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by replwoacause 128 days ago
Why would a doctor refuse to prescribe it before 50? Is there a harm to receiving it “early”?
1 comments

In countries where vaccines are paid for by the state (partially or fully) doctors won't prescribe them unless there's a statistically significant benefit across the entire population. If it's generally accepted that shingles is more common/risky over 50, guidelines will prevent doctors from offering the vaccine before that age, essentially not to "waste" public money.
This is untrue.

In the UK everyone turning 65 is offered the vaccine on the NHS.

The problem is that long term effectiveness generally drops in vaccine. Although we haven't had Shingrix long enough to give great estimates long term evidence of this we have this:

https://www.ncoa.org/article/how-long-does-the-shingles-vacc...

> No Shingrix vaccine booster is currently available.

So if you get it when you are 50, it will be less effective when you are 80 and more vulnerable to shingles. It has nothing to do with "being state funded" and everything to do with giving it to people when they need it rather than wasting it on people who don't, who then can't have it when they actually do need it.

I'm about to get my second shot of Shingrix. In the clinic it says it lasts for about 12 years. I think it just means you can return in 12 years.
You might want to check with your doctor about that, as that is not what the NCOA is implying.

I would really like to be wrong, as the shingles vaccine is less than £500 privately in the UK for both shots, and that would be worth it to not get shingles.

> In the UK everyone turning 65 is offered the vaccine on the NHS.

That's precisely my point: you're not offered one before 50.