Vaccine News

Vaccine news brought to you by Precision Vaccinations.

Jan 18, 2024 • 4:52 am CST
by Gerd Altmann

Global spending and demand for medicines will increase over the next five years to approximately $2.3 trillion by 2028 as more patients get access to new and better medicines, according to the IQVIA Institute.

On January 17, 2024, IQVIA published a new report for Human Data Science titled “The Global Use of Medicines 2024 – Outlook through 2028.”

This updated projection raises the growth outlook by 2% despite lower expectations for COVID-19 vaccines and therapeutics.

“The continued growth in spending is driven by an increase in the volume of medicines (vaccines), which reflects that more patients globally are getting access to novel medicines with better clinical outcomes,” said Murray Aitken, SVP and executive director of the IQVIA Institute for Human Data Science, in a press release.

Highlights of this report include, but are not limited to, the following:

Global use of medicines grew by 14% over the past five years, and a further 12% increase is expected through 2028, bringing annual use to 3.8 trillion defined daily doses.

This increase in growth outlook is driven by more patients getting treated with better medicines, especially in immunology, endocrinology, and oncology.

Medicine use in Latin America and Asia will grow faster than in other regions over the next five years.

Using estimated net prices, the updated outlook for the U.S. market is being raised to 2-5% CAGR through 2028, reflecting higher recent growth and expected further increased patient use of higher-value therapies.

IQVIA (NYSE: IQV) is a leading global provider of advanced analytics, technology solutions, and clinical research services to the life sciences industry.

Jan 17, 2024 • 4:57 pm CST
by Gabriele Gabi

The Federative Republic of Brazil's Ministry of Health recently confirmed it is the first country in the world to offer Takeda's QDENGA® dengue vaccine in a universal public system. 

QDENGA (TAK-003) is a tetravalent vaccine [Live, Attenuated] that does not require pre-admision testing.

As of January 15, 2024, the Ministry of Health forecasts that 5.2 million doses will be delivered between February and November 2024.

The current expectation is that around 3.2 million people will be vaccinated in 2024.

In 2023, the WHO's Strategic Advisory Group of Experts on Immunization confirmed QDENGA had demonstrated efficacy against all four serotypes of the dengue virus in baseline seropositive children (4-16 years) in endemic countries and against serotypes 1 and 2 in baseline seronegative children.

As of January 17, 2024, QDENGA is authorized in several countries but not the United States.

Jan 17, 2024 • 10:21 am CST
by Bruce Emmerling

The Philadelphia Health Department reported another new case of measles, the ninth confirmed measles case in 2024.

Today’s (Jan. 16, 2024) case is the 5th measles case associated with the previously reported daycare outbreak.

According to the U.S. Centers for Disease Control and Prevention (CDC), most measles outbreaks in the United States are related to unvaccinated international travelers.

Since measles is a vaccine-preventable disease, the Health Department is coordinating several vaccination opportunities to ensure that children and adults who need the measles, mumps, and rubella (MMR) vaccine can be vaccinated for free in their community.

People seeking MMR vaccination do not need any identification; a piece of mail with an address on it will qualify them as a Philadelphia resident, and insurance is not required to be vaccinated.

In addition to the measles outbreak in Philadelphia, cases have recently been reported in New Jersey, Delaware, and Virginia.

On the West Coast, six measles cases were recently confirmed in Clark and Wahkiakum counties in Washington in January 2024.

Globally, the CDC identified 47 countries with recent measles outbreaks led by Yemen and India.

In the U.S., measles vaccination services are generally offered at clinics and pharmacies.

Jan 17, 2024 • 5:14 am CST
from Pixabay

Biological E. Limited today announced that the World Health Organisation (WHO) has granted an Emergency Use Listing (EUL) to their CORBEVAX® vaccine, India's first indigenously developed COVID-19 vaccine.

As of January 16, 2024, there are 13 COVID-19 vaccines granted EUL by the WHO. 

CORBEVAX's antigen's initial construct and production process were developed at Texas Children's Hospital in Houston, Texas, led by Drs. Bottazzi and Hotez and in-licensed from BCM Ventures.

CORBEVAX is a protein sub-unit vaccine not produced with mRNA technology. 

The Drugs Controller General of India (DCGI) has already approved CORBEVAX  for restricted use in emergencies among adults, adolescents, and young children in a sequential manner from December '21 to April '22, as well as India's first heterologous COVID-19 booster shot for adults age 18 and above in June '22.

BE supplied 100 Million Doses of CORBEVAX to the Government of India.

Ms. Mahima Datla, Managing Director of Biological E. Limited, said in a press release, "We understand that several countries come under a lot of fiscal pressure when dealing with COVID-19. We aim to reach the people in those countries with CORBEVAX, just as we have done with all our other vaccines."

"Our commitment is to provide affordable and accessible high-quality vaccines, and the WHO EUL lays a path for us to make that possible."

Ms. Mahima further added, "While several companies which entered the field of vaccine development & manufacturing during the COVID-19 pandemic exited soon afterward either due to paucity of funds or lack of success, BE continues to remain committed to develop and provide access to high-quality, affordable vaccines globally by constantly enlarging its portfolio of offerings."

As of January 17, 2024, CORBEVAX is not U.S. FDA-approved or available in the U.S.

Jan 16, 2024 • 5:08 pm CST
from Pixabay

The Combating Antibiotic-Resistant Bacteria Biopharmaceutical Accelerator (CARB-X) today announced it is awarding $633k to Intravacc to support the development of the Avacc® 11 vaccine candidate that prevents Neisseria gonorrhoeae bacterial infections.

This CARB-X award supports the development of Intravacc's meningococcal outer membrane vesicle (OMV) vaccine that carries several important gonococcal antigens to prevent Neisseria gonorrhoeae (gonococci) infections.

Through the tailored gonococcal antigens on the surface of the meningococcal OMV, Intravacc anticipates a significant enhancement in the vaccine candidate's efficacy against gonorrhea.

"Drug-resistant strains of Neisseria gonorrhoeae have evaded all but one existing antibiotic (ceftriaxone)," said Erin Duffy, PhD, R&D Chief of CARB-X, in a press release on January 16, 2024. 

"Vaccines are powerful tools in the prevention of bacterial infections."

"With an appropriate vaccination strategy, Intravacc's vaccine project, if successful, could prevent the disease and significantly curb the spread of resistant bacteria across the globe."

The WHO Global Health Sector Strategy on Sexually Transmitted Infections (STI) has set goals for reducing gonorrhea incidence by vaccination by 90% by 2030. Gonorrhea is the world's second most reported STI, impacting about 82 million adults annually.

As of 2024, the U.S. FDA has not approved a gonorrhea vaccine.

However, a Research Letter published by the JAMA Network Infectious Diseases on August 31, 2023, concluded that the Outer Membrane Vesicles-based meningococcal group B vaccine was 47% (95% CI, 13%-68%) effective in preventing gonorrhea in young adults.

On November 10, 2023, the U.K.'s Joint Committee on Vaccination and Immunisation agreed that a targeted vaccination program should be initiated using the 4CMenB (Bexsero®) vaccine for the prevention of gonorrhea in those who are at most significant risk of infection. 

Intravacc is a global contract development and manufacturing organization at the Utrecht Science Park Bilthoven in the Netherlands. Intravacc is developing vaccines that target a range of diseases.

Jan 16, 2024 • 12:35 pm CST
UC San Diego School of Medicine Jan. 2024

In a new study published in Cell Reports Medicine, researchers at the University of California San Diego School of Medicine explained why people would benefit from a saphylococcus aureus (SA) vaccine.

While SA causes many dangerous health complications, including wound and bloodstream infections, the bacterium is also a normal part of the healthy human microbiome, where it lives peacefully in the nose and on the skin.

These researchers tested a new hypothesis that SA bacteria can trick the body into releasing non-protective antibodies when they first colonize or infect humans.

When the individual is later vaccinated, these non-protective antibodies are preferentially recalled, making the vaccine ineffective.

This study showed that antibody responses against SA cell-wall-associated antigens (CWAs) are non-opsonic, while antibodies against SA toxins are neutralizing.

Significantly, the protective characteristics of the antibody imprints accurately predict the failure of corresponding vaccines against CWAs and support vaccination against toxins.

In passive immunization platforms, natural anti-SA human antibodies reduce the efficacy of the human monoclonal antibodies suvratoxumab and tefibazumab, which is consistent with the results of their respective clinical trials.

Strikingly, in the absence of specific humoral memory responses, active immunizations are efficacious in both naive and SA-experienced mice.

Overall, this study points to a practical and predictive approach to evaluating and developing SA vaccines based on pre-existing humoral imprint characteristics.

“SA has been with humans a long time, so it’s learned how to be part-time symbiont, part-time deadly pathogen,” said senior author George Liu MD, PhD, professor in the Department of Pediatrics at UC San Diego School of Medicine, in a press release on January 16, 2024. 

“If we’re going to develop effective vaccines against SA, we need to understand and overcome the strategies it uses to maintain this lifestyle.”

This study was funded, in part, by the U.S. National Institute of Health.

Jan 16, 2024 • 11:13 am CST
US CDC ACIp meeting Feb. 2024

By U.S. regulatory provisions, the Centers for Disease Control and Prevention (CDC) announced today that the Advisory Committee on Immunization Practices (ACIP) meeting will be open to the public.

As of January 16, 2024, this agenda will include discussions on influenza, chikungunya (IXCHIQ®), COVID–19, meningococcal, pneumococcal, polio, HPV, RSV, combined Diphtheria and Tetanus Toxoids and Acellular Pertussis, Inactivated Poliovirus, Haemophilus influenzae Type B Conjugate, and Hepatitis B vaccine (Vaxelis®), and vaccines to prevent diphtheria, tetanus, and pertussis.

Recommendation votes are scheduled for influenza vaccines, COVID–19 vaccines, and chikungunya vaccine.

A VFC vote is scheduled for vaccines to prevent diphtheria, tetanus, and pertussis.

The ACIP develops recommendations for U.S. immunizations.

The CDC Committee is mandated to establish and periodically review and, as appropriate, revise the list of vaccines for administration to vaccine-eligible children through the Vaccines for Children program, along with schedules regarding dosing interval, dosage, and contraindications to administration of vaccines.

These ACIP meeting agenda items are subject to change as priorities dictate. For more information on the meeting agenda, visit https://www.cdc.gov/​vaccines/​acip/​meetings/​index.html.

The ACIP digital meeting will be held on February 28, 2024, from 8 a.m. to 5 p.m. EST and on February 29, 2024, from 8 a.m. to 3 p.m. EST.

Interested persons or organizations are invited to participate by submitting written views, recommendations, and data. To accommodate the significant interest in participation in the oral public comment session of ACIP meetings, each speaker will be limited to three minutes, and each speaker may speak only once per meeting.

Jan 16, 2024 • 10:08 am CST
US CDC measles outbreak map 2024

According to various health departments located on the East Coast of the United States, there have been several confirmed reports of measles infections in early 2024.

As of January 16, 2024, the Philadelphia Department of Public Health reported a measles cluster among eight unvaccinated residents.

Across the river from Philadelphia, the Camden County, New Jersey Health Department announced on January 13, 2023, that it was closely monitoring a measles case of a child who attended daycare.

On January 13, 2024, the Virginia Department of Health was notified of a confirmed case of measles in a person who traveled through Dulles and Reagan airports when returning from international travel.

Furthermore, the Delaware Division of Public Health reported on January 11, 2024, a potential measles exposure at the Nemours Children's Hospital in Wilmington. An investigation has identified up to 30 people exposed to the infectious individual in late December 2023.

Most measles cases in the U.S. are related to international travel, says the U.S. Centers for Disease Control and Prevention (CDC). In 2023, there were 48 measles cases confirmed in twenty U.S. jurisdictions.

Last year, the CDC published a global Watch-Level 1, Practice Usual Precautions, Travel Health Notice in 2023, identifying measles outbreaks in 47 countries. 

As of January 12, 2024, the CDC listed the top ten measles outbreaks led by Yemen and India over the past year.

Measles is a vaccine-preventable disease, says the CDC. A highly contagious virus causes it. The measles virus can live for up to two hours in an airspace after an infected person leaves an area. Moreover, people can spread measles up to four days before and four days after a rash.

Most clinics and pharmacies in the U.S. offer measles vaccination services.

Jan 16, 2024 • 9:04 am CST
US CDC yellow fever map March 2024

A recent article published by the journal Science Direct highlights the importance of responses to public health emergencies, such as the increasing number of yellow fever (YF) cases in the Federative Republic of Brazil.

In a March 2024 article, researchers compared the detection and phylogenetic analysis of the YF virus in two neotropical primates (monkey), a Callithrix detected in the previous epidemic period (2016–2020) and a Callicebus nigrifons, which showed a new introduction of YF virus in Brazil during 2023.

In 2022, the Pan American Health Organization confirmed Brazil reported four deaths related to yellow fever infections.

Mosquitoes that transmit the yellow fever virus can be found throughout the Amazon and along most river basins in Brazil.

Evidence of an expanded range of yellow fever transmission in Brazil led the WHO and the U.S. CDC to broaden their vaccination coverage recommendations in 2017.

Since Brazil is a favorite destination for millions of international travelers, the U.S. CDC says travelers to Brazil should be updated on routine vaccines, including the YF vaccine.

YF vaccination is recommended for most travelers going to the states of Acre, Amapá, Amazonas, Distrito Federal (including the capital city, Brasília), Espírito Santo, Goiás, Maranhão, Mato Grosso, Mato Grosso do Sul, Minas Gerais, Pará, Paraná, Piauí, Rio de Janeiro (including the city of Rio de Janeiro and all coastal islands), Rio Grande do Sul,* Rondônia, Roraima, Santa Catarina, São Paulo (including the city of São Paulo and all coastal islands), Tocantins, and designated areas of Bahia.

The CDC's expanded YF vaccination recommendations for these states are preliminary. For updates, refer to the CDC Travelers' Health website.

"Even if your travel plans to Brazil are limited to popular urban areas like São Paulo or Rio de Janeiro, you are still at risk for yellow fever infection because the mosquito variety that carries the yellow fever virus has adapted to live in cities and bites during the day time," says Jeri Beales MSN RN, with Destination Health, located near Boston, MA.

"The good news is the yellow fever vaccine is very effective at preventing infections, and it protects for at least ten years, with some people only needing a single lifetime dose," added Beales.

Although Brazil does not require proof of vaccination against yellow fever for entry into the country, people planning to travel to other countries in South America (e.g., Colombia) could be required to show proof of yellow fever vaccination before exiting Brazil.

As of January 16, 2024, several yellow fever vaccines have been authorized by various countries. In the U.S., the YF-VAX® vaccine is available at travel clinics.

Jan 15, 2024 • 12:12 pm CST
US CDC Travel Health Notice - Global Polio, Jan. 5, 2024

The U.S. Centers for Disease Control and Prevention (CDC) recently reissued its Level 2 - Practice Enhanced Precautions Global Polio notice.

As of January 5, 2024, the CDC's Travel Health Notice confirmed that polio and poliovirus are health risks in about thirty-one countries that have recently reported outbreaks.

The CDC says that adults who previously completed the whole, routine polio vaccine series may receive a single, lifetime booster dose of the polio vaccine before traveling to any of these destinations.

Any other traveler should ensure they are up-to-date on their polio vaccination schedule.

In the U.S., the IPV vaccine has been deployed since 2000.

Jeri Beales, MSN RN at Destination Health Travel Clinic in Natick, MA, 01760, told Precision Vaccinations, "It's a common misconception that polio has been eradicated worldwide. We forget that polio is still out there because cases are so rare in the U.S. Decades of vaccination efforts in the U.S. have kept infections at bay; still, sadly, polio has regained a foothold in various countries."

"So, if you have plans to travel to a country experiencing a polio outbreak, you may be putting yourself and your family at risk. Adults need to receive a one-time additional dose of polio before traveling to any high-risk countries because the vaccines you received as a child may no longer be protective. Like a lot of vaccines, the effectiveness wears off with time."

"And don't forget, if you're traveling with children, check with their pediatrician to ensure they are up-to-date on their polio immunizations.

In late 2023, the WHO announced that the risk of the international spread of poliovirus remains a Public Health Emergency of International Concern and recommended its extension and Temporary Recommendations for three months.

According to the CDC, most people with polio do not feel sick. Some people have only minor symptoms, such as fever, tiredness, nausea, headache, nasal congestion, sore throat, cough, neck and back stiffness, and arm and leg pain.

However, in rare cases, polio infection causes permanent loss of muscle function. Polio can be fatal if the muscles used for breathing are paralyzed or if there is an infection of the brain.

Note: This news article was updated with the provider's perspective on Jan.16, 2024.

Jan 15, 2024 • 11:48 am CST
from Pixabay

The Annals of Internal Medicine recently confirmed the Advisory Committee on Immunization Practices (ACIP) voted to approve the Recommended Adult Immunization Schedule for Ages 19 Years or Older.

The 2024 adult immunization schedule summarizes the U.S. Centers for Disease Control and Prevention (CDC) ACIP recommendations in the cover page, tables, notes, appendix, and addendum.

The complete ACIP recommendations for each vaccine are available at this CDC link.

As of January 12, 2024, the new schedule has also been approved by the director of the CDC and by the American College of Physicians, the American Academy of Family Physicians, the American College of Obstetricians and Gynecologists, the American College of Nurse-Midwives, the American Academy of Physician Associates, the American Pharmacists Association, and the Society for Healthcare Epidemiology of America.

Jan 13, 2024 • 9:18 am CST
US CDC measles outbreak map 2024

According to recent reports out of the states of Pennsylvania and Washington, measles outbreaks have been confirmed in potentially unvaccinated people in 2024.

On January 12, 2024, the Philadelphia Health Department confirmed eight measles cases spanning 2023 and 2024.

Health agencies alerted healthcare providers in the northwest after six measles cases were identified in Clark and Wahkiakum counties in Washington.

The U.S. Centers for Disease Control and Prevention (CDC) says that since the United States has such a high measles vaccination rate, most measles cases are related to international travelers.

Last year, ten countries reported over 90% of all measles cases worldwide, led by Yemen and India. 

During 2023, a total of 48 measles cases were reported by twenty U.S. jurisdictions. The CDC did not disclose the vaccination status of the measles cases.

The good news from the CDC is that various measles vaccines (MMR) are available in 2024, generally available at clinics and pharmacies in the U.S.

Furthermore, before heading abroad in 2024, the CDC publishes this digital app to help travelers determine whether or not they need MMR vaccination before departure.

Jan 13, 2024 • 7:02 am CST
US CDC respiratory vaccination rates Jan. 12, 2024

As the influenza and Respiratory syncytial virus (RSV) seasons diminish in the U.S., world leaders express their disappointment with respiratory disease vaccination rates.

"Too many people are in need of serious medical care for flu, for COVID, when we can prevent it," said Maria Van Kerkhove, the World Health Organization's interim director of epidemic and pandemic preparedness, as reported by Reuters on January 12, 204.

Kerhove cited "incredibly low" vaccination rates against flu and COVID-19 in many countries this season.

According to the U.S. Centers for Disease Control and Prevention's (CDC) latest data, the percentage of the population reporting receipt of COVID-19, influenza, and RSV vaccines remains low for adults.

  • The updated 2023-24 COVID-19 vaccine is 21.4% for adults 18+, including 41.5% for adults 65+.
  • Influenza vaccination is 46.8% for adults 18+, including 74.1% among adults 65+.
  • RSV vaccinations for adults over 60 years of age is 20.1%.

As of January 12, 2024, the CDC recommends that all six months and older stay current on COVID-19 and receive a seasonal flu vaccine.

Furthermore, if you are 60 years and older, talk to a healthcare provider to see if RSV vaccination is proper for you this season.

These reportatory vaccines are generally available at U.S.-based pharmacies. 

For new mothers, the extended half-life monoclonal antibody Beyfortus™ offers passive immunization for infants and young children to prevent lower respiratory tract infections caused by RSV. 

Beyfortus was recently approved for use in China, and the manufacturers have committed to deliver significant quantities to the U.S. in 2024.

Jan 12, 2024 • 2:07 pm CST
BMC Public Health - Indonesia polio case map

In response to an active polio outbreak, the Indonesian government has recently requested the WHO Director-General’s approval to release the novel oral polio vaccine type 2 (nOPV2).

As of January 11, 2024, the WHO issued a Disease Outbreak News alert (DON500) confirming the approval of more than 20 million doses of nOPV2 for two rounds of supplementary immunization activities scheduled for January 15, 2024, and February 19, 2024.

Previously, Indonesia reported four cases of circulating vaccine-derived poliovirus type 2 (cVDPV2) from October 2022 to February 2023.

In late December 2023, the Indonesian Ministry of Health notified WHO of two new confirmed cases of cVDPV2.

Genetic sequencing of isolates at the BioFarma National Polio Laboratory indicates cVDPV2 with 36 nucleotide changes, genetically linked to a case reported in West Java province to the WHO in March 2023.

Vaccine-derived poliovirus is a well-documented strain that has mutated from the strain initially used in oral polio vaccines.

In sporadic instances, the vaccine-derived virus can genetically mutate into a form that can cause paralysis, just as the wild poliovirus does – this is what is known as a vaccine-derived poliovirus (VDPV).

The detection of VDPV in at least two different sources, at least two months apart, that are genetically linked and showing evidence of transmission in the community is classified as cVDPV.

According to the WHO, the overall risk is assessed as high at the national level. At the regional level, the overall risk is assessed to be moderate.

Furthermore, the WHO advises against implementing any travel or trade restrictions on Indonesia based on the current information available on this event. 

As of January 12, 2024, about 1 billion doses of the nOPV2 vaccines have been distributed.

Jan 12, 2024 • 12:38 pm CST
WHO Cholera Situation Report map Jan. 11, 2024

Preliminary data from World Health Organization (WHO) Member States indicate that the number of cholera cases reported in 2023 has surpassed 2022, with over 667,000 cases and 4000 deaths.

In total, at least 30 countries have reported cholera outbreaks in 2023.

As of January 11, 2024, nearly a year has passed since the WHO classified the global resurgence of cholera as a grade 3 emergency.

Based on the large number of outbreaks and their geographic expansion, alongside the shortage of cholera vaccines and other resources, the WHO continues to assess the risk at a global level as very high.

The U.S. Food and Drug Administration, the European Medicine Agency, and the U.K. NHS recommend oral cholera vaccines (OCV) for specific conditions in countries that are undergoing outbreaks.

During 2023, around 65 million OCV doses were requested, with 45% being approved and allocated to 12 countries,

There are three WHO pre-qualified OCVs: Dukoral®, Shanchol™, and Euvichol®. 

In August 2023, the U.S. Centers for Disease Control and Prevention (CDC) published Cholera Vaccine: Recommendations, highlighting CVD 103-HgR (Vaxchora®) for travelers ages 2–64 years old going to areas of active toxigenic Vibrio cholerae O1 transmission.

Cholera is an acute intestinal infection that spreads through food and water contaminated with the bacterium Vibrio cholerae, often from feces. Cholera can kill people within hours when not treated, but immediate access to treatment saves lives, says the WHO.