Looking back to move forward: a twenty-year audit of herpes zoster in Asia-Pacific. Liang-Kung, C., Arai, H., Liang-Yu, C., Ming-Yueh, C., Djauzi, S., Birong, D., Kojima, T., Ki Tae, K., Hoe Nam, L., Leung, E. M. F., Chih-Kuang, L., Xiaohong, L., Mathai, D., Jiun Yit, P., Li-Ning, P., S. Poblete, E. R., Poi, P. J. H., Reid, S., Tantawichien, T., & Chang Won, W. BMC Infectious Diseases, 17:1–39, 2017. ![Looking back to move forward: a twenty-year audit of herpes zoster in Asia-Pacific [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex Background: Herpes zoster (HZ) is a prevalent viral disease that inflicts substantial morbidity and associated healthcare and socioeconomic burdens. Current treatments are not fully effective, especially among the most vulnerable patients. Although widely recommended, vaccination against HZ is not routine; barriers in Asia-Pacific include long-standing neglect of adult immunisation and sparse local data. To address knowledge gaps, raise awareness, and disseminate best practice, we reviewed recent data and guidelines on HZ from the Asia-Pacific region.Methods: We searched PubMed, Scopus, and World Health Organization databases for articles about HZ published from 1994 to 2014 by authors from Australia, China, Hong Kong, India, Indonesia, Japan, Korea, Malaysia, New Zealand, the Philippines, Singapore, Taiwan, Thailand, and Vietnam. We selected articles about epidemiology, burden, complications, comorbidities, management, prevention, and recommendations/guidelines. Internet searches retrieved additional HZ immunisation guidelines.Results: From 4007 retrieved articles, we screened-out 1501 duplicates and excluded 1264 extraneous articles, leaving 1242 unique articles. We found guidelines on adult immunisation from Australia, India, Indonesia, Malaysia, New Zealand, the Philippines, South Korea, and Thailand. HZ epidemiology in Asia-Pacific is similar to elsewhere; incidence rises with age and peaks at around 70 years - lifetime risk is approximately one-third. Average incidence of 3-10/1000 person-years is rising at around 5% per year. The principal risk factors are immunosenescence and immunosuppression. HZ almost always causes pain, and post-herpetic neuralgia is its most common complication. Half or more of hospitalised HZ patients have post-herpetic neuralgia, secondary infections, or inflammatory sequelae that are occasionally fatal. These disease burdens severely diminish patients' quality of life and incur heavy healthcare utilisation.Conclusions: Several countries have abundant data on HZ, but others, especially in South-East Asia, very few. However, Asia-Pacific countries generally lack data on HZ vaccine safety, efficacy and cost-effectiveness. Physicians treating HZ and its complications in Asia-Pacific face familiar challenges but, with a vast aged population, Asia bears a unique and growing burden of disease. Given the strong rationale for prevention, most adult immunisation guidelines include HZ vaccine, yet it remains underused. We urge all stakeholders to give higher priority to adult immunisation in general and HZ in particular.
@article{liang-kung_looking_2017,
title = {Looking back to move forward: a twenty-year audit of herpes zoster in {Asia}-{Pacific}},
volume = {17},
issn = {1471-2334},
url = {http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121899029&site=ehost-live},
doi = {10.1186/s12879-017-2198-y},
abstract = {Background: Herpes zoster (HZ) is a prevalent viral disease that inflicts substantial morbidity and associated healthcare and socioeconomic burdens. Current treatments are not fully effective, especially among the most vulnerable patients. Although widely recommended, vaccination against HZ is not routine; barriers in Asia-Pacific include long-standing neglect of adult immunisation and sparse local data. To address knowledge gaps, raise awareness, and disseminate best practice, we reviewed recent data and guidelines on HZ from the Asia-Pacific region.Methods: We searched PubMed, Scopus, and World Health Organization databases for articles about HZ published from 1994 to 2014 by authors from Australia, China, Hong Kong, India, Indonesia, Japan, Korea, Malaysia, New Zealand, the Philippines, Singapore, Taiwan, Thailand, and Vietnam. We selected articles about epidemiology, burden, complications, comorbidities, management, prevention, and recommendations/guidelines. Internet searches retrieved additional HZ immunisation guidelines.Results: From 4007 retrieved articles, we screened-out 1501 duplicates and excluded 1264 extraneous articles, leaving 1242 unique articles. We found guidelines on adult immunisation from Australia, India, Indonesia, Malaysia, New Zealand, the Philippines, South Korea, and Thailand. HZ epidemiology in Asia-Pacific is similar to elsewhere; incidence rises with age and peaks at around 70 years - lifetime risk is approximately one-third. Average incidence of 3-10/1000 person-years is rising at around 5\% per year. The principal risk factors are immunosenescence and immunosuppression. HZ almost always causes pain, and post-herpetic neuralgia is its most common complication. Half or more of hospitalised HZ patients have post-herpetic neuralgia, secondary infections, or inflammatory sequelae that are occasionally fatal. These disease burdens severely diminish patients' quality of life and incur heavy healthcare utilisation.Conclusions: Several countries have abundant data on HZ, but others, especially in South-East Asia, very few. However, Asia-Pacific countries generally lack data on HZ vaccine safety, efficacy and cost-effectiveness. Physicians treating HZ and its complications in Asia-Pacific face familiar challenges but, with a vast aged population, Asia bears a unique and growing burden of disease. Given the strong rationale for prevention, most adult immunisation guidelines include HZ vaccine, yet it remains underused. We urge all stakeholders to give higher priority to adult immunisation in general and HZ in particular.},
journal = {BMC Infectious Diseases},
author = {Liang-Kung, Chen and Arai, Hidenori and Liang-Yu, Chen and Ming-Yueh, Chou and Djauzi, Samsuridjal and Birong, Dong and Kojima, Taro and Ki Tae, Kwon and Hoe Nam, Leong and Leung, Edward M. F. and Chih-Kuang, Liang and Xiaohong, Liu and Mathai, Dilip and Jiun Yit, Pan and Li-Ning, Peng and S. Poblete, Eduardo Rommel and Poi, Philip J. H. and Reid, Stewart and Tantawichien, Terapong and Chang Won, Won},
year = {2017},
keywords = {Asia, Attitude to Health, Audit, Cost Benefit Analysis, Ferrans and Powers Quality of Life Index, Herpes Zoster -- Epidemiology, Herpes Zoster -- Prevention and Control, Herpes Zoster Vaccine -- Immunology, Herpes Zoster Vaccine -- Therapeutic Use, Immunization -- Statistics and Numerical Data, Neuralgia, Postherpetic -- Epidemiology, Neuralgia, Postherpetic -- Prevention and Control, Pacific Islands, Practice Guidelines, Questionnaires, Surveys},
pages = {1--39},
}
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Current treatments are not fully effective, especially among the most vulnerable patients. Although widely recommended, vaccination against HZ is not routine; barriers in Asia-Pacific include long-standing neglect of adult immunisation and sparse local data. To address knowledge gaps, raise awareness, and disseminate best practice, we reviewed recent data and guidelines on HZ from the Asia-Pacific region.Methods: We searched PubMed, Scopus, and World Health Organization databases for articles about HZ published from 1994 to 2014 by authors from Australia, China, Hong Kong, India, Indonesia, Japan, Korea, Malaysia, New Zealand, the Philippines, Singapore, Taiwan, Thailand, and Vietnam. We selected articles about epidemiology, burden, complications, comorbidities, management, prevention, and recommendations/guidelines. Internet searches retrieved additional HZ immunisation guidelines.Results: From 4007 retrieved articles, we screened-out 1501 duplicates and excluded 1264 extraneous articles, leaving 1242 unique articles. We found guidelines on adult immunisation from Australia, India, Indonesia, Malaysia, New Zealand, the Philippines, South Korea, and Thailand. HZ epidemiology in Asia-Pacific is similar to elsewhere; incidence rises with age and peaks at around 70 years - lifetime risk is approximately one-third. Average incidence of 3-10/1000 person-years is rising at around 5% per year. The principal risk factors are immunosenescence and immunosuppression. HZ almost always causes pain, and post-herpetic neuralgia is its most common complication. Half or more of hospitalised HZ patients have post-herpetic neuralgia, secondary infections, or inflammatory sequelae that are occasionally fatal. These disease burdens severely diminish patients' quality of life and incur heavy healthcare utilisation.Conclusions: Several countries have abundant data on HZ, but others, especially in South-East Asia, very few. However, Asia-Pacific countries generally lack data on HZ vaccine safety, efficacy and cost-effectiveness. Physicians treating HZ and its complications in Asia-Pacific face familiar challenges but, with a vast aged population, Asia bears a unique and growing burden of disease. Given the strong rationale for prevention, most adult immunisation guidelines include HZ vaccine, yet it remains underused. We urge all stakeholders to give higher priority to adult immunisation in general and HZ in particular.","journal":"BMC Infectious Diseases","author":[{"propositions":[],"lastnames":["Liang-Kung"],"firstnames":["Chen"],"suffixes":[]},{"propositions":[],"lastnames":["Arai"],"firstnames":["Hidenori"],"suffixes":[]},{"propositions":[],"lastnames":["Liang-Yu"],"firstnames":["Chen"],"suffixes":[]},{"propositions":[],"lastnames":["Ming-Yueh"],"firstnames":["Chou"],"suffixes":[]},{"propositions":[],"lastnames":["Djauzi"],"firstnames":["Samsuridjal"],"suffixes":[]},{"propositions":[],"lastnames":["Birong"],"firstnames":["Dong"],"suffixes":[]},{"propositions":[],"lastnames":["Kojima"],"firstnames":["Taro"],"suffixes":[]},{"propositions":[],"lastnames":["Ki","Tae"],"firstnames":["Kwon"],"suffixes":[]},{"propositions":[],"lastnames":["Hoe","Nam"],"firstnames":["Leong"],"suffixes":[]},{"propositions":[],"lastnames":["Leung"],"firstnames":["Edward","M.","F."],"suffixes":[]},{"propositions":[],"lastnames":["Chih-Kuang"],"firstnames":["Liang"],"suffixes":[]},{"propositions":[],"lastnames":["Xiaohong"],"firstnames":["Liu"],"suffixes":[]},{"propositions":[],"lastnames":["Mathai"],"firstnames":["Dilip"],"suffixes":[]},{"propositions":[],"lastnames":["Jiun","Yit"],"firstnames":["Pan"],"suffixes":[]},{"propositions":[],"lastnames":["Li-Ning"],"firstnames":["Peng"],"suffixes":[]},{"propositions":[],"lastnames":["S.","Poblete"],"firstnames":["Eduardo","Rommel"],"suffixes":[]},{"propositions":[],"lastnames":["Poi"],"firstnames":["Philip","J.","H."],"suffixes":[]},{"propositions":[],"lastnames":["Reid"],"firstnames":["Stewart"],"suffixes":[]},{"propositions":[],"lastnames":["Tantawichien"],"firstnames":["Terapong"],"suffixes":[]},{"propositions":[],"lastnames":["Chang","Won"],"firstnames":["Won"],"suffixes":[]}],"year":"2017","keywords":"Asia, Attitude to Health, Audit, Cost Benefit Analysis, Ferrans and Powers Quality of Life Index, Herpes Zoster – Epidemiology, Herpes Zoster – Prevention and Control, Herpes Zoster Vaccine – Immunology, Herpes Zoster Vaccine – Therapeutic Use, Immunization – Statistics and Numerical Data, Neuralgia, Postherpetic – Epidemiology, Neuralgia, Postherpetic – Prevention and Control, Pacific Islands, Practice Guidelines, Questionnaires, Surveys","pages":"1–39","bibtex":"@article{liang-kung_looking_2017,\n\ttitle = {Looking back to move forward: a twenty-year audit of herpes zoster in {Asia}-{Pacific}},\n\tvolume = {17},\n\tissn = {1471-2334},\n\turl = {http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121899029&site=ehost-live},\n\tdoi = {10.1186/s12879-017-2198-y},\n\tabstract = {Background: Herpes zoster (HZ) is a prevalent viral disease that inflicts substantial morbidity and associated healthcare and socioeconomic burdens. Current treatments are not fully effective, especially among the most vulnerable patients. Although widely recommended, vaccination against HZ is not routine; barriers in Asia-Pacific include long-standing neglect of adult immunisation and sparse local data. To address knowledge gaps, raise awareness, and disseminate best practice, we reviewed recent data and guidelines on HZ from the Asia-Pacific region.Methods: We searched PubMed, Scopus, and World Health Organization databases for articles about HZ published from 1994 to 2014 by authors from Australia, China, Hong Kong, India, Indonesia, Japan, Korea, Malaysia, New Zealand, the Philippines, Singapore, Taiwan, Thailand, and Vietnam. We selected articles about epidemiology, burden, complications, comorbidities, management, prevention, and recommendations/guidelines. Internet searches retrieved additional HZ immunisation guidelines.Results: From 4007 retrieved articles, we screened-out 1501 duplicates and excluded 1264 extraneous articles, leaving 1242 unique articles. We found guidelines on adult immunisation from Australia, India, Indonesia, Malaysia, New Zealand, the Philippines, South Korea, and Thailand. HZ epidemiology in Asia-Pacific is similar to elsewhere; incidence rises with age and peaks at around 70 years - lifetime risk is approximately one-third. Average incidence of 3-10/1000 person-years is rising at around 5\\% per year. The principal risk factors are immunosenescence and immunosuppression. HZ almost always causes pain, and post-herpetic neuralgia is its most common complication. Half or more of hospitalised HZ patients have post-herpetic neuralgia, secondary infections, or inflammatory sequelae that are occasionally fatal. These disease burdens severely diminish patients' quality of life and incur heavy healthcare utilisation.Conclusions: Several countries have abundant data on HZ, but others, especially in South-East Asia, very few. However, Asia-Pacific countries generally lack data on HZ vaccine safety, efficacy and cost-effectiveness. Physicians treating HZ and its complications in Asia-Pacific face familiar challenges but, with a vast aged population, Asia bears a unique and growing burden of disease. Given the strong rationale for prevention, most adult immunisation guidelines include HZ vaccine, yet it remains underused. We urge all stakeholders to give higher priority to adult immunisation in general and HZ in particular.},\n\tjournal = {BMC Infectious Diseases},\n\tauthor = {Liang-Kung, Chen and Arai, Hidenori and Liang-Yu, Chen and Ming-Yueh, Chou and Djauzi, Samsuridjal and Birong, Dong and Kojima, Taro and Ki Tae, Kwon and Hoe Nam, Leong and Leung, Edward M. 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