Varicella vaccination can have complex direct and indirect influences on the epidemiology of herpes zoster among children. We evaluated pediatric herpes zoster trends using administrative databases. The incidence has declined in a step-wise pattern since the varicella vaccination program's introduction, suggesting that rates may eventually decline in the entire population.
Keywords: chicken pox; shingles; varicella; zoster.
Published by Oxford University Press for the Infectious Diseases Society of America 2018.