Over the past two centuries, vaccines have been critical for preventing infectious diseases. The World Health Organization estimates that vaccination prevents between 3 million and 5 million deaths annually from diseases like diphtheria, tetanus, influenza, measles and, more recently, COVID-19.

While there has long been broad scientific consensus that vaccines prevent or mitigate the spread of infections, there is new research suggesting that the therapeutic impact might go beyond the benefit of preventing infectious diseases.

An April 2025 study published in the prominent journal Nature found tantalizing evidence that the herpes zoster – or shingles – vaccine could lower the risk of dementia in the general population by as much as 20%.

We are a team of physician scientists with expertise in the clinical and basic science of neurodegenerative disorders and dementia.

We believe that this study potentially opens the door to other breakthroughs in understanding and treating dementia and other degenerative disorders of the brain.

One of the major challenges researchers face when trying to study the effects of vaccines is finding an unvaccinated “control group” for comparison – a group that is similar to the vaccine group in all respects, save for the fact that they haven’t received the active vaccine. That’s because it’s unethical to assign some patients to the control group and deprive them of vaccine protection against a disease such as shingles.

The Nature study took advantage of a policy change in Wales that went into effect in 2013, stating that people born on or after September 2, 1933, were eligible for the herpes zoster vaccination for at least a year, while those born before that cutoff date were not. The vaccine was administered to

© The Conversation