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Tuesday, September 17, 2013

Shingles vaccine continues to be profoundly under-utilized

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The painful skin and nerve disorder, shingles, is caused by a re-awakened chickenpox virus (medically, the varicella-zoster virus, VZV). Before the introduction of the two-dose chickenpox vaccine, Varivax, in the early 1990s, almost everyone contracted the itchy pustular contagion during infancy or childhood. Nowadays, clinical chickenpox is highly unusual, outside of those pockets of vaccine denial becoming (unfortunately) more commonplace due to superstitious fears. Fortunately, we now (since 2006) have a vaccine to protect specifically against shingles: Zostavax. But it is being widely ignored.
Shingles occurs many years later in some people who have had prior VZV infection; no one knows precisely why some are susceptible, but the incidence of shingles increases dramatically with age, especially after age 60. While the condition is somewhat similar, clinically, to chickenpox, in that it causes painfully itchy blisters surrounded by a red rash, shingles is unique in that the inflammation travels along a nerve route (dermatome), running for example from the cervical root in the neck down the arm. It can involve just about any nerve in the body, and when it affects the ophthalmic nerve (in the eye), it can cause visual impairment and even painful corneal ulcers…..To Read More….

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