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Sep 26, 2023 • 4:04 am CDT
US CDC TB program 2023

The World Health Organization (WHO) Director-General, Dr. Tedros Adhanom Ghebreyesus, recently launched the TB Vaccine Accelerator Council to facilitate the development, licensing, and using new Tuberculosis (TB) vaccines.

The 100-year-old Bacille Calmette-Guérin (BCG) is the only licensed TB vaccine, with over ten versions available globally.

While it provides moderate efficacy in preventing severe forms of TB in infants and young children, it does not adequately protect adolescents and adults, who account for the majority (>90%) of TB transmission globally, said the WHO on September 22, 2023.

In a press release, Dr. Tedros Adhanom Ghebreyesus commented, "Today, we have knowledge and tools they could only have dreamed of."

"The political declaration countries approved today, and the targets they have set, are a commitment to use those tools, and develop new ones, to write the final chapter in the story of TB."

The Council aims to identify innovative sustainable financing, market solutions, and partnerships across public, private, and philanthropic sectors. It will leverage various agencies to strengthen commitment and actions for novel TB vaccine development and access.

The U.S. Centers for Disease Control and Prevention (CDC) reported that TB outbreaks increased by 5% in 2022, with 60 U.S. states, the District of Columbia, and territories provisionally reporting 8,300 TB cases last year.

According to the CDC, TB is caused by Mycobacterium tuberculosis. The bacteria usually attack the lungs, but TB bacteria can attack any body part.

As a result, two TB-related conditions exist: latent TB infection and TB disease. If not treated properly, TB disease can be fatal.

In the U.S., Merck's TICE BCG vaccine has limited availability.

Sep 25, 2023 • 4:38 pm CDT
Outbreak Analytics and Disease Modeling Network September 2023

The U.S. Centers for Disease Control and Prevention (CDC) recently announced it had granted 13 funding awards to establish a first-of-its-kind national network, the Outbreak Analytics and Disease Modeling Network (OADMN).

The OADMN's goal is to improve speed, accuracy, and use of data & analytics during health emergencies, which is an important step towards ensuring Americans have the information they need to keep themselves and their families safe during outbreaks.

Many of these awardees are leading a consortium of collaborators to design, prototype, test, and scale up advances in data modeling tools and technology that can be used to support public health decision-makers at all levels of government.

"The collaboration with our public health, private, and academic partners over the last year to advance the science of disease forecasting and deliver decision support to leaders has been instrumental in improving outbreak response," said Dr. Dylan George, Director, Center for Forecasting and Outbreak Analytics, in a press release on September 22, 2023. 

The grantees will be organized into three categories of performance, supporting three priority program actions:

  • Innovators: these grantees will develop methods, tools, technologies, and other products to support emergency response.
  • Integrators: these grantees will take lessons learned and techniques from Innovators and test them in small-scale deployments.
  • Implementors: these grantees will take tested best practices and scale up to larger jurisdictions and partners.

The funding 13 recipients comprising OADMN in September 2023 include:

Emory University

Northeastern University

The University of North Carolina at Chapel Hill

Kaiser Permanente Southern California

Carnegie Mellon University

University of Michigan School of Public Health

University of California, San Diego

University of Minnesota

Clemson University

University of Utah

International Responder Systems

The University of Texas at Austin

The Johns Hopkins University

Note: The OADMN effort is in addition to the U.S. government's Disease X initiative.

Sep 25, 2023 • 1:40 pm CDT
by Mercy Hass

During last week's Advisory Committee on Immunization Practices (ACIP) meeting, an updated adult, adolescent, and infant vaccination schedule was presented.

On September 22, 2023, the CDC's Sarah Schillie, MD, MPH, MBA CAPT, US Public Health Service, presented a draft Addendum to the 2023 Immunization Schedules.

This Addendum contains ACIP recommendations that occurred after the 2023 schedule was published earlier this year.

For 2023, two separate vaccination schedules with multiple sections summarize and aid in implementing the approved ACIP policy.

This is the most up-to-date vaccine recommendation for COVID-19, RSV, Influenza, pneumococcal, polio, and Mpox vaccines.

The CDC plans to release 2023 Immunization Schedules with Addenda this week. With this addition, all ACIP recommendations will formally be part of the Immunization Schedules.

Sep 25, 2023 • 9:22 am CDT
by Deyson Ortiz

BioArctic AB and Eisai announced today that LEQEMBI® Intravenous Infusion had been approved in Japan as a treatment for slowing the progression of mild cognitive impairment and mild dementia due to Alzheimer's disease (AD).

LEQEMBI is a humanized immunoglobulin gamma 1 monoclonal antibody (mAbs) directed against aggregated soluble and insoluble forms of Aβ.

LEQEMBI is the first and only approved treatment shown to reduce the rate of disease progression and slow cognitive and functional decline by selectively binding to and eliminating the most toxic Aβ aggregates that contribute to neurotoxicity in AD.

Japan is the second country to approve LEQEMBI, following the Food and Drug Administration (FDA) approval in the U.S. in July 2023.

"The approval of LEQEMBI in Japan is another important step in the fight against Alzheimer's disease," said Gunilla Osswald, CEO of BioArctic, in a press release on September 25, 2023.

Eisai serves as the lead of LEQEMBI development and regulatory submissions globally, with both Eisai and Biogen co-commercializing and co-promoting the product and Eisai having final decision-making authority.

BioArctic has the right to commercialize lecanemab in the Nordic region, and currently, Eisai and BioArctic are preparing for joint commercialization in the region.

According to the Alzheimer's Association, AD is a degenerative brain disease caused by complex brain changes following cell damage, leading to dementia.

As of September 2023, The U.S. FDA, the European Medicines Agency, and the United Kingdom's NHS have not authorized preventive AD vaccines.

Sep 25, 2023 • 7:46 am CDT
U.S. CDC JE infection cycle 2023

A specialty vaccine company today announced the signing of a $32 million contract with the United States (U.S.) Department of Defense (DoD) for the immediate supply of its Japanese encephalitis (JE) vaccine, IXIARO®.

Under this new one-year contract with Valneva SE, the DoD can purchase additional doses for the next twelve months.

IXIARO® is the only JE vaccine approved for adults by the U.S. Food and Drug Administration (FDA).

Dipal Patel, Chief Commercial Officer of Valneva, commented in a press release on September 25, 2023, "We are excited to continue our long-term relationship with the DoD."

"The U.S. military has trusted IXIARO® for over ten years to help protect military personnel, their families, civilian government service personnel, and government contractors from this potentially deadly disease."

Japanese encephalitis is a deadly infectious disease found mainly in Asia. The disease is endemic in Southeast Asia, India, and China, a region with more than three billion population. 

About 70,000 cases of JE are estimated to occur in Asia each year.

JE is fatal in approximately 30% of those who show symptoms, leaving half of the survivors with permanent brain damage.

In the U.S., Valneva markets and distributes IXIARO® directly to the military and private travel market.

IXIARO / JESPECT® is licensed for adults in Australia, New Zealand, Europe, Canada, Switzerland, Hong Kong, Singapore, Israel, Norway, Liechtenstein, Iceland, Singapore, Japan, the United Kingdom, and the Republic of Korea. In all other licensed territories, IXIARO/JESPECT is indicated for use by adults aged 18 years or older.

Sep 24, 2023 • 11:36 am CDT
Walgreens Flu Index September 16, 2023

When comparing data from the past few influenza seasons, it appears the 2023-2024 flu season is starting slowly.

Globally, the World Health Organization's Influenza Update N° 454 confirmed influenza detections remained low. In the temperate zones of the northern hemisphere, indicators of influenza activity were reported at low levels or below the seasonal threshold in most reporting countries.

Within the United States, the Centers for Disease Control and Prevention (CDC) reported on September 22, 2023, that seasonal flu rates last week were low nationally, with 315 (0.8%) positive specimens reported.

Last week, 820 patients with laboratory-confirmed influenza were admitted to a hospital, an increased number since the previous report.

Separately, the U.S. National Center for Health Statistics mortality surveillance data published on September 21, 2023, confirmed 13 additional influenza-related deaths.

The FluView week #37 report confirmed two additional children died from flu-related illness. A total of 176 influenza-associated pediatric fatalities were reported during the 2022-2023 flu season. 

The previous high was during the 2019-2022 flu season when 199 children died from influenza infections.

From a local perspective, the Walgreens Flu Index market-specific information indicates the top cities for influenza were led by the following:

1. Harlingen-Weslaco-Brownsville-McAllen, Texas
2. El Paso, Texas (Las Cruces, N.M.)
3. Columbus-Tupelo-West Point-Houston, Miss.
4. Corpus Christi, Texas
5. Puerto Rico

The CDC's new Director, Mandy K. Cohen, MD, MPH, recently posted a video on Instagram encouraging people to speak with a healthcare provider about flu shot options and when to be protected during the new flu season.

As of late September 2023, most pharmacies offer influenza vaccination appointments and walk-in services.

Sep 23, 2023 • 4:18 pm CDT
The Jenner Institute 2023

Since August 2023, the Indian state of Kerala has been experiencing its fourth Nipah virus outbreak.

Over the past two decades, the Nipah virus has spilled into humans in Bangladesh, India, Malaysia, the Philippines, and Singapore.

While no approved Nipah virus vaccines exist, several candidates are conducting clinical trials.

“The Nipah virus outbreak is a reminder of the increased risk of zoonotic diseases as the world population expands and encroaches into wild habitats. We have the technology to rapidly develop next-generation mRNA vaccines that will effectively fight against these new viruses”, commented Pascal Brandys, co-founder and CEO of Phylex BioSciences, in a press release on September 22, 2023.

“Our mRNA vaccine encoding for a highly immunogenic nanoparticle provides a flexible platform for rapid development of a new Nipah virus vaccine and will be of great value in combatting Nipah virus and other similar viruses.”

Phylex BioSciences published last year the proof-of-principle of its second-generation nanoparticle mRNA vaccine. The same technology is directly applicable to the development of a Nipah virus vaccine.

The second generation mRNA vaccine candidate encodes for a nanoparticle displaying 60 copies of the antigen-based upon the head domain of the G protein of the Nipah virus.

The anticipated advantages of the nanoparticle vaccine are superior immune response, long-term protection from cell-mediated immunity, and protection against virus dissemination in the brain.

Globally, an estimated two billion people worldwide are at risk for bat-borne Nipah virus outbreaks. The Nipah virus has a fatality rate exceeding 40%.

Sep 22, 2023 • 7:19 am CDT
U.S. CDC travel alerts and WHO diphtheria vaccination map Sept. 22, 2023

While Diphtheria is a vaccine-preventable disease, recent health alerts indicate various countries have under-vaccinated populations.

As of September 22, 2023, the U.S. Centers for Disease Control and Prevention (CDC) issued Travel Health Notices for Diphtheria outbreaks in the Republics of Guinea and Nigeria in Africa and Vietnam in East Asia.

As an example of recent outbreaks, during July and August 2023, a total of 5,898 suspected Diphtheria cases were reported from Local Government Areas in eleven Nigerian states.

The CDC says if you travel to any affected area, you should be up to date with your diphtheria vaccines. The U.S. agency recommends vaccinating everyone two months and older to protect against Diphtheria.

And if you have immunization questions, discuss the need for a booster dose with your healthcare professional before traveling abroad.

Diphtheria is a serious infection caused by strains of Corynebacterium diphtheriae bacteria that make a toxin that can cause people to get very sick.

This bacteria spread from person to person through respiratory droplets, like from coughing or sneezing, and from touching open sores or ulcers of people sick with Diphtheria.

For some people, respiratory Diphtheria can lead to death. Even with treatment, about 1 in 10 patients with respiratory Diphtheria die. Without treatment, up to half of patients can die from the disease, says the CDC.  

Globally, Diptheria cases have been declining since 2019, when 22,986 cases were reported by the World Health Organization (WHO). In 2022, 5,856 cases were confirmed. 

Furthermore, the WHO's current vaccination data indicates a high percentage for most countries, including the United States.

Sep 21, 2023 • 4:19 pm CDT
by P T from Pixabay

During the ongoing mpox outbreak, older smallpox vaccines were used to prevent infection and reduce disease severity in those at increased risk for infection.

However, the effectiveness of smallpox vaccination against mpox was unknown.

On September 21, 2023, the New England Journal of Medicine published a Correspondence that stated previous vaccination at a median of 13 years earlier with either a first- or second-generation smallpox vaccine reduced the likelihood of testing positive for orthopoxvirus, including mpox, among current or former military personnel for whom vaccination data were available.

The estimated vaccine efficacy was 72% for Dryvax (1st generation) and 75% for ACAM2000 (2nd generation).

Among the participants who tested positive for orthopoxvirus, 121 (41%) had been diagnosed with HIV infection (odds ratio, 2.34; 95% CI, 1.65 to 3.35).

Within the VA portion of the study, 19 of 186 participants (10%) required hospitalization; there were no deaths from mpox, and all the participants had an uneventful recovery.

The Department of Defense electronic laboratory data and the Veterans Affairs Corporate Data Warehouse identified eligible participants. The study was approved by the institutional review board of Emory University and was granted an exemption for consent.

Sep 21, 2023 • 11:27 am CDT
TB case map in the USA - 2021

The 2019 Lancet Commission on Tuberculosis laid out an optimistic vision for how to build a tuberculosis-free world through smart investments based on sound science and shared responsibility.

Since then, several significant strides have been made toward ending tuberculosis, according to a Review published by The Lancet on September 13, 2023.

With excellent short-course preventive regimens and several late-stage vaccine candidates, tuberculosis prevention is also on the cusp of a revolution.

These clinical tools are needed as more than 7 million people worldwide have died of tuberculosis in the past five years.

Still, much more can be done to implement the Commission's recommendations fully.

For example, the Bill and Melinda Gates Foundation and Wellcome pledged $550 million to support late-stage clinical trials for a new tuberculosis vaccine. The M72/AS01E (M72) subunit vaccine candidate is conducting phase 3 clinical research.

And in the United States, the 100-year-old BCG vaccine is considered for people who meet specific criteria.

According to the U.S. Centers for Disease Control and Prevention, BCG vaccination is considered for children under specific conditions.

The CDC reported in March 2023 that TB cases increased by 5% in 2022, with 60 U.S. states, the District of Columbia, and territories provisionally reporting 8,300 TB cases. 

Sep 20, 2023 • 12:41 pm CDT
U.S. CDC pregnant women

When the U.S. Food and Drug Administration approved Pfizer Inc.'s ABRYSVO™ Respiratory Syncytial Virus vaccine on August 21, 2023, for use in pregnant women to prevent lower respiratory tract disease (LRTD) and severe LRTD caused by RSV in infants from birth through six months of age, it initiated questions regarding a previous FDA approval.

On July 17, 2023, the FDA approved AstraZeneca and Sanofi's Beyfortus™, a single-dose, long-acting monoclonal antibody (mAb) designed to protect children from LRTD through their first and second RSV season. 

Beyfortus has been approved in Canada, Europe, Japan, and the United Kingdom.

With two RSV prevention solutions approved by the FDA, expecting mothers are seeking guidance on 'best practices.'

Hopefully, the U.S. CDC's Advisory Committee on Immunization Practices (ACIP) meeting on September 22, 2023, will add clarity to this clinical decision.

Led by Dr. Grace Lee (Chair) and Dr. Sarah Long (RSV Workgroup Chair), this ACIP's meeting agenda will review and opine on preferred recommendations regarding RSV prevention for pregnant women.

Another consideration is 'when' to become immunized.

RSV seasons in the U.S. generally start in Florida and then spread nationwide.

This means that to optimize RSV protection, make a protection selection before this respiratory virus is detected in your area.

The ACIP develops recommendations regarding U.S. immunizations, which are then ratified or not by the CDC's Director Mandy K. Cohen, MD, MPH.

This ACIP digital meeting is open to the public at this IBM link and starts at 10:00 AM ET this Friday, September 22.

Sep 20, 2023 • 11:28 am CDT
from Pixabay

While there are no approved vaccines to prevent human immunodeficiency virus (HIV) infection, several vaccine candidates are progressing in clinical studies.

As an example, Vir Biotechnology, Inc. today announced that the first participant has been dosed in a Phase 1 clinical trial evaluating the safety, reactogenicity, and immunogenicity of VIR-1388, an investigational novel T cell vaccine for the prevention of HIV.

VIR-1388 is based on the human cytomegalovirus (HCMV) vector platform. It is designed to stimulate the body to produce immune cells known as T cells that recognize several HIV proteins in a way that differs from prior investigational HIV vaccines.

“HIV continues to be a major global public health challenge with no approved vaccines despite decades of research efforts,” said Carey Hwang, M.D., Ph.D., Vir’s Senior Vice President, Clinical Research, Head of Chronic Infection, in a press release on September 20, 2023.

“We are hopeful that our unique approach will help close the longstanding public health gap in HIV prevention.”

VIR-1388 was developed using applied learnings from VIR-1111, the Company’s initial investigational proof-of-concept HIV T cell vaccine based on HCMV.

The U.S. National Institute of Allergy and Infectious Diseases and the Bill & Melinda Gates Foundation financially support the clinical study. 

The U.S. CDC’s Morbidity and Mortality Weekly Report publishes public health information and recommendations on HIV.

Sep 20, 2023 • 9:12 am CDT
US CDC norovirus case map September 2023

A contagious disease known for causing outbreaks on land and at sea may soon have an approved preventive vaccine. Noroviruses have emerged as the single most significant cause of gastroenteritis worldwide. 

According to the U.S. Centers for Disease Control and Prevention, most norovirus outbreaks in the United States happen from November to April. In years when there is a new strain of the virus, there can be 50% more norovirus illness.

While no vaccines are available today in the U.S., U.K., or Europe, a new funding event may accelerate an approval.

HilleVax, Inc. today announced the gross proceeds from an offering, before deducting discounts, commissions, and other expenses, are expected to be $100.0 million.

HilleVax stated in a press release on September 20, 2023, that it intends to use the net proceeds from the offering to fund the clinical development of HIL-214, including certain manufacturing activities, and for working capital and general corporate purposes.

HIL-214 is an investigational virus-like particle bivalent vaccine candidate for preventing moderate-to-severe acute gastroenteritis caused by norovirus in infants. 

The HIL-214 vaccine includes antigens from genotypes GI.1 and GII.4 to represent genogroups that cause most human illnesses.

HIL-214 has been studied in various clinical trials, collectively generating data from more than 4,500 subjects, including children. The ongoing phase 2/3 study was last updated in May 2023.

“HilleVax has continued to make excellent progress on our HIL-214 program, including the recent completion of enrollment of over 3,000 subjects in our NEST-IN1 clinical trial,” said Rob Hershberg, MD, PhD, Chairman and Chief Executive Officer of HilleVax, in a press release on May 12, 2023.

“We look forward to continuing to execute on our HIL-214 program and announcing top-line safety and clinical efficacy data in the first quarter of 2024 for our NEST-IN1 clinical trial.”

While other norovirus vaccine candidates are conducting clinical research, the HIL-214 vaccine appears to Precision Vaccinations to be the most advanced candidate.

Sep 20, 2023 • 8:08 am CDT
by Tumisu

As the mpox outbreak ends in most countries, other health agencies restock their reserves in case of a smallpox outbreak.

On September 13, 2023, Bavarian Nordic A/S announced that it had been awarded another contract to supply its MVA-BN® smallpox vaccine to rescEU, a strategic reserve within the European Union (EU).

This order follows an initial contract awarded in June 2023 and is also for delivery in 2024.

The vaccines will be stockpiled in another EU country, thus expanding the EU's capability to respond to medical countermeasures to its member states and other countries participating in the rescEU, an EU Civil Protection Mechanism. 

Paul Chaplin, President & CEO of Bavarian Nordic, commented in a press release, "We are pleased to continue supporting the initiative from the EU to build a stockpile of smallpox vaccines across Europe."

"This secures another order for next year, confirming an ongoing demand, but also the transition to stockpiling for future outbreaks, which we see as a growing trend with other countries and organizations."

The new contract is valued at more than EUR 11 million.

The MVA-BN or Modified Vaccinia Ankara-Bavarian Nordic vaccine is marketed as IMVANEX® in Europe, IMVAMUNE® in Canada, and JYNNEOS® in the U.S.

In addition to smallpox, the U.S. Food and Drug Administration, Health Canada, and the European Commission have also approved the vaccine for use against mpox. It is the only vaccine having obtained this dual approval to date.

In the U.S., over 1.2 million doses of JYNNEOS have been distributed since the global mpox outbreak began in May 2022. Since then, about 113 countries have reported over 89,000 mpox cases.

Recently, a significant increase in mpox cases has been observed in the South-East Asia Region.

MVA-BN is a non-replicating smallpox vaccine developed in collaboration with the U.S. government to ensure the supply of a smallpox vaccine for the entire population, including immunocompromised individuals who are not recommended vaccination with traditional replicating smallpox vaccines.

RescEU was established by the European Commission as a safety net to protect citizens from disasters and manage emerging risks. It includes, among others, reserves of medical countermeasures which can be deployed in chemical, biological, radiological, and nuclear emergencies.

Sep 19, 2023 • 3:07 pm CDT
by Albrecht Fietz

Scientists recently announced they used genomics to reveal distinct sexual networks for syphilis transmission in England.

On September 15, 2023, The Lancet Microbe published a study by researchers with the UK Health Security Agency and the Wellcome Trust Sanger Institute, which revealed infectious syphilis diagnoses tripled since 2010.

In England, new diagnoses of early syphilis increased from 3,011 in 2012 to 8,011 in 2019.

About 50% of the cases were in the greater London area.

By comparing the bacterial genomes from different individuals, the researchers could identify single-letter changes in the DNA – known as single nucleotide polymorphisms – to distinguish one bacterium strain or sublineage of T. pallidum from another.

They show distinct transmission chains between individuals and significant resistance to a commonly prescribed class of antibiotics in England.

These health officials believe the increase in syphilis cases reflects increased sexually transmitted disease testing and transmission.

Dr. Ana Cehovin, Senior Research Manager of Infectious Disease at Wellcome, commented in a press release, "Genomic surveillance is an invaluable tool for understanding how diseases are spreading, what populations are at increased risk, and which strains are developing drug resistance."

"Similarly, realizing the potential of genomic surveillance to identify and monitor drug resistance can help decision makers to implement necessary mitigation measures to control the spread of resistant strains, reducing the chance of disease escalation and protecting at-risk communities."

Syphilis is a sexually transmitted infection caused by T. pallidum.

While the genomes of T. pallidum are highly conserved compared to other bacterial pathogens - as they tend to transmit more frequently than they mutate - subtle differences can still exist as it spread through a population.

By comparing how genetically related T. pallidum samples are between individuals with a syphilis diagnosis, scientists hope to pinpoint the source of syphilis outbreaks and construct networks that capture its spread.

As of September 18, 2023, there are no approved syphilis vaccines.

Additionally, about 20 mpox patients were confirmed during 2023 in a similar population subset in London. And various poliovirus samples were confirmed in London in 2022.