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Shingles Vaccine Linked to Lower Dementia Deaths in Welsh Quasi-Experiment

The Cell analysis of Wales’ age cutoff points to benefits for the older Zostavax formulation, leaving causality to be tested.

Overview

  • Researchers reported a 29.5% reduction in dementia-related mortality over nine years among dementia patients who received the Zostavax shingles vaccine.
  • Vaccination was associated with a 3.1 percentage-point drop in new mild cognitive impairment diagnoses, with eligibility linked to a 1.5-point reduction.
  • The study used a regression discontinuity design at a Sept. 2, 1933 birth-date cutoff in Wales, comparing adjacent cohorts in linked SAIL health records.
  • Protective associations were concentrated in women, while effects in men were not statistically significant in this analysis.
  • Findings pertain to the discontinued live Zostavax vaccine rather than the currently recommended Shingrix, and researchers call for replication and randomized trials.