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Epidemiology of shingles.

C Glynn¹, G Crockford, D Gavaghan

¹Oxford Regional Pain Relief Unit, Abingdon Hospital, Leeds.

Journal of the Royal Society of Medicine

|October 1, 1990

Summary

Acute varicella zoster virus infection, commonly known as shingles, affects over 1000 patients annually. This viral infection shows seasonal prevalence, peaking in summer, but is unlikely to be contagious.

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Area of Science:

Epidemiology
Virology
Dermatology

Background:

Varicella zoster virus (VZV) infection, commonly known as shingles, is a significant public health concern.
Understanding the epidemiological patterns of VZV infection is crucial for public health interventions.

Purpose of the Study:

To analyze the epidemiological characteristics of acute varicella zoster virus infection.
To investigate the prevalence, affected demographics, and seasonal variations of VZV infection.

Main Methods:

Retrospective analysis of 1019 patients diagnosed with acute VZV infection between 1978 and 1986.
Data collection included patient demographics, affected body side and dermatomes, and seasonal occurrence.

Main Results:

The study identified a prevalence of 1.3-1.6 per 1000 per annum, with a mean patient age of 58 years.
Thoracic dermatomes were most commonly affected (56%), followed by cervical (17%) and trigeminal nerve (12%).
A significant seasonal variation was observed, with infection rates highest in summer and lowest in spring (P < 0.001).

Conclusions:

Acute VZV infection exhibits distinct epidemiological patterns, including seasonal variations.
The lack of temporal and spatial clustering suggests VZV is unlikely to be directly contagious or reactivated by re-exposure.

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