returned to CBS News, Walters and her former co-anchor had a memorable (and cordial) 20/20 interview on the occasion of Reasoner's new book release.^{[citation needed]}

Walters is also known for her years on the ABC newsmagazine 20/20 where she joined host Hugh Downs in 1979.^[14] Throughout her career at ABC, Walters has appeared on ABC news specials as a commentator, including presidential inaugurations and the coverage of 9/11. She was also chosen to be the moderator for the third and final debate between candidates Jimmy Carter and Gerald Ford, held on the campus of the College of William and Mary at Phi Beta Kappa Memorial Hall in Williamsburg, Virginia, during the 1976 Presidential Election.^[20] In 1984, she moderated a Presidential debate held at the Dana Center for the Humanities at Saint Anselm College in Goffstown, New Hampshire.^[21] Many of her regular and special programs are syndicated around the world. As of 2004, she is in semi-retirement as a broadcast journalist, but remains a correspondent for ABC News as well as a host of ABC's special programs.

Awards[link]

On June 14, 2007, Walters received a star on the Hollywood Walk of Fame. She has won Daytime and Prime Time Emmy Awards, a Women in Film Lucy Award, and a GLAAD Excellence in Media award. Her impact on the popular culture is illustrated by Gilda Radner's "Baba Wawa" impersonation of her on Saturday Night Live,^[14] featuring her idiosyncratic speech with its rounded "R". In 2008, she was honored with the Disney Legends award, an award given to those who made an outstanding contribution to The Walt Disney Company, which owns the network ABC. That same year, she received the Lifetime Achievement Award from the New York Women's Agenda. On September 21, 2009, Walters was honored with a Lifetime Achievement Award at the 30th Annual News and Documentary Emmy Awards at New York City's Lincoln Center.

Interviews[link]

Walters interviewing President Gerald Ford and Betty Ford in 1976.

Vladimir Putin giving an interview to Walters in 2001 at the Kremlin.

On March 7, 2010, Barbara Walters announced she would no longer hold Oscar interviews, but will still be working with ABC and on her show, The View.^[22]

In a November 2010 episode of The View, while interviewing Larry King on his retirement from CNN, Walters alluded to her impending retirement, stating, "I know when my time's coming."

Walters is known for "personality journalism" and her "scoop" interviews.^[14] In November 1977, she achieved a joint interview with Egypt's President, Anwar Al Sadat, and Israel's Prime Minister, Menachem Begin. Her interviews with world leaders from all walks of life are a chronicle of the latter part of the 20th century.^[14] They include the Shah of Iran Mohammad Reza Pahlavi and his wife the Empress Farah Pahlavi; Russia's Boris Yeltsin; China's Jiang Zemin; the UK's Margaret Thatcher; Cuba's Fidel Castro, as well as India's Indira Gandhi, Václav Havel, Muammar al-Gaddafi, King Hussein of Jordan, King Abdullah of Saudi Arabia, Venezuelan President Hugo Chavez, Bashar al-Assad president of Syria among many others. Other interviews with influential people include pop icon Michael Jackson, Katharine Hepburn, Anna Wintour, and in 1980 Laurence Olivier. Walters considered Dr. Robert Smithdas, a deaf-blind man who spent his life improving the life of other individuals who are deaf-blind, as her most inspirational interview.

Walters was widely lampooned in 1981 (and often since) for having posed the question, during an interview with actress Katharine Hepburn: "If you were a tree, what kind would you be?" But as she has often pointed out (and the video clips confirm) Hepburn initiated the discussion by saying that she would like to be a tree, and Walters merely followed up with the question, "What kind of a tree?"^[14][23]

During a story about Cuban leader Fidel Castro, Walters claimed that "for Castro, freedom begins with education." Some critics^[who?] point to her characterization of Castro as freedom-loving and argue that it painted an inaccurate picture of his government.^{[citation needed]}

On March 3, 1999, her interview of Monica Lewinsky was seen by a record 74 million viewers, the highest rating ever for a journalist's interview. Walters asked Lewinsky, "What will you tell your children about this matter?" and Lewinsky replied, "I guess Mommy made some mistakes," at which point Walters brought the program to a dramatic conclusion, turning to the viewers, saying, "And that is the understatement of the year."

[edit] The View

Walters is a part-time host of the daytime talk show The View, of which she is also co-creator and co-executive producer with her business partner Bill Geddie.^[14] Walters described the show in its original opening credits as a forum for women of "different generations, backgrounds, and views." She added, "Be careful what you wish for..." The show's current co-hosts are Whoopi Goldberg, Joy Behar, Elisabeth Hasselbeck and Sherri Shepherd. Previous co-hosts include Meredith Vieira, Lisa Ling, Rosie O'Donnell, Star Jones, and Debbie Matenopoulos.

In 2007 Barbara defended co-host O'Donnell about remarks the latter made against Donald Trump and the winner of the Miss USA pageant. Trump firmly responded by saying, "Barbara is off the list..."^[24]

Personal life[link]

Walters has been married four times to three different men. "I'm convinced that you stay married when the sex is bad, only because you really want to be," she told The New York Times in 1996. "But I always had an out. I had this job, and this life and enough money. I didn't have to fight the bad days."^[15] Her husbands were:

• Robert Henry Katz, a business executive and former Navy lieutenant. They married on June 20, 1955, at The Plaza Hotel in New York City. The marriage was reportedly annulled in 1958.^[2][25]
• Lee Guber, theatrical producer and theater owner. They married on December 8, 1963, and divorced in 1976. They have one daughter, Jacqueline Dena Guber (born 1968, adopted the same year).
• Merv Adelson, the CEO of Lorimar Television. They married in 1981 and divorced in 1984 and were married again on May 10, 1986, and divorced in 1992.

She dated gay lawyer^[26][27] Roy Cohn in college, and the lawyer said that he proposed marriage to Walters the night before her wedding to Lee Guber, but Walters denied this.^[13] She explained her lifelong devotion to Cohn as gratitude for his help in her adoption of her daughter, Jacqueline.^[28] In her autobiography, Walters says that Cohn got her father's warrant for "failure to appear" dismissed.^[29]

Walters dated future U.S. Federal Reserve Chairman Alan Greenspan in the 1970s,^[30] and was linked romantically to United States Senator John Warner in the 1990s.^[31]

In Walters's autobiography, Audition, she claimed that she had an affair in the 1970s with Edward Brooke, then a married United States Senator from Massachusetts. It is not clear whether Walters also was married at the time. Walters said that the affair ended to protect their careers from scandal.^[32]

She announced on the May 10, 2010 episode of The View, that she would be undergoing open heart surgery to replace a faulty aortic valve. Walters added that she knew for quite a while that she was suffering from aortic valve stenosis, even though she was symptom-free. The procedure to fix the faulty heart valve "went well, and the doctors are very pleased with the outcome," Walters' spokeswoman, Cindi Berger, said in a statement on May 14, 2010.^[33]

On July 9, 2010, it was announced that Walters would return to The View and her Sirius XM satellite show Here's Barbara in September 2010.^[34][35]

Walters has been close friends with Fox News head Roger Ailes since the late 1960s.^[36]

Books[link]

In the late 1960s, Walters wrote a magazine article, How to Talk to Practically Anyone About Practically Anything, which drew upon the kinds of things people said to her, which were often mistakes.^[37] Shortly after the article appeared, she received a letter from Doubleday expressing interest in expanding it into a book. Walters felt that it would help "tongue-tied, socially awkward people — the many people who worry that they can't think of the right thing to say to start a conversation."^[37] She published the book in 1970, with the assistance of ghostwriter June Callwood.^[38] To Walters' great surprise, the book was a phenomenon. As of 2008, it had gone through eight printings, sold hundreds of thousands of copies worldwide, and had been translated into at least 6 different languages.^[37]

In 2008, she published her autobiography, Audition: A Memoir.

Awards and nominations[link]

Daytime Emmy Awards

• 1975 Award for Daytime Emmy for Outstanding Talk Show Host (Today)
• 1998 Nomination for Best Talk Show (The View)
• 1998 Nomination for Best Talk Show Host (The View)
• 1999 Nomination for Best Talk Show (The View)
• 1999 Nomination for Best Talk Show Host (The View)
• 2000 Nomination for Best Talk Show (The View)
• 2000 Nomination for Best Talk Show Host (The View)
• 2001 Nomination for Best Talk Show (The View)
• 2001 Nomination for Best Talk Show Host (The View)
• 2002 Nomination for Best Talk Show (The View)
• 2002 Nomination for Best Talk Show Host (The View)
• 2003 Award for Best Talk Show (The View)
• 2003 Nomination for Best Talk Show Host (The View)
• 2004 Nomination for Best Talk Show (The View)
• 2004 Nomination for Best Talk Show Host (The View)
• 2005 Nomination for Best Talk Show (The View)
• 2005 Nomination for Best Talk Show Host (The View)
• 2006 Nomination for Best Talk Show (The View)
• 2006 Nomination for Best Talk Show Host (The View)
• 2007 Nomination for Best Talk Show (The View)
• 2007 Nomination for Best Talk Show Host (The View)
• 2008 Nomination for Best Talk Show (The View)
• 2008 Nomination for Best Talk Show Host (The View)
• 2009 Award for Daytime Emmy for Outstanding Talk Show Host (The View) (with Whoopi Goldberg, Joy Behar, Elisabeth Hasselbeck and Sherri Shepherd)
• 2010 Nomination for Best Talk Show Host (The View)

NAACP Image Award

• 2009 Award for Best Talk Series (The View)
• 2010 Nomination for Best Talk Series

Women in Film Crystal + Lucy Award

• 1998 Lucy Award in recognition of her excellence and innovation in her creative works that have enhanced the perception of women through the medium of television.^[39]

See also[link]

	Biography portal
	Journalism portal

• Barbara Walters' 10 Most Fascinating People

References[link]

External links[link]

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