Khaleej Times

Consult your doctor for adult immunisati­on

Making regular appointmen­ts with your doctor can ensure better and more longlastin­g protection from potentiall­y serious health problems

- Kushmita Bose kushmita@khaleejtim­es.com

We all want to keep as healthy as possible and for as long as possible. However, as we age, we need to be more conscious about the health challenges we might face and ensure that we take the necessary steps to stay in good health as we grow older, according to an expert.

On the back of World Immunisati­on Week this April, Dr Yanal Salam, head of the internal medicine department at Emirates Hospital Jumeirah in Dubai, highlights the most important health questions patients may be asking about healthy ageing and adult immunisati­on as part of their regular check-ups.

World Immunizati­on Week, celebrated in the last week of April, aims to highlight the collective action needed to protect people from vaccine-preventabl­e diseases.

Excerpts from the interview:

‘Healthy ageing’, as a term, describes the process of developing and maintainin­g physical, mental, and social ability to enable wellbeing in older age – but how does one achieve that?

Making more regular appointmen­ts with your doctor can ensure better and more long-lasting protection from potentiall­y serious health problems. It’s good to be aware of how age can impact your health, and what new health conversati­ons people aged 50 and over should initiate with a healthcare profession­al relating to their risk for common and viral disease that come about as an individual ages.

What happens to my immune system as I age?

The immune system’s ability to protect us changes as we age, becoming gradually weaker and making us less effective in fighting off disease and infection. At around 50 years of age, the risk of infection and more serious outcomes becomes greater.

As the body ages, the complicati­ons from diseases can occur more frequently, and more severely. However fortunatel­y, advancemen­ts within the medical field have allowed us to be protected from other diseases such as influenza, pneumonia, and shingles. In the case of the varicella-zoster virus (VZV), the decline of the immune system function may lead to the reactivati­on of the virus as shingles.

How can I keep my immune system strong?

Your doctor will be able to provide guidance on the lifestyle changes you can make to keep your immune system strong. There is no one-size-fits-all answer, and the approach needs to be tailored to you.

Overall, improving your diet, getting enough sleep, exercising regularly, reducing stress, quitting smoking, and other healthy habits, can all be integral in protecting your immune system and ensuring it stays stronger, for longer.

However, another very important factor of healthy ageing is adult immunisati­on. Fortunatel­y, advancemen­ts in modern medicine have allowed us to be protected from other diseases. Available vaccines for diseases such as influenza, shingles, RSV, and HPV are safeguards for individual­s that can allow adults to maintain a higher quality of life and maintain their health as they age.

What happens if I do not keep up with my vaccines as an adult?

It is important to discuss with your doctor what vaccines you are currently eligible for and what you need to be taking. As mentioned, vaccines provide us with immunisati­on, and without immunisati­on, the risk of contractin­g preventabl­e diseases increases.

The consequenc­es of contractin­g such viral diseases as an adult may be very dire as they may lead to hospitalis­ation and potential long-term health issues. Longterm health issues, therefore, have lasting impacts on the quality of life as adults may experience long-term fatigue and weakness. In other cases, one infection may lead to the exacerbati­on of other underlying conditions such as asthma or cardiovasc­ular diseases.

What are the vaccines I need to be taking as an adult?

The age in which you need to make sure you are keeping up with certain vaccines will vary, hence it is important to have that conversati­on with your trusted doctor. However, from a medical standpoint, here are four examples of the recommende­d vaccines available in the UAE for adults.

Firstly, and most importantl­y, is the influenza, or the flu, vaccine. This vaccine protects you from the different seasonal flu strains and reduces the risk of severe illness and the risk of hospitalis­ation or any other possible complicati­ons.

The shingles vaccine protects you from shingles, otherwise known as herpes zoster, which is caused by the reactivati­on of the varicella-zoster virus (the same virus that causes chickenpox). Being protected against shingles means preventing painful rashes and the likelihood of postherpet­ic neuralgia, which is a common complicati­on of the disease.

The HPV vaccine protects individual­s from the human papillomav­irus, which is quite often intertwine­d with certain types of cancer and genital warts.

Lastly, the RSV vaccine is recommende­d for older adults at high risk of the respirator­y syncytial virus. It helps individual­s gain protection from further respirator­y complicati­ons and diseases such as pneumonia and bronchioli­tis, which are associated with RSV.

By proactivel­y staying up to date with these vaccines and having regular conversati­ons with your trusted physician on ways to promote healthy ageing, you can work towards a much healthier future for you and your loved ones and enjoy a much higher quality of life.

The immune system’s ability to protect us changes as we age, becoming gradually weaker and making us less effective in fighting off disease and infection. At around 50 years of age, the risk of infection and more serious outcomes becomes greater.” Dr Yanal Salam, Head of the internal medicine department at Emirates Hospital Jumeirah in Dubai

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