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Retired

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Shingles (Herpes Zoster) Vaccine Now Available
National Center for Immunization and Respiratory Diseases
May 27, 2009

General Questions about the Shingles Vaccine

Is there a vaccine to prevent shingles?
Yes. CDC recommends Zostavax for use in people 60 years old and older to prevent shingles. This is a one-time vaccination. Zostavax does not treat shingles or post-herpetic neuralgia (pain after the rash is gone) once it develops.

Is the shingles vaccine safe?
The FDA has licensed the vaccine as safe. The vaccine has been tested in about 20,000 people aged 60 years old and older. The most common side effects in people who got the vaccine were redness, soreness, swelling or itching at the shot site, and headache. CDC, working with the FDA, will continue to monitor the safety of the vaccine after it is in general use.

The shingles vaccine is made of a weakened form of the chickenpox virus. Can a person who has received the vaccine infect others with this virus?
No. It is safe to be around infants and young children, pregnant women, or people with weakened immune systems after you get the shingles vaccine. Transmission of the chickenpox virus from a person who has received the shingles vaccine has never been documented. (For more information on transmission of shingles, read the Shingles Disease Q&A.)

Some people who get the shingles vaccine will develop a chickenpox-like rash near the place where they were vaccinated. As a precaution, this rash should be covered until it disappears.

How effective is the shingles vaccine?
In a clinical trial involving thousands of adults 60 years old or older, Zostavax reduced the risk of shingles by about half (51%) and the risk of post-herpetic neuralgia by 67%. While the vaccine was most effective in people 60-69 years old it also provided some protection for older groups.

How long does the shingles vaccine last?
Research suggests that the shingles vaccine is effective for at least six years, but may last much longer. Ongoing studies are being conducted to determine exactly how long the vaccine protects against shingles.

Who should NOT get the shingles vaccine?
Some people should not get the shingles vaccine:

  • People who have had a life-threatening allergic reaction to gelatin or the antibiotic neomycin.
  • People who have a severe allergy to any component of the vaccine.
  • People with a weakened immune system as a result of leukemia, lymphoma, or any other blood or bone cancer.
  • People with HIV/AIDS who have T-cell counts below 200.
  • People being treated with drugs that affect the immune system, including high-dose steroids.
  • Women who are or might be pregnant.
Can the shingles vaccine be given to people who have already had shingles?
Yes. People who have had shingles can receive the shingles vaccine to help prevent future occurrences of the disease. This is true no matter when they first got shingles.

How long must a person wait after having shingles to receive the shingles vaccine?
There is no specific time that a person must wait before receiving the shingles vaccine. The decision on when to get vaccinated should be made with your doctor and be based on your specific circumstances. Generally, a person should make sure that his or her shingles rash has disappeared before getting vaccinated.

Why is the shingles vaccine only recommended for people 60 years and older?
A person's risk for getting shingles begins to rise around age 50. However, shingles vaccine (Zostavax) is only recommended for persons age 60 and older because the safety and effects of the vaccine were only studied in this group, which accounts for about half of all cases of shingles occurring each year in the United States. Future research will determine if the recommended age for vaccination should be lowered.

Shingles occurs in people who have already had chickenpox. Does it matter if a person remembers having had chickenpox
Anyone 60 years of age or older should get the shingles vaccine, regardless of whether they recall having had chickenpox or not. Studies show that more than 99% of Americans ages 40 and older have had chickenpox, even if they don?t remember getting the disease.

Is it ?worth it? for older people to get the vaccine?
Yes. The older a person is, the more severe the effects of shingles typically are, so all adults 60 years old or older should get the shingles vaccine. There is no maximum age for getting the shingles vaccine.

Does the shingles vaccine, which protects against herpes zoster, also protect against genital herpes?
No. The shingles vaccine is specifically designed to protect people against herpes zoster, which is another name for shingles disease. It will not protect people against other forms of herpes, such as genital herpes.

Is the shingles vaccine covered by insurance?
All Medicare Part D plans cover the shingles vaccine. The amount of cost-sharing (money you have to pay) for vaccination varies. (U.S)

Medicare Part B does not cover the shingles vaccine. If you have private insurance or Medicaid, your plan may or may not cover the vaccine; contact your insurer to find out. (U.S)

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Zostavax is now available in Canada (see attached PDF doc from manufacturer). Health Canada approval was given in 2008, and marketing began September 15, 2009. Arrangements for vaccination can be made by your doctor. This product must be stored frozen, so necessary arrangements must be made by the pharmacist, for delivery and for safe storage in the doctor's office. Alternatively go to ZOSTAVAX to locate a physician or clinic in your area administering the vaccine Zostavax Merck Frosst

In the U.S. visit ZOSTAVAX? (Zoster Vaccine Live) - Shingles vaccine information and shingles prevention information at zostavax.com for information and for locating centers where the vaccine is available
 

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Fiver

Member
I have a feeling that anyone who has ever had the "pleasure" of shingles is seriously looking into this right now.
 

Retired

Member
Canadian Merck Frosst News Release
Merck Frosst's ZOSTAVAX(TM) now available in Canada
Canadian Newswire
September 22, 2009

This information for Canadian consumers

Today adults 60 years of age or older can ask for the first and only vaccine for the prevention of shingles

KIRKLAND, QC, Sept. 22 /CNW Telbec/ - Starting today adults across the country 60 years of age or older can choose to help protect themselves against shingles - a reactivation of the virus that causes chickenpox. Merck Frosst Canada Ltd. is pleased to announce that ZOSTAVAX(TM) (zoster vaccine live, attenuated (Oka/Merck)), for the prevention of shingles (herpes zoster) in individuals 60 years of age or older, is now available across Canada through clinics and physicians offering the vaccine.

"Both my mother and grandmother had really bad cases of shingles so I'm aware of the consequences", said Dr. Austin Richard Cooper, a 67 year old practising physician in St. John's, Newfoundland and the first person in Canada to be vaccinated with the shingles vaccine today. "I've been following the information about this vaccine from the beginning and I am delighted that the vaccine is now available - I really wanted to be the first Canadian vaccinated with it."

The Merck Frosst vaccine is the first and only one to help prevent shingles. People should talk to their doctor or healthcare professional to find out if the vaccine is right for them.

Currently, not all clinics or physician offices can accommodate the storage requirements for the shingles vaccine and administer it onsite. In response to this, Merck Frosst has created a specially-designed website ZOSTAVAX. Clinics and physicians desiring to list their offices and clinics as being able to meet the storage requirements for ZOSTAVAX(TM) may add their office/clinic address and coordinates to this website.

Locating vaccination sites
Go to the website ZOSTAVAX. In the menu section, look for the following phrase and click on it: "The list of some physicians and clinics which stock and administer ZOSTAVAX(TM)". Then, enter your postal code, select a radius and click on "Search". A list of vaccination locations will then appear. The website will continually be updated to reflect physicians and clinics which can accommodate the vaccine and have advised us that they wish to add their office or clinic to the list.

Live frozen vaccine puts shingles on ice
The shingles vaccine must be stored frozen at an average temperature of -15 degrees C or colder until it is ready for injection in order to maintain its potency. The vaccine must be reconstituted immediately after being taken from the freezer and administered.

Anyone who has had chickenpox is at risk of developing shingles. The incidence and severity of shingles increase significantly with age, with two-thirds of cases occurring in individuals older than 50 years of age.(1) For more than half of shingles sufferers over the age of 60, shingles can progress into debilitating pain called post-herpetic neuralgia (PHN)(2), which can persist long after the blisters have healed.

In the Shingles Prevention Study (SPS) of 38,546 subjects 60 years of age or older, the shingles vaccine reduced the risk of developing herpes zoster compared with placebo by 51 per cent for all age groups.(3) The vaccine also reduced the incidence of severe and long-lasting zoster-associated pain by 73 per cent compared with placebo(4).

In clinical studies, the most common side effects reported were redness, pain, swelling, itching, warmth and bruising at the injection site.(5) The overall incidence of vaccine-related injection-site adverse experiences was significantly greater for subjects vaccinated with the shingles vaccine compared to placebo (48 per cent for the vaccine and 17 per cent for placebo).(6) Headache, fever and allergic reactions were also reported.(7)

The Merck Frosst list price for the shingles vaccine is $150.

References for this article can be seen on the CNW website
 
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