首页 > 最新文献

Vaccine最新文献

英文 中文
Effective integration of COVID-19 vaccination with routine immunization: A case study from Kinshasa, DRC 将 COVID-19 疫苗接种与常规免疫接种有效结合:刚果民主共和国金沙萨的案例研究。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-10-05 DOI: 10.1016/j.vaccine.2024.126392
Guillaume Mwamba , Emily Margaret Gibson , Carla Toko , Christelle Tunda , Yves Rolland Kouabenan , Joseph Musenga , Benedicte Waula , Freddy Nkosi , Mireille Mutuale Ciabu Nkima , Jean Mupenda , Emily Lawrence , Mariam Zameer , Patou Musumari

Background

In response to the challenge of maintaining COVID-19 vaccination coverage amidst the pandemic, VillageReach, in collaboration with the Ministry of Public Health Prevention and Hygiene in Kinshasa, DRC, integrated COVID-19 vaccination with routine immunization services at two primary healthcare facilities. This initiative, launched in July 2022, represented the first of its kind in the DRC, aiming to assess the effectiveness and scalability of a multimodal vaccination approach.

Methods

Through a rapid appraisal involving key informant interviews and analysis of pre- and post-integration service delivery data, this case study explores the operational dynamics and outcomes of integrating COVID-19 and routine immunizations.

Results

Results demonstrated that the integrated approach not only maintained COVID-19 vaccine coverage but also significantly enhanced routine immunization uptake, particularly among under-immunized and zero-dose children. Overall, the vaccination sites, outreach, and integrated health facilities administered 229,983 (33 %) of COVID-19 vaccines in Kinshasa, of which 53 % were referred by community health workers. Additionally, 998 under-immunized children received routine immunizations, of whom 126 were zero-dose children. Key success factors included sustained community health worker engagement, neighborhood-specific strategies, accessible vaccination points, and robust data management. The findings suggest that such integrative strategies can effectively bolster immunization coverage in urban poor communities, offering valuable insights for similar initiatives in the DRC and beyond.

Conclusion

This study advocates for sustained investment in innovative immunization models to strengthen primary healthcare systems post-pandemic.
背景:为了应对在大流行病期间保持 COVID-19 疫苗接种覆盖率的挑战,VillageReach 与刚果民主共和国金沙萨公共卫生预防部合作,将 COVID-19 疫苗接种与两家初级医疗保健机构的常规免疫服务相结合。该项目于 2022 年 7 月启动,是刚果民主共和国的首个此类项目,旨在评估多模式疫苗接种方法的有效性和可扩展性:本案例研究通过对关键信息提供者的访谈和整合前后服务提供数据的分析进行快速评估,探讨了整合 COVID-19 和常规免疫接种的运行动态和结果:结果表明,整合方法不仅保持了 COVID-19 疫苗的覆盖率,还显著提高了常规免疫接种率,特别是在免疫接种不足和零剂量儿童中。总体而言,在金沙萨,疫苗接种点、外联和综合医疗机构共接种了 229,983 支 COVID-19 疫苗(33%),其中 53% 由社区医疗工作者转介。此外,998 名免疫接种不足的儿童接受了常规免疫接种,其中 126 人为零剂量儿童。成功的关键因素包括社区卫生工作者的持续参与、针对社区的策略、方便的疫苗接种点以及强大的数据管理。研究结果表明,这种综合策略可以有效提高城市贫困社区的免疫覆盖率,为刚果民主共和国及其他地区的类似行动提供了宝贵的启示:本研究提倡对创新免疫模式进行持续投资,以加强大流行后的初级医疗保健系统。
{"title":"Effective integration of COVID-19 vaccination with routine immunization: A case study from Kinshasa, DRC","authors":"Guillaume Mwamba ,&nbsp;Emily Margaret Gibson ,&nbsp;Carla Toko ,&nbsp;Christelle Tunda ,&nbsp;Yves Rolland Kouabenan ,&nbsp;Joseph Musenga ,&nbsp;Benedicte Waula ,&nbsp;Freddy Nkosi ,&nbsp;Mireille Mutuale Ciabu Nkima ,&nbsp;Jean Mupenda ,&nbsp;Emily Lawrence ,&nbsp;Mariam Zameer ,&nbsp;Patou Musumari","doi":"10.1016/j.vaccine.2024.126392","DOIUrl":"10.1016/j.vaccine.2024.126392","url":null,"abstract":"<div><h3>Background</h3><div>In response to the challenge of maintaining COVID-19 vaccination coverage amidst the pandemic, VillageReach, in collaboration with the Ministry of Public Health Prevention and Hygiene in Kinshasa, DRC, integrated COVID-19 vaccination with routine immunization services at two primary healthcare facilities. This initiative, launched in July 2022, represented the first of its kind in the DRC, aiming to assess the effectiveness and scalability of a multimodal vaccination approach.</div></div><div><h3>Methods</h3><div>Through a rapid appraisal involving key informant interviews and analysis of pre- and post-integration service delivery data, this case study explores the operational dynamics and outcomes of integrating COVID-19 and routine immunizations.</div></div><div><h3>Results</h3><div>Results demonstrated that the integrated approach not only maintained COVID-19 vaccine coverage but also significantly enhanced routine immunization uptake, particularly among under-immunized and zero-dose children. Overall, the vaccination sites, outreach, and integrated health facilities administered 229,983 (33 %) of COVID-19 vaccines in Kinshasa, of which 53 % were referred by community health workers. Additionally, 998 under-immunized children received routine immunizations, of whom 126 were zero-dose children. Key success factors included sustained community health worker engagement, neighborhood-specific strategies, accessible vaccination points, and robust data management. The findings suggest that such integrative strategies can effectively bolster immunization coverage in urban poor communities, offering valuable insights for similar initiatives in the DRC and beyond.</div></div><div><h3>Conclusion</h3><div>This study advocates for sustained investment in innovative immunization models to strengthen primary healthcare systems post-pandemic.</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"42 ","pages":"Article 126392"},"PeriodicalIF":4.5,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigating the characteristics of mumps outbreaks in Fujian Province, China 中国福建省流行性腮腺炎暴发特点调查。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-10-04 DOI: 10.1016/j.vaccine.2024.126415
Ruihong Wu , Zhifei Chen , Xiuhui Yang , Yahong Chen , Danhong Chen , Hairong Zhang , Yong Zhou , Weiyi Pan , Dong Li

Objectives

Identifying the specifics and potential causes of mumps outbreaks in the Fujian Province during the period of 2017 to 2022.

Methods

Mumps cases reported by the National Notifiable Communicable Disease Report System (NNCDRS) in China during the observation period of the 5 years were investigated annually and by age to detect homogeneity of the spread of the disease over time. If specific age-peaks may appear, we investigated those figures by analysing group characteristics in mumps cases presented as outbreaks. Those characteristics include demography (age and sex), clinical symptoms, place and time identification, and vaccination status. Regarding the latter, it was hypothesized that cases manifesting an outbreaks and appearing in young adults should have a low vaccination coverage, and a long-lasting period since they received their vaccine.

Results

The total number of mumps cases reported during the observation period was 15,294, leading to incidence rates ranging from 3.2/100,000 to 8.0/100,000 per year. In the older age-group the disease spread by year and age (9 to 15y old) manifested 20 outbreaks accounting for 710 cases, all happening during 2017 to 2019. Thereafter those outbreaks disappeared in that age-group. The group characteristics specified that all the outbreaks happened in school settings, with a median age of 13y (range 6 to 19y). Parotid gland enlargement was observed in 82.7 %. The median duration of the outbreaks was 28 days, varying from 14 to 74 days. Only 27.6 % of the cases received at least one dose of the MuCV vaccine, and among these vaccinated individuals, 94.9 % developed mumps more than 5 years after vaccination. The dramatic reduction in outbreaks after 2019 could be explained by the public health measures taken during the COVID period and/or the new vaccination policy implemented in 2008 (free vaccination, 1 dose) and 2020 (2 doses) of young children causing therefore a lower rate of circulation of the virus.

Conclusion

Mumps outbreaks observed in young adults during 2017–2019 causing a disease peak, indicated a potential link to unsatisfactory vaccination coverage with prolonged interval since receiving the vaccine. As those disease peaks disappeared since 2020, close monitoring for new outbreaks in young adults is recommended that may initiate a new vaccination strategy for that age-group.
目的:确定 2017 年至 2022 年期间福建省流行性腮腺炎暴发的具体情况和潜在原因:确定2017年至2022年期间福建省流行性腮腺炎暴发的具体情况和潜在原因:对中国国家应报传染病报告系统(NNCDRS)在5年观察期内报告的流行性腮腺炎病例按年度和年龄进行调查,以发现疾病随时间传播的同质性。如果可能出现特定的年龄峰值,我们将通过分析以暴发形式出现的流行性腮腺炎病例的群体特征来调查这些数字。这些特征包括人口统计(年龄和性别)、临床症状、地点和时间识别以及疫苗接种情况。关于疫苗接种情况,假设表现为暴发且出现在青壮年中的病例的疫苗接种覆盖率较低,且接种疫苗的时间较长:观察期间报告的流行性腮腺炎病例总数为 15 294 例,每年的发病率从 3.2/10 万到 8.0/10 万不等。在较大年龄组中,疾病的传播按年份和年龄(9 至 15 岁)表现为 20 次暴发,占 710 例,均发生在 2017 年至 2019 年期间。此后,这些疫情在该年龄组消失。群体特征表明,所有疫情都发生在学校环境中,中位年龄为 13 岁(6 至 19 岁)。82.7%的患者腮腺肿大。爆发持续时间的中位数为 28 天,从 14 天到 74 天不等。只有 27.6% 的病例至少接种过一剂腮腺炎病毒疫苗,在这些接种过疫苗的人中,94.9% 的人在接种疫苗 5 年后又患上了腮腺炎。2019 年后疫情大幅减少的原因可能是 COVID 期间采取的公共卫生措施和/或 2008 年(免费接种 1 剂疫苗)和 2020 年(接种 2 剂疫苗)对幼儿实施的新疫苗接种政策降低了病毒的传播率:2017-2019年期间在青壮年中观察到的流行性腮腺炎暴发导致了疾病高峰,这表明可能与疫苗接种覆盖率不理想以及接种疫苗间隔时间过长有关。由于这些疾病高峰自 2020 年以来已经消失,因此建议密切监测青壮年中的新疫情,以便为该年龄组启动新的疫苗接种策略。
{"title":"Investigating the characteristics of mumps outbreaks in Fujian Province, China","authors":"Ruihong Wu ,&nbsp;Zhifei Chen ,&nbsp;Xiuhui Yang ,&nbsp;Yahong Chen ,&nbsp;Danhong Chen ,&nbsp;Hairong Zhang ,&nbsp;Yong Zhou ,&nbsp;Weiyi Pan ,&nbsp;Dong Li","doi":"10.1016/j.vaccine.2024.126415","DOIUrl":"10.1016/j.vaccine.2024.126415","url":null,"abstract":"<div><h3>Objectives</h3><div>Identifying the specifics and potential causes of mumps outbreaks in the Fujian Province during the period of 2017 to 2022.</div></div><div><h3>Methods</h3><div>Mumps cases reported by the National Notifiable Communicable Disease Report System (NNCDRS) in China during the observation period of the 5 years were investigated annually and by age to detect homogeneity of the spread of the disease over time. If specific age-peaks may appear, we investigated those figures by analysing group characteristics in mumps cases presented as outbreaks. Those characteristics include demography (age and sex), clinical symptoms, place and time identification, and vaccination status. Regarding the latter, it was hypothesized that cases manifesting an outbreaks and appearing in young adults should have a low vaccination coverage, and a long-lasting period since they received their vaccine.</div></div><div><h3>Results</h3><div>The total number of mumps cases reported during the observation period was 15,294, leading to incidence rates ranging from 3.2/100,000 to 8.0/100,000 per year. In the older age-group the disease spread by year and age (9 to 15y old) manifested 20 outbreaks accounting for 710 cases, all happening during 2017 to 2019. Thereafter those outbreaks disappeared in that age-group. The group characteristics specified that all the outbreaks happened in school settings, with a median age of 13y (range 6 to 19y). Parotid gland enlargement was observed in 82.7 %. The median duration of the outbreaks was 28 days, varying from 14 to 74 days. Only 27.6 % of the cases received at least one dose of the MuCV vaccine, and among these vaccinated individuals, 94.9 % developed mumps more than 5 years after vaccination. The dramatic reduction in outbreaks after 2019 could be explained by the public health measures taken during the COVID period and/or the new vaccination policy implemented in 2008 (free vaccination, 1 dose) and 2020 (2 doses) of young children causing therefore a lower rate of circulation of the virus.</div></div><div><h3>Conclusion</h3><div>Mumps outbreaks observed in young adults during 2017–2019 causing a disease peak, indicated a potential link to unsatisfactory vaccination coverage with prolonged interval since receiving the vaccine. As those disease peaks disappeared since 2020, close monitoring for new outbreaks in young adults is recommended that may initiate a new vaccination strategy for that age-group.</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"42 26","pages":"Article 126415"},"PeriodicalIF":4.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Refinement and optimisation of Neisseria gonorrhoeae NHBA and MetQ vaccine candidates 淋病奈瑟菌 NHBA 和 MetQ 候选疫苗的改进和优化。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-10-04 DOI: 10.1016/j.vaccine.2024.126416
Taha, Sharareh Eskandari, Valentin A. Slesarenko, Thomas Haselhorst, Evgeny A. Semchenko , Kate L. Seib
Neisseria gonorrhoeae has a significant impact on reproductive health with an estimated 82 million new cases of infection per year worldwide. Due to the ongoing emergence of multidrug-resistant N. gonorrhoeae strains, the high number of asymptomatic cases, and the risk of disease sequelae, the development of a gonococcal vaccine is urgently needed. We have previously described two potential gonococcal vaccine antigens, cNHBA (C-terminal fragment of the Neisseria Heparin Binding Antigen) and MetQ (methionine-binding protein). This study aimed to optimise these antigens for improved immune responses and to facilitate vaccine production, by investigating cNHBA fusions with the full-length MetQ protein or N-terminal and C-terminal MetQ fragments (Met1 and Met2, respectively) adjuvanted with aluminium hydroxide. The cNHBA and MetQ fragments and fusion antigens were all immunogenic in mice, generating a predominantly IgG1 response. Antibodies mediated bacterial killing via both serum bactericidal activity (SBA) and opsonophagocytic activity (OPA), and reduced adherence to cervical and urethral epithelial cells. Among the antigen fusions tested, MetQ-cNHBA and cNHBA-Met2 generated the highest SBA, OPA and adherence blocking titres and are proposed as promising optimised antigens for N. gonorrhoeae vaccine development.
淋病奈瑟菌对生殖健康有重大影响,估计全球每年新增感染病例 8,200 万例。由于耐多药淋球菌菌株的不断出现、无症状病例的大量出现以及疾病后遗症的风险,淋球菌疫苗的开发迫在眉睫。我们以前曾描述过两种潜在的淋球菌疫苗抗原:cNHBA(奈瑟氏肝素结合抗原的 C 端片段)和 MetQ(蛋氨酸结合蛋白)。本研究旨在通过研究 cNHBA 与全长 MetQ 蛋白或氢氧化铝佐剂的 N 端和 C 端 MetQ 片段(分别为 Met1 和 Met2)的融合,优化这些抗原以提高免疫反应并促进疫苗生产。cNHBA 和 MetQ 片段以及融合抗原对小鼠都有免疫原性,主要产生 IgG1 反应。抗体通过血清杀菌活性(SBA)和嗜酸性细胞吞噬活性(OPA)介导杀灭细菌,并减少对宫颈和尿道上皮细胞的粘附。在测试的抗原融合物中,MetQ-cNHBA 和 cNHBA-Met2 产生的 SBA、OPA 和粘附阻断滴度最高,因此被建议作为淋球菌疫苗开发的有前途的优化抗原。
{"title":"Refinement and optimisation of Neisseria gonorrhoeae NHBA and MetQ vaccine candidates","authors":"Taha,&nbsp;Sharareh Eskandari,&nbsp;Valentin A. Slesarenko,&nbsp;Thomas Haselhorst,&nbsp;Evgeny A. Semchenko ,&nbsp;Kate L. Seib","doi":"10.1016/j.vaccine.2024.126416","DOIUrl":"10.1016/j.vaccine.2024.126416","url":null,"abstract":"<div><div><em>Neisseria gonorrhoeae</em> has a significant impact on reproductive health with an estimated 82 million new cases of infection per year worldwide. Due to the ongoing emergence of multidrug-resistant <em>N. gonorrhoeae</em> strains<em>,</em> the high number of asymptomatic cases, and the risk of disease sequelae, the development of a gonococcal vaccine is urgently needed. We have previously described two potential gonococcal vaccine antigens, cNHBA (C-terminal fragment of the Neisseria Heparin Binding Antigen) and MetQ (methionine-binding protein). This study aimed to optimise these antigens for improved immune responses and to facilitate vaccine production, by investigating cNHBA fusions with the full-length MetQ protein or N-terminal and C-terminal MetQ fragments (Met1 and Met2, respectively) adjuvanted with aluminium hydroxide. The cNHBA and MetQ fragments and fusion antigens were all immunogenic in mice, generating a predominantly IgG1 response. Antibodies mediated bacterial killing <em>via</em> both serum bactericidal activity (SBA) and opsonophagocytic activity (OPA), and reduced adherence to cervical and urethral epithelial cells. Among the antigen fusions tested, MetQ-cNHBA and cNHBA-Met2 generated the highest SBA, OPA and adherence blocking titres and are proposed as promising optimised antigens for <em>N. gonorrhoeae</em> vaccine development.</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"42 26","pages":"Article 126416"},"PeriodicalIF":4.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Safety signal detected: Anaphylaxis after attenuated dengue vaccine (TAK-003) – Brazil, march 1, 2023-march 11, 2024 检测到安全信号:注射减毒登革热疫苗(TAK-003)后出现过敏性休克--巴西,2023 年 3 月 1 日至 2024 年 3 月 11 日。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-10-04 DOI: 10.1016/j.vaccine.2024.126407
Jadher Percio, Carla Dinamerica Kobayashi, Roberta Mendes Abreu Silva, Ana Karolina Barreto Berselli Marinho, Leon Capovilla, Paulo Henrique Santos Andrade, Martha Elizabeth Brasil da Nóbrega, Cibelle Mendes Cabral, Monica Brauner de Moraes, Guilherme Loureiro Werneck, Eder Gatti Fernandes
The aim was to describe cases of anaphylaxis following the Attenuated Dengue Vaccine (TAK-003) in Brazil, from March 1, 2023, to March 11, 2024. A descriptive study of anaphylaxis cases following TAK-003 was conducted, as reported in the National System of Surveillance of Adverse Events Following Immunization (AEFI). Percentages and notification rates of AEFI per million doses administered (DA) were calculated. In total, 380,358 doses of TAK-003 were administered, and 626 AEFI were reported. Of these, 85 were cases of immediate hypersensitivity, with 24 (63.1 cases per million) being anaphylaxis, including three anaphylactic shock. For 10 (41.7 %) cases, reactions began within 15 min after vaccination. No deaths related to anaphylaxis were reported. In light of the safety signal identification (increased frequency of anaphylaxis post-dengue vaccination), the Ministry of Health of Brazil published recommendations for intensifying actions for safe vaccination, including healthcare professional training and post-vaccination observation.
目的是描述 2023 年 3 月 1 日至 2024 年 3 月 11 日期间巴西接种减毒登革热疫苗 (TAK-003) 后出现的过敏性休克病例。根据国家免疫接种不良事件监测系统(AEFI)的报告,对接种 TAK-003 后出现的过敏性休克病例进行了描述性研究。研究计算了每百万注射剂量(DA)中过敏性休克病例的百分比和通报率。共接种了380,358剂TAK-003,报告了626例AEFI。其中85例为即刻过敏,24例(63.1/百万)为过敏性休克,包括3例过敏性休克。10例(41.7%)在接种后15分钟内开始出现反应。没有与过敏性休克相关的死亡报告。鉴于安全信号的确定(接种登革热疫苗后过敏性休克的频率增加),巴西卫生部公布了加强安全接种行动的建议,包括医疗保健专业人员培训和接种后观察。
{"title":"Safety signal detected: Anaphylaxis after attenuated dengue vaccine (TAK-003) – Brazil, march 1, 2023-march 11, 2024","authors":"Jadher Percio,&nbsp;Carla Dinamerica Kobayashi,&nbsp;Roberta Mendes Abreu Silva,&nbsp;Ana Karolina Barreto Berselli Marinho,&nbsp;Leon Capovilla,&nbsp;Paulo Henrique Santos Andrade,&nbsp;Martha Elizabeth Brasil da Nóbrega,&nbsp;Cibelle Mendes Cabral,&nbsp;Monica Brauner de Moraes,&nbsp;Guilherme Loureiro Werneck,&nbsp;Eder Gatti Fernandes","doi":"10.1016/j.vaccine.2024.126407","DOIUrl":"10.1016/j.vaccine.2024.126407","url":null,"abstract":"<div><div>The aim was to describe cases of anaphylaxis following the Attenuated Dengue Vaccine (TAK-003) in Brazil, from March 1, 2023, to March 11, 2024. A descriptive study of anaphylaxis cases following TAK-003 was conducted, as reported in the National System of Surveillance of Adverse Events Following Immunization (AEFI). Percentages and notification rates of AEFI per million doses administered (DA) were calculated. In total, 380,358 doses of TAK-003 were administered, and 626 AEFI were reported. Of these, 85 were cases of immediate hypersensitivity, with 24 (63.1 cases per million) being anaphylaxis, including three anaphylactic shock. For 10 (41.7 %) cases, reactions began within 15 min after vaccination. No deaths related to anaphylaxis were reported. In light of the safety signal identification (increased frequency of anaphylaxis post-dengue vaccination), the Ministry of Health of Brazil published recommendations for intensifying actions for safe vaccination, including healthcare professional training and post-vaccination observation.</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"42 26","pages":"Article 126407"},"PeriodicalIF":4.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using regression tree analysis to examine demographic and geographic characteristics of COVID-19 vaccination trends over time, United States, May 2021–April 2022, National Immunization Survey Adult COVID Module 使用回归树分析法研究 COVID-19 疫苗接种趋势随时间变化的人口和地理特征,美国,2021 年 5 月至 2022 年 4 月,全国免疫接种调查成人 COVID 模块。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-10-04 DOI: 10.1016/j.vaccine.2024.126372
Morgan Earp , Lu Meng , Carla L. Black , Rosalind J. Carter , Peng-Jun Lu , James A. Singleton , Terence Chorba
Using data from the nationally representative National Immunization Survey (NIS), we applied conditional linear regression tree methodology to examine relationships between demographic and geographic factors and propensity of receiving various doses of COVID-19 vaccine over time; these analyses identified temporal changes in these relationships that heretofore had not been identified using conventional logistical regression methodologies.
Three regression tree models were built using an R package, Recursive Partitioning for Modeling Survey (rpms), to examine propensities over time of receiving a (1) first dose of a two-dose COVID-19 mRNA primary vaccination series or single dose of the Janssen vaccine (vaccine initiation), (2) primary series completion, and (3) monovalent booster dose, using a conditional linear effect model. Persons ≥50 years were more likely to complete a primary series and receive a first booster dose; persons reporting having received non-COVID-19 vaccines recently were more likely to initiate vaccination, complete the primary series, and get a first booster dose; persons reporting having work or school requirements were more likely to complete the primary series. Persons not reporting having received non-COVID-19 vaccines in 2 years but reporting having work or school vaccination requirements were more likely to initiate vaccination than those without work/school requirements. Among persons not reporting having received non-COVID-19 vaccines in 2 years and not reporting having work or school vaccination requirements, those aged ≥50 years were more likely to initiate vaccination than were younger adults. Propensity of receiving various doses was correlated with age, having recently received non-COVID 19 vaccines, and having vaccination requirements at work or school.
Regression tree methodology enabled modeling of different COVID-19 vaccination dose propensities as a linear effect of time, revealed changes in relationships over time between demographic factors and propensity of receipt of different doses, and identified populations that may benefit from vaccination outreach efforts.
利用具有全国代表性的全国免疫接种调查 (NIS) 数据,我们采用条件线性回归树方法研究了人口和地理因素与随着时间推移接种不同剂量 COVID-19 疫苗的倾向性之间的关系;这些分析确定了这些关系的时间变化,而这些变化是迄今为止使用传统的逻辑回归方法无法确定的。我们使用 R 软件包 "建模调查的递归分区"(rpms)建立了三个回归树模型,利用条件线性效应模型来检验接种(1) 两剂 COVID-19 mRNA 初次接种系列的第一剂或单剂杨森疫苗(疫苗接种开始)、(2) 初次接种系列完成和(3) 单价加强剂量的概率。年龄≥50岁的人更有可能完成初种系列接种并接种第一剂加强剂;报告最近接种过非COVID-19疫苗的人更有可能开始接种、完成初种系列接种并接种第一剂加强剂;报告有工作或上学要求的人更有可能完成初种系列接种。两年内未报告接种过非 COVID-19 疫苗但报告有工作或上学接种要求的人比没有工作/上学要求的人更有可能开始接种疫苗。在未报告 2 年内接种过非 COVID-19 疫苗且未报告有工作或上学接种要求的人群中,年龄≥50 岁的人比年轻人更有可能开始接种疫苗。接种各种剂量疫苗的倾向与年龄、最近接种过非 COVID-19 疫苗以及工作或学校有接种要求相关。回归树方法可将不同的 COVID-19 疫苗接种剂量倾向作为时间的线性效应建模,揭示人口因素与不同剂量接种倾向之间的关系随时间的变化,并确定可能从疫苗接种推广工作中受益的人群。
{"title":"Using regression tree analysis to examine demographic and geographic characteristics of COVID-19 vaccination trends over time, United States, May 2021–April 2022, National Immunization Survey Adult COVID Module","authors":"Morgan Earp ,&nbsp;Lu Meng ,&nbsp;Carla L. Black ,&nbsp;Rosalind J. Carter ,&nbsp;Peng-Jun Lu ,&nbsp;James A. Singleton ,&nbsp;Terence Chorba","doi":"10.1016/j.vaccine.2024.126372","DOIUrl":"10.1016/j.vaccine.2024.126372","url":null,"abstract":"<div><div>Using data from the nationally representative National Immunization Survey (NIS), we applied conditional linear regression tree methodology to examine relationships between demographic and geographic factors and propensity of receiving various doses of COVID-19 vaccine over time; these analyses identified temporal changes in these relationships that heretofore had not been identified using conventional logistical regression methodologies.</div><div>Three regression tree models were built using an R package, Recursive Partitioning for Modeling Survey (rpms), to examine propensities over time of receiving a (1) first dose of a two-dose COVID-19 mRNA primary vaccination series or single dose of the Janssen vaccine (vaccine initiation), (2) primary series completion, and (3) monovalent booster dose, using a conditional linear effect model. Persons ≥50 years were more likely to complete a primary series and receive a first booster dose; persons reporting having received non-COVID-19 vaccines recently were more likely to initiate vaccination, complete the primary series, and get a first booster dose; persons reporting having work or school requirements were more likely to complete the primary series. Persons not reporting having received non-COVID-19 vaccines in 2 years but reporting having work or school vaccination requirements were more likely to initiate vaccination than those without work/school requirements. Among persons not reporting having received non-COVID-19 vaccines in 2 years and not reporting having work or school vaccination requirements, those aged ≥50 years were more likely to initiate vaccination than were younger adults. Propensity of receiving various doses was correlated with age, having recently received non-COVID 19 vaccines, and having vaccination requirements at work or school.</div><div>Regression tree methodology enabled modeling of different COVID-19 vaccination dose propensities as a linear effect of time, revealed changes in relationships over time between demographic factors and propensity of receipt of different doses, and identified populations that may benefit from vaccination outreach efforts.</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"42 26","pages":"Article 126372"},"PeriodicalIF":4.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Serotype 15C Streptococcus pneumoniae resistant to classical complement deposition and agglutination by polyclonal rabbit anti-capsular 15B sera 血清型 15C 肺炎链球菌对经典补体沉积和多克隆兔抗囊性 15B 血清凝集具有抗性。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-10-04 DOI: 10.1016/j.vaccine.2024.126419
E.J. Kochis , Y.B. Shaik-Dasthagirisaheb , N. Munarriz , I. Kretzmann , M. Nahm , S.I. Pelton , R. Lapidot

Background

S. pneumoniae (SP) serotypes 15B and 15C are frequent causative agents of invasive pneumococcal disease (IPD), otitis media, and nasopharyngeal colonization in the post PCV13 era. The principal difference between serotypes 15B and 15C is the presence of an O-acetyl group on the pentasaccharide repeating unit of 15B polysaccharide. It remains unclear if antibodies against SP15B polysaccharide demonstrate functional cross reaction with SP15C strains. We compared functional activity of polyclonal rabbit anti-capsular 15B sera against SP15B and SP15C isolates.

Methods

Using flow cytometry we measured complement factors C3c and C4d deposition on SP15B and 15C in the presence of polyclonal rabbit anti capsular 15B sera. We measured the binding of C3c, common to all complement pathways, and C4d, specific to classical pathway, on SP serotypes 15B and 15C when co-incubated with polyclonal rabbit anti capsular 15B sera and antibody depleted complement. Both the proportion of bacteria with complement deposition and the fluorescence intensity were measured. We also measured agglutination as the increase in forward and side scatter.

Results

Polyclonal rabbit anti-capsular 15B sera activated classical pathway resulting in deposition of C4d and C3c at high intensity on all SP15B cells but only achieved limited deposition and intensity of C4 with SP15C. Similarly, polyclonal rabbit anti-capsular 15B sera induced agglutination of SP15B strains in a dose dependent manner and limited agglutination of SP15C.

Conclusions

Anti-capsular 15B sera induce limited C4d and C3c deposition, and minimal agglutination with SP15C strains, reflecting lower classical pathway activation in contrast to high C4d and C3c deposition and agglutination of SP15B. These observations support limited functional cross reactivity of anti-15B to SP15C strains and are consistent with the reduction in opsonophagocytic killing of SP15C reported following immunization with vaccines containing 15B polysaccharide.
背景:肺炎链球菌(SP)血清型 15B 和 15C 是后 PCV13 时代侵袭性肺炎球菌疾病(IPD)、中耳炎和鼻咽部定植的常见致病菌。血清型 15B 和 15C 的主要区别在于 15B 多糖的五糖重复单位上有一个 O-乙酰基。目前还不清楚针对 SP15B 多糖的抗体是否会与 SP15C 菌株发生功能性交叉反应。我们比较了多克隆兔抗15B血清对SP15B和SP15C分离株的功能活性:我们使用流式细胞术测量了在多克隆兔抗胶囊 15B 血清存在的情况下,补体因子 C3c 和 C4d 在 SP15B 和 15C 上的沉积情况。我们测量了所有补体途径共有的 C3c 和经典途径特异的 C4d 与多克隆兔抗胶囊 15B 血清和去抗体补体共培养时在 SP 血清型 15B 和 15C 上的结合情况。我们测量了补体沉积细菌的比例和荧光强度。我们还通过正向和侧向散射的增加来测量凝集:结果:多克隆兔抗胶囊 15B 血清激活了经典途径,导致 C4d 和 C3c 在所有 SP15B 细胞上高强度沉积,但 SP15C 只实现了有限的 C4 沉积和强度。同样,多克隆兔抗胶囊 15B 血清以剂量依赖的方式诱导 SP15B 菌株凝集,但对 SP15C 的凝集作用有限:结论:抗胶囊 15B 血清可诱导有限的 C4d 和 C3c 沉积,以及与 SP15C 株的最小凝集,这反映了较低的经典途径激活,而 SP15B 的 C4d 和 C3c 沉积和凝集较高。这些观察结果表明,抗-15B 与 SP15C 菌株的功能交叉反应性有限,这与报道的使用含 15B 多糖的疫苗免疫后 SP15C 的嗜吞噬细胞杀伤力降低的情况一致。
{"title":"Serotype 15C Streptococcus pneumoniae resistant to classical complement deposition and agglutination by polyclonal rabbit anti-capsular 15B sera","authors":"E.J. Kochis ,&nbsp;Y.B. Shaik-Dasthagirisaheb ,&nbsp;N. Munarriz ,&nbsp;I. Kretzmann ,&nbsp;M. Nahm ,&nbsp;S.I. Pelton ,&nbsp;R. Lapidot","doi":"10.1016/j.vaccine.2024.126419","DOIUrl":"10.1016/j.vaccine.2024.126419","url":null,"abstract":"<div><h3>Background</h3><div><em>S. pneumoniae</em> (SP) serotypes 15B and 15C are frequent causative agents of invasive pneumococcal disease (IPD), otitis media, and nasopharyngeal colonization in the post PCV13 era. The principal difference between serotypes 15B and 15C is the presence of an <em>O</em>-acetyl group on the pentasaccharide repeating unit of 15B polysaccharide. It remains unclear if antibodies against SP15B polysaccharide demonstrate functional cross reaction with SP15C strains. We compared functional activity of polyclonal rabbit anti-capsular 15B sera against SP15B and SP15C isolates.</div></div><div><h3>Methods</h3><div>Using flow cytometry we measured complement factors C3c and C4d deposition on SP15B and 15C in the presence of polyclonal rabbit anti capsular 15B sera. We measured the binding of C3c, common to all complement pathways, and C4d, specific to classical pathway, on SP serotypes 15B and 15C when co-incubated with polyclonal rabbit anti capsular 15B sera and antibody depleted complement. Both the proportion of bacteria with complement deposition and the fluorescence intensity were measured. We also measured agglutination as the increase in forward and side scatter.</div></div><div><h3>Results</h3><div>Polyclonal rabbit anti-capsular 15B sera activated classical pathway resulting in deposition of C4d and C3c at high intensity on all SP15B cells but only achieved limited deposition and intensity of C4 with SP15C. Similarly, polyclonal rabbit anti-capsular 15B sera induced agglutination of SP15B strains in a dose dependent manner and limited agglutination of SP15C.</div></div><div><h3>Conclusions</h3><div>Anti-capsular 15B sera induce limited C4d and C3c deposition, and minimal agglutination with SP15C strains, reflecting lower classical pathway activation in contrast to high C4d and C3c deposition and agglutination of SP15B. These observations support limited functional cross reactivity of anti-15B to SP15C strains and are consistent with the reduction in opsonophagocytic killing of SP15C reported following immunization with vaccines containing 15B polysaccharide.</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"42 26","pages":"Article 126419"},"PeriodicalIF":4.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validation of the Arabic translation of the vaccination attitudes examination (VAX) scale 验证疫苗接种态度检查 (VAX) 量表的阿拉伯语译文。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-10-04 DOI: 10.1016/j.vaccine.2024.126411
Kamal Dhafer Hussein Alansari , Caroline Buhl , Abrar K. Thabit , Aisha F. Badr , Lama Jaad , Ramune Jacobsen

Background and aim

The availability of concise and valid instruments for measuring vaccination attitudes across different countries or populations is limited. The 12-item four-subscale Vaccination Attitudes Examination (VAX) scale designed to assess vaccination hesitancy has been validated in more than 15 languages.
This study aimed to validate the Arabic translation of VAX.

Methods

VAX was translated from Danish to Arabic following the Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcome Measures. The translated VAX was distributed to the citizens of Saudi Arabia in March 2023 through an online survey system and the authors' networks. Internal consistency reliability was assessed with Cronbach's α. Factorial structure was examined using confirmatory factor analysis (CFA). Known-group validity was assessed based on COVID-19 vaccination status.

Results

Responses from 164 participants who fully answered the questionnaire were analyzed. The mean age was 40 years, 77 % were females, and 90 % were fully vaccinated against COVID-19, with one-third receiving booster doses. CFA confirmed a well-fit four-factor structure. All items loaded well with their factors: standardized regression weight values ranged from 0.69 to 0.96. Correlations between the four factors ranged from 0.47 to 0.79. Cronbach α ranged from 0.874 to 0.930. As expected, the mean scores of all subscales were higher in those unvaccinated compared to those who were fully vaccinated as well as those fully vaccinated with a booster dose (p < 0.05).

Conclusion

The Arabic translation of the VAX exhibited a well-defined factorial structure with good internal consistency reliability and known-group validity. It is a valuable tool for measuring vaccination hesitancy in Arabic-speaking countries or populations, enabling the comparison of vaccine hesitancy across different countries and cultures.
背景和目的:用于衡量不同国家或人群疫苗接种态度的简明有效的工具非常有限。旨在评估疫苗接种犹豫不决的 12 个项目、四个分量表的疫苗接种态度量表 (VAX) 已通过 15 种以上语言的验证。本研究旨在验证 VAX 的阿拉伯语翻译:方法:按照《患者报告结果测量的翻译和文化适应过程的良好实践原则》将 VAX 从丹麦语翻译成阿拉伯语。翻译后的 VAX 于 2023 年 3 月通过在线调查系统和作者的网络分发给沙特阿拉伯公民。用 Cronbach's α 评估了内部一致性可靠性。采用确证因子分析(CFA)对因子结构进行了检验。根据 COVID-19 疫苗接种情况对已知群体有效性进行了评估:对 164 名完整回答问卷的参与者的回答进行了分析。平均年龄为 40 岁,77% 为女性,90% 已接种 COVID-19 疫苗,其中三分之一接种了加强剂。CFA证实了一个拟合良好的四因子结构。所有项目都与各自的因子有很好的负载关系:标准化回归权重值介于 0.69 到 0.96 之间。四个因子之间的相关系数在 0.47 到 0.79 之间。Cronbach α 介于 0.874 到 0.930 之间。不出所料,未接种疫苗者的所有分量表的平均得分均高于已接种全部疫苗者和已接种全部加强剂者(p 结论:VAX 的阿拉伯语译文显示,未接种疫苗者的平均得分高于已接种全部加强剂者:VAX 的阿拉伯语译文显示出明确的因子结构,具有良好的内部一致性可靠性和已知组有效性。它是测量阿拉伯语国家或人群疫苗接种犹豫性的重要工具,可用于比较不同国家和文化的疫苗接种犹豫性。
{"title":"Validation of the Arabic translation of the vaccination attitudes examination (VAX) scale","authors":"Kamal Dhafer Hussein Alansari ,&nbsp;Caroline Buhl ,&nbsp;Abrar K. Thabit ,&nbsp;Aisha F. Badr ,&nbsp;Lama Jaad ,&nbsp;Ramune Jacobsen","doi":"10.1016/j.vaccine.2024.126411","DOIUrl":"10.1016/j.vaccine.2024.126411","url":null,"abstract":"<div><h3>Background and aim</h3><div>The availability of concise and valid instruments for measuring vaccination attitudes across different countries or populations is limited. The 12-item four-subscale Vaccination Attitudes Examination (VAX) scale designed to assess vaccination hesitancy has been validated in more than 15 languages.</div><div>This study aimed to validate the Arabic translation of VAX.</div></div><div><h3>Methods</h3><div>VAX was translated from Danish to Arabic following the Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcome Measures. The translated VAX was distributed to the citizens of Saudi Arabia in March 2023 through an online survey system and the authors' networks. Internal consistency reliability was assessed with Cronbach's α. Factorial structure was examined using confirmatory factor analysis (CFA). Known-group validity was assessed based on COVID-19 vaccination status.</div></div><div><h3>Results</h3><div>Responses from 164 participants who fully answered the questionnaire were analyzed. The mean age was 40 years, 77 % were females, and 90 % were fully vaccinated against COVID-19, with one-third receiving booster doses. CFA confirmed a well-fit four-factor structure. All items loaded well with their factors: standardized regression weight values ranged from 0.69 to 0.96. Correlations between the four factors ranged from 0.47 to 0.79. Cronbach α ranged from 0.874 to 0.930. As expected, the mean scores of all subscales were higher in those unvaccinated compared to those who were fully vaccinated as well as those fully vaccinated with a booster dose (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>The Arabic translation of the VAX exhibited a well-defined factorial structure with good internal consistency reliability and known-group validity. It is a valuable tool for measuring vaccination hesitancy in Arabic-speaking countries or populations, enabling the comparison of vaccine hesitancy across different countries and cultures.</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"42 26","pages":"Article 126411"},"PeriodicalIF":4.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors that shape COVID-19 pediatric vaccine decision-making in rural agricultural communities: A qualitative study 影响农村农业社区 COVID-19 儿科疫苗决策的因素:定性研究。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-10-04 DOI: 10.1016/j.vaccine.2024.126389
Kelley M. Pascoe , Sonia Bishop , Xuehan Ci , Magaly Ramirez , Georgina Perez , Genoveva Ibarra , Lorenzo Garza , Sandra Linde , Miriana C. Duran , Hwa Young Chae , Thomas Quigley , Laurie Hassell , Michelle M. Garrison , Paul K. Drain , Parth D. Shah , Linda K. Ko
While COVID-19 immunizations can improve outcomes from SARS-CoV-2, vaccine rates in the United States have been lowest among children under age 11 and among rural agricultural communities. This study examined factors influencing pediatric COVID-19 vaccine uptake among rural agricultural and predominantly Hispanic communities in Washington State. We conducted in-depth interviews with school district employees and students and held English and Spanish focus group discussions with parents, all of which were audio-recorded and transcribed. We used inductive coding with constant comparison approach to capture emergent themes. We identified five factors that influenced pediatric COVID-19 vaccine uptake in a rural community, including: 1) concerns and misinformation surrounding the new vaccine; 2) witnessing others' vaccine and pandemic experiences; 3) participation in social activities; 4) politicization of and political climate surrounding the vaccine; and 5) health education surrounding the vaccines. To increase pediatric COVID-19 vaccine uptake in rural communities, school districts, students, and parents should receive accurate information and reassurance to dispel health concerns and misinformation, without politicization of the vaccine and fears surrounding vaccine regulations. Social networks can be leveraged to encourage vaccine uptake by sharing positive vaccination vignettes.
Clinical Trial Registration: ClinicalTrials.gov Identifier: NCT04859699 https://clinicaltrials.gov/ct2/show/NCT04859699
虽然 COVID-19 免疫接种可改善 SARS-CoV-2 的治疗效果,但在美国,11 岁以下儿童和农村农业社区的疫苗接种率最低。本研究探讨了影响华盛顿州农村农业社区和以西班牙裔为主的社区儿童接种 COVID-19 疫苗的因素。我们对校区员工和学生进行了深入访谈,并与家长进行了英语和西班牙语焦点小组讨论,所有访谈均进行了录音和转录。我们采用归纳编码和不断比较的方法来捕捉新出现的主题。我们确定了影响农村社区儿童接种 COVID-19 疫苗的五个因素,包括1) 对新疫苗的担忧和错误信息;2) 目睹他人接种疫苗和大流行病的经历;3) 参与社会活动;4) 围绕疫苗的政治化和政治气候;5) 围绕疫苗的健康教育。为提高农村社区小儿 COVID-19 疫苗的接种率,校区、学生和家长应获得准确的信息和保证,以消除对健康的担忧和错误信息,避免疫苗政治化和围绕疫苗法规的恐惧。可以利用社交网络分享积极的疫苗接种小故事,鼓励人们接种疫苗。临床试验注册:临床试验注册:ClinicalTrials.gov Identifier:NCT04859699https://clinicaltrials.gov/ct2/show/NCT04859699.
{"title":"Factors that shape COVID-19 pediatric vaccine decision-making in rural agricultural communities: A qualitative study","authors":"Kelley M. Pascoe ,&nbsp;Sonia Bishop ,&nbsp;Xuehan Ci ,&nbsp;Magaly Ramirez ,&nbsp;Georgina Perez ,&nbsp;Genoveva Ibarra ,&nbsp;Lorenzo Garza ,&nbsp;Sandra Linde ,&nbsp;Miriana C. Duran ,&nbsp;Hwa Young Chae ,&nbsp;Thomas Quigley ,&nbsp;Laurie Hassell ,&nbsp;Michelle M. Garrison ,&nbsp;Paul K. Drain ,&nbsp;Parth D. Shah ,&nbsp;Linda K. Ko","doi":"10.1016/j.vaccine.2024.126389","DOIUrl":"10.1016/j.vaccine.2024.126389","url":null,"abstract":"<div><div>While COVID-19 immunizations can improve outcomes from SARS-CoV-2, vaccine rates in the United States have been lowest among children under age 11 and among rural agricultural communities. This study examined factors influencing pediatric COVID-19 vaccine uptake among rural agricultural and predominantly Hispanic communities in Washington State. We conducted in-depth interviews with school district employees and students and held English and Spanish focus group discussions with parents, all of which were audio-recorded and transcribed. We used inductive coding with constant comparison approach to capture emergent themes. We identified five factors that influenced pediatric COVID-19 vaccine uptake in a rural community, including: 1) concerns and misinformation surrounding the new vaccine; 2) witnessing others' vaccine and pandemic experiences; 3) participation in social activities; 4) politicization of and political climate surrounding the vaccine; and 5) health education surrounding the vaccines. To increase pediatric COVID-19 vaccine uptake in rural communities, school districts, students, and parents should receive accurate information and reassurance to dispel health concerns and misinformation, without politicization of the vaccine and fears surrounding vaccine regulations. Social networks can be leveraged to encourage vaccine uptake by sharing positive vaccination vignettes.</div><div>Clinical Trial Registration: <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> Identifier: <span><span>NCT04859699</span><svg><path></path></svg></span> <span><span>https://clinicaltrials.gov/ct2/show/NCT04859699</span><svg><path></path></svg></span></div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"42 26","pages":"Article 126389"},"PeriodicalIF":4.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SpiN-Tec: A T cell-based recombinant vaccine that is safe, immunogenic, and shows high efficacy in experimental models challenged with SARS-CoV-2 variants of concern SpiN-Tec:一种以 T 细胞为基础的重组疫苗,它安全、免疫原性强,在受到 SARS-CoV-2 变异株挑战的实验模型中显示出很高的效力。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-10-04 DOI: 10.1016/j.vaccine.2024.126394
Natália S. Hojo-Souza , Júlia T. de Castro , Graziella G. Rivelli , Patrick O. Azevedo , Emiliano R. Oliveira , Lídia P. Faustino , Natália Salazar , Flávia F. Bagno , Alex F. Carvalho , Bruna Rattis , Karine L. Lourenço , Isabela P. Gomes , Bruna R.D. Assis , Mariela Piccin , Flávio G. Fonseca , Edison Durigon , João S. Silva , Renan P. de Souza , Gisele A.C. Goulart , Helton Santiago , Ricardo T. Gazzinelli
The emergence of new SARS-CoV-2 variants of concern associated with waning immunity induced by natural infection or vaccines currently in use suggests that the COVID-19 pandemic will become endemic. Investing in new booster vaccines using different platforms is a promising way to enhance protection and keep the disease under control. Here, we evaluated the immunogenicity, efficacy, and safety of the SpiN-Tec vaccine, based on a chimeric recombinant protein (SpiN) adjuvanted with CTVad1 (MF59-based adjuvant), aiming at boosting immunity against variants of concern of SARS-CoV-2. Immunization of K18-hACE-2 transgenic mice and hamsters induced high antibody titers and cellular immune response to the SpiN protein as well as to its components, RBD and N proteins. Importantly in a heterologous prime/boost protocol with a COVID-19 vaccine approved for emergency use (ChAdOx1), SpiN-Tec enhanced the level of circulation neutralizing antibodies (nAb). In addition to protection against the Wuhan isolate, protection against the Delta and Omicron variants was also observed as shown by reduced viral load and lung pathology. Toxicity and safety tests performed in rats demonstrated that the SpiN-Tec vaccine was safe and, based on these results, the SpiN-Tec phase I/II clinical trial was approved.
由于自然感染或目前使用的疫苗引起的免疫力下降,出现了令人担忧的新的 SARS-CoV-2 变种,这表明 COVID-19 大流行将成为地方病。投资使用不同平台的新强化疫苗是加强保护和控制疾病的有效途径。在这里,我们评估了 SpiN-Tec 疫苗的免疫原性、有效性和安全性,该疫苗基于嵌合重组蛋白 (SpiN) 与 CTVad1(基于 MF59 的佐剂)的佐剂,旨在增强对 SARS-CoV-2 关注变种的免疫力。对 K18-hACE-2 转基因小鼠和仓鼠进行免疫,可诱导出针对 SpiN 蛋白及其成分 RBD 和 N 蛋白的高抗体滴度和细胞免疫反应。重要的是,在与获准紧急使用的 COVID-19 疫苗(ChAdOx1)的异源原代/加强方案中,SpiN-Tec 提高了循环中和抗体(nAb)的水平。除了对武汉分离株有保护作用外,对德尔塔和奥米克龙变异株也有保护作用,这体现在病毒载量和肺部病理变化的减少上。在大鼠身上进行的毒性和安全性测试表明,SpiN-Tec 疫苗是安全的,基于这些结果,SpiN-Tec I/II 期临床试验获得批准。
{"title":"SpiN-Tec: A T cell-based recombinant vaccine that is safe, immunogenic, and shows high efficacy in experimental models challenged with SARS-CoV-2 variants of concern","authors":"Natália S. Hojo-Souza ,&nbsp;Júlia T. de Castro ,&nbsp;Graziella G. Rivelli ,&nbsp;Patrick O. Azevedo ,&nbsp;Emiliano R. Oliveira ,&nbsp;Lídia P. Faustino ,&nbsp;Natália Salazar ,&nbsp;Flávia F. Bagno ,&nbsp;Alex F. Carvalho ,&nbsp;Bruna Rattis ,&nbsp;Karine L. Lourenço ,&nbsp;Isabela P. Gomes ,&nbsp;Bruna R.D. Assis ,&nbsp;Mariela Piccin ,&nbsp;Flávio G. Fonseca ,&nbsp;Edison Durigon ,&nbsp;João S. Silva ,&nbsp;Renan P. de Souza ,&nbsp;Gisele A.C. Goulart ,&nbsp;Helton Santiago ,&nbsp;Ricardo T. Gazzinelli","doi":"10.1016/j.vaccine.2024.126394","DOIUrl":"10.1016/j.vaccine.2024.126394","url":null,"abstract":"<div><div>The emergence of new SARS-CoV-2 variants of concern associated with waning immunity induced by natural infection or vaccines currently in use suggests that the COVID-19 pandemic will become endemic. Investing in new booster vaccines using different platforms is a promising way to enhance protection and keep the disease under control. Here, we evaluated the immunogenicity, efficacy, and safety of the SpiN-Tec vaccine, based on a chimeric recombinant protein (SpiN) adjuvanted with CTVad1 (MF59-based adjuvant), aiming at boosting immunity against variants of concern of SARS-CoV-2. Immunization of K18-hACE-2 transgenic mice and hamsters induced high antibody titers and cellular immune response to the SpiN protein as well as to its components, RBD and N proteins. Importantly in a heterologous prime/boost protocol with a COVID-19 vaccine approved for emergency use (ChAdOx1), SpiN-Tec enhanced the level of circulation neutralizing antibodies (nAb). In addition to protection against the Wuhan isolate, protection against the Delta and Omicron variants was also observed as shown by reduced viral load and lung pathology. Toxicity and safety tests performed in rats demonstrated that the SpiN-Tec vaccine was safe and, based on these results, the SpiN-Tec phase I/II clinical trial was approved.</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"42 26","pages":"Article 126394"},"PeriodicalIF":4.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
IPVS STATEMENT on HPV vaccination: No longer supply constraints: Towards achieving WHO vaccine targets IPVS 关于 HPV 疫苗接种的声明:供应不再受限:实现世卫组织疫苗目标。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-10-02 DOI: 10.1016/j.vaccine.2024.126400
Suzanne M. Garland , Neerja Bhatla , Yin Ling Woo
The global supply of human papillomavirus (HPV) prophylactic vaccines has been constrained since 2020.Vaccine manufacturers have increased capacity and new HPV vaccines are now available. Vaccine supply is now able to meet the full HPV vaccine demand which has been achieved earlier than predicted.
自 2020 年以来,全球人类乳头瘤病毒 (HPV) 预防性疫苗的供应一直受到限制。疫苗生产商提高了产能,新的 HPV 疫苗现已上市。疫苗供应现在能够满足全部的 HPV 疫苗需求,这比预测的时间提前了。
{"title":"IPVS STATEMENT on HPV vaccination: No longer supply constraints: Towards achieving WHO vaccine targets","authors":"Suzanne M. Garland ,&nbsp;Neerja Bhatla ,&nbsp;Yin Ling Woo","doi":"10.1016/j.vaccine.2024.126400","DOIUrl":"10.1016/j.vaccine.2024.126400","url":null,"abstract":"<div><div>The global supply of human papillomavirus (HPV) prophylactic vaccines has been constrained since 2020.Vaccine manufacturers have increased capacity and new HPV vaccines are now available. Vaccine supply is now able to meet the full HPV vaccine demand which has been achieved earlier than predicted.</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"42 26","pages":"Article 126400"},"PeriodicalIF":4.5,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Vaccine
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1