Health Network” to get the second dose of chickenpox before school starts?Doctor: 58% lower risk of infection-Instant News-Free Health Network

The doctor pointed out that according to statistics, after 1 dose of chickenpox vaccine, 2.8% of children may still get chickenpox, and the second dose can reduce the risk of infection by 58%; the picture shows the situation. (Picture taken from freepik)

[Health Channel/Comprehensive Report]School will start in one month. Li Weixin, director of Jiayi Clinic, said that he recently received an inquiry from parents about the second dose of chickenpox vaccine at their own expense. He also sorted out relevant common QAs, saying that although chickenpox is not likely to become severe after the first dose, the resistance will gradually decline over time. In addition, after the routine administration of the chickenpox vaccine in Taiwan, the age at which chickenpox occurs has been postponed to elementary and middle schools. Therefore, parents are encouraged to let their children receive the second dose at the age of 4 to 6 to strengthen their resistance. According to the statistics of the Taiwan Infectious Diseases Association, after the first dose, 2.8% of children may still get chickenpox, but the second dose can reduce the risk of infection by 58%.

Li Weixin’s Facebook page “Linyuan seaside infection doctor Dr. Li Weixin“Indicates that the chickenpox vaccine is a live attenuated vaccine, which infects children with a low-virulence chickenpox virus to gain resistance. Since 1993, in addition to reducing the infectivity of chickenpox, it has also 100% prevented the occurrence of severe diseases such as chickenpox pneumonia and chickenpox encephalitis.

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Li Weixin pointed out that although it is still possible to get chickenpox after vaccination, it is not like the early children in Taiwan will have a lot of blisters, but there will be some small red rashes all over the body, most of which are less than 50, which greatly reduces blisters The resulting complications, such as cellulitis, scratches, etc., also reduce the contagiousness of chickenpox (because the blisters contain the virus).

Li Weixin said that as long as the child is under 12 years old (inclusive) and has received one dose of the chickenpox vaccine, the second dose of the chickenpox vaccine can be vaccinated at his own expense. Two doses at their own expense (4-8 weeks apart), but if you had one dose when you were a child, and you want to take another dose now, you may have to go back to the time of the first dose and discuss with your doctor about taking one or two more doses.

Does the shingles vaccine prevent chickenpox?

Li Weixin explained that chickenpox and shingles are caused by the same virus. The current market for herpes accumbens (Zostavax®, MSD, live attenuated vaccine) is 14 times stronger than the chickenpox vaccine, and theoretically it can prevent chickenpox, but no actual prevention data has been found.

Li Weixin pointed out that according to the current shingles vaccination recommendations, people over the age of 50 do not need to recall whether they have had chickenpox, and can be vaccinated against shingles as long as they want.

Should people over 18 get the shingles vaccine or the chickenpox vaccine?

Li Weixin said that according to the current vaccination recommendations for herpes zoster, people over the age of 50 or over 18 who are immunocompromised can be vaccinated against herpes zoster at their own expense. However, in fact, the current rash of the accumbens, and the following rash (Shingrix®, GSK, inactive recombinant vaccine), have no indications for 18-49-year-old patients with normal immune function.

Li Weixin pointed out that in the adult state, if you are sure that you have not had chickenpox, you will be given two doses of the chickenpox vaccine; if you have chickenpox or you are uncertain, you should consider the shingles vaccine, but you must still be with your family. Physician to discuss.

Do the chickenpox and shingles vaccines prevent monkeypox?

Li Weixin explained that monkeypox belongs to orthopox virus, while varicella zoster virus belongs to herpes virus, and the two vaccines will not protect each other. Also, the chickenpox and shingles vaccines do not protect against other herpes viruses.

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