Hi Peter,

Just last visit with my onc specialist named Jessica Altman who is on staff a 
Northwestern Univ. of Chicago, she clearly told me that CML patients should NOT 
have the live virus for shingles.  Thank you for all the articles which 
basically substantiate this claim.  My doc (and Greenie's) is highly respected 
at Moffitt Cancer Center in Florida.  Since I do have a healthy immune system 
and am in remission, I would be a possible contender to receive it according to 
your articles below.  But I am not in favor of most vaccines, so will 
definitely go by my own doc's suggestion. This is just my take on the 
situation, and I know many may disagree.   And pray for God's protection 
against shingles for all of us!!!  Have a wonderful holiday season.


18's,

Susan F. Zimmerman




-----Original Message-----
From: Peter <pksch...@gmail.com>
To: cmlhope <cmlhope@googlegroups.com>
Sent: Wed, Dec 10, 2014 11:06 am
Subject: [CMLHope] Shingles Vaccine Zostavax


Hi everybody.
Has anyone here received the shingles vaccine Zostavax?
The question is whether it is safe for CML patients. The info I have found is 
not 100% clear. The answers range from "should not" to "not recommended" to 
"may be given..". (See below)

Manufacturer (Merck)
http://www.merck.com/product/usa/pi_circulars/z/zostavax/zostavax_ppi.pdf
You should not get ZOSTAVAX if you have a weakened immune system (for example, 
an immune deficiency, leukemia, lymphoma, or HIV/AIDS). 

Public Health Canada
http://www.phac-aspc.gc.ca/publicat/cig-gci/p04-herp-zona-eng.php
HZ vaccine is contraindicated in people with immunodeficiency due to acute or 
chronic leukemia. However, persons with leukemia in remission and who have not 
received immunosuppressive chemotherapy or radiation for at least 3 months and 
who do not have defects in T cell function can receive HZ vaccine; consultation 
with an immunologist may be required.

Centers for Desease Control
http://www.cdc.gov/vaccines/hcp/vis/vis-statements/shingles.pdf
A person should not get shingles vaccine who cancer affecting the bone marrow 
or lymphatic 
system, such as leukemia or lymphoma.

Mayo Clinic
http://www.mayoclinic.org/diseases-conditions/shingles/expert-answers/shingles-vaccine/faq-20057859
The shingles vaccine isn't recommended if you have cancer that affects the bone 
marrow or lymphatic system, such as leukemia or lymphoma.

National CML Society
http://www.nationalcmlsociety.org/faq/immunizations
Using the most current infectious disease guidelines, Zostavax (shingles 
vaccine) may be given to CML patients who are stable and not experiencing any 
evidence of relapse or progression, and who do not have other immune 
suppressive issues such as recent requirements for high dose corticosteroids. 
Individuals with CML who have restored and stable immune systems are eligible 
to receive the shingles vaccine if APPROVED BY THEIR CML SPECIALIST, since it 
contains elements of live virus. It is safe, however, for family members or 
those in close contact with CML patients to receive the vaccination.


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