Coronavirus Breaking News

The coronavirus disease COVID-19 is currently reaching pandemic levels in various countries.

Apr 5, 2024 • 3:16 pm CDT
by Tung Lam

According to an article written by Adam Tooze, in a world of polycrisis, in which intersecting problems compound each other and there are few easy wins, it is all the more important to recognise those policy choices that are truly obvious.

Funding vaccine development is one such investment. 

Published by The Financial Times on April 1, 2024, this opinion article says modest expenditures on public health have saved tens of millions of lives, reduced morbidity, and allowed children around the world to develop into adults capable of living healthy and productive lives. 

The complete, unedited article is posted at this link.

Apr 5, 2024 • 12:42 pm CDT
GPEI polio case map April 2, 2024

The reliable and timely detection of poliovirus cases is a critical component of polio eradication programs wrote the U.S. CDC.

Since 1988, the number of polio cases caused by wild poliovirus (WPV) has declined by 99.9%, and eradication of WPV serotypes 2 and 3 has been certified.

On April 4, 2024, a new Morbidity and Mortality Weekly Report confirmed only WPV1 continues to circulate, and transmission remains endemic in Afghanistan and Pakistan.

During 2022–2023, among 28 priority countries, 71.4% met national surveillance indicator targets, and the number of environmental surveillance sites increased.

However, the CDC says that maintaining high-quality surveillance is critical to increasing this rate and achieving the goal of global polio eradication.

To strengthen the fight against polio, health ministers from across the WHO Eastern Mediterranean Region gathered in late March 2024 for the 10th meeting of the Regional Subcommittee on Polio Eradication and Outbreaks.

"One of my key priorities as your Regional Director is to strengthen our region's public health capacities so that you have all the tools not only to end the transmission of polio but also to ensure that polio can indeed never make a comeback," commented Dr. Hanan Balkhy in a media release.

Another component of polio eradication is vaccinations.

According to the CDC, two types of polio vaccines are in use in 2024.

While the inactivated (killed) polio vaccine is offered in clinics and pharmacies in the U.S., over 1 billion novel oral polio vaccinations have recently occurred.

The nOPV2 vaccine has been offered in more than 35 countries worldwide. 

The nOPV2 vaccine is being deployed under the WHO's pre-qualified Emergency Use Listing procedure, the first use for a polio vaccine.

Apr 4, 2024 • 3:41 pm CDT
UKHSA measles case trends April 4, 2024

Throughout the global measles outbreak in 2024, about 49 countries have reported cases. 

Unfortunately, the United Kingdom is rapidly becoming a leader.

On April 4, 2024, the U.K. Health Security Agency (UKHSA) reported 269 measles cases in January 2024, 231 in February, and 224 (to date) in March 2024.

In total, there have been 934 measles cases since October 2023.

About 54% of these cases have been in the West Midlands and 21% in London.

Dr. Vanessa Saliba, UKHSA Consultant Epidemiologist, offered these insights in a press release, "We are continuing to see measles cases in all regions of England, with cases particularly high in the West Midlands and London, so it is vital that two doses of the MMR vaccine fully protect people."

"It only takes one case to get into a community with low vaccination rates for measles to spread rapidly, especially in schools and nurseries."

"We know that hundreds of thousands of children around the country, particularly in some inner-city areas, are still not fully vaccinated and are at risk of serious illness or life-long complications, but measles is completely preventable with vaccination."

Worldwide, the U.S. Centers for Disease Control and Prevention listed the top ten international measles outbreaks as of March 12, 2024, led by Kazakhstan (21,740), followed by Azerbaijan, Yemen, and India. 

To alert international travelers, the CDC republished a global Watch-Level 1, Practice Usual Precautions, Travel Health Notice on March 22, 2024,  identifying measles outbreaks in numerous countries.

In the United States, Chicago, Illinois, continues leading the measles outbreak in 2024.

As of April 3, 2024, Illinois has reported 56 measles cases this year, including the Chicago Department of Public Health (53) measles cases.

In the U.S., measles vaccines are generally available at clinics and community pharmacies.

Apr 4, 2024 • 11:49 am CDT
Morris & Dickson website 2024

Morris & Dickson today announced it became the first U.S. commercial distributor of the JYNNEOS® vaccine. This second-generation vaccine is U.S. FDA-approved to prevent mpox and smallpox disease.

On April 3, 2024, Morris & Dickson confirmed receiving the first U.S. shipment of JYNNEOS vaccines.

This vaccine must be safely stored at minus 20 degrees Celsius. Morris & Dickson's state-of-the-art distribution techniques feature this storage and transport capability.

"We are proud to be a key partner in expanding access to this first-to-market vaccine," says Layne Martin, CEO of Head of Specialty at Morris & Dickson, in a press release

"JYNNEOS meets a critical public health need and helps ensure equitable access to healthcare, which in turn helps significantly prevent the spread of mpox to at-risk populations."

As of April 2024, U.S. healthcare providers in the U.S. can order JYNNEOS to make it available for at-risk individuals at local pharmacies and physician offices in addition to public health clinics.

In 2023, the U.S. CDC confirmed that the effectiveness of the JYNNEOS vaccine against mpox ranges from 36% to 75% after one dose and 66% to 89% for two doses. As of 2024, third-dose boosters have not been clinically approved.

Founded in 1841, Morris & Dickson is now approaching $6 billion in annual sales, making it the industry's largest independently owned full-line distributor. Independent pharmacies in the U.S. rely on Morris & Dickson for quick responses and straightforward business practices.

Since the global mpox outbreak began in early May 2022, more than 32,000 cases have been reported in the U.S., representing a third of all cases reported worldwide.

Bavarian Nordic's JYNNEOS (MVA-BN®, IMVAMUNE®) vaccine is available in various countries.

Apr 4, 2024 • 9:47 am CDT
WHO influenza vaccine administration timing map 2024

As influenza vaccine producers prepare for the 2024 - 2025 flu season, innovative vaccine candidates are progressing in clinical research, focused on enhancing efficacy and safety.

CureVac N.V. today announced interim data from an ongoing Phase 2 study, which is part of the combined Phase 1/2 study of its seasonal influenza vaccine candidate.

The purpose of this clinical trial (NCT05823974) is to find and confirm the dose and asses the reactogenicity, safety, and immune response of GlaxoSmithKline's (GSK) messenger RNA (mRNA)-based multivalent seasonal influenza vaccine (GSK4382276A) candidates administered in healthy younger and older adults.

Results from the planned interim analysis showed that the multivalent vaccine candidate using CureVac's proprietary second-generation mRNA backbone boosted antibody titers against all encoded flu strains and across all age groups and tested dose levels, including the lowest tested dose.

"The Phase 2 interim data show that CureVac's highly effective and flexible mRNA technology platform puts us on the right track to advance our joint seasonal influenza vaccine program," said Dr. Myriam Mendila, Chief Development Officer of CureVac, in a press release on April 4, 2024.

"Results regarding influenza A strains were strong. Immunogenicity for B strains was also in line with our expectations in view of other initial mRNA-based clinical flu development programs."

"We are confident that planned optimizations will improve performance against these historically challenging influenza strains."

The multivalent candidate was selected from a comprehensive Phase 1 part, which tested vaccine candidates with up to eight separate mRNA constructs per candidate.

It was designed for broad antigen coverage, encoding antigens that matched all World Health Organization (WHO) recommended flu strains.

The WHO says flu shot campaigns should be timed according to local conditions.

Countries are encouraged to analyze local surveillance information to assess their seasonality pattern at both national and subnational levels, as appropriate, to make evidence-based decisions on the timing of vaccination campaigns.

Apr 4, 2024 • 8:21 am CDT
WHO Lassa Fever outbreak - Nigeria - 2023

An advanced vaccine candidate for the Lassa fever virus (LASV) today announced the start of its second phase of clinical trials.

This is a significant development, as no approved vaccines for LASV are currently available.

The trial sponsor, International AIDS Vaccine Initiative (IAVI), a nonprofit scientific research organization, confirmed in a press release on April 4, 2024, that participants at HJF Medical Research International in Nigeria had been vaccinated in the first Phase 2 clinical trial of the vaccine candidate rVSV∆G-LASV-GPC.

The IAVI C105/PREVAIL15 study began on March 4, 2024, and is expected to enroll over 600 people in Nigeria, Ghana, and Liberia, with results expected in 2025.

As of March 2024, 27 states in Nigeria have reported at least one confirmed case of LASV.

The vaccine has been developing since 2018 and has been supported and funded by CEPI and the European & Developing Countries Clinical Trials Partnership.

According to IAVI, rVSV∆G-LASV-GPC uses the same recombinant vesicular stomatitis virus vector platform as ERVEBO®, the single-dose Zaire ebolavirus vaccine licensed in North America, Europe, and various African countries.

“Continued outbreaks of Lassa fever and the emergence of Ebola Sudan in Uganda both underscore the need to have vaccines for known disease threats available for evaluation and use during outbreak situations – the overarching goal of IAVI’s emerging infectious disease program,” stated Swati Gupta, DrPH, MPH, vice president and head of emerging infectious diseases and epidemiology, IAVI.

The virus causes acute viral hemorrhagic illness and results in approximately 5,000 deaths and 300,000 illnesses in West Africa each year.

Furthermore, LASV has been included in the World Health Organization's R&D Blueprint of priority pathogens for which accelerated research and development and countermeasures are urgently needed.

In addition to rVSV∆G-LASV-GPC, several other LASV vaccine candidates are conducting clinical research in 2024.

Apr 3, 2024 • 9:21 am CDT
by Keith Riess

As of April 2024, it remains unclear how long the immune response from mpox vaccination lasts and whether prior smallpox vaccination impacts it.

A recent study assessed the level of antibodies one year after vaccination with JYNNEOS® (MVA-BN®, IMVAMUNE®).

Announced at the European Congress of Clinical Microbiology and Infectious Diseases on March 30, 2024, this abstract indicates that people who had received smallpox vaccination during childhood and had pre-existing immunity showed high levels of antibodies generated by mpox vaccine, which remained high in almost all cases.

The authors suggested in a press release that the decrease in antibodies over time following MVA-BN vaccination may be attributable to its composition.

They stated, "The first and second-generation smallpox vaccines contained replication-competent vaccinia virus. MVA-BN is based on non-replicating virus, which may impact the strength and duration of the immune response, with the advantage of a low risk of side effects."

They add, "Regarding the potential necessity for a booster, it is premature to draw such conclusions. It is unclear how waning antibody levels relate to protection. Immunity also involves other elements, such as T-cell responses."

"Comprehensive clinical monitoring over time, which connects infection rates with antibody levels, is required to make informed decisions about booster vaccination protocols."

Bavarian Nordic A/S, the producer of JYNNEOS, the only FDA-approved mpox vaccine, recently announced that the mpox vaccine is commercially available in the U.S. at clinics and pharmacies.

The standard U.S. FDA regimen for JYNNEOS involves a subcutaneous administration with two injections of 0.5mL four weeks apart.

Note: The study is presented by Ph.D. student Dr. Marc Shamier, Erasmus MC, Rotterdam, Netherlands, from a research team led by Dr. Rory de Vries. No industry conflicts of interest were disclosed.

Apr 3, 2024 • 7:26 am CDT
US CDC polio case map January 2024

 

As polio eradication campaigns are highlighted worldwide, a new collaboration intends to support India's effort to create a polio-free country.

Bharat Biotech, the largest manufacturer of oral polio vaccines, and Bilthoven Biologicals B.V. (BBio), a wholly owned subsidiary of Serum Institute of India Private Limited, announced a collaboration to strengthen the production and supply security of Oral Polio Vaccines (OPV) further.

Through this collaboration, confirmed on April 2, 2024, BBIL and BBio will jointly obtain the regulatory approvals and licenses required to commercially manufacture OPVs in India for global supplies from drug substances manufactured in the Netherlands at BBio.

Dr. Krishna Ella, Executive Chairman of Bharat Biotech, commented in a press release, "Oral polio vaccines have been an integral part of the Govt of India's Universal Immunisation Program for several decades, with Bharat Biotech being one of the largest suppliers to immunization programs across the world."

"This collaboration between BBIL and BBio exemplifies cooperation between vaccine companies, ensuring a secure supply of oral polio vaccines and fortifies the nation's mission to eradicate polio."

According to the U.S. CDC's Global Polio Travel Health Advisory issued in January 2024, about 31 international destinations are at risk for circulating poliovirus.

The CDC says that before visiting any at-risk destination, adults who have previously completed the full, routine polio vaccine series may receive a single, lifetime booster dose of the polio vaccine.

In the U.S., polio vaccines are offered at clinics and community pharmacies.

 

Apr 2, 2024 • 9:54 am CDT
Longhorn Vaccines and Diagnostics 2024

Longhorn Vaccines and Diagnostics today announced it is presenting a poster at the World Vaccine Congress on a mice study that examined LHNVD-110, a novel, unconjugated single peptide vaccine candidate comprised of multiple epitopes to broadly target human and influenza viruses. 

According to the Company's press release on April 2, 2024, results from the poster show that LHNVD-110 generated broadly reactive antibodies to human and highly pathogenic avian influenza (HAPI) viruses while neutralizing seasonal and pandemic influenza strains.

The Company says using a single peptide provides a more cost-effective and easily scalable approach to such a universal influenza vaccine.

In this study, Longhorn examined mice that were immunized intramuscularly with a low dose (2 µg) and high dose (20 or 40 µg) of LHNVD-110, an unconjugated composite influenza peptide vaccine with multiple highly conserved epitopes of HA, NA, and matrix (M1/M2/M2e), including a universal T cell epitope.

Two booster immunizations were given on days 21 and 35. Isotype specific IgG titers to composite peptides, individual epitopes, and multiple strains of influenza A (H1N1, H3N2, H5N1), and B (Yamagata, Victoria) were analyzed by an enzyme-linked immunosorbent assay, known as ELISA.

This data mirrors previous studies with LHNVD-105, a dual peptide vaccine containing the same epitopes.

"We are studying a single peptide universal influenza vaccine because we believe it could deliver a cost-effective strategy towards formulation and manufacturing and provide immunity against human and avian influenzas," said Longhorn Vaccines and Diagnostics CEO Gerald W. Fischer, MD, in a press release.

"We are expediting IND-enabling studies of LHNVD-110 to prepare for human clinical trials."

The Company wrote, 'While traditional influenza vaccines protect against specific strains predicted for circulation during the upcoming flu season, this often leads to mismatches and variable effectiveness. That is why peptide-based vaccines with broad strain coverage may offer useful strategies for preventing influenza, no matter the strain.'

LHNVD-110 is also formulated with the AddaVax™ adjuvant from InvivoGen.

Apr 2, 2024 • 5:29 am CDT
by Gerd Altmann

As the COVID-19 pandemic wanes, upcoming vaccination campaigns will focus on consumer choice in selecting updated vaccines. As of April 2, 2024, the World Health Organization has Listed 13 COVID-19 vaccines.

On April 3, Novavax, Inc. will host a panel discussion, "The Future of COVID-19 Vaccinations," featuring Dr. Robert Walker, the Chief Medical Officer.

This innovative discussion will explore the advantages of creating broadly protective antigens or combination vaccines.

It will showcase continued progress on data from Novavax's updated protein-based COVID-19 vaccine (NVX-CoV2601) with its Matrix-M™ adjuvant and provide an overview of its influenza and COVID-19-Influenza Combination (CIC) vaccine candidates at the World Vaccine Congress 2024 (WVC) in Washington, DC.

New data from Novavax's ongoing research on its updated XBB.1.5 COVID-19 vaccine in participants who previously received an mRNA vaccine showed robust neutralizing antibody titers for the XBB.1.5 subvariant and for the currently circulating JN.1 subvariant. Data also showed that the vaccine's safety and reactogenicity profile was consistent with its prototype vaccine (NVX-CoV2373).

Additionally, Novavax will discuss its influenza and CIC vaccine candidates, including a recap of data to date and the timeline for the Phase 3 trial, which is anticipated to start in the second half of 2024.

COVID-19 vaccines and flu shots are offered at most pharmacies in the U.S.

Furthermore, adults without health insurance and adults whose health insurance does not cover all COVID-19 vaccine costs at an in-network provider can get updated COVID-19 vaccines at a pharmacy for free through the U.S. CDC's Bridge Access Program.

Apr 1, 2024 • 3:49 pm CDT
by Mircea Lancu

A recent analysis of data from a nationwide health survey reveals "concerning" disparities in human papillomavirus (HPV) vaccine uptake among adults. 

More than 84% of the 9,440 people aged 27 to 45 years involved in a national sample published by the journal Human Vaccines & Immunotherapeutics on March 27, 2024, had yet to receive a cancer-prevention HPV vaccine.

The lowest vaccine uptake was observed among men, people of Hispanic heritage, and those with lower educational levels. 

Specifically, women had over three times greater odds (aOR = 3.58; 95% CI 3.03, 4.23) of HPV vaccine uptake than men.

Dr. Osazuwa-Peters, who led a team of specialists from institutions, commented in a press release on March 28, 2024, "For oropharyngeal cancer, about 75% of new cases are in males."

"As oral HPV is the primary cause of HPV-associated oropharyngeal cancer, providing the HPV vaccine to middle-aged individuals is undoubtedly an essential strategy for decreasing the risk of infection, persistence, and eventual HPV-associated oropharyngeal malignancy.  
 
"While the population benefit of the HPV vaccines in preventing oropharyngeal cancer may not be realized until years later, there are ongoing clinical trials to establish that the current vaccines are effective in the prevention of oral HPV infection."  

HPV is a common sexually transmitted virus that can cause cancers later in life, such as cervical, oropharyngeal, anal, penile, vaginal, and vulvar. 

Various HPV vaccines are approved and available worldwide in 2024.

Apr 1, 2024 • 2:43 pm CDT
Singapore National Dengue Prevention Campaign 2024

According to the World Health Organization, Dengue is endemic in over 100 countries in 2024, including the Republic of Singapore.  

Singapore's National Environment Agency (NEA) today announced it launched the National Dengue Prevention Campaign 2024 ahead of the traditional peak dengue season, which is from May to October.

Over 5,000 dengue cases were reported in the first quarter of 2024, more than double the 2,360 cases reported in the same period in 2023.

As of March 2024, seven dengue deaths due to local dengue infection have been notified in Singapore.

On March 31, 2024, Senior Parliamentary Secretary for Sustainability and the Environment, Mr. Baey Yam Keng, urged collective responsibility and action to fight dengue amidst the ongoing dengue situation.

The Aedes aegypti mosquito population has also remained high, with the number of breeding habitats found at residential premises in January 2024 double that of January 2023.

Our population in Singapore also has low immunity to all four Dengue virus serotypes. The continued presence of all these dengue risk factors may lead to a surge in dengue cases in the coming months if insufficient action is taken, commented Mr. Baey Yam Keng.

NEA will also continue to combat dengue with Project Wolbachia. Regular genetically modified mosquito releases could help mitigate dengue outbreaks, complementing local community efforts to prevent mosquito breeding.

To alert international travelers, the U.S. CDC issued a Travel Health Notice regarding dengue outbreaks in the Asia/Pacific Islands (February 9, 2024). 

Dengue is a mosquito-transmitted disease that can be prevented with a U.S. FDA vaccine.

Apr 1, 2024 • 2:05 pm CDT
UKHSA - Research and analysis - measles epidemiology - March 28, 2024

Measles outbreaks are an ongoing health risk worldwide, including in the United Kingdom (U.K.).

The U.K.'s health agency recently confirmed a significant increase in measles cases across England, primarily in the West Midlands, driven by cases in Birmingham.

The U.K. Health Security Agency (UKHSA) reported data from October 2023: 868 laboratory-confirmed measles cases had been reported in England as of March 28, 2024.

There were 182 newly confirmed measles cases with a date of onset in the past four weeks (since February 26).

The highest number of cases continue to be reported from the West Midlands (34%), followed by London (33%), North West (10%), East Midlands (8%), and East of England (6%).

Dr. Vanessa Saliba, UKHSA Consultant Epidemiologist, commented in a UKHSA press statement, "We are continuing to see measles cases in the West Midlands, with numbers in London increasing in recent weeks and smaller clusters in other regions."

"This serves as a reminder of the importance of MMR vaccination."

"It only takes one case to get into a community with low vaccination rates for measles to spread rapidly, especially in schools and nurseries. We know that hundreds of thousands of children around the country, particularly in some inner-city areas, are still not fully vaccinated and are at risk of serious illness or life-long complications."

"Still, measles is completely preventable with vaccination."

On March 22, 2024, the U.S. CDC updated its global measles travel advisory, listing 49 countries. Measles spreads rapidly and may become a risk to travelers in places not included on the list above.

However, the U.K. was not included on this CDC list.

As of April 1, 2024, the CDC recommends all travelers are fully vaccinated against measles when traveling to any international destination.

Mar 31, 2024 • 6:24 am CDT
by Ingela Skullman

Although human infections with Avian Influenza HPAI A(H5N1) virus (Bird Flu) are rare, having unprotected exposure to any infected animal poses a risk of infection. 

The U.S. Centers for Disease Control and Prevention (CDC) issued guidelines on March 29, 2024, to prevent exposure to this virus.

These guidelines include using personal protective equipment, testing, antiviral treatment, patient investigations, monitoring exposed individuals, and administering antiviral chemoprophylaxis to those who have been exposed.

Currently, the CDC considers the human health risk to people in the U.S. from Bird Flu viruses to be low.

These CDC recommendations are based on information available as of March 2024 and will be updated as necessary when new information becomes available.

Influenza A viruses infect birds' respiratory and gastrointestinal tracts, causing them to shed the virus in their saliva, mucous, and feces. Human infections with avian influenza A viruses can happen when enough virus gets into a person's eyes, nose, or mouth or is inhaled.

Illnesses in people from HPAI A(H5N1) virus infections have ranged from mild to severe disease, resulting in death, says the CDC.

As of March 31, 2024, the U.S. FDA approved bird flu vaccines for people, such as CSL Seqirus Inc. Audenz™ (aH5N1c), but they are not commercially available.

Additionally, the U.S. government has previously invested in developing various avian influenza vaccines and candidates.

Mar 30, 2024 • 8:17 am CDT
from Pixabay

Brazil's health officials are concerned about an unprecedented number of dengue cases reported in early 2024—more than one million. Traditionally, Brazil's dengue cases peak between March and May.

As reported by the AP, Brazil declared public health emergencies in Acre, Minas Gerais, Goias, and the Federal District in February 2024 to increase awareness.

According to the Municipal Health Secretariat of Rio de Janeiro, the "Against Dengue Every Day" campaign included the distribution of repellents, stickers, bandanas, and hats with warnings about the mosquito-transmitted disease.

Rio is a very popular vacation destination for events such as Carnival, receiving about 2 million foreign tourists.

The AP also reported that a section of Rio deployed the Wolbachia technique, also known as the Incompatible Insect Technique, and is seeing initial, positive results.

This biological method uses Wolbachia-infected mosquitoes to reduce the number of mosquitoes that spread vector-borne diseases. This method has been tested in the United States since 2016, initially in Miami, Florida.

In addition to genetically modifying local mosquitoes, Brazil has been offering dengue vaccinations.

Brazil became the first Latin American country to include the second-generation QDENGA® (TAK-003) vaccine in its public health system. The government plans to administer over 5 million doses in 2024.

This dengue vaccine does not require pre-admission testing.

To expand access, Biological E. Limited committed in February 2024 to manufacturing up to 50 million QDENGA doses annually, accelerating the vaccine's owner Takeda's ability to deliver 100 million doses annually by 2030.

As of March 30, 2024, QDENGA is unavailable in the United States.