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The U.S. Department of State updated its travel advisory to Level 3 for the Republic of Vanuatu, a nation in the South Pacific Ocean east of Australia comprising roughly 80 islands.

The advisory was updated due to infrastructure damage from a recent earthquake. Numerous buildings in Vanuatu sustained severe damage, and curfews are in effect in some areas.

On December 20, 204, U.S. citizens were advised to reconsider travel. The government's ability to provide emergency assistance to U.S. citizens in Vanuatu was limited, and departure options were disrupted.

The nearest U.S. Embassy is in Harbour City Road, Konedobu, Port Moresby, NCD, 121, Papua New Guinea.

Regarding departure options, Port Vila's Bauerfield Airport is reopening on December 22, 2024. Therefore, visitors should contact their airlines to confirm travel plans.

Enroll in the Smart Traveler Enrollment Program to receive Alerts and make locating you in an emergency easier.

And from a health perspective, the U'S. U'S writes, 'Ensure you are up-to-date on all routine vaccines before every trip. And some travel vaccines may be needed to protect visitors from chikungunya and dengue. These vaccines are offered at travel clinics and pharmacies in 2024.

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IS State Dept Dec. 2024
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The global outbreak of the Chikungunya virus continues into late 2024, impacting various Asian countries, such as India.

To alert international travelers, the U.S. Centers for Disease Control and Prevention (CDC) issued a Level 2 - Practice Enhanced Precautions, Travel Health Advisory, regarding outbreaks of Chikungunya in Maharashtra and Telangana, India.

On November 8, 2024, the CDC issued an advisory for Telangana, a region in India's south-central region with a population of about 35 million and millions of annual visitors from the U.S.

As of December 19, 2024, the CDC wrote, 'Vaccination against chikungunya is recommended for (eligible) adults traveling to a destination with a current Chikungunya outbreak.'

In addition to India, the CDC says Chikungunya outbreaks have occurred in countries in Africa, the Americas, Asia, Europe, the Caribbean, and throughout the Indian and Pacific Oceans.

Chikungunya disease is caused by the chikungunya virus and spread to humans through mosquito bites. According to the CDC, symptoms usually begin 3–7 days after an infected mosquito bite. Most people infected with the virus develop some symptoms.

While there is no specific treatment for Chikungunya in 2024, the CDC's Advisory Committee on Immunization Practices recommends a vaccine for some travelers.

Valneva SE's IXCHIQ® monovalent, single-dose, live-attenuated vaccine was the first vaccine approved to address Chikungunya infections. This innovative vaccine is commercially available at travel clinics and pharmacies in the U.S. IXCHIQ is also offered in numerous countries.

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US CDC chikungunya case map Dec. 19, 2024
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RSV mAbs offer infants extensive disease protection
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Lifecourse immunization is a public health priority and economic necessity
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With over 1.1. billion doses already delivered, the Global Health Technologies Coalition (GHTC) recently honored the novel oral polio vaccine type 2 (nOPV2) development consortium with its 2024 Innovating for Impact Award.

The GHTC awards, issued annually in December, recognize multisectoral partnerships and policymakers helping to transform breakthrough scientific research into lifesaving drugs, diagnostics, vaccines, and other health tools for unmet global health challenges.

Dr. Ananda Bandyopadhyay, Deputy Director of Technology, Research, and Analytics, Polio Team, Bill & Melinda Gates Foundation, commented in an announcement, "The fight against polio has always been a story of partnerships…So many countries, partners, and people came together to develop this vaccine. This nOPV2 journey is an example of pushing the boundaries of innovation and doing it as a global team."

nOPV2 is derived from the live, infectious virus and has been 'triple-locked' using genetic engineering to prevent it from producing mutations and causing paralysis. As a result, nOPV2 is reported to be more genetically stable than previous oral polio vaccines.

The WHO's SAGE recently recommended that, where feasible, the concomitant use of Inactivated polio vaccine (IPV) and nOPV2 be used for initial poliovirus outbreak response vaccination campaigns.

The IPV has been offered in the U.S. since 2000, while the nOPV2 has been provided in Africa in 2024.

Polio is a very contagious infectious disease that can lead to permanent paralysis. Worldwide polio cases have dropped by 99% since 1988 thanks to global vaccination efforts.

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Global Health Technologies Coalition Dec. 2024
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A shipment of 11,200 vaccine doses, donated by the United States of America, has been shipped to Abuja, Nigeria, to curtail the ongoing clade 1 mpox outbreak.

This shipment, announced on December 20, 2024, follows agreements signed in November by Gavi, the Vaccine Alliance, to facilitate the donation of 305,000 mpox vaccine doses to support the global and continental response.

In September 2024, the U.S. announced its intention to donate up to 1 million JYNNEOS® (MVA-BN®) doses to support the mpox emergency.

Assistant Secretary for Preparedness and Response (ASPR) Dawn O'Connell commented in a press release, "Viruses don't respect borders, and both international and domestic mpox coordination remains a top priority for ASPR."

Two types of the virus cause mpox, clade I and clade II. Both types spread the same way and can be prevented using innovative vaccines.

The first case of clade I mpox in the U.S. was detected in November 2024 following the patient's travel to an affected area. No additional cases were reported.

The initial case of clade IIb mpox in the U.S. (Boston) was in May 2022. According to the U.S. CDC, the ongoing global outbreak of clade II mpox has caused more than 100,000 cases in 122 countries and continues in the U.S.

Bavarian Nordic's JYNNEOS® two-dose vaccine is based on a live, attenuated vaccinia virus, Modified Vaccinia Ankara, and is commercially available in the U.S. 

 

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US CDC Mpox case map 2024
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After 42 days without detecting a new case, the World Health Organization (WHO) announced that the Marburg Virus Disease (MVD) outbreak in the Republic of Rwanda had ended.

The outbreak, confirmed in late September 2024, was the first Marburg Virus Disease outbreak Rwanda has experienced. A total of 66 confirmed cases and 15 deaths (23%) were recorded. Almost 80% of the cases were among infected health workers while providing clinical care to their colleagues and other patients.

"The robust response by Rwanda shows how committed leadership, concerted efforts by partners, and a strong health system are crucial in addressing public health emergencies, saving and protecting lives, as well as safeguarding the health of individuals and communities," said Dr. Brian Chirombo, WHO Representative in Rwanda, in a media release issued on On December 20, 2024.

The virus which causes Marburg is in the same family as the virus that causes Ebola Virus Disease. Marburg virus is transmitted to people from fruit bats and spreads among humans through direct contact with the bodily fluids of infected people, surfaces, and materials. 

In October 2024, the Sabin Vaccine Institute announced it dispatched investigational vaccine doses for a randomized clinical trial targeting Rwanda's outbreak.

As of December 2024, there are no approved Marburg virus vaccines.

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As the end-of-year festive season is traditionally associated with social gatherings and traveling, the Centre for Disease Prevention and Control (ECDC) says these endeavors pose additional risks for intensified respiratory virus transmission.

On December 18, 2024, almost all countries reporting data to ECDC (week 49, 2024) observed sharp increases in indicators of influenza and respiratory syncytial virus (RSV) activity.

The EU/EEA 10% primary care test positivity threshold signaling the start of the influenza season has been reached.

Furthermore, the impact of influenza may be worse if an A(H3N2) subclade that is less well matched with the northern hemisphere vaccine(s) dominates.

Co-circulation of influenza viruses and RSV could substantially impact healthcare services. Hospital admissions could occur in all age groups, with very young children (due to RSV) and older adults particularly affected.

The ECDC joins the U.S. CDC in encouraging all eligible people to protect themselves with approved vaccines for the 2024-2025 respiratory season.

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ECDC Dec. 18. 2024
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Chikungunya outbreaks continue in 2024
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LimmaTech Biologics AG announced today that the U.S. Food and Drug Administration had granted Fast Track designation to the company's multivalent toxoid vaccine candidate, LBT-SA7.

This innovative vaccine is designed to prevent skin and soft tissue infections (SSTIs) caused by the bacterial pathogen Staphylococcus aureus (S. aureus).

It is estimated that more than 1 million deaths are attributed to S. aureus each year. Notably, 90% of all community-acquired S. aureus infections are SSTIs.

S. aureus has been designated as a "high priority" pathogen by the World Health Organization, highlighting the urgency for innovative vaccine approaches and effective treatment strategies.

Dr. Franz-Werner Haas, CEO of LimmaTech, commented in a press release on December 19, 2024, "Staphylococcus aureus infections are a major cause of global mortality and morbidity, with traditional antibiotic treatments becoming increasingly ineffective due to rising antibiotic resistance."

LBT-SA7 will be tested in a Phase 1 study at a clinical trial center in the U.S., including 130 adult participants, with initial results anticipated in the second half of 2025.

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