Overview
- Published Dec. 2 in Cell, the follow-up analysis of more than 300,000 Welsh health records (2013–2022) used a birthdate-based eligibility cutoff to create a natural experiment.
- Older adults who received the live zoster vaccine (Zostavax) were about 20% less likely to develop dementia over seven years, and diagnoses of mild cognitive impairment fell by roughly 3.1% over nine years.
- Among people already diagnosed with dementia, vaccination was associated with nearly a 30% reduction in dementia-related mortality over nine years, with a reported 22.7% drop in all-cause mortality.
- The protective associations were stronger in women, and proposed mechanisms include preventing reactivation of latent herpesviruses or broader immune modulation.
- Researchers stress the results are observational, note that Zostavax—not the newer Shingrix—was studied, and call for replication and randomized trials, with trial funding efforts under way.