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Shingles is a very common skin rash with blisters that can lead to
painful and sometimes serious complications in older adults.
About one million people in the U.S. each year develop
shingles, or Herpes zoster, according to the Centers for Disease
Control. One in three Americans will develop shingles at some
point in his or her life.
Shingles
is caused by the same virus that causes chicken pox and can
develop in anyone who has had chicken pox.
But now there’s a vaccine that can prevent the most painful
complications from shingles, which are called post herpetic
neuralgia and can result in chronic pain, facial scars and even
loss of vision.
The first vaccine for zoster, Zostavax, was licensed in May 2006
by Merck & Co., a pharmaceutical company. It is effective in
preventing shingles and in preventing the chronic pain
associated with shingles.
The Advisory Committee on Immunization Practices now recommends
all adults age 60 and older routinely be vaccinated to avoid
these painful complications. As always, you should speak with
your doctor, because zoster vaccine should not be given to
people with certain conditions or who are receiving immuno-suppressive
therapy.
Contact your health care provider to request the shingles
vaccine. If he or she does not have a supply, he or she may be
able to order it from an area pharmacy or directly from Merck.
If your health insurance does not cover the cost of the vaccine,
you may have to pay for it. Subscribers to Medicare Part D can
apply for reimbursement of the cost of the vaccine, but the
vaccine administration fee is not covered and can vary by
providers.
Merck also has a
vaccine assistance program for uninsured and other eligible
adults who may not be able to afford this and other
immunizations.
Proactively getting vaccinated is preferable to simply relying
on treatment because antiviral medications must be taken within
72 hours of first developing the telltale shingles rash to be
most effective. What’s more, antiviral treatment has been only
partially effective in relieving or shortening the duration of
symptoms. And while there is treatment for PHN, it does not
fully eliminate pain and may not be well tolerated by some
patients.
To help you keep track of your immunizations and prepare for
your doctor’s visits, go to
www.westchestergov.com/itsmyhealthcare.
For more information on immunizations, please contact the
Westchester County Department of Health’s Immunization Action
Program at (914) 813-5000 or access
the Health Department’s website.
To read more about this vaccine,
visit the Centers for Disease Control website. |