Affordable Inactivated Poliovirus Vaccine: Strategies and Progress
After polio eradication is achieved, the use of live-attenuated oral poliovirus vaccine (OPV) must be discontinued because of the inherent risk of the Sabin strains to revert to neurovirulence and reacquire greater transmissibility that could potentially result in the reestablishment of polio transm...
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Veröffentlicht in: | The Journal of infectious diseases 2014-11, Vol.210 (suppl_1), p.S459-S464 |
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creator | Okayasu, Hiromasa Sutter, Roland W. Jafari, Hamid S. Takane, Marina Aylward, R. Bruce |
description | After polio eradication is achieved, the use of live-attenuated oral poliovirus vaccine (OPV) must be discontinued because of the inherent risk of the Sabin strains to revert to neurovirulence and reacquire greater transmissibility that could potentially result in the reestablishment of polio transmission. In 2008, the World Health Assembly mandated that the World Health Organization establish a strategy for developing more-affordable inactivated poliovirus vaccine (IPV) options for low-income countries. In 2012, the Strategic Advisory Group of Experts (SAGE) on Immunization recommended universal IPV introduction as a risk-mitigation strategy before the phased cessation of OPV (starting with Sabin type 2) and emphasized the need for affordable IPV options. In 2013, SAGE reiterated the importance of attaining the long-term target price of IPV at approximately $ 0.5 per immunizing dose and encouraged accelerated efforts to develop lower-cost IPV options. This article outlines the 4-pronged approach that is being pursued to develop affordable options and provides an update on the current status and plans to make IPV affordable for developing-country use. |
doi_str_mv | 10.1093/infdis/jiu128 |
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Bruce</creator><creatorcontrib>Okayasu, Hiromasa ; Sutter, Roland W. ; Jafari, Hamid S. ; Takane, Marina ; Aylward, R. Bruce</creatorcontrib><description>After polio eradication is achieved, the use of live-attenuated oral poliovirus vaccine (OPV) must be discontinued because of the inherent risk of the Sabin strains to revert to neurovirulence and reacquire greater transmissibility that could potentially result in the reestablishment of polio transmission. In 2008, the World Health Assembly mandated that the World Health Organization establish a strategy for developing more-affordable inactivated poliovirus vaccine (IPV) options for low-income countries. In 2012, the Strategic Advisory Group of Experts (SAGE) on Immunization recommended universal IPV introduction as a risk-mitigation strategy before the phased cessation of OPV (starting with Sabin type 2) and emphasized the need for affordable IPV options. In 2013, SAGE reiterated the importance of attaining the long-term target price of IPV at approximately $ 0.5 per immunizing dose and encouraged accelerated efforts to develop lower-cost IPV options. 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Bruce</creatorcontrib><title>Affordable Inactivated Poliovirus Vaccine: Strategies and Progress</title><title>The Journal of infectious diseases</title><addtitle>J Infect Dis</addtitle><description>After polio eradication is achieved, the use of live-attenuated oral poliovirus vaccine (OPV) must be discontinued because of the inherent risk of the Sabin strains to revert to neurovirulence and reacquire greater transmissibility that could potentially result in the reestablishment of polio transmission. In 2008, the World Health Assembly mandated that the World Health Organization establish a strategy for developing more-affordable inactivated poliovirus vaccine (IPV) options for low-income countries. In 2012, the Strategic Advisory Group of Experts (SAGE) on Immunization recommended universal IPV introduction as a risk-mitigation strategy before the phased cessation of OPV (starting with Sabin type 2) and emphasized the need for affordable IPV options. In 2013, SAGE reiterated the importance of attaining the long-term target price of IPV at approximately $ 0.5 per immunizing dose and encouraged accelerated efforts to develop lower-cost IPV options. 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Bruce</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20141101</creationdate><title>Affordable Inactivated Poliovirus Vaccine: Strategies and Progress</title><author>Okayasu, Hiromasa ; Sutter, Roland W. ; Jafari, Hamid S. ; Takane, Marina ; Aylward, R. Bruce</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c315t-41f11b745c1d19d4e2312bf3517e1da2e73c97e566dc8bdd1119bc4caa6f2a423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Antigens</topic><topic>Developing Countries</topic><topic>Disease Eradication - methods</topic><topic>Dosage</topic><topic>Drug Discovery - methods</topic><topic>Humans</topic><topic>Immune response</topic><topic>Inactivated poliovirus vaccines</topic><topic>Influenza vaccines</topic><topic>Oral poliovirus vaccines</topic><topic>Poliomyelitis</topic><topic>Poliomyelitis - immunology</topic><topic>Poliomyelitis - prevention & control</topic><topic>Poliovirus</topic><topic>Poliovirus Vaccine, Inactivated - economics</topic><topic>Poliovirus Vaccine, Inactivated - immunology</topic><topic>Poliovirus Vaccine, Inactivated - isolation & purification</topic><topic>Poliovirus vaccines</topic><topic>THE POLIO ENDGAME: PREPARING FOR THE POST-ERADICATION ERA</topic><topic>World Health Organization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Okayasu, Hiromasa</creatorcontrib><creatorcontrib>Sutter, Roland W.</creatorcontrib><creatorcontrib>Jafari, Hamid S.</creatorcontrib><creatorcontrib>Takane, Marina</creatorcontrib><creatorcontrib>Aylward, R. 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source | Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection |
subjects | Antigens Developing Countries Disease Eradication - methods Dosage Drug Discovery - methods Humans Immune response Inactivated poliovirus vaccines Influenza vaccines Oral poliovirus vaccines Poliomyelitis Poliomyelitis - immunology Poliomyelitis - prevention & control Poliovirus Poliovirus Vaccine, Inactivated - economics Poliovirus Vaccine, Inactivated - immunology Poliovirus Vaccine, Inactivated - isolation & purification Poliovirus vaccines THE POLIO ENDGAME: PREPARING FOR THE POST-ERADICATION ERA World Health Organization |
title | Affordable Inactivated Poliovirus Vaccine: Strategies and Progress |
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