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How to Ensure Equitable Access to Covid-19 Vaccine 如何确保公平获得Covid-19疫苗
Pub Date : 2020-01-01 DOI: 10.35248/2157-7560.20.11.430
R. Popovian
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引用次数: 0
Immunomodulation and its Therapeutic Applications 免疫调节及其治疗应用
Pub Date : 2020-01-01 DOI: 10.35248/2157-7560.20.S8.E003
R. Ferner
For the treatment of established infections, attempts to shift the immune reaction toward a Th1-type phenotype are desirable. For the treatment of cancer, efforts have focused mainly in making the cancer the well-liked target of the system of the patient. To the present effect, a spread of approaches are used, including cytokines, anti-CTL-4, tumor-specific antibodies and cellular therapies using tumor infiltrating lymphocytes and even somatic cell transplantation.
对于已建立的感染的治疗,尝试将免疫反应转向th1型表型是可取的。对于癌症的治疗,人们的努力主要集中在使癌症成为患者的系统所喜欢的目标。为了达到目前的效果,使用了多种方法,包括细胞因子、抗ctl -4、肿瘤特异性抗体和使用肿瘤浸润淋巴细胞甚至体细胞移植的细胞疗法。
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引用次数: 0
Knowledge and Attitudes regarding influenza vaccination among pregnant women in Tunisia 突尼斯孕妇对流感疫苗接种的知识和态度
Pub Date : 2020-01-01 DOI: 10.35248/2157-7560.20.11.E422
G. Kharroubi
Vaccination coverage among expectants remains suboptimal worldwide. To achieve a successful vaccination program, it is essential to understand reasons behind the acceptance of vaccination or its rejection. The present study aimed to describe knowledge and attitudes related to flu vaccine during pregnancy among Tunisian women. A national survey type Knowledge, and Attitudes was conducted during the 2018-19 flu season using a self-weighted two stages sampling method. Data were collected through face-to-face interviews with pregnant women present at the obstetrics outpatient consultations of the selected primary or secondary health care facilities. A total of 1157 pregnant women agreed to be interviewed. More than half of participants (60.3%) had heard about the influenza vaccine before. Among them, only 75 (10.9%) declared that they had enough information about safety and side effects of influenza vaccine. When asked about flu vaccine safety, most than half disagreed with those statements in disfavor of vaccine during pregnancy: the vaccine can be dangerous for pregnant women (62.2%), for the fetus (64.7%), for the newborn (66.7%) and can cause the flu (82.5%). Whereas, less than half were in agreement with those statements in favor of influenza vaccine effectiveness: flu vaccination of pregnant women helps to protect the mother (47.8%), the fetus (36.0%) and the unborn child (34.2%) against influenza.
在世界范围内,预期人群的疫苗接种覆盖率仍不理想。为了实现成功的疫苗接种计划,了解接受或拒绝疫苗接种背后的原因是至关重要的。本研究旨在描述突尼斯妇女在怀孕期间对流感疫苗的相关知识和态度。在2018-19年流感季节,采用自加权两阶段抽样方法进行了一项全国性调查,类型为“知识和态度”。数据是通过与在选定的初级或二级卫生保健机构产科门诊就诊的孕妇面对面访谈收集的。总共有1157名孕妇同意接受采访。超过一半(60.3%)的受访者曾听说过流感疫苗。其中,只有75人(10.9%)表示对流感疫苗的安全性和副作用有足够的了解。当被问及流感疫苗的安全性时,超过一半的人不同意那些不赞成在怀孕期间接种疫苗的说法:疫苗对孕妇(62.2%)、对胎儿(64.7%)、对新生儿(66.7%)有危险,并可能导致流感(82.5%)。然而,不到一半的人同意流感疫苗有效性的说法:孕妇接种流感疫苗有助于保护母亲(47.8%)、胎儿(36.0%)和未出生的孩子(34.2%)免受流感的侵害。
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引用次数: 0
Personalizing Vaccination for Infectious Disease in the 21st Century 21世纪传染病个性化疫苗接种
Pub Date : 2020-01-01 DOI: 10.35248/2157-7560.20.S5:005
R. Gorczynski
Current approaches to vaccination have several underlying assumptions, namely that following immunization most individuals are at similar risk of the disease considered; will react immunologically in the same way (with protective antibodies and/or cell-mediated reactivity) with equivalent and minimal side effects; and that vaccination dosing and frequency of administration does not vary in the population at large. As a result, a widespread delivery of vaccines has been achieved for a number of infectious diseases, with effective control for many of those. It is clear that a weakness of this approach, made manifest with our increasing knowledge of the genomic and proteomic approach to medicine which has come to the fore in the last decade or so, is that it discounts the growing evidence for individual variability in risk; in immune responsiveness; and in response to different doses of vaccine. While this evidence grew from a focus on tailoring individual approaches to cancer therapy, and has revolutionized our thoughts on drug therapy, drug pharmacogenomics and toxicity and the importance of understanding at the individual, not population level, unique responses to treatment, application of the same approach to vaccines for infectious disease has not had a similar attention. Indeed, not only does consideration of individual specific factors challenge a traditional public-health level paradigm of infectious disease vaccinology, and confront newer approaches based on genetically encoded individuality in response to pathogen challenge, but the cost-benefit of such an approach has, to the author’s knowledge, not been considered at all. The review below will consider these issues in greater detail, with a final focus on how this might dictate our global responses to emerging infections.
目前的疫苗接种方法有几个基本假设,即接种疫苗后,大多数人患所考虑疾病的风险相似;将以相同的方式产生免疫反应(具有保护性抗体和/或细胞介导的反应性),副作用相当且最小;疫苗的剂量和注射频率在人群中没有变化。因此,已广泛提供了针对若干传染病的疫苗,并对其中许多传染病进行了有效控制。很明显,这种方法的一个弱点,随着我们对基因组学和蛋白质组学医学方法的了解的增加而显现出来,这在过去十年左右的时间里已经脱颖而出,它低估了个体风险可变性的日益增长的证据;免疫反应;以及对不同剂量疫苗的反应。虽然这一证据来自于对癌症治疗的个性化方法的关注,并彻底改变了我们对药物治疗、药物药物基因组学和毒性的看法,以及在个体而非群体水平上理解对治疗的独特反应的重要性,但将同样的方法应用于传染病疫苗却没有得到类似的关注。事实上,对个体特定因素的考虑不仅挑战了传染病疫苗学的传统公共卫生层面范式,也挑战了基于基因编码的个体应对病原体挑战的新方法,而且据作者所知,根本没有考虑到这种方法的成本效益。下面的评论将更详细地考虑这些问题,并最终关注这将如何影响我们对新发感染的全球反应。
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引用次数: 1
No Role of HCQ in COVID-19 Prophylaxis: A Survey amongst Indian Doctors HCQ在COVID-19预防中的作用:对印度医生的调查
Pub Date : 2020-01-01 DOI: 10.35248/2157-7560.20.S6.002
Debasis Datta, S. Ghosal, B. Sinha, S. Datta, Twisha Chakraborty, K. Gangopadhyay, A. Dutta
The COVID-19 pandemic is being tackled on two fronts-prevention and treatment. In addition to behavioural strategies and vaccines (eagerly awaited), pharmacotherapy is also being employed in certain regions as a preventive strategy. In India, hydroxychloroquine (HCQ), ivermectin, a variety of vitamin supplements are being used, with HCQ being the most popular among healthcare professionals. In addition to the evidence-based recommendations, it is important to ascertain the situation on the ground. We conducted a multicentric survey among physicians from a wide range of specialities to ascertain the usage on HCQ and its effects of COVID-19 prevention. We did not find any significant impact of HCQ on the prevention of COVID-19 (p=0.54) independent of the duration of its usage. This pilot project has the potential to act as a backbone for a larger study exploring the impact of pharmacological intervention on COVID-19 prevention.
2019冠状病毒病大流行正在从预防和治疗两个方面进行应对。除了行为战略和疫苗(期待已久)外,某些区域还将药物疗法作为一项预防战略。在印度,人们正在使用羟氯喹、伊维菌素和各种维生素补充剂,其中羟氯喹在卫生保健专业人员中最受欢迎。除了基于证据的建议外,确定实地情况也很重要。我们对来自不同专业的医生进行了多中心调查,以确定HCQ的使用情况及其预防COVID-19的效果。我们没有发现HCQ对预防COVID-19有任何显著影响(p=0.54),与使用时间无关。该试点项目有可能成为探索药物干预对COVID-19预防影响的更大规模研究的基础。
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引用次数: 1
Enhance and Expand Access to Vaccines 加强和扩大获得疫苗的机会
Pub Date : 2020-01-01 DOI: 10.35248/2157-7560.20.S5:006
R. Popovian, David Hering
If recent events have taught us one thing, it is that vaccines are a critical tool to help combat today’s public health challenges and prevent those yet to come. The recent drop in pediatric vaccination rates has led to a resurgence of vaccine-preventable diseases such as measles. Meanwhile, the coronavirus outbreak shows us that when pandemics occur, our healthcare system needs to have a way to quickly react and get preventative treatments to a broad population in a timely manner.
如果说最近的事件教会了我们一件事,那就是疫苗是帮助应对当今公共卫生挑战和预防未来挑战的关键工具。最近儿科疫苗接种率的下降导致麻疹等疫苗可预防疾病的死灰复燃。与此同时,冠状病毒的爆发向我们表明,当大流行发生时,我们的医疗保健系统需要有一种快速反应的方法,并及时为广大人群提供预防性治疗。
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引用次数: 0
COVID-19 in India: Health Implications and Treatment Needs of People Who Use Drugs (PWUD) and Patients with Substance Use Disorders (SUD) 2019冠状病毒病在印度:吸毒者(PWUD)和物质使用障碍患者(SUD)的健康影响和治疗需求
Pub Date : 2020-01-01 DOI: 10.35248/2157-7560.20.11.427
G. Ghosh
Introduction: The Covid-19 actuated lockdown in India had put huge number of People who use drugs (PWUD) in panicky over their hankering for substance use with flexibly chain interruptions. Point of this paper was to comprehend the Covid-19 incited issues looked by PWUD and those with Substance Use Disorders (SUD) in India. Techniques: A fast subjective exploration was directed distantly from May to early June 2020, during lockdown period in India, with assent situated inside and out meetings with key partners from national organizations and medication deaddiction focus in East and Northern-East India. Results: The current general wellbeing emergency raises genuine extra worries for the prosperity of PWUD as they run similar dangers of disease by COVID-19 because of fundamental ceaseless ailments. During the current Covid-19 pandemic, there has been steady missing of treatment administrations for Patients with Substance Use Disorders (SUD). The individuals who required treatment during lockdowns confronted issues as government upheld sedate deaddiction habitats, which halted new affirmation however of late began new confirmation yet in diminished numbers. The outpatient administrations of medication treatment focuses (DTC) at some administration emergency clinics couldn't work. The Opioid Substitution Therapy focuses, however began apportioning of methadone on fortnightly and buprenorphine on seven-day top off premise, yet there remained travel related issues and detailed badgering during lockdown stage. Conclusion: Specific measures to mitigating health service needs of PWUD in India should be put inplace, taking lessons from the current pandemic situation.
导语:新冠肺炎引发的印度封锁使大量吸毒者(PWUD)陷入恐慌,因为他们渴望使用物质,并灵活地中断链条。本文的重点是了解PWUD和印度物质使用障碍(SUD)患者所关注的Covid-19煽动问题。技术:2020年5月至6月初,在印度封锁期间,进行了一项快速的主观探索,并在与印度东部和东北部国家组织的主要合作伙伴和药物成瘾焦点的会议内外获得了同意。结果:目前的普遍健康紧急情况引发了对PWUD繁荣的真正额外担忧,因为他们由于根本的持续疾病而面临类似的COVID-19疾病危险。在当前的Covid-19大流行期间,对物质使用障碍患者(SUD)的治疗管理一直缺乏。在封锁期间需要治疗的个人面临着政府维持镇静吸毒栖息地的问题,这阻止了新的确认,但最近开始了新的确认,但数量减少。部分行政急诊科的药物治疗重点门诊管理工作不到位。然而,阿片类药物替代疗法的重点开始分配美沙酮每两周一次,丁丙诺啡每七天一次,但在封锁阶段仍然存在与旅行相关的问题和详细的纠缠。结论:应吸取当前疫情的教训,制定具体措施,以减轻印度非传染性疾病患者的卫生服务需求。
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引用次数: 1
COVID-19: Waiting for the Vaccine. What Needs to be Done COVID-19:等待疫苗。需要做什么
Pub Date : 2020-01-01 DOI: 10.35248/2157-7560.20.S6.003
M. Scialpi, A. Blasi, Longo Ferdin
An increase of confirmed asymptomatic COVID-19 patients emerges from the second phase of the COVID-19 pandemic. Waiting for the vaccine, the employment of large-scale testing to identify and isolate asymptomatic individuals is the only solution to contain and control the spread of the disease.
新冠肺炎疫情进入第二阶段,无症状确诊患者有所增加。在疫苗出现之前,采用大规模检测来识别和隔离无症状个体是遏制和控制疾病传播的唯一解决方案。
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引用次数: 0
Peptide-mRNA Vaccine for SARS-Cov-2 SARS-Cov-2肽mrna疫苗
Pub Date : 2020-01-01 DOI: 10.35248/2157-7560.20.S4.002
E. Farshi
A vaccine is described which elicits a protective immune response against SARS-Cov-2. Designed engineered peptides that could strongly bind to the spike protein of coronavirus inside cells, and to use these peptides to trigger the cells to break down the viral proteins. In this vaccine the mRNA (encoding Ribonucleic Acid) encodes a stable perfused form (the form before being fused to the cell membrane of the host cell) of Spike protein (S). In this vaccine the main problem of short time remaining of antibodies of SARS-Cov-2 virus in body could be compensated by activation of T cells that causes long term immunity because memory T cells remain in body at least 11 years. A peptide based vaccine with encoding mRNA of virus along the activation of T cells through MHC class-II which elicits protection against SARS-Cov-2 through immune cells from the lymph nodes process the mRNA and synthesize specific viral protein antigens so that other immune cells recognize them. In this vaccine that comprising peptide encoding mRNA along activation of T cells by MHC class-II which immunize body against SARS-Cov-2 are also described. Methods of protecting a host against coronavirus infection will be discussed. Our invented vaccine is type of mRNA vaccine (but combined with other components) against SARS-COV-2 is based on a relatively new genetic method that does not require growing the virus in the laboratory. The technique transforms the human body into a 'living laboratory'. Monkeys given our coronavirus vaccine and then deliberately infected were able to fight off the virus, quickly clearing it from their lungs.
描述了一种疫苗,可引起针对SARS-Cov-2的保护性免疫反应。设计出能与细胞内冠状病毒刺突蛋白紧密结合的工程肽,并利用这些肽触发细胞分解病毒蛋白。在该疫苗中,mRNA(编码核糖核酸)编码Spike蛋白(S)的稳定灌注形式(融合到宿主细胞细胞膜之前的形式)。在该疫苗中,SARS-Cov-2病毒抗体在体内停留时间短的主要问题可以通过激活T细胞来补偿,因为记忆T细胞在体内至少存在11年,从而导致长期免疫。一种基于肽的疫苗,其编码病毒mRNA,通过MHC ii类激活T细胞,通过淋巴结免疫细胞处理mRNA并合成特异性病毒蛋白抗原,从而引起对SARS-Cov-2的保护,以便其他免疫细胞识别它们。在这种疫苗中,包括编码mRNA的肽,通过MHC ii类激活T细胞,使人体免疫SARS-Cov-2。我们将讨论保护宿主免受冠状病毒感染的方法。我们发明的疫苗是一种针对SARS-COV-2的mRNA疫苗(但与其他成分结合),它基于一种相对较新的遗传方法,不需要在实验室中培养病毒。这项技术将人体变成了一个“活实验室”。猴子注射了我们的冠状病毒疫苗,然后故意感染,它们能够抵抗病毒,迅速从肺部清除病毒。
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引用次数: 1
Effective SARS-CoV-2 Vaccines on the Horizon 有效的SARS-CoV-2疫苗即将问世
Pub Date : 2020-01-01 DOI: 10.35248/2157-7560.20.11.428
Soma Ghosh, P. Ghosh
Novel coronavirus identified as SARS-CoV-2 has brought unprecedented sufferings to people in almost all countries across the globe during the recent time. Efforts are continued to develop effective vaccines against the disease. Presently, the efforts of six groups namely, University of Oxford, Oxford, UK; Sinovac, China; Moderna Inc., USA; Wuhan Institute, China; Beijing Institute, China; and Bio N Tech, Germany are more significant. Noteworthy progress in the development of vaccines is in sight, and by the mid-2021 new vaccines may start appearing in the market. All these six vaccines are deployed through intramuscular route. There are a few others which are in the developmental stage and are to be delivered through intradermal, intranasal and event through the oral route. Specialized adjuvants have been used to elicit stronger immune response in certain types of candidates. Sensitized immune cells and genetically modified cells are also being experimented upon to contain the virus through immunological mode.
最近一段时间,新型冠状病毒SARS-CoV-2给全球几乎所有国家的人民带来了前所未有的痛苦。正在继续努力研制有效的疫苗来预防这种疾病。目前,英国牛津大学;科兴生物制品公司,中国;美国Moderna Inc.;武汉研究所;北京研究所,中国;和德国的Bio N Tech更为重要。在疫苗开发方面取得了显著进展,到2021年中期,新疫苗可能开始出现在市场上。所有这六种疫苗都是通过肌肉注射途径接种的。还有一些还在发育阶段通过皮内,鼻内和口服途径来传递。专门的佐剂已被用于在某些类型的候选人中引起更强的免疫反应。敏化的免疫细胞和基因修饰的细胞也正在进行实验,以通过免疫方式控制病毒。
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引用次数: 0
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Journal of Vaccines and Vaccination
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