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The U.S. Department of State today reissued its lowest-level travel advisory for the Federated States of Micronesia (FSM), including the island states of Pohnpei, Kosrae, Chuuk, and Yap.

On May 8, 2023, the State Department's Level 1: Exercise Normal Precautions advisory for this western Pacific Ocean U.S. Territory suggests visiting the FSM websites of the Department of Health and Social Services for the latest information from the Government of Micronesia.

And the U.S. CDC recommends visitors confirm their immunization for Routine and Travel related diseases, such as measles.

A measles outbreak was recently declared in a neighboring territory, American Samoa.

Should visitors need assistance, the U.S. Embassy in Kolonia is located at 1286 U.S. Embassy Pl., Kolonia, Pohnpei, FM 96941.

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U.S. CDC Micronesia map May 2023
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Chikungunya cases 2023
Chikungunya vaccine candidates conducting phase 3 clinical studies
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Novavax, Inc. today announced that its COVID-Influenza Combination (CIC), stand-alone influenza, and high-dose COVID vaccine candidates all showed a reassuring preliminary safety profile and comparable reactogenicity to individual Novavax influenza and COVID vaccine candidates or authorized influenza vaccine comparators.

Additionally, all three vaccines demonstrated preliminary robust immune responses.

In all groups, no adverse events (AE) of special interest, no potentially immune-mediated medical conditions, and no treatment-related serious AEs.

"The reactogenicity results support our previous observations that this technology is well suited for combination vaccines because large amounts of antigen can be incorporated without impacting tolerability," said Filip Dubovsky, President, Research and Development, Novavax, in a press release on May 9, 2023.

"The immune responses we observed were robust, and the data we have shared today significantly increase the probability of Phase 3 success."

Furthermore, the highest dose stand-alone COVID vaccine candidate achieved statistically significant anti-S IgG and neutralization responses, approximately 30% higher than Novavax's prototype COVID vaccine while maintaining comparable safety and reactogenicity to the currently authorized dose level of Nuvaxovid™.

Various CIC vaccine candidates are in late-stage development as of May 9, 2023.

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by Senjin Pojskić
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The U.S. Centers for Disease Control and Prevention (CDC) recently announced that it would soon close enrollment in V-Safe for COVID-19 vaccines.

The CDC confirmed that very few new data are being reported to the V-Safe system.

Since its launch in December 2020, over 10 million participants have completed more than 151 million health surveys about their experiences following COVID-19 vaccination.

Furthermore, V-Safe data have been included in more than 20 scientific publications.

V-Safe was explicitly developed for COVID-19 vaccines and has been an essential component of the pandemic vaccine safety monitoring systems that have successfully and comprehensively characterized the safety of the COVID-19 vaccines used in the U.S.

After May 19, 2023, those who had enrolled and participated in V-Safe cannot add new COVID-19 vaccine doses to their account. Health check-ins (and follow-up calls, if needed) for any doses added before May 19 will continue until June 30.

V-Safe participants will continue to have access to their account to review previous entries and to complete remaining health check-ins until June 30, 2023.

The CDC is developing a new version of V-Safe, launching later in 2023, which will empower users to share their post-vaccination experiences with new vaccines.

V-Safe users or others who get vaccinated can continue to report any possible health problems or adverse events following vaccination to the Vaccine Adverse Event Reporting System.

The CDC and the U.S. Food and Drug Administration closely monitor the safety of vaccines in the United States.

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V-Safe After Vaccination Health Checker
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A recent Research Letter published by the JAMA Network found that local adverse event rates were highest following intradermal administration of the Mpox vaccine.

During the early stages of the Mpox outbreak in 2022, many countries adopted a dose-sparing schedule with 0.1-mL intradermal MVA-BN (JYNNEOS®) vaccine recommended for the preexposure and 0.5-mL subcutaneous vaccine for postexposure prophylaxis, two doses given four weeks apart.

As reported on May 4, 2023, the adverse event rate was highest following dose one of intradermal vaccination (53%) and lowest following dose two of subcutaneous vaccination (31%).

The most common adverse events were local redness, itching, and swelling following intradermal vaccination and local pain, swelling, and redness following subcutaneous vaccination.

During May 2023, the JYNNEOS vaccine is readily available in most countries. Furthermore, there has been a resurgence of Mpox cases in various cities, such as Chicago, Paris, and Seoul.

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by Max P.
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The U.S. Department of State reissued its Level 2: Exercise Increased Caution advisory today regarding civil unrest in the Republic of Chile. 

On May 8, 2023, the State Department confirmed street crime is common, and the rates of violent crime are increasing in Chile.

Moreover, large-scale demonstrations periodically occur in Santiago and other cities in Chile.

Demonstrations can occur with little or no notice and often result in disruptions to transportation, including public buses and Santiago metro services.

If you visit Chile, the local U.S. embassy suggests enrolling in the Smart Traveler Program to receive Alerts in an emergency.

From a health perspective, the U.S. CDC suggests travelers speak with a healthcare professional regarding their vaccination needs, such as for measles protection.

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U.S. CDC map of Chile May 2023
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Airplane noise
Aircraft noise is unique for its multispectral acoustical properties
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UNICEF recently announced it would supply 52 countries with human papillomavirus (HPV) vaccines. In 2023 alone, UNICEF will provide one in four countries worldwide with this life-saving vaccine.

And seven countries, Bangladesh, Cambodia, Eswatini, Kiribati, Mongolia, Nigeria, and Togo, intend to introduce HPV vaccines to their routine immunization programs in 2023. 

On April 28, 2023, UNICEF confirmed just one in eight girls are vaccinated against HPV, the leading cause of cervical cancer.

And since 2019, HPV vaccination coverage has decreased by 15%, representing one of the largest backslides of any vaccine during the pandemic.

Oluwaseun Ayanniyi, a Contracts Specialist in the Vaccine Centre of UNICEF’s Supply Division in Copenhagen, commented that she is optimistic that significant ground can be regained to prevent cervical cancer.

HPV vaccination can help prevent certain cancers for boys and girls, says the U.S. CDC. These vaccines are generally available at health clinics and pharmacies in the U.S.

As of May 8, 2023, the U.S. Food and Drug Administration has approved various vaccines that can prevent certain sexually transmitted diseases such as Mpox.

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UNICEF cervical cancer rates May 2023
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Marburg disease 2023
Marburg disease vaccines are not authorized in May 2023
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CureVac N.V. today announced that the first participant was dosed in a combined Phase 1/2 study of multivalent, modified mRNA seasonal flu vaccine candidates developed in collaboration with GSK is being conducted in the U.S. and Belgium.

The tested multivalent vaccine candidates address all four WHO-recommended flu strains.

"Our clinically validated technology platform and second-generation mRNA backbone give us great confidence as we continue clinical development of novel vaccine candidates to address seasonal flu," said Dr. Myriam Mendila, Chief Development Officer of CureVac, in a press release on May 8, 2023.

"There are still unmet needs as seasonal flu is ever-evolving and immune responses to current vaccines remain a challenge, particularly in older adults."

"The flexibility, speed, and scalability of CureVac's end-to-end mRNA capabilities position us well to develop and deliver seasonal flu vaccines together with GSK that combat dominant strains of the season as they emerge."

As previously reported, in CureVac and GSK's ongoing Phase 1 trial in older and younger adults of a monovalent, modified mRNA seasonal flu vaccine candidate, preliminary data showed a favorable tolerability profile and no concerning safety signals. In addition, the preliminary immunogenicity data indicated strong hemagglutinin inhibition immune responses in line with a licensed flu comparator vaccine beginning at the lowest tested dose.

The CureVac-GSK infectious disease collaboration was first announced in July 2020.

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by Mojca-Peter
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