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The U.S. Centers for Disease Control and Prevention (CDC) today announced two additional influenza-associated pediatric fatalities were reported last week.

A total of 145 pediatric flu fatalities have been reported during the 2022-2023 season as of April 28, 2023.

The previous peak in pediatric fatalities was 199 during the 2019-2022 flu season before the COVID-19 pandemic closed society.

And based on National Center for Health Statistics Mortality Surveillance data available on April 27, 2023, about 7.5% of the fatalities during the week ending April 22, 2023 (week #16) were due to pneumonia, influenza, and/or COVID-19.

Most influenza viruses tested are in the same genetic subclade and antigenically similar to the influenza viruses included in this season’s influenza vaccine.

These flu shots remain available at most community pharmacies in the U.S.

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U.S. CDC April 28, 2023
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The U.S. Food and Drug Administration (FDA) issued a letter today updating Pfizer Inc.'s COVID-18 vaccine authorization.

Addressed to Pfizer's Leslie Sands on April 28, 203, the new authorization for the Pfizer-BioNTech COVID-19 Vaccine, Bivalent for individuals six months through 4 years of age with certain types of immunocompromised, who have previously received three 0.2 mL doses (Pfizer-BioNTech COVID-19 Vaccine or Pfizer-BioNTech COVID-19 Vaccine, Bivalent):

  • a fourth dose administered at least one month following the most recent dose;
  • additional doses may be administered at the healthcare provider's discretion, considering the individual's clinical circumstances.

This issue was discussed during the U.S. CDC's Advisory Committee on Immunization Practices meeting on April 19, 2023.

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U.S. FDA letter April 28, 2023
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Mpox, Chlamydia, gonorrhea vaccines
Mpox, Chlamydia, Gonorrhea vaccine and treatment research April 2023
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The World Health Organization (WHO) published the 21st situation report for the multi-country outbreak of mpox. Issued on April 27, 2023, the report offers an update from the WHO Eastern Mediterranean region.

Since April 13, 2023, 183 new Mpox cases (0.2% increase in total cases) and 14 new related fatalities have been reported to WHO.

From January 2022 through April 24, 2023, a cumulative total of 87,113 laboratory-confirmed cases of mpox, including 130 fatalities, have been reported from 111 countries/territories/areas.

For example, the Nation recently reported Pakistan had confirmed its fifth Mpox case related to international travelers.

According to sources, on April 27, 2023, three passengers arrived in Karachi on two flights from UAE on April 26 and were having symptoms of Mpox.

Previously, two Mpox cases were detected in Islamabad, originating from travelers from Saudi Arabia.

In response, the Director General of Health Services Sindh issued directives to all government hospitals to establish isolation areas for Mpox patients.

Mpox is a vaccine-preventable disease, according to the U.S. CDC. Throughout the Mpox outbreak, Bavarian Nordic's JYNNEOS® (MVA-BN) vaccine has been offered in various countries, including the U.S.

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WHO Mpox map April 28, 2023
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In the United States, there remains a considerable burden of disease attributed to serotypes not included in currently approved pneumococcal conjugate vaccines.

To address this need, Pfizer Inc. today announced that the U.S. Food and Drug Administration (FDA) had approved PREVNAR 20® for the prevention of invasive pneumococcal disease (IPD) caused by the 20 Streptococcus pneumoniae serotypes contained in the vaccine in infants and children six weeks through 17 years of age.

And for preventing otitis media in infants six weeks through five years of age caused by the original seven serotypes contained in PREVNAR®.

"Today's FDA approval of our vaccine, PREVNAR 20, now offers parents the ability to help protect their children against 20 pneumococcal serotypes in circulation, which represent the majority of pneumococcal disease in U.S. infants and children," said Annaliesa Anderson, Ph.D., Senior Vice President and Chief Scientific Officer, Vaccine Research and Development, Pfizer, in a press release on April 27, 2023.

"This important PREVNAR 20 approval builds on more than 20 years of real-world impact with PREVNAR and PREVNAR 13, safety data, and effectiveness, highlighting Pfizer's leadership in developing groundbreaking pneumococcal conjugate vaccines to help protect infants and their families from life-threatening infections."

Pneumococcal vaccine news is posted by Precision Vaccinations.

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by Neil Dodhia
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A National Academies committee recently assessed the value of community-level wastewater surveillance in controlling infectious diseases beyond Covid-19, wrote a Perspective published by the NEJM on April 20, 2023.

Nearly 80% of U.S. households are connected to municipal wastewater collection systems that contain biological waste, including discharged pathogens, such as poliovirus, in New York.

To better understand this innovative, ubiquitous method of detecting the prevalence of infectious diseases, listen to an interview with Profs. Michelle Mello and Guy Palmer focused on wastewater surveillance.

The 14:19 audio interview is accessible at this link.

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USGS - Water Science School - April 2023
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In the shadow of COVID-19, the stage has been set for a global resurgence of one of the most contagious pathogens, measles.

Viruses are again flourishing, with measles poised for global resurgence, says William Moss, MD, director of the International Vaccine Access Center at the Johns Hopkins Bloomberg School of Public Health.

For example, India has recently reported 61,562 measles cases.

According to the U.S. Centers for Disease Control and Prevention (CDC), measles is a highly contagious, vaccine-preventable disease. About 90% of unprotected people will become infected when exposed to the measles virus.

Measles cases worldwide increased by about 80% during 2022 compared with 2021.

Recent measles outbreaks in Ohio and Kentucky have brought this concern back to the U.S.

In this Q&A written by Joshua Sharfstein, adapted from April 26, 2023, the Public Health On Call episode, Moss speaks with Josh Sharfstein, MD, about how significant setbacks in global vaccine coverage over the past few years have seeded the deadly threat of a measles resurgence. 

While wearing a face mask offers some protection from the highly transmittable virus, the CDC prioritizes vaccination.

Measles is a vaccine-preventable disease, with vaccination services offered at most clinics and community pharmacies in the U.S.

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by Bruno G.
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The Florida Health Department reported as of April 22, 2023, there had been 63 travel-associated dengue cases and two locally acquired dengue cases confirmed in 2023. 

Most of these dengue cases have been confirmed in greater Miami, Florida.

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

Overall, 2.8 million dengue cases were reported by 46 countries in the Americas in 2022, representing a two-fold increase from 2021.

From a protection perspective, two dengue vaccines have been authorized in various countries since October 30, 2022,

The World Health Organization, the U.S. Food and Drug Administration, and the U.K. Medicines and Healthcare Products Regulatory Agency recommend dengue vaccines should be given to persons living or visiting dengue-risk areas. 

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by Nali Wike
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