Travel Vaccine Breaking News

Travel vaccine breaking news brought to you by Vax Before Travel.

Sep 19, 2023 • 3:07 pm CDT
by Albrecht Fietz

Scientists recently announced they used genomics to reveal distinct sexual networks for syphilis transmission in England.

On September 15, 2023, The Lancet Microbe published a study by researchers with the UK Health Security Agency and the Wellcome Trust Sanger Institute, which revealed infectious syphilis diagnoses tripled since 2010.

In England, new diagnoses of early syphilis increased from 3,011 in 2012 to 8,011 in 2019.

About 50% of the cases were in the greater London area.

By comparing the bacterial genomes from different individuals, the researchers could identify single-letter changes in the DNA – known as single nucleotide polymorphisms – to distinguish one bacterium strain or sublineage of T. pallidum from another.

They show distinct transmission chains between individuals and significant resistance to a commonly prescribed class of antibiotics in England.

These health officials believe the increase in syphilis cases reflects increased sexually transmitted disease testing and transmission.

Dr. Ana Cehovin, Senior Research Manager of Infectious Disease at Wellcome, commented in a press release, "Genomic surveillance is an invaluable tool for understanding how diseases are spreading, what populations are at increased risk, and which strains are developing drug resistance."

"Similarly, realizing the potential of genomic surveillance to identify and monitor drug resistance can help decision makers to implement necessary mitigation measures to control the spread of resistant strains, reducing the chance of disease escalation and protecting at-risk communities."

Syphilis is a sexually transmitted infection caused by T. pallidum.

While the genomes of T. pallidum are highly conserved compared to other bacterial pathogens - as they tend to transmit more frequently than they mutate - subtle differences can still exist as it spread through a population.

By comparing how genetically related T. pallidum samples are between individuals with a syphilis diagnosis, scientists hope to pinpoint the source of syphilis outbreaks and construct networks that capture its spread.

As of September 18, 2023, there are no approved syphilis vaccines.

Additionally, about 20 mpox patients were confirmed during 2023 in a similar population subset in London. And various poliovirus samples were confirmed in London in 2022.

Sep 19, 2023 • 5:31 am CDT
U.S. CDC September 2023

For the first time, seniors can prepare to defend themselves against co-circulating influenza, respiratory syncytial virus (RSV), and the betacoronavirus that causes COVID-19.

Vaccines can provide life-saving protection against all three viral respiratory diseases, says the U.S. Centers for Disease Control and Prevention (CDC).

With the fall season's increasing number of cases, now is an excellent time to take action, says the CDC's new Director, Mandy K. Cohen, MD, MPH.

As of September 19, 2023, the CDC recommends these approved vaccines for older adults, who are at a higher risk of severe illness from these diseases.

Furthermore, clinicians play a vital role in ensuring that older adults know they can now protect themselves by encouraging them to stay current on respiratory vaccinations.

During today's Clinician Outreach and Communication Activity (COCA) webinar, CDC presenters will offer updates about the latest recommendations and clinical considerations for administering influenza, COVID-19, and RSV vaccines to adults 60 years and older and discuss resources and communication strategies that may help facilitate older adult vaccination.

At 2:00 PM – 3:00 PM ET., this COCA Webinar Link (ID: 160 602 0154,  Passcode: 493303)  https://www.zoomgov.com/j/1606020154 will become active, as will today's related presentation - Preparing for the Upcoming Respiratory Virus Season: Recommendations for Influenza, COVID-19, and RSV Vaccines for Older Adults.

 

Sep 19, 2023 • 4:53 am CDT
by David Mark

Results from a recent real-world evidence (RWE) study across three consecutive flu seasons in the United States showed that vaccination with cell-based influenza vaccines resulted in lower test-confirmed influenza rates than traditional egg-based vaccines. 

This retrospective test-negative designed study showed the clinical value of cell-based quadrivalent influenza vaccines (QIVc) compared with traditional egg-based quadrivalent influenza vaccines (QIVe) in preventing outpatient test-confirmed influenza. 

The analysis found that QIVc showed a clinical benefit compared to QIVe in the prevention of test-confirmed influenza in the outpatient care setting, with estimated relative vaccine effectiveness (rVEs) (95% CI) of 14.8% (7 – 22) in 2017–-18, 12.5% (4.7 – 19.6) in 2018-–19 and 10% (2.7 – 16.7) in 2019–-20.

"Vaccines remain one of our greatest tools for fighting influenza, a disease that continues to result in substantial morbidity and mortality worldwide," commented Raja Rajaram, Head of Global Medical Strategy, CSL Seqirus, in a press release on September 19, 2023.

"At CSL Seqirus, we are committed to advancing the science of influenza prevention, and these studies show the benefits of innovative vaccine technologies, including cell-based and adjuvanted influenza vaccine technology, on reducing the burden of flu."

The RWE study was conducted over three consecutive influenza seasons characterized by different circulating influenza viruses and degrees of egg adaptation and aligned with previously published QIVc relative effectiveness studies for the same seasons.

This review of real-world data allows for evaluating trends in the effectiveness of QIVc over time and the context of season-over-season changes, given the variability of influenza viruses.

This data complements randomized controlled trial research, assessing influenza vaccine effectiveness continually and providing an ever-growing data set on real-world outcomes.

Influenza is a contagious seasonal respiratory disease that may cause severe illness and life-threatening complications in some people. Influenza can lead to clinical symptoms varying from mild to moderate respiratory illness to severe complications, hospitalization, and, in some cases, death, says the U.S. CDC.

Study: Stein AN et al. Superior Effectiveness of Cell-Based Versus Egg-Based Quadrivalent Influenza Vaccines Against Outpatient Test-Confirmed Influenza Over Three Consecutive Seasons in the U.S. Presented at ESWI 2023.

Sep 18, 2023 • 10:12 am CDT
by Aldk P.

South Africa's National Institute for Communicable Diseases (NICD) today announced that In the past weeks (week 35 up until week 36, 09/09/2023), 16 laboratory-confirmed measles cases were detected from four of the eight provinces where Measles outbreaks have been confirmed.

Gauteng province reported most cases (11), Limpopo reported one, Kwa-Zulu Natal reported two, and Mpumalanga reported two cases as of September 14, 2023.

Since week 34, 17 measles cases have been from Gauteng province.

The criteria for declaring the measles outbreak over was met in the Northern Cape province in week 15, the North West province in week 24, and the Free State province in week 25.

Globally, several countries continue reporting measles outbreaks in 2023, led by India.

Sep 18, 2023 • 7:33 am CDT
from Pixabay

As the global mpox outbreak continues impacting people in 2023, a leader in mRNA vaccines intends to enter the market with an innovative vaccine.

This announcement is essential since numerous vaccine breakthrough cases related to currently approved mpox vaccines have been reported worldwide in 2023.

BioNTech SE today announced a strategic partnership with the Coalition for Epidemic Preparedness Innovations (CEPI) to advance the development of BNT166 for the prevention of mpox.

CEPI will provide up to $90 million to support the development of mRNA-based vaccine candidates.

BNT166 is part of BioNTech's efforts to develop novel prophylactic vaccines for various infectious diseases with a high medical need.

BioNTech aims to develop a prophylactic mRNA-based mpox vaccine with a favorable safety profile that can be manufactured at scale.

"The 100 Days Mission aims to accelerate the development of a vaccine against a novel virus with pandemic potential to just 100 days. BioNTech's world-class scientists, technology, and facilities can make a vital contribution. Achieving this mission and potentially preventing the next pandemic will require gathering a wealth of knowledge and data about the performance of the latest vaccine platforms, like mRNA, which can enable rapid responses to emerging infectious threats across a broad range of viruses," commented Richard Hatchett, M.D., Chief Executive Officer of CEPI in a press release on September 18, 2023.

The BNT166 vaccine candidates encode surface antigens expressed in the monkeypox virus's two infectious forms to efficiently fight virus replication and infectivity.

The phase 1/2 clinical trial will evaluate the safety, tolerability, reactogenicity, and immunogenicity of two mRNA-based multivalent vaccine candidates for active immunization against mpox.

This study will enroll participants with and without prior known or suspected smallpox vaccination history.

Since eradicating smallpox in 1980, the global population-level immunity against the Orthopoxvirus viral family, including mpox, has been waning. 

Mpox is a vaccine-preventable, sexually transmitted disease caused by a member of the Orthopoxvirus viral family, an infectious disease that can lead to severe, life-threatening complications.

BioNTech and CEPI also confirmed today that they are committed to enabling equitable access to the outputs of this partnership. Any licensed vaccines developed due to this strategic partnership are expected to be available at affordable prices in low- and middle-income countries.

Sep 17, 2023 • 12:46 pm CDT
by Rosie Hayes

Western Australians were recently told to be alert following a confirmed measles case in a traveler from Bali.

Infected while overseas, the person received care at a Perth metropolitan hospital and has spent time in the Perth and Midwest regions while infectious.

People who have visited an exposure location and times listed here should be vigilant for symptoms 18 days after exposure.

As of September 13, 2023, the Government of Western Australia's Health Department's Acting Director of Communicable Diseases, Dr. Jelena Maticevic, said public health staff contacted people exposed and where they are known.

"While there is no ongoing risk of measles at those locations, anyone who has visited one of the exposure locations at the same time as the case should monitor for symptoms and see a doctor if symptoms develop," Dr Maticevic added.

Western Australia reported its first measles cases in three years on April 20, 2023.

Due to high vaccination coverage, measles has been eliminated from Australia for around 25 years. Small outbreaks can occur, sparked by residents or visitors who get infected while overseas.

During September 2023, measles outbreaks continued to be reported in various countries, including the United States.

For example, India has confirmed 46,231 measles cases over the past year.

In the U.S., the Centers for Disease Control and Prevention (CDC) reported on September 8, 2023, a total of 22 measles cases were reported by 14 jurisdictions this year.

The CDC recommends international travelers speak with a healthcare provider about vaccination options before visiting measles-outbreak countries.

According to Statista, Western Australia is a popular place to visit.

In 2022, around 4.3 million domestic overnight visitors traveled to Perth, Australia. That same year, over 15 million domestic tourists went to Perth for the day.

Sep 16, 2023 • 11:33 am CDT
by Haynie C.

China has now classified mpox as a Class B infectious disease as cases surged in August 2023.

The South China Morning Post reported on September 15, 2023, that The Class B category also includes diseases such as COVID-19, HIV/Aids, dengue, and rabies.

The National Health Commission of the People's Republic of China announced the change would take effect next week with upgraded prevention and control measures against mpox spreading in the local population.

Data from the Chinese Centre for Disease Control and Prevention (CCDC) website indicates there were 501 confirmed mpox cases across 25 provinces in August 2023. That compared with 491 cases in July and 106 in June.

The CCDC website says Mpox is a zoonotic infectious disease caused by the monkeypox virus (MPXV) and is characterized by fever, a rash, and swollen lymph nodes. The virus was first isolated from a specimen of a suspected smallpox patient from the Democratic Republic of the Congo in 1970.

Suspected and confirmed cases of mpox should be promptly transported to medical institutions for isolation and treatment. If their clinical symptoms improve significantly and the lesions have scabbed, they can opt to stay at home in China until the scabs fall. 

During home quarantine, patients should reside in a single room and avoid immediate contact with family members, says the CCDC.

The website says there is no vaccine available on the Chinese mainland to prevent mpox as of September 2023.

As of September 2023, over 1.2 million (1st and 2nd) JYNNEOS® (MVA-BN, IMVANEX®, IMVAMUNE®) vaccine doses had been administered in the U.S.

Mpox outbreaks in 2023 include countries in Africa, the Americas, France, Japan, Portugal, South Korea, Spain, and Taiwan. And in cities such as Chicago, Denver, London, and New York City.

Sep 16, 2023 • 8:54 am CDT
by Jason Goh

A new investigational universal influenza vaccine candidate has begun a phase 1 clinical trial at the National Institutes of Health’s Clinical Center in Maryland.

The National Institute of Allergy and Infectious Diseases (NIAID), part of the U.S. NIH, sponsors this limited study. It will evaluate the investigational vaccine for safety and its ability to elicit an immune response.

The flu shot candidate, FluMos-v2, was designed by researchers at NIAID’s Vaccine Research Center.

“An ideal universal influenza vaccine could be taken less frequently than once a year and protect against multiple strains of influenza virus. With each new universal influenza vaccine candidate and clinical trial, we take another step closer to that goal,” said Acting NIAID Director Hugh Auchincloss, M.D., in a September 15, 2023 press release.

FluMos-v2 is designed to induce antibodies against various influenza virus strains by displaying part of the influenza virus hemagglutinin protein in repeating patterns on self-assembling nanoparticle scaffolds.

Exposure to these harmless fragments of virus proteins prepares the immune system to recognize and fight the virus. When tested in animals, the experimental vaccine resulted in robust antibody responses.

It is an adaptation of an earlier universal flu vaccine candidate, FluMos-v1, which began first-in-human testing in 2021 and is still undergoing phase 1 trials.

As of September 16, 2023, hundreds of flu vaccine candidates are conducting sponsored clinical trials seeking participants.

Further information about the new trial is available at clinicaltrials.gov using the identifier NCT05968989.

CDC 2022-23 Influenza Season Week 36 ending Sep 09, 2023
Sep 15, 2023 • 4:04 pm CDT
US CDC FluView Report map Sept. 15, 2023

There was one state reporting above-average influenza detections last week.

According to the U.S. Centers for Disease Control and Prevention (CDC) week #36 report, last week's seasonal flu rates were low nationally, with 253 (.07%) positive specimens.

However, the Texas Department of State Health Services (DSHS) reported (1.01%) of influenza samples tested were positive as of September 15, 2023.

The number of Texas regions reporting increased flu activity was four, while three reported decreased activity.

While the 2023-2024 flu season has not officially begun, the current season continues producing related fatalities.

As of September 14, 2023, the National Center for Health Statistics Mortality Surveillance listed pneumonia as an underlying or contributing cause of death on 1,029 death certificates and 12 listed influenza last week.

During the current flu season, 174 influenza-associated pediatric deaths have occurred.

Last season, Texas reported a total of 9,871 pneumonia and influenza-related deaths.

For most persons older than six months, only one dose of an influenza vaccine is recommended by the CDC. And vaccination should ideally be offered during September or October.

However, the CDC says vaccinations should continue throughout the flu season as long as viruses are circulating.

Sep 15, 2023 • 1:07 pm CDT
ECDC COVID-19 trends as of September 14, 2023

As the Northern Hemisphere heads into its fall respiratory season, most European countries are seeing an end to the recent COVID-19 wave.

Consultation rates of patients presenting to general practitioners with respiratory illness/acute respiratory infection increased in several countries in September 2023 but remained similar to the low levels observed in the same period last year.

The European Centre for Disease Prevention and Control (ECDC) reported for week #36, there was a decrease in COVID-19 cases at the EU/EEA level, which is an inversion of the increasing trend observed in the previous weeks.

Of 19 countries reporting data as of September 14, 2023, twelve reported decreases in COVID-19 cases.

And the impact on severe disease and mortality remained limited in these European countries.

Of countries reporting COVID-19-related hospitalizations and deaths, one reported an increase in hospital admissions, and one reported an increase in fatalities.

Globally, as of September 13, 2023, the World Health Organization (WHO) reported there have been 770,563,467 confirmed cases of COVID-19, including 6,957,216 deaths since the pandemic began in late 2019.

As of September 5, 2023, a total of 13,500,135,157 vaccine doses have been administered.

The WHO has Listed twelve different COVID-19 vaccines during the pandemic.

Sep 15, 2023 • 10:16 am CDT
by Kalh H.

CSL Seqirus today announced new data will be presented at the European Scientific Working Group on Influenza Conference taking place from 17-20 September 2023 in Spain.

Data from various studies, including real-world evidence, economic and cost-effectiveness modeling, and clinical studies across seasonal and pandemic influenza, will be shared as posters and oral presentations.

"At CSL Seqirus, public health protection is at our core and is what drives us to safeguard at-risk communities against seasonal and pandemic influenza threats," said Raja Rajaram, M.D., Head of Global Medical Strategy, CSL Seqirus, in a press release on September 15, 2023.

"Delivering on our promise means continually gathering and analyzing data to assess the value and impact of our vaccines, and we look forward to sharing results from many of these studies at ESWI that emphasize the national, regional, and global impact."

Influenza is a contagious seasonal respiratory disease that may cause severe illness and life-threatening complications in some people.

On September 4, 2023, the World Health Organization published Influenza Update N° 453, indicating that influenza detections remained low globally, with activity in many Southern Hemisphere and Oceania countries.

As of September 15, 2023, the new flu and Respiratory Syncytial Virus seasons have begun to impact people in the United States.

An updated overview of influenza vaccines targeting the 2023-2024 flu viruses is posted at Precision Vaccinations.

Sep 15, 2023 • 9:19 am CDT
by Fotos P.

About 4 billion people eagerly await a vaccine to prevent and/or treat herpes virus infections, a global Sexually Transmitted Disease (STD).

According to the World Health Organization, an estimated 3.7 billion people have herpes simplex virus type 1 (HSV-1) infection, the leading cause of oral herpes.

Additionally, an estimated 491 million people have herpes simplex virus type 2 (HSV-2) infection, the main cause of genital herpes.

Recently, a worldwide leader in mRNA technologies launched a phase 1/2 clinical trial to address this massive market.

Moderna Inc.'s mRNA-1608 is an HSV-2 therapeutic vaccine candidate conducting a study (mRNA-1608-P101) with 300 healthy adults with recurrent HSV-2 Genital Herpes.

This randomized, observer-blind, controlled, dose-ranging study launched in the United States on September 6, 2023, and is forecasted to be completed on June 4, 2025.

Moderna has selected study locations in Alabama, Arizona, and California. The email contact is [email protected]. Or visit Trial Search for additional clinical studies.

With mRNA-1608, Moderna aims to induce a strong antibody response with neutralizing and effector functionality combined with cell-mediated immunity. 

On February 18, 2022, Moderna stated that it expects an HSV-2 vaccine could provide cross-protection against HSV-1.

As of September 15, 2023, there is no herpes vaccine candidate approved by the U.S. Food and Drug Administration.

Sep 14, 2023 • 1:51 pm CDT
by David Mark

The Ministry of Health, Welfare and Sport of the Netherlands recently notified the World Health Organization (WHO) of a laboratory-confirmed human case of infection with a swine-origin influenza A(H1N1) variant virus.

This is the first human swine flu case reported in the Netherlands this year.

As of September 7, 2023, there were no symptomatic contacts of this case; the person has recovered, and no further detections have been reported.

Therefore, the likelihood of community-level spread among humans and/or international disease spread through humans is considered 'low,' says the WHO.

Zoonotic influenza infections are caused by germs, bacteria, parasites, and fungi, says the U.S. Centers for Disease Control and Prevention (CDC). These germs cause illnesses in people, birds, and animals, ranging from mild to severe infections.

When a swine influenza virus is detected in a person, it is called a "variant influenza virus."

As of September 14, 2023, the CDC says annual 'flu shots' do not prevent zoonotic influenza infections such as swine flu (H3N2) or avian influenza (Bird Flu).

Sep 14, 2023 • 11:20 am CDT
EMA and EC vaccine approval Sept 2023

The European Medicines Agency (EMA) today announced its Human Medicines Committee (CHMP) has recommended authorizing an adapted Spikevax vaccine targeting the Omicron XBB.1.5 subvariant.

In its decision to recommend the authorization on September 14, 2023, the CHMP considered all the available data on Spikevax and its other adapted vaccines.

Known as Spikevax XBB.1.5, this vaccine prevents COVID-19 in adults and children from six months of age.

In line with previous recommendations by EMA and the European Centre for Disease Prevention and Control, adults and children from 5 years of age who require vaccination should have a single dose, irrespective of their COVID-19 vaccination history.

Children from 6 months to 4 years of age may have one or two doses depending on whether they have completed a primary vaccination course or have had COVID-19.

The CHMP also considered data from a study in which adults were given Spikevax XBB.1.5 as a booster.

The study showed that the vaccine produced an immune response against the Omicron XBB.1.5 subvariant, as measured by a rise in antibodies against this strain.

The vaccine also produced an immune response against several other strains of the betacornavirus that causes COVID-19, including the currently circulating Omicron XBB.1.16 subvariant.

The EMA has sent the CHMP’s recommendation to the European Commission for an EU-wide legally binding decision.

SpikeVax has recently been approved in Canada and the United States.

Sep 13, 2023 • 6:17 am CDT
by Mojca-Peter

Moderna Inc.'s respiratory vaccine franchise is targeting an approximately $30 billion annual market, comprised of a $15 billion COVID-19 market, a $10 billion RSV market, and a $6 billion flu market, with the potential for growth with more effective vaccines.

According to Modern'a press release on September 13, 2023, the Company's respiratory products sales in 2027 are expected to be in the range of $8 billion to $15 billion, depending on certain variables.

"With today's positive Phase 3 flu results, along with previous results in COVID and RSV, we are now three for three on advancing respiratory disease programs to positive Phase 3 data," commented Stéphane Bancel, Chief Executive Officer of Moderna, in a press release.

Modera's press release specifically highlighted its Seasonal Influenza Vaccine business today.

The mRNA-1010 vaccine candidate has demonstrated an acceptable safety and tolerability profile across all clinical trials to date, including three Phase 3 trials (P301, P302, P303), and independent data and safety monitoring boards have raised no safety concerns.

In an interim analysis of the P303 study,mRNA-1010 met all co-primary endpoints across all four A and B strains (A/H1N1, A/H3N2, influenza B/Yamagata, B/Victoria).

Higher HAI geometric mean titers and seroconversion rates were observed for all four strains compared to a licensed comparator (Fluarix).

And local and systemic solicited adverse reactions were similar to those reported in previous mRNA-1010 studies.

Furthermore, improved immunogenicity was observed across age groups and, importantly, was seen in older adults.

mRNA-1010 also elicited higher HAI titers against A/H1N1, A/H3N2, B/Victoria, and comparable titers to B/Yamagata compared to Fluzone HD in a separate Phase 1/2 head-to-head study.

As the previous P302 efficacy study has not accrued its target case numbers by the end of the most recent season, the Company would need to enroll in a second season to accrue enough cases.

In light of P303 meeting all its primary endpoints, the Company has decided not to enroll in a second season in the P302 study.

The Company continues to advance a portfolio of influenza vaccine candidates that include additional HA antigens for broader coverage of circulating influenza A strains (mRNA-1011 and mRNA-1012) and candidates that incorporate both HA and neuraminidase antigens to target multiple proteins involved in the influenza virus lifecycle to reduce the potential of viral antigenic escape (mRNA-1020 and mRNA-1030).

As of early September 2023, over 100 million influenza vaccines have been distributed in the U.S., preparing for the 2023-2024 flu season.