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- Centers for Disease Control and Prevention: Shingles, Complications
- Centers for Disease Control and Prevention: Shingles, Transmission
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Is it Safe to Travel with Shingles?
Caused by the chicken pox virus, an outbreak of shingles poses some serious questions about whether to continue with any planned travel. This potentially painful condition can develop quickly, and doctors do not fully understand why remnants of the chickenpox virus in your body suddenly became active again as shingles. Whether it’s advisable for you to travel with shingles will depend on the journey you’re undertaking and your general health, along with the severity of your symptoms.
Treatment
Prompt medical treatment, ideally before the rash develops, can make a shingles outbreak both shorter and less severe; if you think you may have shingles it would be wise to remain within reach of your doctor. Your doctor may prescribe an antiviral medicine like famciclovir or valacyclovir to fight the virus, while you can also take pain killers to reduce any discomfort. The availability of medications can vary significantly outside the United States.
- Prompt medical treatment, ideally before the rash develops, can make a shingles outbreak both shorter and less severe; if you think you may have shingles it would be wise to remain within reach of your doctor.
Complications
Shingles Symptoms: Nausea
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You might want to reconsider your travel plans if you are concerned about complications. The most common shingles complication is pain in the area where the rash developed. Pain levels can be quite severe and you may prefer to be at home and able to consult your doctor during this stage. Patients over the age of 60 — 50 percent of recorded cases fall in this age group — are much more likely to suffer severe pain from shingles.
- You might want to reconsider your travel plans if you are concerned about complications.
- Pain levels can be quite severe and you may prefer to be at home and able to consult your doctor during this stage.
Health of Others
During the time before your shingles rash develops a crust, you are potentially infectious and could transmit the virus to the people with whom you are traveling. Although the chance of infection is small, think carefully about exposing others to infection. For example, if you will be traveling by car with people you know have already had chicken pox or been inoculated against it, the risk of infecting one of your companions is virtually nil. Alternatively, if you intend to travel by air, you could be spending time in close proximity to potentially vulnerable individuals, such as:
- unvaccinated pregnant women
- babies
- people with compromised immune systems
In this case, your travel would put fellow travelers at risk.
- During the time before your shingles rash develops a crust, you are potentially infectious and could transmit the virus to the people with whom you are traveling.
- Alternatively, if you intend to travel by air, you could be spending time in close proximity to potentially vulnerable individuals, such as: * unvaccinated pregnant women
* babies
* people with compromised immune systems In this case, your travel would put fellow travelers at risk.
Vaccination
What Is the Incubation Period for Shingles?
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The best way to reduce the chance of developing shingles abroad is to be vaccinated against the virus before you travel -- the Centers for Disease Control and Prevention recommend that this take place as part of the pretravel check-up for all travelers 60 and older planning a trip abroad 123. This vaccination reduces your chance of developing shingles by around one-half and reduces by two-thirds the chance of experiencing severe pain afterward.
Related Articles
References
- Centers for Disease Control and Prevention: Shingles, Overview
- Centers for Disease Control and Prevention: Shingles, Prevention and Treatment
- Centers for Disease Control and Prevention: Shingles, Complications
- Centers for Disease Control and Prevention: Shingles, Transmission
- Centers for Disease Control and Prevention: Traveler’s Health, General Recommendations for Vaccination & Immunoprophylaxis
- Merck Manual Home Health Handbook: Shingles (Prevention and Treatment)
- InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Shingles: Overview. 2014 Nov 19 [Updated 2019 Nov 21].Available from: https://www.ncbi.nlm.nih.gov/books/NBK279624/
- Albrecht, M. Shingles (Beyond the Basics). UpToDate. Updated June 12, 2019.
- National Center for Immunization and Respiratory Diseases, Division of Viral Diseases. Shingles (Herpes Zoster): Clinical Overview. Centers for Disease Control and Prevention. Updated August 14, 2019. cdc.gov
- National Center for Immunization and Respiratory Diseases. Shingles Vaccination. Centers for Disease Control and Prevention. Updated January 25, 2018. cdc.gov
- John AR, Canaday DH. Herpes Zoster in the Older Adult. Infect Dis Clin North Am. 2017;31(4):811-826. doi:10.1016/j.idc.2017.07.016
- Cohen KR, Salbu RL, Frank J, Israel I. Presentation and management of herpes zoster (shingles) in the geriatric population. P T. 2013;38(4):217–227.
- National Institute of Neurological Disorders and Stroke. Shingles: Hope Through Research. Updated August 13, 2019. ninds.nih.gov
- White PF, Elvir lazo OL, Galeas L, Cao X. Use of electroanalgesia and laser therapies as alternatives to opioids for acute and chronic pain management. F1000Res. 2017;6:2161. doi:10.12688/f1000research.12324.1
- Centers for Disease Control and Prevention. Chickenpox Vaccination: What Everyone Should Know. Updated August 7, 2019. cdc.gov
- InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Shingles: Overview. 2014 Nov 19 [Updated 2019 Nov 21].
- Albrecht, M. Shingles (Beyond the Basics). Updated June 12, 2019.
- Centers for Disease Control and Prevention. What Everyone Should Know About Zostavax. Updated January 25, 2018.
Writer Bio
Rita Kennedy is a writer and researcher based in the United Kingdom. She began writing in 2002 and her work has appeared in several academic journals including "Memory Studies," the "Journal of Historical Geography" and the "Local Historian." She holds a Ph.D. in history and an honours degree in geography from the University of Ulster.