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Jun 12, 2023 • 1:50 pm CDT
U.S. Dept. of State Argentina map June 12, 2023

The U.S. Department of State today reissued its Level 1, Exercise Normal Precautions when visiting the Argentine Republic in 2023.

Published on June 12, 2023, this travel advisory is the highest rank issued by the State Department, indicating Argentina is a safe country to visit.

Prior to the recent pandemic, Argentina, which borders five different countries, and the Atlantic Ocean recorded a total of seven million tourists in 2019, ranking this scenic country 28th in the world.

To honor 200 years of diplomatic relations between the United States and Argentina, aircrew members from the Georgia Air National Guard and the Argentine Air Force made history when they jointly flew a C-130 Hercules aircraft to Argentina for use by the Argentine Air Force.

The Argentine Air Force said it plans to use the aircraft for disaster relief efforts and to support missions to Antarctica.

“This is the latest example of how our military cooperation has been an integral part of our strong friendship across 200 years of relations,” U.S. Ambassador Marc R. Stanley said in a press release on June 5, 2023.

If you decide to travel to Argentina, enroll in the Smart Traveler Program to receive alerts in case of an emergency.

The authorities in Argentina set and enforce entry rules. If you’re unsure how these requirements apply to you, contact the local embassy or consulate.

The U.S. Embassy in Buenos Aires is located at Av. Colombia 4300, (C1425GMN) Buenos Aires. U.S. citizens with emergencies while visiting Argentina can call: +(54-11) 5777-4354.

From a health perspective, the U.S. CDC included Argentina in its April 2023 advisory regarding dengue fever outbreaks in the region.

Argentina recently authorized the QDENGA® dengue vaccine for use.

Jun 12, 2023 • 12:22 pm CDT
by Hajnalka Mahler

Vaccitech plc today announced the dosing of the first patient in the PCA001 multi-center, Phase 1/2 clinical trial designed to determine the recommended Phase 2 regimen and evaluate the safety, efficacy, as measured by prostate-specific antigen (PSA) response, and T cell response of VTP-850 monotherapy in men with rising PSA after definitive local therapy for their cancer disease.

VTP-850 is a next-generation prostate cancer immunotherapeutic candidate which utilizes Vaccitech’s sequential dosing approach of two proprietary nonreplicating viral vectors, ChAdOx and MVA. 

“VTP-850 encodes four prostate cancer antigens and is designed to induce a broader T cell response to tumor cells,” said Dr. Meg Marshall, Chief Medical Officer of Vaccitech, in a press release on June 12, 2023.

“When the immune system targets multiple molecules on tumor cells, it is generally harder for tumor cells to escape destruction by the immune system.”

In the U.S., about 13% of men will get prostate cancer during their lifetime.

Jun 12, 2023 • 9:37 am CDT
U.S. FDA June 12, 2023

The U.S. Food and Drug Administration (FDA) today published a Briefing Document regarding the selection of strain(s) to be included in the Periodic Updated COVID-19 Vaccines for the 2023-2024 vaccination campaign.

The FDA confirmed that the Vaccines and Related Biological Products Advisory Committee (VRBPAC) will meet in an open session on June 15, 2023, to discuss and recommend COVID-19 vaccine selection.

As noted in section 3.2, XBB sublineages accounted for about 95% of the circulating virus variants in the U.S. by early June 2023.

The FDA wrote the totality of available evidence suggests that a monovalent XBB-lineage vaccine is warranted.

And given the current state of naturally acquired, vaccine-induced, and hybrid (combined natural infection in the setting of at least one COVID-19 vaccination) immunity in the U.S. population, FDA suggested that each of the authorized bivalent vaccines moves to a single dose for most individuals, with additional doses for the very young, those 65 years and older, and individuals with certain kinds of immunocompromise.

Jun 12, 2023 • 6:36 am CDT
by Alexander Fox

The Florida Department of Health in Orange County (DOH-Orange) alerted residents on June 6, 2023, of an increase in mosquito-borne disease activity in areas of Orange County, and the risk of transmission to humans has increased.

Several sentinel chickens from a single flock tested positive for Eastern Equine Encephalitis Virus (EEE) infection.

According to the U.S. CDC, only a few cases of EEE are reported in the United States each year.

Approximately 30% of people with EEE die, and many survivors have ongoing neurologic problems.

There are no vaccines to prevent or medicines to treat EEE. 

Orange County Mosquito Control and DOH-Orange continue surveillance and prevention efforts.

As of the 2020 census, Orange County's population was 1,429,908, making it Florida's fifth most populous county. 

The Department continues to conduct statewide surveillance for mosquito-borne illnesses, including West Nile virus infections, Eastern equine encephalitis, St. Louis encephalitis, malaria, chikungunya and dengue.

Furthermore, Miami-Dade County has been on alert for these diseases in 2023.

Jun 11, 2023 • 9:35 am CDT
by Q K from Pixabay

The U.S. Transportation Security Administration (TSA) recently reported passenger screening at airports throughout the U.S. has been similar to 2019.

As of June 8, 2023, the TSA successfully screened over 2.2 million travelers at 200 airports each day this month.

Furthermore, the TSA reported its PreCheck® services to continue empowering an expedited screening process.

In May 2023, 89% of TSA PreCheck® passengers waited less than 5 minutes. And children 17 and under can join adults when TSA PreCheck appears on the child’s boarding pass.

And air travelers with disabilities with TSA PreCheck® on their boarding passes will receive on-person screening when screened in a standard lane for any reason. 

Jun 11, 2023 • 8:56 am CDT
WHO mpox map June 5, 2023

The World Health Organization (WHO) today published its External Situation Report #24 regarding the multi-country outbreak of mpox. In the last two weeks, there have been around 275 new mpox cases each week.

The mpox vaccination status of these individuals was not disclosed.

As of June 10, 2023, the WHO confirmed the updated epidemic curves suggest that the mpox outbreak that began in May 2022 continues with low levels of transmission in the European and Americas Regions, have slightly decreased in the Western Pacific, and increased cases in South-East Asia.

In the African Region, where mpox transmission is more continuous, an increase in the number of cases for the most recent weeks was observed. 

Other key epidemiological findings include, but are not limited to, the following:

As of early June 2023, 96.2% of mpox cases with available data are men, with a median age of 34.

Among cases with information available, 84.1% have self-identified as gay, bisexual, and other men who have sex with men.

Of all reported modes of transmission since the start of the outbreak, skin and mucosal contact during sex has been the most reported (82%).

And cases where at least one symptom is reported, the most common symptom is any rash, reported in 80.6% of cases, followed by fever and systemic rash or genital rash.

The WHO wrote it is essential to note that mpox can affect anyone, and getting vaccinated (JYNNEOS®, MVA-BN), monitoring for symptoms, testing if you think you have mpox and openly discussing mpox with sexual partners are vital strategies to minimize risk.

Jun 10, 2023 • 5:36 pm CDT
CountryReports.org

The Association of Hotels and Tourism of the Dominican Republic (Asonahores) today announced it disagrees with the U.S. Department of State's recent Level 2: Exercise Increased Caution travel advisory.

Issued on June 6, 2023, this State Department travel advisory highlights an 'alleged increase in crime.'

According to Dominican Today reporting on June 10, 2023, there has been no evidence in recent months of any Dominican Republic that would motivate such action by the State Department.

'For our association, this alert comes as a surprise since the Dominican Republic continues to be one of the safest tourist destinations in the entire (Caribbean) region, considering the number of events per 100,000 foreign visitors.'

The Dominican Republic is the second largest and most diverse Caribbean country, located just two hours south of Miami, Florida.

The Dominican Republic reported over 621,000 visitors in May 2023, an 18% increase over May 2019.

CountryReports.org says ...Although influenced by North American values, the Dominican Republic maintains the Spanish tradition of familial solidarity.

Furthermore, the U.S. Embassy in the Dominican Republic has not issued a local security alert regarding civil unrest.

And the U.S. Centers for Disease Control and Prevention has not featured any disease outbreaks on the eastern end of Hispaniola.

However, there is a Caribbean region-wide dengue alert.

Note: Article updated on June 12, 2023, to include visitor reference data and link.

Jun 9, 2023 • 2:03 pm CDT
GPEI June 2023

Across the African Region, efforts continue to be intensified to reduce polio outbreaks, wrote the Global Polio Eradication Initiative (GPEI). 

As of June 7, 2023, Africa's largest polio vaccination drive since 2020 was launched, aiming to reach more than 21 million children. 

Simutantioly, the Democratic Republic of Congo (DRC) launched a campaign using the novel oral polio vaccine type 2 (nOPV2) with children. The nOPV2 vaccine has been deployed over 620 million times since 2021.

There were 14 polio cases in the DRC in 2023, and 146 patients were confirmed in 2022.

The GPEI also posted a summary of new polioviruses this week:

  • Afghanistan: one WPV1 case and five WPV1 positive environmental samples
  • Pakistan: two WPV1-positive environmental samples
  • Chad: two cVDPV2 cases
  • DRC: five cVDPV2 cases
  • Zambia: one cVDPV2 positive environmental sample

As of June 9, 2023, the U.S. CDC maintains it's Alert - Level 2, Practice Enhanced Precautions global polio travel alert.

The CDC says before any international travel, ensure you are up to date on your polio vaccines. Furthermore, the nOPV2 polio vaccine is not available in the U.S.

Jun 9, 2023 • 12:37 pm CDT
from Pixabay

The state’s Department of Fish and Game (ADF&G) recently confirmed the first moose to be diagnosed with rabies in Alaska.

On June 2, 2023, a moose was detected in and around the community of Teller, Alaska, and acting aggressively toward people. The moose was unbalanced, stumbling, drooling profusely, and had bare patches of skin.

ADF&G staff in Nome consulted with wildlife veterinarian Dr. Kimberlee Beckmen and dispatched the animal that afternoon due to its aggressive behavior and signs suggestive of rabies disease. 

Rabies virus in the brain was detected on June 5, 2023, by the Alaska State Virology Laboratory.

On June 6, the Centers for Disease Control and Prevention further confirmed the virus was an Arctic Fox rabies variant. This is the same variant circulating in red foxes during the outbreak in the Nome/Seward Peninsula and North Slope arctic foxes this past winter, suggesting the moose contracted the virus from a fox.

Due to this new case, ADF&G plans to increase rabies surveillance by testing all brain samples from wild mammals found dead or euthanized from regions with enzootic fox rabies, including Western Alaska, when feasible.

Due to the largely solitary nature of moose, it is doubtful that any rabies outbreak will occur in the moose population, but isolated cases such as this one occur rarely.

Moose that are killed by hunters on the Seward Peninsula that show normal behavior and no signs of any abnormality or illness should still be considered safe to consume, says ADF&G.

Rabies is a zoonotic infection found in more than 150 countries and territories, say the World Health Organization (WHO). Unfortunately, almost 60,000 people worldwide die from rabies annually. 

According to the WHO, rabies vaccination can prevent infections before and after exposure to the rabies virus.

On May 6, 2022, the U.S. CDC published: Using a Modified Preexposure Prophylaxis Vaccination Schedule to Prevent Human Rabies.

Jun 9, 2023 • 10:29 am CDT
ECDC dengue map May 2023

Filomeno Fortes, the Director of Portugal's Institute of Hygiene and Tropical Medicine, recently gave an interview on the importance of Takeda's QDENGA® vaccine against dengue, made available in Portugal in May 2023.

"The vaccine brings some innovation to the prevention of a disease that is considered by the World Health Organization (WHO) as one of the ten global threats to world health," commented Fortes.

Initially authorized in Indonesia in August 2022, QDENGA had been authorized as of June 9, 2023, in Argentina, Brazil, Europe, and the U.K.

In the U.S., the FDA is considering the authorization of QDENGA.

Since most dengue cases in the U.S. are travel-related, additional QDENGA authorization should reduce the incidence of this disease.

About 4 billion people live in areas with a risk of dengue.

For example, the Florida Health Department recently reported three additional travel-associated dengue cases, which increases the 2023 total to 80 patients.

In 2022, 903 travel-associated and 68 locally-acquired dengue cases were reported in Florida.

Dengue viruses are spread to people through the bite of an infected Aedes species mosquito, says the U.S. CDC. Dengue is often a leading cause of illness in at-risk areas.

Jun 9, 2023 • 8:05 am CDT
by Cheryl Holt

The U.S. Centers for Disease Control and Prevention (CDC) today published a Morbidity and Mortality Weekly Report that confirmed children and infants have been infected with the mpox virus.

From May 17 to December 31, 2022, the CDC reported that 45 children aged ≤12 years were diagnosed with mpox.

And three were less than one week old. These infants likely had perinatal exposures.

The vaccination status (JYNNEOS®) of these children was not disclosed.

The CDC stated on June 9, 2023, when caring for a child with mpox, direct contact with the child’s rash should be avoided, and gloves should be worn. In addition, postexposure prophylaxis (TPOXX®) should be considered for all household members.

On May 18, 2023, the CDC confirmed TPOXX might be used for non-variola orthopoxvirus infection (e.g., mpox) under a CDC-held Expanded Access Investigational New Drug Protocol for children weighing at least 3 kg.

However, mpox postexposure prophylaxis efficacy is unstudied.

Additional mpox research was updated in June 2023.

Jun 9, 2023 • 5:59 am CDT
by Gerd Altmann

WestVac Biopharma and West China Medical Center, Sichuan University, today announced Coviccine® Trivalent XBB.1.5-Recombinant COVID-19 Trivalent (XBB.1.5+BA.5+Delta) Protein Vaccine (Sf9 cell) was authorized by relevant authorities in China.

As of June 8, 2023, this is the first COVID-19 vaccine in the world authorized against XBB descendent lineages of the beta coronavirus SARS-CoV-2. 

WestVac leveraged the rapid response of the insect cell expression platform in constructing the vector for Coviccine, which is of high purity and high quality for human use.

The subunit vaccine antigen is designed based on the structure of the targeting S-RBD and HR proteins of the COVID-19 subvariants XBB.1.5 and BA.5 and self-assembled into stable trimeric protein particles with squalene-based oil-in-water emulsion adjuvant added after purification and mixing.

This novel adjuvant significantly raises the titer of neutralizing antibodies, enabling the trimeric protein vaccine to induce a higher T-cell immune response.

Recent studies have shown that Coviccine induced a high titer of neutralizing antibodies against multiple subvariants.

Previously, the WHO Technical Advisory Group on COVID-19 Vaccine Composition advised on May 18, 2023, that new formulations of COVID-19 vaccines should aim to induce antibody responses that neutralize XBB descendent lineages.

As of the end of May 2023, the XBB family of variants accounted for about 90% of infections in China.

And in the U.S., over 90% of all variants are from the XBB family.

Jun 8, 2023 • 2:58 pm CDT
by Jess Foami

CNBC reported today the U.S. FDA's Antimicrobial Drugs Advisory Committee voted 21-0 to recommend full approval for Beyfortus® (Nirsevimab) for infants and young children.

The FDA considers committee recommendations when finalizing its decisions.

Beyfortu has already been approved in Canada, Europe, and the United Kingdom.

Beyfortus is the first extended half-life monoclonal antibody offering passive immunization to prevent lower respiratory tract infections caused by the respiratory syncytial virus (RSV). 

AstraZeneca and Sanofi developed this RSV therapy.

This antibody therapy is not an RSV vaccine. The FDA recently approved two RSV vaccines for seniors.

Jun 8, 2023 • 12:30 pm CDT
from Pixabay

The U.S. CDC's Morbidity and Mortality Weekly Report published today indicates about 66% of mpox vaccine–eligible persons remained unvaccinated.

From May 2022–April 2023, a total of 748,329 first JYNNEOS® (MVA-BN) vaccine doses (of the two recommended) were administered in the United States.

During the initial months of the outbreak, lower vaccination coverage rates among racial and ethnic minority groups were reported.

Focusing on the racial and ethnic groups with more significant mpox vaccination shortfalls, prioritizing resources, and improving access to vaccination for these groups can reduce the overall shortfall in mpox vaccination while promoting health equity.

However, after the implementation of initiatives developed to expand access to mpox vaccination, coverage among racial and ethnic minority groups increased, stated the CDC on June 9, 2023.

Jun 8, 2023 • 11:33 am CDT
WHO Weekly epidemiological update on COVID-19 - June 8, 2023

The World Health Organization (WHO) today reported over 10,000 fatalities related to COVID-19 were reported in the last 28 days, a decrease of 47% compared to April 10 to May 7, 2023.

During this 28-day reporting period, 144 of 243 (59%) countries and territories reported at least one COVID-19 case.

The situation at the regional level shows decreases in COVID-19 cases and fatalities in all six WHO regions. 

Recently, the WHO and other authorities have announced their recommendations for updated COVID-19 vaccines for late 2023.

And the Forest plots displaying the effectiveness of COVID-19 vaccines against the Omicron variants are available on View-hub.org