Herpes Zoster (Shingles) Vaccine - Dr Yeung Ho Hong 楊浩康
What is shingles?
Herpes zoster, or shingles, is caused by the varicella-zoster virus. Initially causing chickenpox, the virus lies dormant in nerve ganglia post-recovery, reactivating when immunity wanes. Shingles presents as painful rashes and blisters along nerve paths, often with severe pain, potentially leading to chronic postherpetic neuralgia, significantly impacting quality of life.
Effectiveness and Safety of the Herpes Zoster Vaccine
The herpes zoster vaccine is a key preventive tool. A live vaccine, it boosts immunity against the varicella-zoster virus, reducing reactivation odds, lowering incidence, and mitigating severity. Studies show it cuts postherpetic neuralgia and complication risks, protecting the elderly and immunocompromised.
Who needs shingles vaccination?
It’s recommended for adults over 50. Aging weakens immunity, increasing reactivation likelihood, making vaccination essential. Even those with prior shingles benefit, as waning immunity leaves room for recurrence; the vaccine reduces this risk and severity.
Vaccination typically requires one dose, with safety proven in trials. Common side effects—redness, pain at the injection site, mild headache, or muscle discomfort—resolve quickly. As a live vaccine, caution is needed for those with severe allergies to components, primary or secondary immunosuppression, those on immunosuppressive drugs, or pregnant women, who should consult doctors.
From a public health view, the vaccine protects individuals and fosters herd immunity, cutting overall reactivation and spread risks. With global aging, it enhances elderly quality of life and eases healthcare burdens. Many regions recommend it to minimize shingles and its sequelae.
Beyond vaccination, lifestyle prevention matters. Healthy habits—balanced diet, exercise, and avoiding fatigue—support immunity. Those with known immune decline or chronic conditions should regularly consult professionals for tailored health plans.
In summary, the herpes zoster vaccine is vital for preventing shingles and neuralgia. For adults over 50, it boosts immunity against varicella-zoster, reducing reactivation risks, incidence, and complications. Facing shingles’ severe impact, proactive vaccination, hygiene, and health management safeguard middle-aged and elderly health.