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Kristine: WELCOME BACK.
EVERY THURSDAY, WE'RE TAKING A
LOOK AT A HEALTH ISSUE OR
CONCERN AFFECT MANY PEOPLE,
BREAKING DOWN THE INFORMATION
AND TELLING YOU WHAT YOU NEED TO
KNOW.
DR. KALANI BRADY FROM THE BURN --
JOHN A. SCHOOL OF MEDICINE JOINS
US.
THANK YOU FOR BEING HERE.
SHINGLES IS PRETTY COMMON AMONG
AGING ADULTS.
WHAT IS IT?
IT STARTS OFF, THE VIRUS THAT
CAUSES SHINGLES STARTS OUT BY
CAUSING AN INFECTION OR BEING
VACCINATED AGAINST AN INFECTION
AS A CHILD.
AND THAT DISEASE IS CALLED
CHICKENPOX.
AND BASICALLY, CHICKENPOX IS A
DISEASE WHERE THERE'S INCHING
AND PEOPLE USE CALAMINE LOTION
WHEN THEY GET IT.
THINK HAVE POX ON THE FACE,
TRUNK, ARMS AND LEGS.
AND IT LASTS ONE TO TWO WEEKS.
USED TO BE YOU GET IT FROM
SOMEONE IN THE NEIGHBORHOOD, A
CHILD IN THE NEIGHBORHOOD WOULD
GIVE IT TO YOU.
A PLAYMATE OR SOMETHING.
AND IT WOULD LAST ONE TO TWO
WEEKS.
THERE WERE CHICKENPOX PARTIES.
Kristine: RIGHT.
PARENTS WERE BRING THEIR
CHILDREN TO A PARTY WITH ONE
PERSON -- ONE OF THE CHILDREN
ALREADY WITH THE DISEASE, AND
HOPEFULLY EVERYBODY WOULD GET
IT.
Kristine: GET IT OVER WITH.
GET IT OVER WITH.
AT SUCH A LOW AGE THAT THEY
DIDN'T HAVE BAD MEMORIES.
Kristine: HOW DID WE GO
FROM CHICKENPOX TO SHINGLES?
YOU CAN AVOID CHICKENPOX BY
GETTING A VACCINE AT AGE 12
MONTHS OR OLDER.
IT EITHER SHORTENS THE
CHICKENPOX YOU GET OR COMPLETELY
PREVENTS IT.
BUT AFTER CHICKENPOX, THE VIRUS
GOES DORMANT IN NERVES, SENSORY
NERVES.
AND THEN YOU HAVE A PERIOD OF
IMMUNO SUPPRESSION.
IT COULD BE TOO MUCH SUN OR YOU
GET A BAD COLD.
AND THAT VIRUS REACTIVATES IN
THAT AREA OF THAT SENSORY NERVE.
YOU START WITH THIS HORRIBLE
BURNING, ITCHING AREA, AND
THERE'S NOTHING ON YOUR SKIN.
YOU THINK, IS IT COULDN'T HAVE
BEEN A CENTIPEDE BECAUSE I
DIDN'T FEEL A STING.
AFTER TWO OR THREE DAYS, THESE
POX OR VESICLES COME OUT ALONG
YOUR SKIN.
USUALLY OF AN ARM OR A LEG OR
THE BACK, BUT IT CAN ALSO BE OF
THE FACE UNFORTUNATELY OR NECK.
IT LASTS ABOUT TWO TO FOUR
WEEKS.
IT'S CALLED SHI SHINGLES.
IT'S VERY PAINFUL.
AND THERE ARE MEDICATIONS THAT
WILL MAKE IT BETTER.
ONCE YOU HAVE SHINGLES, YOU HAVE
EVEN A RISK OF A THIRD DISEASE.
AND THAT'S CALL POSTTRAPEDIC
NEYER
NEURALGIA.
THAT CAN LAST THE REST OF YOUR
LIFE.
AND IT'S DIFFICULT TO TREAT,
ALTHOUGH WE HAVE SOME MEDICINES
TO TREAT IT.
THE VACCINES FOR SHINGLES ARE
IMPORTANT, AND WE CAN TALK ABOUT
THEM.
Kristine: YES.
HOW IMPORTANT ARE THE VACCINES?
HOW MUCH DO YOU RECOMMEND THEM?
I RECOMMEND THEM, THE FIRST
VACCINE THAT CAME OUT WAS CALLED
ZOSTERVAX FOR PEOPLE OVER 60
YEARS OF AGE.
IT EITHER MINIMIZED OR
COMPLETELY CANCELED THE RISK OF
GETTING SHINGLES.
IT HAD IMMUNITY THAT LASTED UP
TO EIGHT YEARS.
IT WAS A ONE-DOSE VACCINE.
LAST FALL, JUST LAST FALL, A NEW
VACCINE CAME OUT CALLED
SHINGRIX.
IT'S A TWO-DOSE VACCINE YOU CAN
GET STARTING AT AGE 50.
AND PROBABLY GIVES LONGER
IMMUNITY THAT EIGHT YEARS.
AND BOTH VACCINES, NOT ONLY
DECREASE OF RISK OF SHINGLES BUT
DECREASE THE PAIN ASSOCIATED
WITH SHINGLES.
SO I DEFINITELY RECOMMEND
GETTING THIS VACCINE.
Kristine: WE DO HAVE A TAKE
A BREAK BUT I WANTED TO ASK, YOU
SAID YOU RECOMMEND OR THEY
RECOMMEND TAKING THAT VACCINE AT
THE AGE OF 50, BUT YOUNG ADULTS
AS YOUNG AS IN THEIR 20 20s HAVE
GOTTEN SHINGLES.
CAN YOU NOT TAKE A VACCINE THAT
YOUNG?
FORTUNATELY, SHINGLES GETS
WORSE AS WE AGE.
SO YOUNGER PEOPLE GENERALLY
DON'T HAVE AS SERIOUS A DISEASE
OF SHINGLES.
I HAD IT WHEN I WAS 23 YEARS OLD
FOR THE FIRST TIME, AND IT CAME
AND IT WENT AFTER A COUPLE OF
WEEKS.
SO WE DON'T RECOMMEND THE
VACCINE THAT YOUNG.
WE WANT IT TO LAST DURING THE
AGING YEARS TO PREVENT THAT.
SO THE CDC ESTIMATES THAT 30% OF
ALL AMERICANS WILL GET SHINGLES
AT SOME POINT DURING THEIR
LIVES.
SOME PEOPLE GET IT IN THEIR
20s.
MOST GET IT IN THEIR 50s,
60s AND 70s.