Shingles (Herpes zoster) Herpes zoster occurs only in persons who have had varicella or the varicella vaccine People with localized herpes zoster may transmit VZV to susceptible persons, by direct contact with lesions. Airborne transmission of skin squames carrying the VZ virus may occur, although it is rare. People with disseminated shinglesare most concerning because they may transmit the virus by both contact and airborne routes.Persons are considered susceptible to varicella if they meet the following criteria: * No history of varicella disease * No history of varicella vaccination * No serologic evidence of varicella immunity Futhermore, According to the CDC/Advisory Committee on Immunization Practices (ACIP) "Immunization of Health Care Workers" (December, 1997), " A reliable history of chickenpox is a valid measure of VZV immunity". Hope this was helpful, Scott CIC
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