New Shingles Vaccine - SHINGRIX (April 2018 )

From Paul A. Offit, MD, February 13, 2018, Medscape & Chlidren's Hospital of Philadelphia:

"About 1 in 3 people in the United States will suffer shingles in their lifetime. Usually, shingles occurs in those > 65 years of age".

"If you look at the efficacy of Shingrix against rash, it's not 51% (as was the case with Zostavax); it's in the mid- to high 90% range, for all age groups—even for those over 70 years of age. Similarly, if you look at the protective efficacy against postherpetic neuralgia, it's in the high 80% to low-mid 90% range, and the duration is much greater—4 years later, the protective efficacy is still about 85%."

The Advisory Committee on Immunization Practices (ACIP) made the following recommendationson on Shingrix:

  • This vaccine can be given starting at 50 years of age;

  • It's a two-dose vaccine, with the second dose being given 2-6 months after the first;

  • It is the preferred vaccine—those who have not yet received a shingles vaccine should receive Shingrix rather than Zostavax; and

  • Even if you've already had Zostavax, it is still recommended that you receive two doses of the Shingrix vaccine."


From the CDC:

  • There are about a million new cases of shingles each year in the United States.
  • Anyone who has had chicken pox can get shingles. That means 95% of adults are at risk.
  • Approximately one-third of the U.S. population will get shingles. The risk rises after 50 years of age. Half of people living to age 85 have had or will get shingles.
  • More than half of older adults do not understand the seriousness of shingles and its complications.
  • Among those who get shingles, more than one-third will develop serious complications. The risk of complications rises after 60 years of age.
  • Prompt treatment is essential to control acute symptoms.
  • There is a new vaccine that can lower the risk of getting shingles:

About the SHINGRIX vaccine

From the New York Times:

Why You Should Get the New Shingles Vaccine

April, 9th 2018

"Many millions of Americans, especially those older than 40, are susceptible to an eventual attack of shingles caused by the very same virus that causes chickenpox. Once this virus, varicella zoster, infects a person, it lies dormant for decades in nerve roots, ready to pounce when the immune system is weakened, say, by stress, medication, trauma or disease. One-third of Americans eventually get shingles, but the risk rises with age, and by age 85 half of adults will have had at least one outbreak of shingles."

See the article >


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