Side note on the chicken pox vaccine. Some say the chicken pox vaccine may be contributing to the rise in shingles. Some think the vaccine doesn't prep the immune system the way the actual disease does.
http://www.thelibertybeacon.com/201...-for-triggering-nationwide-shingles-epidemic/
The article has a lot of incorrect information. Nevertheless, I do believe shingles in on the rise as an indirect effect of the chickenpox vaccine.
As a pediatrician, I have been seeing more shingles in children than before the vaccine. Of interest is the fact that most have been in children who had natural chickenpox illness, and never received the vaccine.
Let me clarify and also correct some incorrect info from the article.
Chicken pox is the illness caused by the varicella virus. When one gets chickenpox, or the vaccine, the virus lays dormant in a nerve root. If the person's antibodies wane, the virus can flare in the skin that is supplied by that nerve. That is shingles. It is not caused by catching a shingles virus. It is the virus that has been living with you all along and will be for life.
(Think of recurrent cold sores. They are a flare of the herpes simplex virus that lays dormant after a person's initial herpes infection)
I had been opposed to universal chicken pox vaccination. The reason was partly that children and adults maintain their levels of antibody to their dormant virus by having "booster" doses when they are exposed to chicken pox from other children over the years. Once you vaccinate a large percentage of the population, people rarely will be exposed to it from other children and not get boosts to maintain their antibodies.
Several years ago, I began to see more shingles in children and teens. It used to be very rare. Of interest is that most were in people who had gotten the illness chickenpox when they were younger. It was rare to see it in someone who received the vaccine. This is not surprising because the people who got the illness need booster exposures to maintain antibody levels.
When the vaccine first came out, I did not immediately give it to my kids. I wanted to see if there would be unforeseen problems. But after a year or so, the country started to see toxic strep infections. That is what killed Jim Henson. It started killing children who had chickenpox. The difficulty is that during chickenpox, getting toxic strep is rapidly fatal and it shows little clues that someone has it until it is too late. The clue would be if the fever during chickenpox was unusually high, or lasted a day or two too long. Doing a blood test was useless in diagnosing it. Once that started, I immediately vaccinated my own. The risk of dying from chickenpox had dramatically increased.
Once the vaccine became widespread, it fed on itself. If unvaccinated children did not get chickenpox in childhood, they were at risk to get it as teenagers and adults. At those ages, it can be very severe. Purposely exposing children with "chickenpox parties" when one child gets it often results in very severe illness because the close exposure gives the exposed children a very high virus load.
I think the shingles risk will become minimal because we now give a booster dose of vaccine to maintain antibody levels. I would expect that periodic boosters will be required throughout adulthood.
Newly old