Whether they've had shingles or not, adults age 60 and older should get the shingles vaccine (Zostavax), according to the Centers for Disease Control and Prevention (CDC). Although the vaccine is also approved for use in people ages 50 to 59 years, the CDC isn't recommending the shingles vaccine until you reach age 60.
Shingles is an infection of a nerve and the area of skin around it. It is caused by the herpes varicella-zoster virus, which also causes chickenpox.
Most people have chickenpox in childhood, but after the illness has gone, the virus remains dormant (inactive) in the nervous system. The immune system (the body's natural defence system) keeps the virus in check, but later in life it can be reactivated and cause shingles.
Shingles usually affects a specific area on either the left or right side of the body.
The main symptoms are: Pain and a rash, which develops into itchy blisters and then scabs over.
How common is shingles?
It is estimated that about 3 people in every 1,000 have shingles in the UK every year, so the figure for Ireland may be similar.
Shingles can occur at any age, but is most common in people who are over 50 years of age. Among people who are over 80 years of age, about 11 people in every 1,000 have shingles each year. Shingles is much less common in children.
It is unknown exactly why the shingles virus is reactivated at a later stage in life, but it may be due to having lowered immunity (protection). This may be the result of:
- being older
- being stressed
- a condition that affects your immune system, such as HIV and AIDS
Can I catch Shingles from someone else ?
It is not possible to catch shingles from someone else with the condition. The shingles virus is reactivated from a previous infection with the varicella-zoster virus (the virus that causes chickenpox) and is not transmitted by person-to-person contact.
However, it is possible for someone who has never had chickenpox to catch chickenpox from someone with shingles. In Ireland, chickenpox is so common during childhood that 9 out of 10 adults have had it, so will not be affected.
Outlook
In most cases, the painful rash of shingles lasts 7 to 10 days and takes 2 to 4 weeks to fully heal. A number of different medicines can be used to treat the pain.
Complications can occur after you have had shingles, such as postherpetic neuralgia. This is where severe nerve pain lasts for more than three months after the rash has gone.
It is estimated that postherpetic neuralgia affects at least 1 in 10 people with shingles. It is more common in older people, and affects around one-third of people who are over 80 and who have shingles.
Can shingles be prevented?
In recent years a vaccine to prevent shingles in the elderly has been licensed in Europe and is available in Ireland. This vaccine is not part of the routine immunisation schedule.