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	<title>Symptom Advice .com &#187; american journal of preventive medicine</title>
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		<title>CDC finds most seniors don?t get shingles vaccination</title>
		<link>http://symptomadvice.com/cdc-finds-most-seniors-dont-get-shingles-vaccination-2/</link>
		<comments>http://symptomadvice.com/cdc-finds-most-seniors-dont-get-shingles-vaccination-2/#comments</comments>
		<pubDate>Thu, 03 Feb 2011 03:51:07 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[herpes symptoms]]></category>
		<category><![CDATA[american journal of preventive medicine]]></category>
		<category><![CDATA[blisters]]></category>
		<category><![CDATA[emergency department]]></category>
		<category><![CDATA[jabs]]></category>
		<category><![CDATA[seniors]]></category>
		<category><![CDATA[vaccination]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/cdc-finds-most-seniors-dont-get-shingles-vaccination-2/</guid>
		<description><![CDATA[The vaccine reduces the risk of &#103;&#101;&#116;&#116;&#105;&#110;&#103; shingles by half and the risk of developing painful complications by two-thirds, according to Gary Euler, study co-author. Since the chance of contracting shingles increases with age and especially &#105;&#115; high by age 80, when seniors are frail, he believes the value of the vaccine &#105;&#115; incontestable. Specifically, [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/02/1296705067-16.jpg" style="float:left;clear:both;margin:0 15px 15px 0" />
<p>The vaccine reduces the risk of &#103;&#101;&#116;&#116;&#105;&#110;&#103; shingles by half and the risk of developing painful complications by two-thirds, according to Gary Euler, study co-author. Since the chance of contracting shingles increases with age and especially &#105;&#115; high by age 80, when seniors are frail, he believes the value of the vaccine &#105;&#115; incontestable.</p>
<p>Specifically, the vaccine protects &#097;&#103;&#097;&#105;&#110;&#115;&#116; the herpes zoster virus, which &#099;&#097;&#117;&#115;&#101;&#115; chicken pox &#097;&#116; &#102;&#105;&#114;&#115;&#116; infection. The body never rids itself of the virus and &#105;&#116; can &#115;&#104;&#111;&#119; &#117;&#112; &#097;&#103;&#097;&#105;&#110; decades &#108;&#097;&#116;&#101;&#114; as shingles. Symptoms include headache, fever and tingling or throbbing accompanied by jabs of stabbing pain called post-herpetic neuralgia (PHN), &#102;&#111;&#108;&#108;&#111;&#119;&#101;&#100; by &#097; skin rash and blisters. </p>
<p>Up to 10 &#105;&#110; &#101;&#118;&#101;&#114;&#121; thousand seniors develop shingles &#101;&#118;&#101;&#114;&#121; year. &#119;&#105;&#116;&#104;&#111;&#117;&#116; the vaccination, 10 percent to 14 percent of them will suffer &#102;&#114;&#111;&#109; neuralgia.</p>
<p>In the &#110;&#101;&#119; study appearing online and &#105;&#110; the February 2011 issue of the <i>American Journal of Preventive Medicine</i>, researchers found that estimated coverage levels &#119;&#101;&#114;&#101; low &#097;&#109;&#111;&#110;&#103; all seniors and lowest &#097;&#109;&#111;&#110;&#103; minority groups. Surprisingly, 95 percent of younger seniors &#104;&#097;&#100; missed &#097;&#116; &#108;&#101;&#097;&#115;&#116; one opportunity to be vaccinated, &#101;&#118;&#101;&#110; though they &#104;&#097;&#100; seen &#116;&#104;&#101;&#105;&#114; physician &#097;&#116; &#108;&#101;&#097;&#115;&#116; once, &#098;&#101;&#101;&#110; hospitalized or visited &#097;&#110; emergency department that year. The people &#109;&#111;&#115;&#116; likely to have received vaccinations &#119;&#101;&#114;&#101; older, white, female seniors who &#119;&#101;&#114;&#101; &#109;&#111;&#114;&#101; highly educated and who &#104;&#097;&#100; received &#097; flu shot.</p>
<p>From the results of &#097;&#110; earlier study, the researchers can see that uptake &#105;&#115; growing, &#098;&#117;&#116; &#097;&#116; &#097; snail&#8217;s pace. The study authors gave possible reasons: While &#109;&#111;&#115;&#116; insurance and Medicare plans cover the cost of vaccination, &#111;&#116;&#104;&#101;&#114; costs &#109;&#105;&#103;&#104;&#116; be out-of-pocket and upfront. Physicians could be reluctant to recommend the vaccine &#098;&#101;&#099;&#097;&#117;&#115;&#101; of &#116;&#104;&#105;&#115; cost burden, especially &#105;&#102; the patient has no insurance.</p>
<p>A downside exists for the physicians, &#116;&#111;&#111;. Euler, &#097;&#110; epidemiologist with the CDC&#8217;s National Center for Immunization and Respiratory Diseases, said that the vaccine must remain frozen &#117;&#110;&#116;&#105;&#108; the &#108;&#097;&#115;&#116; minute, which presents &#097;&#110; added burden on two counts. &#102;&#105;&#114;&#115;&#116;, there &#105;&#115; &#097; time lapse &#105;&#102; the physician writes &#097; prescription for the patient to buy the vaccine &#097;&#116; &#097; pharmacy and bring &#105;&#116; back to the office to have &#105;&#116; administered. &#115;&#101;&#099;&#111;&#110;&#100;, &#105;&#102; &#097; physician writes &#097; prescription for the patient to receive the vaccine &#097;&#116; the pharmacy, patients &#111;&#102;&#116;&#101;&#110; &#100;&#111; not make that additional trip.</p>
<p>Despite &#116;&#104;&#101;&#115;&#101; drawbacks, Euler strongly recommends that seniors receive vaccinations for shingles.</p>
<p>&#8220;&#109;&#111;&#115;&#116; patients who &#107;&#110;&#111;&#119; what PHN &#105;&#115; like would absolutely agree,&#8221; Euler said. &#8220;And &#105;&#110; terms of cost savings for medical attention and medicine on &#097; population-wide basis, so would &#109;&#111;&#115;&#116; economists.&#8221;</p></p>
]]></content:encoded>
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		</item>
		<item>
		<title>CDC finds most seniors don?t get shingles vaccination</title>
		<link>http://symptomadvice.com/cdc-finds-most-seniors-dont-get-shingles-vaccination/</link>
		<comments>http://symptomadvice.com/cdc-finds-most-seniors-dont-get-shingles-vaccination/#comments</comments>
		<pubDate>Mon, 17 Jan 2011 04:00:11 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[herpes symptoms]]></category>
		<category><![CDATA[american journal of preventive medicine]]></category>
		<category><![CDATA[vaccination]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/cdc-finds-most-seniors-dont-get-shingles-vaccination/</guid>
		<description><![CDATA[The vaccine reduces the risk of &#103;&#101;&#116;&#116;&#105;&#110;&#103; shingles &#098;&#121; half and the risk of developing painful complications &#098;&#121; two-thirds, according to Gary Euler, study co-author. &#115;&#105;&#110;&#099;&#101; the chance of contracting shingles increases &#119;&#105;&#116;&#104; age and especially &#105;&#115; high &#098;&#121; age 80, when seniors are frail, he believes the &#118;&#097;&#108;&#117;&#101; of the vaccine &#105;&#115; incontestable. Specifically, [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/01/1295236811-51.png%3Fw%3D510" style="clear:both;clear:both;margin:0 15px 15px 0" />
<p>The vaccine reduces the risk of &#103;&#101;&#116;&#116;&#105;&#110;&#103; shingles &#098;&#121; half and the risk of developing painful complications &#098;&#121; two-thirds, according to Gary Euler, study co-author. &#115;&#105;&#110;&#099;&#101; the chance of contracting shingles increases &#119;&#105;&#116;&#104; age and especially &#105;&#115; high &#098;&#121; age 80, when seniors are frail, he believes the &#118;&#097;&#108;&#117;&#101; of the vaccine &#105;&#115; incontestable.</p>
<p>Specifically, the vaccine protects against the herpes zoster virus, which causes chicken pox at &#102;&#105;&#114;&#115;&#116; infection. The body never rids &#105;&#116;&#115;&#101;&#108;&#102; of the virus and it &#099;&#097;&#110; show &#117;&#112; &#097;&#103;&#097;&#105;&#110; decades &#108;&#097;&#116;&#101;&#114; &#097;&#115; shingles. Symptoms include headache, fever and tingling or throbbing accompanied &#098;&#121; jabs of stabbing pain called post-herpetic neuralgia (PHN), &#102;&#111;&#108;&#108;&#111;&#119;&#101;&#100; &#098;&#121; a skin rash and blisters. </p>
<p>Up to 10 in every thousand seniors develop shingles every year. &#119;&#105;&#116;&#104;&#111;&#117;&#116; the vaccination, 10 percent to 14 percent of them &#119;&#105;&#108;&#108; suffer &#102;&#114;&#111;&#109; neuralgia.</p>
<p>In the &#110;&#101;&#119; study appearing online and in the February 2011 issue of the <i>American Journal of Preventive Medicine</i>, researchers found that estimated coverage levels &#119;&#101;&#114;&#101; low &#097;&#109;&#111;&#110;&#103; &#097;&#108;&#108; seniors and lowest &#097;&#109;&#111;&#110;&#103; minority groups. Surprisingly, 95 percent of younger seniors had missed at least one opportunity to be vaccinated, &#101;&#118;&#101;&#110; &#116;&#104;&#111;&#117;&#103;&#104; &#116;&#104;&#101;&#121; had seen their physician at least once, been hospitalized or visited an emergency department that year. The people &#109;&#111;&#115;&#116; likely to &#104;&#097;&#118;&#101; received vaccinations &#119;&#101;&#114;&#101; older, white, female seniors &#119;&#104;&#111; &#119;&#101;&#114;&#101; &#109;&#111;&#114;&#101; highly educated and &#119;&#104;&#111; had received a flu shot.</p>
<p>From the results of an earlier study, the researchers &#099;&#097;&#110; &#115;&#101;&#101; that uptake &#105;&#115; growing, &#098;&#117;&#116; at a snail&#8217;s pace. The study authors gave &#112;&#111;&#115;&#115;&#105;&#098;&#108;&#101; reasons: &#119;&#104;&#105;&#108;&#101; &#109;&#111;&#115;&#116; insurance and Medicare plans cover the cost of vaccination, &#111;&#116;&#104;&#101;&#114; costs &#109;&#105;&#103;&#104;&#116; be out-of-pocket and upfront. Physicians could be reluctant to recommend the vaccine &#098;&#101;&#099;&#097;&#117;&#115;&#101; of this cost burden, especially &#105;&#102; the patient &#104;&#097;&#115; &#110;&#111; insurance.</p>
<p>A downside exists for the physicians, &#116;&#111;&#111;. Euler, an epidemiologist &#119;&#105;&#116;&#104; the CDC&#8217;s National Center for Immunization and Respiratory Diseases, &#115;&#097;&#105;&#100; that the vaccine must remain frozen until the last minute, which presents an added burden on two counts. &#102;&#105;&#114;&#115;&#116;, there &#105;&#115; a time lapse &#105;&#102; the physician writes a prescription for the patient to &#098;&#117;&#121; the vaccine at a pharmacy and bring it &#098;&#097;&#099;&#107; to the office to &#104;&#097;&#118;&#101; it administered. Second, &#105;&#102; a physician writes a prescription for the patient to receive the vaccine at the pharmacy, patients &#111;&#102;&#116;&#101;&#110; do &#110;&#111;&#116; &#109;&#097;&#107;&#101; that additional trip.</p>
<p>Despite these drawbacks, Euler strongly recommends that seniors receive vaccinations for shingles.</p>
<p>&#8220;&#109;&#111;&#115;&#116; patients &#119;&#104;&#111; &#107;&#110;&#111;&#119; &#119;&#104;&#097;&#116; PHN &#105;&#115; &#108;&#105;&#107;&#101; &#119;&#111;&#117;&#108;&#100; absolutely agree,&#8221; Euler &#115;&#097;&#105;&#100;. &#8220;And in terms of cost savings for medical attention and medicine on a population-wide basis, so &#119;&#111;&#117;&#108;&#100; &#109;&#111;&#115;&#116; economists.&#8221;</p></p>
]]></content:encoded>
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