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
Hauptverfasser: Okayasu, Hiromasa, Sutter, Roland W., Jafari, Hamid S., Takane, Marina, Aylward, R. Bruce
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container_end_page S464
container_issue suppl_1
container_start_page S459
container_title The Journal of infectious diseases
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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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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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