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Mar 15, 2024 • 1:04 pm CDT
The Lancet

An early release study published in The Lancet Global Health (April 2024) has revealed that sub-Saharan African countries are experiencing a significant burden of typhoid fever.

Combined with the threat of typhoid strains resistant to antibiotic treatment, this necessitates more robust prevention strategies.

These researchers wrote that such strategies should include using and implementing typhoid conjugate vaccines (TCVs) in endemic settings and improving access to safe water, sanitation, and hygiene.

Currently, the World Health Organization (WHO) has prequalified two TCVs that are effective with children.

In February 2024, IVI and SK bioscience announced that a third TCV, SKYTyphoid™, also achieved a WHO qualification, paving the way for public procurement and increasing the global supply.

Dr. Birkneh Tilahun Tadesse, Associate Director General at IVI and Head of the Real-World Evidence Department, explained in a press release on March 12, 2024, “Through these vaccine effectiveness studies, we aim to show the full public health value of TCV in settings that are directly impacted by a high burden of typhoid fever.”

He adds, “Our final objective, of course, is to eliminate typhoid or to at least reduce the burden to low incidence levels, and that’s what we are attempting in Fiji with an island-wide vaccination campaign.”

There are about 16 million typhoid cases every year, with 140,000 deaths.

However, with generic symptoms such as fever, fatigue, and abdominal pain and the need for blood culture sampling to make a definitive diagnosis, it is difficult for governments to capture the actual burden of typhoid in their countries.

Results from a phase 3 randomized controlled clinical trial published in The Lancet found one dose of the conjugate typhoid vaccine had an estimated efficacy of 78.3% in children ages nine months to 12 years and remained strong over four years.

The U.S. CDC says that in March 2024, vaccination is recommended for people traveling to places where typhoid fever is common. International travelers should visit a healthcare provider or travel vaccine pharmacy to discuss prevention options.

Mar 15, 2024 • 9:02 am CDT
Walgreens Flu Index Mar. 9, 2024

The Walgreens Flu Index© offers the latest information on flu activity specific to individual cities in the U.S.

This information is compiled using retail prescription data for antiviral medications used to treat influenza across all Walgreens locations. It offers insight into which populations are experiencing the highest incidence of the flu.

As of March 9, 2024, the Index listed these cities:

  1. Ft. Smith-Fayetteville-Springdale-Rogers, Ark.
  2. Oklahoma City, Okla.
  3. El Paso, Texas (Las Cruces, N.M.)
  4. Little Rock-Pine Bluff, Ark.
  5. Omaha, Neb.
  6. Lincoln & Hastings-Kearney, Neb.
  7. Joplin, Mo.-Pittsburg, Kan.
  8. Lansing, Mich.
  9. Bluefield-Beckley-Oak Hill, W.Va.
  10. Tulsa, Okla.

 It's important to note that the Flu Index is not intended to show the severity or intensity of flu activity.

From a severity perspective, the U.S. CDC reported on March 15, 2024, that thirteen influenza-associated pediatric deaths occurring during the 2023-2024 season were reported last week throughout the United States, bringing the season total to 116 pediatric deaths.

The CDC encourages everyone to discuss flu vaccines or treatments with a healthcare provider.

Mar 14, 2024 • 5:59 pm CDT
Calder Biosciences, Inc. website March 2024

Calder Biosciences, Inc. announced today that the journal Nature Communications published an article that debuts and validates the application of Calder's '3D Vaxlock' platform technology.

When applied to the Respiratory Syncytial Virus (RSV) F protein as a vaccine immunogen, Calder's 3D Vaxlock technology achieves an unprecedented 11X more potent immune response than the standard industry comparator. 

The 11-fold higher responses are measured in terms of antibodies generated that neutralize the virus on contact, thus preventing infection.

The technology's application shows that the prefusion conformation of RSV fusion protein can be stabilized with two engineered dityrosine crosslinks (DT-preF), markedly improving its stability and shelf-life.

Calder's vaccine also demonstrates improvements in the quality of elicited immune responses since a greater proportion of the antibodies neutralize the virus.

"There remains an urgent need for vaccines that provide good protection for 75+ older adults and the frail. Protecting newborn children for a longer period through maternal vaccination also remains an important goal," said Florian Schödel, MD, a Calder's Scientific Advisory Board member, in a press release on March 13, 2024.

In addition to the RSV program, Calder is applying its technology to Universal Influenza and Epstein-Barr virus vaccines.

The Nature Communications manuscript is linked here.

Mar 13, 2024 • 12:48 pm CDT
by Adrian from Pixabay

SIGA Technologies, Inc. today reported financial results for the three and twelve months ended December 31, 2023.

"In 2023, SIGA had approximately $131 million in product revenues and approximately $84 million of pre-tax operating income," stated Diem Nguyen, Chief Executive Officer, in a press release on March 12, 2024.

"These financial results represent a significant increase over the 2022 financial results; product revenues increased 51% over the corresponding 2022 amount."

In 2023, SIGA had product sales of approximately $98 million in the fourth quarter of oral TPOXX® (tecovirimat, ST-246®), a novel small-molecule drug, to the U.S. Strategic National Stockpile ("SNS"); approximately $11 million of product sales of oral TPOXX to the U.S. Department of Defense, of which roughly $6 million was recognized in the fourth quarter; and approximately $21 million of international sales, of which approximately $12 million was recognized in the fourth quarter.

In the first two months of 2024, the Company delivered an additional approximately $15 million of oral TPOXX to the SNS, substantially completing the oral TPOXX order received in July 2023.

It also delivered an additional approximately $7 million of oral TPOXX to European countries and Canada.

Highlighting the continuing diversification of the Company's revenue base, the Company has received procurement orders for oral TPOXX from over 25 countries over the past two years.

As an example of the diversification trend, in October 2023, the Company reported the creation by the European Commission's DG HERA (Health Emergency Preparedness and Response Authority) of a joint procurement framework contract under which participating countries from the European Union and the European Free Trade Association can efficiently order oral TPOXX.

Under this mechanism, 13 countries ordered $18 million of oral TPOXX in the fourth quarter, and revenues were recorded for deliveries on substantially all of these orders in the fourth quarter or the first two months of 2024.

On March 12, 2024, SIGA's Board of Directors declared a special cash dividend of $0.60 per share, an increase of $0.15 per share from last year's special cash dividend.

In 2023, the Company paid a special cash dividend of $0.45 per share and repurchased approximately 1.7 million shares of its common stock. 

The first human case of Mpox was identified in the Democratic Republic of Congo (DRC) in 1970.  The World Health Organization Mpox External Situation Report #31 confirmed on December 22, 2023, that it has received mpox case reports from 115 affected countries since May 2022. 

IN 2024, mpox outbreaks have been confirmed in various countries, including the United States and the DRC.

The U.S. CDC issued a Level 2 travel advisory health advisory in February 2024, alerting international travelers regarding mpox outbreaks in African countries. 

Mar 13, 2024 • 10:33 am CDT
US CDC Measles outbreak map Mar. 13, 2024

Over the past year, various countries have been listed by the U.S. Centers for Disease Control and Prevention (CDC) regarding measles outbreaks.

As of March 12, 2024, the CDC ranked the following countries:

Kazakhstan - 21,740

Azerbaijan - 13,720

Yemen - 13,676

India - 13,220

Iraq - 11,595

And on March 13, 2024, the CDC reissued a Level 1 Travel Health Advisory that identified 46 countries reporting measles cases.

The CDC confirmed that measles is a vaccine-preventable disease, with various vaccines offered at clinics and community pharmacies in the U.S.

Mar 13, 2024 • 9:49 am CDT
Chicago Health Dept 2024

The Chicago Department of Public Health (CDPH) recently reported that 900 shelter residents have been successfully vaccinated with the measles, mumps, and rubella (MMR) vaccine.

As of March 11, 2024, these newly vaccinated shelter residents are required to stay at the shelter for 21 days until their immunity from the vaccination reaches full effectiveness.

Chicago intends to continue transferring immune residents and those who need to quarantine in designated hotel spaces in the city.

As of March 13, 2024, reports indicate ten people in Chicago have been diagnosed with measles.

Over 45 measles cases in seventeen jurisdictions have been reported nationwide in 2024.

CDPH is treating this response as a citywide measles outbreak and is calling on all eligible unvaccinated residents to get vaccinated now. MMR vaccines are available at most doctor’s offices and community pharmacies in Chicago.

As long as measles circulates in Chicago, we will continue to proactively protect as many people as possible from this highly infectious disease,” said CDPH Commissioner Olusimbo ‘Simbo’ Ige, MD, MPH, in a press release.

Immunization records recorded in the Illinois immunization registry can be accessed using the Illinois Department of Public Health Vax Verify digital portal.

Mar 13, 2024 • 5:50 am CDT
from Pixabay

Merck today announced plans to initiate clinical development of a new investigational multi-valent human papillomavirus (HPV) vaccine designed to provide broader protection against multiple HPV types.

Separately, the company also plans to conduct clinical trials to evaluate the efficacy and safety of a single-dose regimen of GARDASIL®9 compared to the approved three-dose regimen.

“Evidence continues to emerge showing the importance of GARDASIL and GARDASIL 9 to public health,” said Dr. Eliav Barr, senior vice president, head of global clinical development, and chief medical officer, Merck Research Laboratories, in a press release on March 13, 2024.

“These significant investments build upon our leadership and, importantly, provide the opportunity to further impact the global burden of certain HPV-related cancers and diseases.”

Merck announced in February 2024 that GARDASIL/GARDASIL 9 vaccine sales reached about $8.9 Billion; 

The World Health Organization (WHO) recommends vaccinating against HPV to prevent infections and associated cancers.

As of March 2024, the WHO has listed six licensed HPV vaccines protect males and females against cancers caused by HPV. These bivalent, quadrivalent, and nonavalent HPV vaccines are available in 140 countries. 

Furthermore, the WHO and the United Kingdom have endorsed the single-dose regimen.

Mar 12, 2024 • 4:41 pm CDT
by Rui Neves

During March 2024, many college students will enjoy the warm and friendly South Florida beaches.

However, various diseases also impact those Florida communities.

For week #10, Florida Health's Mosquito-Borne Disease Surveillance reported new dengue and malaria cases.

In 2024, 59 travel-associated dengue cases were reported, mainly by visitors from Cuba.

And four cases of locally acquired dengue have been reported from two counties this year. In 2023, positive samples from 186 humans were reported from five counties.

Also, in 2024, twelve cases of malaria have been reported in individuals with a travel history to a malaria-endemic area, such as Africa. 

In 2023, seven locally acquired malaria cases were reported in the Sarasota area. 

On the bright side, the agency also communicated that the recent measles outbreak in Broward County has been contained.

No additional measles cases have occurred at Manatee Bay Elementary since Friday, February 16, 2024; thus, the 21-day infection period has ended.

However, due to the contagiousness of measles and the rate of international travel, there is a possibility for more sporadic cases throughout Florida and the United States.

"It's important that public health leaders consider all available data and make decisions that promote health while respecting the rights of individuals," said Florida Surgeon General Dr. Joseph Ladapo in a press release on March 8, 2024. 

The State Surgeon General communicated that unprotected people should speak with their healthcare provider about receiving approved vaccines.

As of March 12, 2024, the state of Florida, the U.S. Centers for Disease Control and Prevention, Canada, and the United Kingdom have not issued any vaccination requirements for visitors to Florida.

Mar 12, 2024 • 2:47 pm CDT
US CDC mpox case map 2022

An observational, cross-sectional cohort study was published on March 5, 2024, investigating the source of an ongoing mpox outbreak in the Democratic Republic of the Congo (DRC).

The study also evaluated how the mpox virus (MPXV) clade I spread in the city of Kamituga. This non-peer-reviewed study included data from 2022 to January 2024.

These researchers reported a staggering 21,630 suspected MPXV cases and 1,003 deaths. Around 85% of the deaths recorded during this period were children under 15 years of age.

This MPXV clade I outbreak marks an important change as transmission routes now appear to be expanding to include heterosexual activity, wrote these researchers.

The DRC reported the first mpox MPXV clade I cases in humans in 1970.

"The mpox situation in the DRC is deeply alarming, and the lack of tests for both mpox and HIV means it's unclear just how bad the mpox situation is and what the underlying comorbidities are," said Dr. Ayoade Alakija, who is Chair of the Board at FIND, in a press release on March 12, 2024.

The May 2022 MPVX clade II global outbreak caused global concern, primarily among men. The outbreak caused 93,497 cases in 118 locations.

As of March 5, 2024, there have been 32,063 confirmed mpox cases and 58 deaths in the U.S.

Throughout the clade II outbreak, the JYNNEOS® ((MVA-BN®, IMVAMUNE®) vaccine has been deployed in most impacted countries.

On December 7, 2023, the U.S. CDC published a Health Alert Network Health Advisory stating that JYNNEOS is expected to have similar vaccine effectiveness (VE) against MPXV clade I, as seen with clade II.

The CDC's vaccine committee reported in October 2023 that JYNNEOS's VE against mpox clade II ranges from 36%–75% for 1-dose vaccination and 66%–89% for 2-dose vaccination. 

The European CDC reported in December 2023 that real-world JYNNEOS VE data is lacking.

Mar 12, 2024 • 5:01 am CDT
US CDC dengue travel notice Feb, 28, 2924

Dengue virus is a severe ongoing concern for many areas of Central and South America, Mexico, and the Caribbean.

If you plan to visit any high-risk areas during Spring Break 2024, don't let dengue fever ruin your trip.

The high-risk destination list includes Argentina, Brazil, Colombia, Costa Rica, French Guiana, Guadeloupe, Guatemala, Haiti, Jamaica, Martinique, Mexico (Cancun), Nicaragua, Panama, Paraguay, Peru, Saint Barthelemy, Saint Martin, Turks and Caicos Islands.

The U.S. Centers for Disease Control and Prevention (CDC) confirmed on February 28, 2024, travelers should protect themselves by taking precautions against mosquito bites. Take the necessary measures to safeguard yourself and enjoy a worry-free trip.

However, be aware the disease can take up to two weeks to develop, and the illness generally lasts less than a week.

Additionally, the CDC says don't disrupt your vacation with this vaccine-preventable illness.

As of March 12, 2024, various government agencies have approved dengue vaccines, and several vaccine candidates are conducting late-stage studies.

In the U.S., Dengvaxia® is approved by the U.S. FDA. On June 30, 2023, the FDA issued a Supplemental Approval letter.

Other countries offer QDENGA®, a WHO-recommended dengue vaccine.

Mar 11, 2024 • 5:50 pm CDT
Duke-NUS Medical School

Scientists from Duke-NUS Medical School (Duke-NUS) have developed a new approach using the Zika virus to destroy brain cancer cells and inhibit tumor growth while sparing healthy cells.

Using Zika virus vaccine candidates developed at Duke-NUS, the team discovered how these strains target rapidly proliferating cells over mature cells—making them an ideal option to target fast-growing cancerous cells in the adult brain.

Zika virus is one such option in early development. The Duke-NUS team used Zika virus live-attenuated vaccine (ZIKV-LAV) strains, which are "weakened" viruses with limited ability to infect healthy cells but can still increase and spread within a tumor mass.

"We selected Zika virus because it naturally infects rapidly multiplying cells in the brain, allowing us to reach cancer cells that are traditionally difficult to target. Our ZIKV-LAV strains also replicate themselves in brain cancer cells, making this a living therapy that can spread and attack neighboring diseased cells," said Dr. Carla Bianca Luena Victorio, first author of the paper and Senior Research Fellow at the Cancer & Stem Cell Biology Programme at Duke-NUS, in a press release on March 8, 2024.

Their study's findings, published in the Journal of Translational Medicine in February 2024, potentially offer a new treatment alternative for brain cancer patients who currently have a poor prognosis.

Glioblastoma multiforme is the most common malignant brain cancer, with more than 300,000 patients diagnosed annually worldwide. Survival rates for such patients are poor (around 15 months), mainly due to the high incidence of tumor recurrence and limited treatment options.

For such patients, oncolytic virotherapy—or the use of engineered viruses to infect and kill cancer cells—may address the current therapeutic challenges.

Separately, several Zika vaccine candidates are conducting clinical research as of March 2024.

A preventive vaccine targeting Zika is in demand since 36,738 Zika cases were reported in 2023.

In the Americas, the highest proportion of Zika cases was reported in Brazil (35,041), followed by Bolivia, Belize, Columbia, Paraguay, and Venezuela. 

Mar 11, 2024 • 5:17 pm CDT
by Keith Johnston

During the recent U.S. Centers for Disease Control and Prevention (CDC) vaccine committee meeting, changes to the adolescent meningococcal vaccination schedule were discussed to optimize protection against meningitis.

These discussions are very important since the number of meningococcal disease cases in the U.S. has increased sharply since 2021. In 2023, there were 416 confirmed and probable cases of meningitis.

Furthermore, outbreaks are unpredictable, and the outcomes can be devastating, according to the CDC.

For example, from June 2022 to March 2024, there have been 35 confirmed cases of meningococcal disease, including six deaths in Virginia.

On February 29, 2024, Jamie Loehr, M.D., the Advisory Committee on Immunization Practices (ACIP) Meningococcal Work Group Chair, led the Introduction session, followed by presentations on 'Revising the Adolescent Meningococcal Vaccine Schedule: Term of Reference and Considerations' and 'GSK Pentavalent MenABCWY Vaccine: Term of Reference.'

Amy B. Middleman, M.D., M.P.H., M.S.Ed., FAAP, liaison from the Society for Adolescent Health and Medicine to ACIP, said a recent discussion showed many did not favor removing vaccine doses from the existing schedule.

"There was pretty clear concern about potentially eliminating the 11- to 12-year vaccination for multiple reasons," said Dr. Middleman in an article.

The ACIP is scheduled to continue these discussions during their June 2024 meeting.

The ACIP develops recommendations on how to use vaccines to control disease in the U.S.

The Committee's recommendations are forwarded to the CDC's Director and, once adopted, become official policy. They are then published in the CDC's Morbidity and Mortality Weekly Report.

Mar 11, 2024 • 2:32 pm CDT
US CDC mumps case map Feb. 2024

The New Jersey Department of Health (NJDOH), which has already confirmed one measles case in 2024, recently announced it is investigating eight suspected mumps cases in Hunterdon County, northwest New Jersey.

Mumps can become very serious and start with fever, headache, muscle aches, tiredness, and loss of appetite. Later, it appears as a swelling of the salivary glands or puffy cheeks and a tender, swollen jaw.

As of  February 29, 2024, a total of 50 mumps cases have been reported by 21 U.S. jurisdictions, some related to international travel.

Last year, 436 mumps cases were reported in the U.S.

NJDOH is urging everyone to be aware of the symptoms of these highly contagious viruses and to stay up to date with the measles, mumps, and rubella (MMR) vaccinations.

The MMR vaccine is a very effective way to avoid these illnesses.

“As a physician and mom, I understand what keeping your kids and your family healthy is like. The best way to keep you and your loved ones safe is to get the MMR shot. If you or your family have not gotten the shot, now is the time,” said Acting Health Commissioner Dr. Kaitlan Baston in a press release on March 5, 2024.

“These viruses are incredibly contagious, so if you suspect you may have measles, mumps, or rubella, it is important to call ahead before visiting any health care provider or facility so they can take special precautions.” 

The cost of MMR vaccination is generally covered by insurance, and various vaccines are available at community pharmacies.

Mar 10, 2024 • 4:24 pm CDT
WHO Cholera outbreak country map 2024

Doctors Without Borders/Médecins Sans Frontières (MSF) recently announced it is gravely alarmed over the depletion of the global oral cholera vaccine (OCV) stockpile.

As of March 6, 2024, all cholera vaccine doses currently in production have already been allocated, and their demand keeps increasing.

The predicted shortfall of at least 50 million vaccine doses worldwide.

As countries report cholera outbreaks, MSF says that existing and new manufacturers must urgently step up their efforts to boost the global supply of cholera vaccines.

MSF says immediate action is necessary to address this pressing global health concern.

"The world's oral cholera vaccine stocks have dried up," said Dr. Daniela Garone, MSF's international medical coordinator, on February 26, 2024.

"We're very worried that people are at much greater risk of getting and potentially dying from a disease that's preventable if there's no vaccine available to respond to an outbreak in their community, nor to prevent one from starting in the first place," Dr. Garone added.

The World Health Organization (WHO) has recorded seven cholera pandemics over the past two centuries. The current (7th) cholera epidemic is considered to have started in 1961.

About 17 countries across four WHO regions reported over 40,000 cholera cases and 775 related deaths in January 2024.

The five countries reporting the most cases in 2024 are Zambia, Afghanistan, Zimbabwe, Mozambique, and Pakistan.

The U.S. CDC recommends that adults traveling to areas with active cholera transmission get vaccinated.

The WHO has pre-qualified three vaccines to address this need: Dukoral®, Shanchol™, and Euvichol®.

DUKORAL is authorized in Australia, Canada, Europe, New Zealand, Thailand, and the United Kingdom to protect people against cholera and Enterotoxigenic Escherichia coli.

DUKORAL vaccine sales were reported to be €29.8 million in 2023 compared to €17.3 million in 2022, a 72% increase.

Mar 10, 2024 • 1:54 pm CDT
US CDC FluView data Feb. 8, 2024

Many people are looking forward to Spring 2024, but the respiratory season still affects children's health in the United States.

On March 8, 2024, the U.S. CDC published an updated national outlook on respiratory diseases. According to the report, influenza percent positivity has remained stable compared to the previous week, but there have been flu outbreaks in some areas of the country.

In addition, last week, ten children died from influenza.

As of week #9 of 2024, the CDC has identified 103 influenza-associated pediatric deaths using underlying cause-of-death codes J09–J18. During the 2022-2023 flu season, 182 children died from influenza infections.

The vaccination status of these children was not disclosed.

The CDC continues to recommend a seasonal flu shot for anyone older than six months and suggests speaking with a doctor, nurse, or pharmacist about flu shot options (egg, cell, nasal) in March 2024.