Travel Vaccine Breaking News

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

May 30, 2023 • 11:07 am CDT
by J. Schweikart

EL PAIS recently reported two patients were diagnosed for the second time with mpox in Spain.

On May 26, 2023, the Vall d'Hebron (Barcelona) and Ramón y Cajal (Madrid) hospitals confirmed two patients had been reinfected with mpox.

EL PAIS reported these are the first mpox reinfection cases in Spain.

According to the Carlos III Health Institute, there have been 56 mpox cases in Spain since the beginning of 2023.

Previous reports in 2023 confirmed secondary mpox cases in Chicago, Il, Paris, France, and Seoul, South Korea.

May 30, 2023 • 7:52 am CDT
from Pixabay

Immorna today announced that the first subject had been dosed in the Company's First-In-Human Phase 1 multi-center study of JCXH-105, a self-replicating RNA (srRNA) vaccine being developed for the prevention of Shingles.

The U.S. Food and Drug Administration (FDA) cleared its investigational new drug application on January 9, 2023, to conduct a Phase 1 multi-center study of JCXH-105.

NgocDiep Le, M.D., Ph.D., Global Chief Medical Officer of Immorna, commented in a press release on May 30, 2023, "If proven successful in clinical studies, JCXH-105 may become a valuable alternative to current standard-of-care to meet the large world-wide medical need for Shingles prevention."

"Due to its self-replicating nature, JCXH-105 may be effective at a significantly reduced dose level compared to non-replicating conventional mRNA vaccines and thereby may cause less reactogenicity and substantially reduce the cost of production."

"In addition, due to the synthetic nature of all JCXH-105 vaccine components, there are no raw material limitations or production bottlenecks."

This Phase 1 study is a randomized, double-blinded, multi-center, active-controlled study to assess the safety, immunogenicity, and determine the Recommended Phase 2 Dose for JCXH-105 for seniors.

In this study, JCXH-105 will be compared to GSK's U.S. FDA-approved Shingrix® vaccine.

Other shingles vaccine development news is posted by Precision Vaccinations.

May 30, 2023 • 4:10 am CDT
NASA Earth Observatory May 2023

Valneva SE today announced filing a regulatory application with Health Canada for marketing approval of the single-shot chikungunya vaccine candidate, VLA1553.

If accepted by Health Canada, VLA1553 would become available for persons aged 18 years and above.

VLA1553 is currently the only chikungunya vaccine candidate worldwide for which regulatory review processes are underway. It could become the first licensed chikungunya vaccine to address this unmet medical need if approved.

A Biologic License Application is currently under priority review by the U.S. Food and Drug Administration with a Prescription Drug User Fee Act review goal date at the end of August 2023.

VLA1553 received FDA Fast Track and Breakthrough Therapy designations in 2018 and 2021, respectively. The program was also granted PRIority MEdicine designation by the European Medicines Agency in 2020.

Furthermore, Valneva plans to make regulatory submissions for VLA1553 in Europe in the second half of 2023.

Juan Carlos Jaramillo, MD, Chief Medical Officer of Valneva, commented in a press release on May 30, 2023, "Chikungunya represents a major threat for people traveling to or living in areas where chikungunya virus and the mosquitos that transmit it are present, including popular destinations for U.S. and Canadian travelers."

"No vaccine or specific treatments are currently available for this debilitating disease, and we will continue to work diligently to bring VLA1553 to different territories as soon as possible."

Chikungunya is a mosquito-borne viral disease caused by the chikungunya virus, transmitted by Aedes mosquitoes.

An infection leads to symptomatic disease in 72-92% of humans after four to seven days following the mosquito bite. While mortality is low, morbidity is high.

Beginning in 2014, chikungunya virus disease cases were reported among U.S. travelers returning from affected areas in the Americas, and local transmission was identified in Florida, Texas, Puerto Rico, and the U.S. Virgin Islands, says the U.S. CDC.

The high-risk areas of infection for travelers included the Americas, parts of Africa, and Southeast Asia, and the virus has spread to more than 110 countries.

May 29, 2023 • 4:13 pm CDT
U.S. FDA May 26, 2023

The U.S. Food and Drug Administration (FDA) recently issued a draft guidance titled: Diabetes Mellitus: Efficacy Endpoints for Clinical Trials Investigating Antidiabetic Drugs and Biological Products Guidance for Industry.

This draft guidance provides a 15-year update to the FDA's previous recommendations on efficacy endpoints for such products.

"Diabetes is a common disease that affects nearly 40 million people in the U.S. and is projected to affect more in the coming years. Therefore, the need for more antidiabetic treatment options is clear," said Lisa Yanoff, M.D., deputy director of the Office of Cardiology, Hematology, Endocrinology, and Nephrology in the FDA's Center for Drug Evaluation and Research, in a press release on May 26, 2023.

The draft guidance outlines the FDA's general recommendations around evaluating the efficacy of antidiabetic drugs for adults and children with type 1 and/or type 2 diabetes. 

As of May 29, 2023, the FDA has not approved a diabetes preventive vaccine.

May 29, 2023 • 3:49 pm CDT
by JL G.

S.K. Chemicals' SKYCovion COVID-19 vaccine has been authorized by the U.K.'s Medicines and Healthcare Products Regulatory Agency (MHRA).

This authorization is for use as a primary vaccination in those aged 18 and over. Decisions on which COVID-19 vaccines are deployed in the U.K. are taken by the Joint Committee on Vaccination and Immunisation.

As of May 26, 2023, it becomes the 8th COVID-19 vaccine authorized by the U.K.

The SKYCovion vaccine combines a part of the SARS-CoV-2 virus spike protein with an 'adjuvant' – an additional ingredient designed to trigger a more robust immune response. It is given as two injections, four weeks apart.

May 29, 2023 • 10:04 am CDT
by Gerd Altmann

Novavax, Inc. recently announced that Nuvaxovid™ had been recommended for full Marketing Authorization (MA) for use as a primary series in individuals aged 12 and older and as a booster in individuals aged 18 and older for the prevention of COVID-19 in the European Union (EU) following a positive opinion issued by the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency.

The European Commission is expected to make a final decision on the MA. 

Novavax COVID-19 vaccine Nuvaxovid was the first protein-based vaccine engineered from the genetic sequence of the SARS-CoV-2 beta coronavirus.

"The positive CHMP Opinion for full Marketing Authorization for our COVID vaccine brings us one step closer to full authorization and will provide an approval pathway for an updated vaccine in time for the fall," said John C. Jacobs, President and Chief Executive Officer, Novavax, in a press release on May 25, 2023.

In the EU, Nuvaxovid has been conditionally authorized as a two-dose primary series in adults and adolescents and as a booster dose in adults.

Novavax's COVID vaccine is authorized for use in more than 40 markets worldwide.

The trade name Nuvaxovid has not yet been approved by the U.S. Food and Drug Administration.

Novavax's vaccine is known as CovoVax™ and NVX-CoV2373 globally.

May 29, 2023 • 8:00 am CDT
Florida Dept of Health RSV case map May 20, 2023

The Pan American Health Organization (PAHO) recently reported Respiratory Syncytial Virus (RSV) cases in Latin America and the Caribbean for Epidemiological Week #18 of 2023.

As of May 24, 2023, the PAHO confirmed RSV activity has remained low throughout most of the Americas.

However, in Brazil and Southern Cone, RSV activity, after showing an increase in recent weeks, a decreasing trend has been observed. 

In the U.S., Florida’s RSV season is longer than the rest of the nation and has distinct regional patterns. However, as of late May 2023, Florida has not reported an RSV outbreak.

RSV is a common respiratory virus that usually causes mild, cold-like symptoms.

However, according to the Florida Department of Health, young children and older adults, especially those with certain underlying health conditions, are at higher risk for severe illness from RSV.

RSV is a vaccine-preventable disease in older adults, and RSV monoclonal antibody therapies were approved for infants in 2023.

May 29, 2023 • 6:45 am CDT
U.S. CDC

The U.S. Centers for Disease Control and Prevention recently released preliminary Tuberculosis (TB) cases data that the U.S. is also experiencing a disease resurgence.

The CDC reported that TB disease cases increased by 5% in 2022 to 8,300 cases.

TB cases have recently increased in California, New York, and Texas.

Healthcare providers and communities disproportionately affected by TB are recommended to.... Think. Test. Treat TB.

According to the WHO 2022 Global TB Report, an estimated 1.6 million people died from TB, an increase of 4.5% in one year. 

As of May 29, 2023, the 100-year-old Bacille Calmette-Guérin (BCG) vaccine is not widely used in the U.S. However, it is often given to infants and small children in other countries where TB is common.

There are over ten versions of the BCG vaccine used globally.

May 28, 2023 • 9:32 am CDT
US CDC May 26, 2023

The U.S. CDC reissued it's Alert - Level 2, Practice Enhanced Precautions travel advisory regarding U.S. residents returning from Matamoros, Mexico, who were diagnosed with suspected fungal meningitis infections that have led to severe illness and death.

As of May 26, 2023, the CDC stated people should cancel any elective procedure that involves an epidural injection of an anesthetic in Matamoros, Mexico until there is evidence that there is no longer a risk for infection at these clinics.

Furthermore, all medical and surgical procedures carry some risk, and complications can occur regardless of where treatment is received.

The risk of complications depends on the destination, the facility where the procedure is being performed, and whether you are in good physical and psychological condition for the procedure(s). 

And learn how to minimize risks if you are considering traveling to another country for medical care, says the CDC.

May 27, 2023 • 4:39 pm CDT
by Patou Ricard

After a lull of nearly two months throughout the country, the resurgence of avian influenza (bird flu) in France's South West in May 2023 has triggered an immediate response.

Reuters reported on May 26, 2023, France announced an avian influenza (bird flu) vaccination program would launch in late 2023. 

Marc Fesneau, Minister of Agriculture and Food Sovereignty, called on May 22, 2023, for all avenues to be explored to improve the fight against highly pathogenic avian influenza (HPAI), foremost among which is vaccination.

On April 6, 2023, France launched a tender for 80 million doses of bird flu vaccines. 

Temporary authorization for use has recently been submitted for vaccines for poultry species currently being assessed by the French Agency for Veterinary Medicinal Products and the European Medicines Agency.

To date, only one vaccine for chickens (Gallus gallus species) has marketing authorization in France (2006).

In the U.S., the Department of Agriculture's Agricultural Research Service recently confirmed they are testing several bird flu vaccine candidates. On May 16, 2023, the emergency use of an HPAI vaccine candidate to prevent additional deaths of California Condors. 

Additional avian and human bird flu vaccine development news as of May 27, 2023, is posted by Precision Vaccinations.

May 27, 2023 • 5:15 am CDT
by Jason Goh

According to Japan's National Institute of Infectious Diseases reported on May 14, 2023, the number of syphilis patients totaled 5,164 in 2023. The data for the same period in 2022 was 3,630.

The IDWR Surveillance Data Table week #19 confirmed Tokyo had the most cases at 1,332, followed by Osaka with 699 cases and Fukuoka with 257 cases.

According to the Institute, cases of congenital syphilis have been increasing in recent years, with 20 cases reported in 2022. In 2023, six patients were confirmed by early April.

Congenital syphilis is caused by the bacterium Treponema pallidum, which can be passed from mother to child during fetal development or at birth. Up to half of all babies infected with syphilis in the womb die shortly before or after birth.

"There is a possibility that cases of congenital syphilis will increase along with those of syphilis," commented Prof. Satoshi Takahashi, who heads the Japanese Society for Sexually Transmitted Infections, according to local media on May 24, 2023.

"Syphilis is a curable disease, so people should get tested without hesitation if they have worrisome symptoms or concerns."

As of April 11, 2023, the U.S. Centers for Disease Control and Prevention reported 176,713 syphilis cases in 2021 and 2,855 congenital syphilis cases, resulting in 220 stillbirths and infant deaths, a YOY increase of 32%. 

Unfortunately, the U.S. Food and Drug Administration has not approved a syphilis vaccine as of May 27, 2023.

May 27, 2023 • 4:43 am CDT
U.S. CDC Travel Advisory For Mexico May 26, 2023

The U.S. Centers for Disease Control and Prevention (CDC) today confirmed some US residents returning from Mexico were diagnosed with suspected fungal meningitis infections that have led to severe illness and death.

In a Level 2, Practice Enhanced Precautions advisory issued on May 26, 2023, the CDC stated travelers with these infections had medical or surgical procedures that involved injection of an anesthetic into the area around the spinal column (i.e., epidural) performed at clinics in Matamoros, including River Side Surgical Center and Clinica K-3.

If you had a procedure involving an epidural injection of an anesthetic in Matamoros, Mexico, any time since January 1, 2023, learn what additional steps you should take, says the CDC.

There are millions of fungal species, but only a few hundred of them can make people sick. Fungal meningitis infections are not contagious and are not transmitted from person to person.

Although anyone can get fungal meningitis, people with weakened immune systems are at increased risk.

Certain health conditions, medications, and surgical procedures may weaken the immune system. Symptoms of fungal meningitis infections include fever, headache, stiff neck, nausea, vomiting, confusion, or sensitivity to light.

Fungal meningitis is treated with IV (injected through a vein) and oral medications. The CDC says that treatment length can vary depending on the fungus type.

May 26, 2023 • 2:29 pm CDT
by Simon

The Chilean Ministry of Health recently issued a health alert in Arica, Parinacota, Tarapacá, Antofagasta, Atacama, Coquimbo, Valparaíso, and the Metropolitan Region, for the risk of Aedes aegypti mosquitos transmitting viruses such as yellow fever, dengue, chikungunya, zika, and malaria.

The health alert empowers the strengthening of the surveillance system and the adoption of opportune measures for the control of mosquitoes and viruses.

“The Ministry of Health is taking the necessary measures,” Fernando Leanes, representative of the World Health Organization and the Pan American Health Organization in Chile, told CNN Chile on May 4, 2023.

In South America, the Stamaril® yellow fever vaccine is generally available.

Other travel vaccines are listed by Vax-Before-Travel.

May 26, 2023 • 1:09 pm CDT
by Mantel Blatt

The U.K. Health Security Agency (UKHSA) today published an analysis focused on the resurgence of mpox in England.

As of May 24, 2023, the UKHSA reported 20 new cases of mpox.

 Of these, 19 were in England (10 cases were presumed to have acquired mpox in the U.K., eight were acquired outside the U.K., and one was waiting for classification), and one was in Scotland.

The UKHSA did not disclose the vaccination status of the mpox cases.

During 2022, there were 3,732 confirmed and highly probable mpox cases reported in the U.K. Of these, 3,553 were in England.

Before 2022, cases diagnosed in the U.K. had been imported from countries where mpox is endemic or contacts with documented epidemiological links to imported cases. Between 2018 and 2021, there were 7 cases of mpox in the U.K. 

Anyone eligible for mpox vaccination in the U.K. is urged to come forward for the vaccine in the coming months to protect themselves before the summer of 2023.

Steve Russell, NHS director of vaccinations and screening, stated in March 2023, "There is still time to get your first and second doses if you haven't already, which will provide long-term protection against the virus and any possible future outbreaks, so please do book an appointment while the offer is available on the NHS."

Bavarian Nordic's JYNNEOS® (MVA-BN) vaccine is offered in the U.K. as well as in the U.S.

Last week, the U.S. Centers for Disease Control and Prevention confirmed a cluster of mpox infections in mostly vaccinated men in the Chicago, Illinois area.

Mpox is a sexually transmitted disease, similar to HPV and hepatitis, that is vaccine-preventable.

May 26, 2023 • 10:33 am CDT
U.S. CDC Flu trends May 26, 2023

The U.S. Centers for Disease Control and Prevention (CDC) today announced week #20 is the last full version of FluView for the 2022-2023 influenza season.

Starting with week #21, an abbreviated summer version of FluView will be published. The full version is expected to resume for week #40 of 2023, which is the start of the 2023-2024 influenza season.

As of May 26, 2023, seasonal influenza activity remains low nationally, with outpatient respiratory illness below baseline in eight of 10 HHS regions.

Unfortunately, 154 pediatric flu fatalities have been reported so far this season.

The good news is the majority of influenza viruses tested are in the same genetic subclade and antigenically similar to the influenza viruses included in this season’s influenza vaccine.

The CDC continues to recommend that everyone ages six months and older get an annual flu shot as long as flu activity continues in their area, or intend to visit a country where the local flu season is accelerating.

Various influenza vaccines remain available at health clinics and pharmacies in the U.S.