Global impact of varicella vaccination programs

Although varicella is usually a mild and self-limited disease, complications can occur. In 1998, the World Health Organization recommended varicella vaccination for countries where the disease has a significant public health burden. Nonetheless, concerns about a shift in the disease to older groups,...

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Main Authors: Fernanda Hammes Varela, Leonardo Araújo Pinto, Marcelo Comerlato Scotta
Format: Article
Language:English
Published: Taylor & Francis Group 2019-03-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2018.1546525
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author Fernanda Hammes Varela
Leonardo Araújo Pinto
Marcelo Comerlato Scotta
author_facet Fernanda Hammes Varela
Leonardo Araújo Pinto
Marcelo Comerlato Scotta
author_sort Fernanda Hammes Varela
collection DOAJ
description Although varicella is usually a mild and self-limited disease, complications can occur. In 1998, the World Health Organization recommended varicella vaccination for countries where the disease has a significant public health burden. Nonetheless, concerns about a shift in the disease to older groups, an increase in herpes zoster in the elderly and cost-effectiveness led many countries to postpone universal varicella vaccine introduction. In this review, we summarize the accumulating evidence, available mostly from high and middle-income countries supporting a high impact of universal vaccination in reductions of the incidence of the disease and hospitalizations and its cost-effectiveness. We have also observed the effect of herd immunity and noted that there is no definitive and consistent association between vaccination and the increase in herpes zoster incidence in the elderly.
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spelling doaj.art-173304695497480d9c449c7168c7e1922023-09-22T08:38:24ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2019-03-0115364565710.1080/21645515.2018.15465251546525Global impact of varicella vaccination programsFernanda Hammes Varela0Leonardo Araújo Pinto1Marcelo Comerlato Scotta2School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)Although varicella is usually a mild and self-limited disease, complications can occur. In 1998, the World Health Organization recommended varicella vaccination for countries where the disease has a significant public health burden. Nonetheless, concerns about a shift in the disease to older groups, an increase in herpes zoster in the elderly and cost-effectiveness led many countries to postpone universal varicella vaccine introduction. In this review, we summarize the accumulating evidence, available mostly from high and middle-income countries supporting a high impact of universal vaccination in reductions of the incidence of the disease and hospitalizations and its cost-effectiveness. We have also observed the effect of herd immunity and noted that there is no definitive and consistent association between vaccination and the increase in herpes zoster incidence in the elderly.http://dx.doi.org/10.1080/21645515.2018.1546525chickenpoxvaricella zoster viruschickenpox vaccineimmunization programsherpes zoster
spellingShingle Fernanda Hammes Varela
Leonardo Araújo Pinto
Marcelo Comerlato Scotta
Global impact of varicella vaccination programs
Human Vaccines & Immunotherapeutics
chickenpox
varicella zoster virus
chickenpox vaccine
immunization programs
herpes zoster
title Global impact of varicella vaccination programs
title_full Global impact of varicella vaccination programs
title_fullStr Global impact of varicella vaccination programs
title_full_unstemmed Global impact of varicella vaccination programs
title_short Global impact of varicella vaccination programs
title_sort global impact of varicella vaccination programs
topic chickenpox
varicella zoster virus
chickenpox vaccine
immunization programs
herpes zoster
url http://dx.doi.org/10.1080/21645515.2018.1546525
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