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Showing posts with label Polio. Show all posts
Showing posts with label Polio. Show all posts

Saturday, 8 May 2021

08.05.21 China’s Sinopharm wins WHO approval

 China’s Sinopharm becomes first non-Western vaccine to win WHO approval

By Latika Bourke,   
The Sydney Morning Herald

London: The World Health Organisation has made its long-awaited decision on China’s Sinopharm COVID-19 vaccine, approving the jab for emergency use in all adults, meaning it can be rolled out globally.

The WHO said that based on the available data, the vaccine was 79 per cent effective against symptomatic and hospitalised cases of the disease for all ages. Clinical trials run by the state-owned company Sinopharm also showed that it had an efficacy rate of 79 per cent.

WHO is recommending the vaccine, which has been used on millions of people around the world, for those aged 18 and over on a two-dose regimen with a spacing of three to four weeks between them.

The vaccine, officially named BBIBP-CorV, is in use in China, Egypt, United Arab Emirates, Pakistan and Bangladesh among other countries. It is different to the Chinese-developed CoronaVac used in Indonesia and Brazil, among others.

The emergency-used listing is a major coup for China. Sinopharm is the first non-Western vaccine to win WHO backing and sit alongside those produced by Pfizer/BioNTech, AstraZeneca/Oxford, Johnson & Johnson (Janssen) and Moderna.

It uses inactivated vaccine technology, the same type used for polio, rabies and hepatitis A vaccines, where dead virus particles are mixed with an adjuvant which boosts immune response.

WHO Director-General Tedros Adhanom Ghebreyesus said the approval had the potential to accelerate to vaccines access through the UN-backed COVAX scheme for low-income countries.

“This expands the list of COVID-19 vaccines that COVAX can buy, and gives countries confidence to expedite their own regulatory approval, and to import and administer a vaccine,” he told a virtual news conference.


Earlier this year, Sinopharm’s chairman Liu Jingzhen told Chinese state media that production had reached nearly 100 million doses by the end of 2020. He said more than 1 billion doses were expected to be produced in 2021.

“At present, we plan to further expand capacity in order to better meet demand,” Lui said.

The vaccine can be transported at temperatures between 2 and 8 degrees which the WHO said made it “highly suitable for low-resource settings”.

It will be the first vaccine to carry vaccine vial monitors - small stickers that will change colour if exposed to heat.

It is also the first time the WHO has given emergency-use approval to a Chinese vaccine for any infectious disease. Earlier this week, separate WHO experts had expressed concern about the quality of data the company provided on side effects.

In its statement approving the product for emergency use, WHO said the vaccine’s efficacy could not be estimated for older adults, as few aged over 60 had participated in trials.

But it said preliminary data and supportive immunogenicity data suggested the vaccine was “likely to have a protective effect” in older persons.

“There is no theoretical reason to believe that the vaccine has a different safety profile in older and younger populations,” the organisation said.

“WHO therefore recommends that countries using the vaccine in older age groups conduct safety and effectiveness monitoring to make the recommendation more robust.”

The WHO said part of its processes in granting the approval included on-site inspection visits of the Chinese production facilities.

https://www.smh.com.au/world/europe/china-s-sinopharm-becomes-first-non-western-vaccine-to-win-who-approval-20210508-p57q2r.html

Wednesday, 28 November 2012

Polio vaccine checks key to eradication effort



People from Nigeria, Pakistan and Afghanistan should not be allowed to leave their country unless they can show they have been vaccinated against polio, according to the body which monitors attempts to eradicate the disease.


Child receiving polio vaccine
Vaccination is key to controlling the disease
A report from the Independent Monitoring Board (IMB) of the Global Polio Eradication Initiative says every time a child or adult from these three countries travels abroad, they risk carrying the polio virus with them.

Nigeria, Pakistan and Afghanistan are the only countries where polio remains endemic, which means transmission of the virus has never been stopped.

There has also been a handful of polio cases in Chad this year.
Polio's last stand? 2012 cases
  • Nigeria - 97
  • Pakistan - 47
  • Afghanistan - 26
  • Chad - 5
source: IMB

The report says all but 0.1% of polio has been eradicated globally: there have been 175 cases so far in 2012 compared to 350,000 in 1988.

The IMB says its target of stopping global polio transmission by the end of the year will clearly not be achieved.

And its report says there is a 'significant risk' of having more polio cases in 2013 than in 2012.

But the Board, which is chaired by Sir Liam Donaldson the former Chief Medical Officer for England, says there are reasons to be optimistic.

It cites India's achievement in January 2012 of being free of polio for a year as a major landmark, which meant it was removed from the list of endemic countries.

Nigeria is the only country which has seen an increase in the number of cases this year.

Magic formula

The report concludes there is a 'magic formula' that is still missing in the affected countries, which it calls 'absolute ownership': this means parents demanding the vaccine for their children and local leaders grasping the challenge of wiping polio from their area.

Polio facts
  • Polio is a highly infectious viral disease
  • It is transmitted via contaminated faeces
  • It can caused irreversible paralysis, usually in the legs
  • A minority of cases are fatal

It says: "Most of all ownership is about national pride: a country determined to be a vibrant 21st century nation, not one that is looked down on because it remains tainted by a disease that almost everywhere else in the world survives only in the memory of grandparents."

Vaccine-derived polio virus

The live oral polio vaccine can, in extremely rare cases, cause the paralysing disease it is seeking to prevent and allow the virus to spread in the community.

The IMB says there have been 34 cases of circulating vaccine-derived polio virus this year in Nigeria, Democratic Republic of Congo, Kenya, Somalia and Pakistan.

The injectable vaccine used in Britain and other developed countries contains an inactivated, or killed poliovirus.

http://www.bbc.co.uk/news/health-20493540

Tuesday, 28 February 2012

India no longer polio endemic says WHO



Fergus Walsh Medical correspondent


Polio vaccination
India has not had a polio case for more than a year due to effective immunisation campaigns
 
India has been officially removed from the list of polio endemic countries. The announcement was made in Delhi at a polio summit. It was a decision that was widely trailed in my coverage of polio from India last week and confirms the remarkable achievement the country has had in tackling the disease.

The Prime Minister of India, Dr Manmohan Singh said "It is a matter of satisfaction that we have completed one year without any single new case of polio being reported from anywhere in the country. This gives us hope that we can finally eradicate polio not only from India but from the face of the entire mother earth. The success of our efforts shows that teamwork pays".

India will need to go another two years without a case of the disease before it is formally regarded as polio-free. It leaves three countries - Pakistan, Afghanistan and Nigeria as polio endemic - which means the virus is circulating freely and transmission of the disease has never been stopped.

Chad, DR Congo and Angola have also had cases of polio this year.

A group of international experts who are monitoring the efforts to eradicate polio have said the plan to stop global transmission by the end of 2012 remains "far off track". The team, headed by Sir Liam Donaldson, England's former Chief Medical Officer, has painted a stark picture of what will happen if eradication is not achieved soon. The Independent Monitoring Board, in its latest report says: "An annual expenditure exceeding one billion US dollars is currently containing polio cases at low levels. If the eradication effort does not succeed soon, this funding will dry up. Country workers risk becoming increasingly fatigued. Failure would unleash the virus, paralyzing hundreds of thousands of children. This prospect seems unthinkable."

The report says the quality of the immunisation programme is too variable and says the people who carry it out are often overlooked. The report concludes: "Too many of these workers are underrated, rarely thanked, frequently criticised, often under-paid, poorly motivated, and weakly-skilled. Being an excellent vaccinator means being well-organised, a good communicator, and having the tenacity to track down every last child."

One issue that will have to be resolved is when to stop using the oral polio vaccine and switch to the injectable version. This is because the oral vaccine contains a weakened live form of the polio virus and this can, in rare cases, mutate sufficiently so that it can spread in the community, triggering outbreaks. This is known as circulating vaccine-derived poliovirus (cVDPV).

Most developed countries switched to the injectable, inactivated polio vaccine (IPV) some years ago. Unlike the oral vaccine this contains an inactivated or killed version of the virus.

But any risk from the oral vaccine is tiny compared to the wild virus. The WHO says that 10 billion doses of oral polio vaccine have been given to more than 2.5 billion children in the past decade. It estimates this has prevented at least 3.5 million polio cases. In the same period there have been 18 outbreaks of cVDPV resulting in 510 cases.

Although the type 2 wild polio virus has been eradicated, Nigeria has seen outbreaks of type 2 cVDPV. Dr Bruce Aylward Director of Global Polio Eradication Initiative said: "If these vaccine-derived strains are not dealt with they can spread and cause paralysis like the wild virus. But they can be stopped in their tracks by immunisation."

The entire world would need to be polio-free for three years before the disease could be regarded as eradicated.

http://www.bbc.co.uk/news/health-17178226