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Aug 11, 2023 • 3:25 pm CDT
by Alit Saha

The World Health Organization (WHO) today announced the current dengue surge in the Peoples' Republic of Bangladesh is unusual in terms of seasonality and the early sharp increase compared to previous years.

 On August 11, 2023, the Ministry of Health and Family Welfare of Bangladesh reported 69,483 laboratory-confirmed dengue cases and 327 related deaths, with a case fatality rate (CFR) of 0.47% during 2023. The CFR so far this year is relatively high compared to previous years for the full-year period.

About 62% of these deaths were reported in July 2023.

Dhaka City Corporation is the most affected area in the Dhaka division, accounting for 78.9% of deaths. 

The pre-monsoon Aedes survey shows that the density of disease-carrying mosquitoes and the number of potential hotspots is at the highest level in the past five years.

Globally, dengue outbreaks have been confirmed in numerous countries in 2023.

Dengue virus (DENV) has four serotypes, and infection with one serotype provides long-term immunity to the homologous serotype but not to the other serotypes; sequential infections with a different serotype put people at greater risk for severe dengue.

Many DENV infections produce only mild flu-like illness, and over 80% of cases are asymptomatic.

There is no specific treatment for cases and clinical management is based on supportive therapy.

Neither of the two approved dengue vaccines are currently available in Bangladesh.

The WHO says dengue risk at the national level in Bangladesh is assessed as 'High' due to the ongoing rapidly increasing number of cases and deaths with the peak not yet reached, the high CFR compared to the previous years, and the increasing geographical distribution of cases.

Aug 11, 2023 • 1:45 pm CDT

The National Center for Health Statistics (NCHS) Mortality Surveillance data available on August 10, 2023, shows that 5.9% of the deaths during week #31 in the U.S. were due to pneumonia, influenza, and/or COVID-19.

Among these reported deaths, 12 death certificates listed influenza.

Previously, 166 influenza-associated pediatric deaths occurred during the 2022-2023 flu season have been reported.

The recent peak in influenza fatalities was during the 2020-2021 flu season.

The U.S. CDC says these data presented are preliminary and may change as more data are received and processed.

The CDC recommends annual vaccination for most people over six months to mitigate influenza-related fatalities during the 2023-2024 flu season.

Flu is a contagious respiratory illness caused by influenza viruses that infect the nose, throat, and sometimes the lungs. 

Most health experts believe that flu viruses are spread mainly by tiny droplets made when people with flu cough, sneeze, or talk. Recent findings suggest that, on average, about 8% of the U.S. population gets sick from the flu each season.

As of August 11, 2023, various flu shots are offered at health clinics and pharmacies in the U.S.

Aug 10, 2023 • 10:28 am CDT
by Nancy Jane

Vaxxinity, Inc. today announced The Lancet's eBioMedicine published results of Phase 2a clinical trial stating that UB-311 "was safe and well-tolerated," with early clinical data demonstrating a trend for slowing cognitive decline in mild Alzheimer's disease (AD).

In this 78-week, randomized, double-blind, placebo-controlled, parallel-group, multicenter Phase 2a, Vaxxinity-funded study, UB-311 was reported to elicit a robust, rapid, and titrated antibody response to Aβ.

And UB-311 was generally well-tolerated, with no cases of ARIA-E and limited cases of asymptomatic ARIA-H.

"This publication supports the innovative work that we and our collaborators are conducting to advance UB-311 for the potential treatment, and even prevention, of Alzheimer's disease," said Mei Mei Hu, CEO of Vaxxinity, in a press release on August 10, 2023.

"Imagine expanding the addressable patient population of beta-amyloid immunotherapies by multiple orders of magnitude, potentially over 1,000x, and delivering life-changing medicine at a fraction of the cost. That is our vision for UB-311 and the potential power of active immunotherapies."

AD is the most common form of dementia, is a progressive neurodegenerative disorder that slowly destroys memory and cognitive skills and eventually the ability to carry out simple tasks.

UB-311 is a synthetic, peptide-based active immunotherapy that targets toxic beta-amyloid (Aβ) oligomers and fibrils and oligomers.

Two passive immunotherapies – monoclonal antibodies targeting Aβ – have recently been authorized by the U.S. FDA, validating Aβ as a target for disease-modifying immunotherapies of AD.

However, these passive immunotherapies have been associated with amyloid-related imaging abnormalities (ARIA), which can present as vasogenic edema or sulcal effusion (ARIA-E) or as hemosiderin deposits such as micro hemorrhages and superficial siderosis (ARIA-H).

Although the trial was not powered to make conclusions about efficacy, secondary efficacy outcomes on cognitive, functional, behavioral, and global assessments such as ADAS-Cog, MMSE, ADCS-ADL, and CDR-SB were evaluated.

Trends of slowing disease progression were observed across key cognitive and functional measures for UB-311-treated versus placebo-treated participants over 78 weeks of observation, including a 48% slowing of decline on CDR-SB in the UB-311 quarterly boosting group.

Furthermore, the U.S. FDA-licensed mAbs require IV infusions every two weeks and are priced at $26,500 annually, not including the cost of administering them or monitoring for ARIA.

In contrast, UB-311 has the potential to offer multiple competitive advantages, including lower rates of ARIA-E, improved convenience through less frequent dosing and ease of administration through intramuscular injection, and overall improved accessibility and cost-effectiveness for patients and health systems.

As of August 10, 2023, the U.S. FDA had not approved an Alzheimer's vaccine candidate.

Aug 10, 2023 • 8:52 am CDT
by Eldeen Thorne

The U.S. Department of State today confirmed visiting the Republic of Fiji is safe, but people should exercise normal precautions.

The State Department disclosed on August 9, 2023, a higher level of caution is suggested when visiting Colo I Suva Forest Park. Be aware of your surroundings and be extra vigilant along the trails when displaying items like jewelry, bags, and cell phones in public.

In July 2023, a security alert notified U.S. citizen victims of sexual assault are encouraged to contact the U.S. Embassy for assistance at + (679) 331-4466.

Fiji is an island country in Melanesia, part of Oceania in the South Pacific Ocean, where over 200,000 people visit annually.

If you decide to travel to Fiji, the no-cost Smart Traveler Enrollment Program is available to receive security messages and make it easier to locate you in an emergency.

From a health perspective, the U.S. CDC suggests visitors to Fiji speak with a healthcare provider about routine and travel vaccines, including the annual flu shot.

The CDC recently (July 2023) reissued a Travel Health Advisory for the Pacific Islands regarding various dengue outbreaks.

Aug 10, 2023 • 4:38 am CDT
from Pixabay

Meissa Vaccines announced positive safety and immunogenicity data for MV-012-968, the company's intranasal live attenuated Respiratory syncytial virus (RSV) vaccine candidate.

Meissa is developing MV-012-968 as a needle-free, adjuvant-free vaccine to protect infants and toddlers from the respiratory syncytial virus (RSV).

The company says RSV is the leading cause of infant hospitalization in the United States and is considered a "missing" pediatric vaccine.

The clinical study in RSV-naïve (seronegative) participants between the ages of six and 36 months enrolled 79 participants at multiple sites in the U.S. to evaluate the safety and immunogenicity of MV-012-968 (NCT04909021).

At the highest dose tested, no serious adverse events related to vaccination were reported with no evidence of any lower respiratory tract symptoms, no Grade 2 or 3 fever observed, and low level, transient vaccine shedding detected.

All RSV-naïve infants and toddlers demonstrated a vaccine response to two doses of 107 PFU.

Serum-neutralizing antibody responses to MV-012-968 were robust and comparable to those seen with previous live attenuated RSV vaccine candidates demonstrating high efficacy against medically-attended RSV disease.

Moreover, MV-012-968 demonstrated significantly greater tolerability to date than these previous candidates.

"With this outstanding safety and robust serum antibody response, we believe Meissa's live attenuated vaccine has the potential to be a best-in-class solution to protect infants and toddlers from RSV, and we are now preparing to advance MV-012-968 into a Phase 2/3 clinical trial next year (2024)," said Martin Moore, Ph.D., co-founder and Chief Scientific Officer, Meissa Vaccines, in a press release on August 8, 2023.

"These data also demonstrate the power of our AttenBlock platform to generate live attenuated vaccines with outstanding safety and immunogenicity – something that we've not seen with other platforms."

As of August 10, 2023, the U.S. FDA has approved RSV vaccines for seniors and antibody therapies for infants.

Aug 10, 2023 • 4:21 am CDT
from Pixabay

The World Health Organization (WHO) published Influenza Update N° 451 that stated virus detections remained low, with activity in many countries in the southern hemisphere now decreasing after having peaked in recent weeks.

And no exceptional flu outbreaks were confirmed over the past two weeks.

On August 7, 2023, the WHO reported that influenza activity decreased in Oceania, Central America, and temperate South America, with influenza A viruses predominant.

Furthermore, in the temperate zones of the northern hemisphere, influenza activity was reported at low levels or below the seasonal threshold in most reporting countries.

And in the Caribbean countries, influenza activity remained low overall.

As of August 10, 2023, over 100 million flu shots are available at most health clinics and pharmacies in the U.S.

Aug 10, 2023 • 4:04 am CDT
by Alexa P.

SK bioscience recently announced that it secured 6.5 million shares of common stock through a private placement investment in Novavax, a global company advancing protein-based vaccines with its novel Matrix-M™ adjuvant.

Concurrent with the equity investment announcement, SK bioscience and Novavax have extended their current license agreement, adding Novavax's updated COVID-19 vaccine ((Nuvaxovid, CovoVax, NVX-CoV2373)

The agreement serves as a strategic shift of partnership from the pandemic period to the endemic phase, in which SK bioscience will obtain exclusive rights to Novavax's COVID-19 variant vaccine in South Korea and non-exclusive rights in Thailand and Vietnam to supply and commercialize the vaccine.

Jaeyong Ahn, CEO of SK bioscience said in a press release on August 8, 2023, "We believe that the strategic equity investment and the continuous cooperation between SK bioscience and Novavax, which are among the few companies that focused on developing COVID-19 vaccines during the pandemic, will create a powerful synergy."

Through the enhanced partnership, SK bioscience will explore potential future collaborations with Novavax such as utilizing Novavax's adjuvant, Matrix-M. Novavax also develops COVID-Influenza combination, stand-alone influenza, and high-dose COVID-19 vaccine candidates.

Aug 9, 2023 • 6:00 pm CDT
by Frank Chang

Taiwan's Centers for Disease Control (TCDC) today reported seven new mpox cases. The patients develop symptoms like fever, swollen lymph nodes, and blistering rash between July 24 and August 1, 2023.

As of August 7, 2023, a total of 266 mpox cases (250 local cases and 16 imported cases) have been diagnosed.

The TCDC stated that according to the research, mpox vaccination (Jynneos) could effectively reduce the risk of infection.

In July, Taiwan expanded its mpox immunization drive at 125 medical institutions, especially those who have been "infected with sexually transmitted diseases.

According to statistics from the TCDC, as of August 7, 2023, a total of 77,809 Mpox vaccination services have been completed, including 447 post-exposure prophylaxis vaccinations and 77,362 pre-exposure prophylaxis vaccinations.

About 25,803 people have completed two vaccinations, and 19,510 people received only one dose. 

Aug 9, 2023 • 5:01 pm CDT
U.S. CDC vaccines during pregnancy 2023

As influenza and respiratory syncytial virus (RSV) seasons approach the U.S., health leaders focus on pregnant women's vaccination needs.

The Centers for Disease Control and Prevention (CDC) will conduct a Clinician Outreach and Communication Activity (COCA) webinar on August 10, 2023, to share updated clinical vaccination guidance for pregnant women.

The CDC and the American College of Obstetrics and Gynecology emphasize the importance of vaccinations for pregnant women and recommend vaccinations against pertussis, flu, and COVID-19 to protect themselves and their babies during the first few months of life.

The CDC says there have been recent declines in vaccination coverage for Tdap (tetanus, diphtheria, and pertussis) and flu shots and low uptake of COVID-19 vaccines among pregnant women.

During Thursday's COCA Call, presenters (Naima T. Joseph MD, MPH, Tara C. Jatlaoui, MD, MPH) will give a comprehensive overview of the timing and promotion of vaccines people should receive during pregnancy and provide an update on RSV vaccine candidates for pregnant women. 

This one-hour webinar is scheduled for Thursday, August 10, 2023, 2:00 PM – 3:00 PM ET, at Webinar Link:
https://www.zoomgov.com/j/1604412918; ID: 160 441 2918; Passcode: 650748. Note: Zoom recently modified its privacy policies

Updated August 10, 2023 - presentation slides.

Aug 9, 2023 • 4:04 pm CDT
Irving Texas 2023

Dallas County Health and Human Services (DCHHS) today reported the first West Nile Virus (WNV) death in Dallas County, Texas, for the 2023 season.

The patient was a female resident in the City of Irving diagnosed with West Nile Neuroinvasive Disease.

This is the second WNV human death reported in Texas this year.

For 2023, a total of one hundred and sixty-seven mosquito traps have tested positive for WNV.

Over the last five years, Texas has had 485 WNV cases and 65 related deaths.

“It’s very sad to report the first West Nile Virus death this season,” said Dr. Philip Huang, Director of DCHHS, in a press release on August 9, 2023.

“This again reminds us how important it is to protect against mosquito bites that can carry multiple diseases like WNV. Mosquito activity remains high in Dallas County.”

DCHHS says most people exposed to WNV don’t get sick, but about 20% develop symptoms like headache, fever, muscle and joint aches, nausea, and fatigue. In a small proportion, less than 1%, the virus affects the nervous system, leading to the more severe West Nile neuroinvasive disease that can cause neck stiffness, disorientation, tremors, convulsions, paralysis, and even death.

Aedes albopictus and Aedes aegypti mosquitoes, which transmit WNV, are currently circulating in Texas and remain active in much of Texas into November and December.

As of August 9, 2023, no U.S. FDA-approved WNV vaccines are available.

Aug 9, 2023 • 10:52 am CDT
WHO Aug 9, 2023

The World Health Organization (WHO) today reported a steady increase in the proportion of SARS-CoV-2 coronavirus variant EG.5 reported, and based on its characteristics, EG.5 may spread globally & cause a surge in COVID-19 cases.

However, as of August 9, 2023, while EG.5 has shown increased prevalence, growth advantage, and immune escape properties, there have been no reported changes in COVID-19 severity to date.

Based on the available evidence, the public health risk posed by EG.5 is evaluated as low globally, aligning with the risk associated with XBB.1.16 and the other currently circulating variants of interest.

During epidemiological week #29 (17 to July 23, 2023), the global prevalence of EG.5 was 17.4%.

This is a notable rise from the data reported four weeks prior (week 25, 19 to June 25, 2023), when the global prevalence was 7.6%, wrote the WHO.

Aug 8, 2023 • 12:12 pm CDT
from Pixabay

The U.K. Health Security Agency (UKHSA) today announced the Joint Committee on Vaccination and Immunisation (JCVI) published its new advice regarding persons eligible for COVID-19 booster vaccination in autumn 2023.

Announced on August 8, 2023, the JCVI considers it appropriate to offer COVID-19 vaccines to all adults aged 65 years and over.

From autumn 2023, JCVI additionally advises that a primary course COVID-19 vaccination for persons who have not had any COVID-19 vaccines before should consist of a single dose. 

Professor Wei Shen Lim, Chair of COVID-19 immunization on the JCVI, said in a press release, "The autumn booster program will continue to focus on those at greatest risk of getting seriously ill."

"It is important that everyone eligible takes up a booster this autumn – helping to prevent them from hospitalizations and deaths arising from the virus over the winter months."

Specifically, the JCVI published the following sub-groups:

  • residents in a care home for older adults
  • all adults aged 65 years and over
  • persons aged six months to 64 years in a clinical risk group, as laid out in the Immunisation Green Book, COVID-19 chapter (Green Book)
  • frontline health and social care workers
  • persons aged 12 to 64 years who are household contacts (as defined in the Green Book) of people with immunosuppression
  • persons aged 16 to 64 years who are carers (as defined in the Green Book) and staff working in care homes for older adults.

Dr. Mary Ramsay, Director of Public Health Programmes at the UKHSA, commented, #The booster is being offered to those at higher risk of severe illness, and by taking up the booster vaccine this autumn, you will increase your protection ahead of winter, when respiratory viruses are typically at their peak."

To optimize protection over the winter months, the JCVI advises that the autumn program should aim to complete vaccinations by early December 2023, mindful that vaccine protection is highest in the first 3 months following vaccination. 

COVID-19 vaccine effectiveness rates in the U.K. are posted at this link.

Aug 8, 2023 • 9:23 am CDT
from Pixabay

Novavax, Inc. today announced its operational highlights for the second quarter ended June 30, 2023. 

"During the first half of 2023, Novavax has been focused on execution, making significant progress on all three of our key priorities. We have initiated the filing for authorization of our updated XBB COVID vaccine in the U.S., with submissions in the European Union and Canada to follow. We are manufacturing at commercial scale in support of our plan to deliver our vaccine on time for the fall season," said John C. Jacobs, President and Chief Executive Officer, Novavax, in a press release on August 8, 2023.

"We continue to work towards deriving additional value from our pipeline and technology and will be advancing our COVID-Influenza Combination vaccine candidate through the next stage gates and towards late-stage development."

Novavax also received first Full Marketing Authorization in Europe for Nuvaxovid™ as a primary series in individuals aged 12 and older and as a booster in adults aged 18 and older.

Since authorization, Nuvaxovid™, a protein-based vaccine, has been distributed in about 40 markets.

On July 11, 2022, Novavax announced an agreement with the U.S. HHS to secure 3.2 million doses of Novavax's COVID-19 vaccine.

And the company initiated the rolling submission of a U.S. Biologics License Application for full approval of the Novavax COVID-19 Vaccine, Adjuvanted for adults and adolescents aged 12 through 18.

Aug 8, 2023 • 7:30 am CDT
ECDC dengue map August 2023

Local media today reported the People's Republic of Bangladesh's Directorate General of Health Services (DGHS) confirmed the total death toll has reached 293 during the dengue outbreak in 2023.

As of August 8, 2023, this data exceeds the previous record of 281 dengue-related deaths reported in Bangladesh during 2022.

The total dengue cases increased to over 59,000 in early August 3, with around 32,562 cases reported from the capital city of Dhaka.

According to the U.S. Centers for Disease Control and Prevention (CDC), dengue is a vaccine-preventable, vectorborne infectious disease and is endemic in about 125 countries in 2023.

In the U.S., Florida has reported both locally-acquired and travel-related dengue cases in 2023.

As of August 3, 2023, the U.S. States reported 225 dengue cases, and U.S. Territories reported 315 this year.

To alert international travelers, the CDC has recently issued Travel Health Notices regarding dengue outbreaks in the Americas, Africa/Middle East, Costa Rica, and Asia/Pacific Islands. 

Worldwide, two dengue vaccines are in use, but access is limited.

Aug 7, 2023 • 1:57 pm CDT
from Pixabay

GSK Canada recently announced that Arexvy (respiratory syncytial virus (RSV) vaccine - recombinant, AS01E adjuvanted) was approved in Canada for preventing lower respiratory tract disease caused by RSV in individuals 60 and older.

Arexvy's availability in Canada is expected ahead of the 2023/24 peak RSV season, which is during the winter.

Previous RSV vaccine authorizations have been issued in Europe, the USA, and the U.K.

Marni Freeman, Country Medical Director, GSK, said in a press release on August 4, 2023, "With the approval of Arexvy, we are excited to be able to offer an option to help protect the nearly 10 million Canadians aged 60 and older who are at risk of RSV disease."

"We're hopeful that with a vaccine now available for older Canadians, the virus' burden on our healthcare system will also be dramatically improved."

"We look forward to working with provincial, territorial, and national health authorities to ensure older Canadians at greatest risk of RSV infection can access the vaccine."

RSV is a common, contagious virus that affects the lungs and respiratory airways. The virus can affect all ages, but the impact of RSV in older adults is significant.

RSV is a seasonal respiratory virus generally identified first in Florida each year.