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Vaccine spillover effects in Africa: A cross-national study of vaccine spillover and confidence in Kenya, Nigeria, and South Africa 非洲的疫苗溢出效应:肯尼亚、尼日利亚和南非的疫苗溢出效应和信心跨国研究。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-11-12 DOI: 10.1016/j.vaccine.2024.126528
Alee Lockman , Timothy Callaghan , Christine Crudo Blackburn , Brian Colwell

Background

Vaccine hesitancy and a distrust of the COVID-19 vaccine is widespread in many African nations, stemming from historic medical abuses and low confidence in governments. While studies have examined drivers of vaccine hesitancy in Africa, little is known about vaccine spillover effects: how prior experiences with vaccines influence individuals' confidence in vaccines and future vaccination behaviors.

Methods

In a large online survey conducted across three African countries (Kenya, N = 1545; Nigeria, N = 1557; South Africa, N = 1588), we examined five measures of vaccine spillover: how experiences with the COVID-19 vaccination process influenced respondents' confidence in the safety, efficacy, and importance of all vaccines approved for use in their country, and the likelihood of vaccinating themselves or their children in the future. Multivariate binary logistic regression analyses were conducted to determine factors associated with each of the five outcome measures.

Results

Large numbers of individuals in all three countries experienced positive vaccine spillover: becoming more likely to vaccinate in the future and experiencing greater confidence in vaccines, due to their prior experiences with the COVID-19 vaccination process. The highest positive spillover effects were observed in Kenya, with 71 % reporting a greater likelihood of vaccinating themselves in the future, compared to just 60.1 % of Nigerian respondents and 51.7 % of South African respondents. Multivariate models provide evidence that demographic correlates of positive vaccine spillover vary across nations; however, prior vaccination, misinformation endorsement, and confidence in government both consistently predict spillover in all three nations.

Conclusion

These findings suggest that while drivers of vaccine spillover are country specific, strategies to address COVID-19 misinformation and to strengthen individuals' trust in government may help facilitate greater vaccine uptake in the future.
背景:由于历史上的医疗滥用和对政府的不信任,许多非洲国家普遍存在疫苗犹豫和对 COVID-19 疫苗的不信任。虽然已有研究探讨了非洲人对疫苗犹豫不决的原因,但对疫苗的溢出效应却知之甚少:以前接种疫苗的经历如何影响个人对疫苗的信心和未来的接种行为:在非洲三个国家(肯尼亚,N = 1545;尼日利亚,N = 1557;南非,N = 1588)进行的大型在线调查中,我们研究了疫苗溢出效应的五个衡量指标:COVID-19 疫苗接种过程的经历如何影响受访者对本国批准使用的所有疫苗的安全性、有效性和重要性的信心,以及未来为自己或子女接种疫苗的可能性。我们进行了多变量二元逻辑回归分析,以确定与五项结果测量相关的因素:结果:在所有三个国家中,许多人都经历了积极的疫苗溢出效应:由于他们之前在 COVID-19 疫苗接种过程中的经历,他们今后接种疫苗的可能性更大,对疫苗的信心也更强。肯尼亚的积极溢出效应最高,有 71% 的受访者表示今后更有可能接种疫苗,而尼日利亚受访者和南非受访者的这一比例分别为 60.1% 和 51.7%。多变量模型提供的证据表明,疫苗积极溢出效应的人口学相关因素在不同国家有所不同;但是,先前接种疫苗、错误信息认可和对政府的信心都一致预测了所有三个国家的溢出效应:这些研究结果表明,虽然疫苗外溢的驱动因素因国家而异,但应对 COVID-19 误传和加强个人对政府信任的策略可能有助于促进未来更多的疫苗接种。
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引用次数: 0
Fatal ascending paralysis after typhoid vaccine: Guillain and Barré's description of the very first case 接种伤寒疫苗后出现致命的上升性麻痹:吉兰(Guillain)和巴雷(Barré)对首例病例的描述。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-11-12 DOI: 10.1016/j.vaccine.2024.126443
Eelco F.M. Wijdicks
Background: Albeit rare, Guillain - Barré syndrome (GBS) has been associated with several vaccines. Surveys of these associations have not looked before 1950. Herein, I revisit the first described case of vaccine-associated GBS, manifesting during the Great War and to prevent typhoid.
Methods: Review of primary and secondary source material. Description of a landmark case.
Results: Review of a report of a 31-year-old brigadier who was revaccinated with “vaccin TAB” (a triple antityphoid-paratyphoid vaccine A and B) which days later was followed by rapid progression of limb weakness, oropharyngeal weakness and fatal neuromuscular respiratory weakness. Cerebrospinal fluid showed mild pleocytosis and increased protein (albumen). There was a normal brain and spinal cord at autopsy.
Conclusion: This is the first reported case of a vaccine-associated GBS.
背景:尽管罕见,但吉兰-巴雷综合征(GBS)与多种疫苗有关。有关这些关联的调查在 1950 年以前从未见过。在此,我重温了第一例描述的疫苗相关吉-巴氏综合征病例,该病例出现在大战期间,当时是为了预防伤寒:方法:回顾原始和二手资料。描述一个具有里程碑意义的病例:回顾一名 31 岁准将的报告,他重新接种了 "vaccin TAB"(A 型和 B 型三联抗伤寒-副伤寒疫苗),几天后出现四肢无力、口咽无力和致命性神经肌肉呼吸无力的快速发展。脑脊液显示轻度多细胞和蛋白(白蛋白)增加。尸检结果显示大脑和脊髓正常:这是首例报告的疫苗相关性 GBS 病例。
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引用次数: 0
Intranasal immunization with CPAF combined with ADU-S100 induces an effector CD4 T cell response and reduces bacterial burden following intravaginal infection with Chlamydia muridarum CPAF联合ADU-S100鼻内免疫可诱导CD4 T细胞效应,并减少阴道内感染鼠衣原体后的细菌负荷。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-11-12 DOI: 10.1016/j.vaccine.2024.126526
Taylor B. Poston , Jenna Girardi , Marie Kim , Peter Zwarycz , A. Grace Polson , Kacy S. Yount , Courtne Hanlan , Ian Jaras Salas , Sarah Mae Lammert , Daisy Arroyo , Tony Bruno , Manhong Wu , James Rozzelle , Jeff Fairman , Aaron P. Esser-Kahn , Toni Darville
Chlamydia trachomatis (Ct) is the most common bacterial sexually transmitted infection globally, and a vaccine is urgently needed to stop transmission and disease. Chlamydial Protease Activity Factor (CPAF) is an immunoprevalent and immunodominant antigen for CD4 T cells and B cells, which makes it a strong vaccine candidate. Due to the tolerogenic nature of the female genital tract (FGT) and its lack of secondary lymphoid tissue, effective induction of protective cell-mediated immunity will likely require potent and safe mucosal adjuvants. To address this need, we produced CPAF in a cell-free protein synthesis platform and adjuvanted it with the TLR9-agonist CpG1826, a synthetic cyclic-di-AMP (CDA) STING (stimulator of interferon genes) agonist ADU-S100, and/or the squalene oil-in-water nanoemulsion, AddaS03. We determined that intranasal immunization with CPAF plus ADU-S100 was well tolerated in female mice, induced CD4 T cells characterized by TNFα production alone or in combination with IL-17 A or IFNγ, significantly reduced bacterial shedding, and shortened the duration of infection in mice intravaginally challenged with Chlamydia muridarum. These data demonstrate the potential for CDA as a mucosal adjuvant for vaccines against Chlamydia genital tract infection.
沙眼衣原体(Ct)是全球最常见的细菌性性传播感染,目前急需一种疫苗来阻止传播和疾病的发生。衣原体蛋白酶活性因子(CPAF)是CD4 T细胞和B细胞的免疫流行和免疫显性抗原,这使其成为一种强有力的候选疫苗。由于女性生殖道(FGT)的耐受性及其缺乏次级淋巴组织,有效诱导保护性细胞介导免疫可能需要强效而安全的粘膜佐剂。为了满足这一需求,我们在无细胞蛋白质合成平台上生产了 CPAF,并用 TLR9 激动剂 CpG1826、合成环二-AMP (CDA) STING(干扰素基因刺激剂)激动剂 ADU-S100 和/或角鲨烯水包油型纳米乳剂 AddaS03 进行佐剂。我们发现,雌性小鼠对 CPAF 加 ADU-S100 的鼻内免疫具有良好的耐受性,可诱导 CD4 T 细胞产生 TNFα(单独或与 IL-17 A 或 IFNγ 结合使用),显著减少细菌脱落,并缩短阴道内受到鼠衣原体挑战的小鼠的感染持续时间。这些数据证明了 CDA 作为生殖道衣原体感染疫苗粘膜佐剂的潜力。
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引用次数: 0
Exposure to objective/sensationalist information moderates associations between psychological factors and COVID-19 anti-vaccination attitudes: An experimental study 接触客观/感性信息可调节心理因素与 COVID-19 反疫苗接种态度之间的关联:一项实验研究。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-11-11 DOI: 10.1016/j.vaccine.2024.126507
Aldo Aguirre-Camacho , Beatriz Hidalgo , Joshua A. Rash

Background

Research examining the relationship between psychological factors and COVID-19 vaccine hesitancy has been mostly based on observational designs, with little attention devoted to the role of exposure to objective/sensationalist information.

Purpose

This experimental study examined the extent to which exposure to objective or sensationalist news headlines: 1) influenced COVID-19 anti-vaccination attitudes; and 2) moderated the relationship between psychological factors and COVID-19 anti-vaccination attitudes.

Methods

123 participants (mean age = 28.55, SD = 11.44) completed measures of psychological factors previously associated with vaccine hesitancy (i.e. social norms regarding COVID-19, adherence to non-pharmaceutical interventions (NPIs), perceived health competence, trust in complementary and alternative medicine (CAM), COVID-19 conspiracy beliefs, and COVID-19 risk perception). Next, participants were randomly assigned to view nine print news headlines about COVID-19 vaccines that were depicted in objective or sensationalist terms. Finally, participants completed a measure of COVID-19 anti-vaccination attitudes. A t-test and simple slope analyses were performed to assess whether there were group differences in COVID-19 anti-vaccination attitudes between participants exposed to objective or sensationalist information, and whether exposure to objective or sensationalist information moderated the relationship between psychological factors and COVID-19 anti-vaccination attitudes, respectively.

Results

Participants exposed to sensationalist news headlines reported stronger COVID-19 anti-vaccination attitudes than those exposed to objective headlines. Exposure to objective or sensationalist news headlines moderated the relationship between several psychological factors (i.e. adherence to NPIs, perceived health competence, and trust in CAM) and COVID-19 anti-vaccination attitudes.

Conclusions

The results highlight that a joint focus on psychological factors and exposure to objective/sensationalist information may contribute to gain a better understanding of vaccine hesitancy in the context of the COVID-19 infodemic.
背景:研究心理因素与 COVID-19 疫苗接种犹豫不决之间关系的研究大多基于观察性设计,很少关注客观/耸人听闻的信息暴露所起的作用:方法:123 名参与者(平均年龄 = 28.55 岁,SD = 11.44)完成了以前与疫苗犹豫相关的心理因素测量(即关于 COVID-19 的社会规范)。方法:123 名参与者(平均年龄 = 28.55,标差 = 11.44)完成了之前与疫苗犹豫相关的心理因素测量(即 COVID-19 的社会规范、非药物干预(NPI)的坚持、感知的健康能力、对补充和替代医学(CAM)的信任、COVID-19 的阴谋信念以及 COVID-19 的风险认知)。接下来,参与者被随机分配浏览九条关于 COVID-19 疫苗的印刷新闻标题,这些标题分别以客观或煽情的方式进行描述。最后,参与者完成了一项关于 COVID-19 反疫苗接种态度的测量。通过t检验和简单斜率分析来评估接触客观或煽情信息的参与者在COVID-19反疫苗接种态度上是否存在群体差异,以及接触客观或煽情信息是否分别调节了心理因素与COVID-19反疫苗接种态度之间的关系:结果:与接触客观新闻标题的受试者相比,接触煽情新闻标题的受试者报告了更强烈的 COVID-19 反疫苗接种态度。接触客观或煽情新闻标题调节了几个心理因素(即对 NPIs 的依从性、感知健康能力和对 CAM 的信任)与 COVID-19 反疫苗接种态度之间的关系:研究结果表明,在 COVID-19 信息流行的背景下,共同关注心理因素和客观/感性信息可能有助于更好地理解疫苗接种犹豫不决的问题。
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引用次数: 0
Immunogenicity of a classical swine fever bait vaccine (Flc-LOM- BErns) in hybrid-wild boars 传统猪瘟诱饵疫苗(Flc-LOM- BErns)在杂交野猪中的免疫原性。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-11-10 DOI: 10.1016/j.vaccine.2024.126517
SeEun Choe , Gyu-Nam Park , Ki-Sun Kim , Jihye Shin , Byung-Hyun An , Dong-Jun An
To identify the best method of distributing vaccine baits for animals, the oral vaccine Flc-LOM-BErns was buried or placed directly on the ground within a mountainous area measuring 163 ha. Wild boars were observed more often around sites where the oral vaccine was buried than around sites where the oral vaccine was placed directly on the ground. Only wild boars consumed both the bait and the vaccine formulation. To confirm whether the Flc-LOM-BErns vaccine strain has DIVA function, it was spread or buried within a mountainous area of 2.3 ha that was frequented by grazing hybrid-wild boars. Among the 15 hybrid-wild boars captured before consuming the oral vaccine, two were positive for anti-CSFV E2, but negative for anti-BVDV Erns antibodies. The CSFV E2 and BVDV Erns antibody positivity rates in 46 hybrid-wild boars captured 6 weeks after distributing the oral vaccine were 56.5 % (26/46, 95 % CI: 42.2–69.7) and 52.1 % (24/46, 95 % CI: 38.1–65.8), respectively. However, the CSFV E2 and BVDV Erns antibody positivity rates at 28 weeks post-distribution of the oral vaccine decreased by 10.3 % and 13.7 %, respectively, when compared with those in hybrid-wild boars captured after 6 weeks. Since the antibody positivity rates induced by the oral vaccine decreased after 7 months, it is necessary to distribute the oral vaccine at least twice a year (early spring and late fall).
为了确定向动物分发疫苗诱饵的最佳方法,在一个面积为 163 公顷的山区内,将口服疫苗 Flc-LOM-BErns 埋在地下或直接放在地面上。与直接将口服疫苗放置在地面上的地点相比,在埋藏口服疫苗的地点周围更常观察到野猪。只有野猪食用了诱饵和疫苗制剂。为了证实Flc-LOM-BErns疫苗株是否具有DIVA功能,在杂交野猪经常出没的2.3公顷山地中撒播或掩埋了该疫苗株。在口服疫苗前捕获的 15 头杂交野猪中,有两头的抗 CSFV E2 抗体呈阳性,但抗 BVDV Erns 抗体呈阴性。口服疫苗 6 周后捕获的 46 头杂交野猪的 CSFV E2 和 BVDV Erns 抗体阳性率分别为 56.5 %(26/46,95 % CI:42.2-69.7)和 52.1 %(24/46,95 % CI:38.1-65.8)。然而,与 6 周后捕获的杂交野公猪相比,口服疫苗分配后 28 周的 CSFV E2 和 BVDV Erns 抗体阳性率分别下降了 10.3% 和 13.7%。由于口服疫苗诱导的抗体阳性率在 7 个月后有所下降,因此有必要每年至少分发两次口服疫苗(早春和晚秋)。
{"title":"Immunogenicity of a classical swine fever bait vaccine (Flc-LOM- BErns) in hybrid-wild boars","authors":"SeEun Choe ,&nbsp;Gyu-Nam Park ,&nbsp;Ki-Sun Kim ,&nbsp;Jihye Shin ,&nbsp;Byung-Hyun An ,&nbsp;Dong-Jun An","doi":"10.1016/j.vaccine.2024.126517","DOIUrl":"10.1016/j.vaccine.2024.126517","url":null,"abstract":"<div><div>To identify the best method of distributing vaccine baits for animals, the oral vaccine Flc-LOM-BE<sup>rns</sup> was buried or placed directly on the ground within a mountainous area measuring 163 ha. Wild boars were observed more often around sites where the oral vaccine was buried than around sites where the oral vaccine was placed directly on the ground. Only wild boars consumed both the bait and the vaccine formulation. To confirm whether the Flc-LOM-BE<sup>rns</sup> vaccine strain has DIVA function, it was spread or buried within a mountainous area of 2.3 ha that was frequented by grazing hybrid-wild boars. Among the 15 hybrid-wild boars captured before consuming the oral vaccine, two were positive for anti-CSFV E2, but negative for anti-BVDV E<sup>rns</sup> antibodies. The CSFV E2 and BVDV E<sup>rns</sup> antibody positivity rates in 46 hybrid-wild boars captured 6 weeks after distributing the oral vaccine were 56.5 % (26/46, 95 % CI: 42.2–69.7) and 52.1 % (24/46, 95 % CI: 38.1–65.8), respectively. However, the CSFV E2 and BVDV E<sup>rns</sup> antibody positivity rates at 28 weeks post-distribution of the oral vaccine decreased by 10.3 % and 13.7 %, respectively, when compared with those in hybrid-wild boars captured after 6 weeks. Since the antibody positivity rates induced by the oral vaccine decreased after 7 months, it is necessary to distribute the oral vaccine at least twice a year (early spring and late fall).</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"43 ","pages":"Article 126517"},"PeriodicalIF":4.5,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635670","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
Phase II study on the safety and immunogenicity of single-dose intramuscular or intranasal administration of the AVX/COVID-12 “Patria” recombinant Newcastle disease virus vaccine as a heterologous booster against COVID-19 in Mexico 在墨西哥开展关于单剂量肌肉注射或鼻内注射 AVX/COVID-12 "Patria "重组新城疫病毒疫苗作为 COVID-19 异源加强剂的安全性和免疫原性的 II 期研究。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-11-10 DOI: 10.1016/j.vaccine.2024.126511
Constantino López-Macías , Martha Torres , Brenda Armenta-Copca , Niels H. Wacher , Laura Castro-Castrezana , Andrea Alicia Colli-Domínguez , Tania Rivera-Hernández , Alejandro Torres-Flores , Matilde Damián-Hernández , Luis Ramírez-Martínez , Georgina Paz-De la Rosa , Oscar Rojas-Martínez , Alejandro Suárez-Martínez , Gustavo Peralta-Sánchez , Claudia Carranza , Esmeralda Juárez , Horacio Zamudio-Meza , Laura E. Carreto-Binaghi , Mercedes Viettri , Damaris Romero-Rodríguez , Bernardo Lozano-Dubernard

Background

The global inequity in the distribution of COVID-19 vaccines underscores the urgent need for innovative and cost-effective vaccine technologies to address access disparities and implement local manufacturing capabilities. This is essential for achieving and sustaining widespread immunity, and for ensuring timely protection of vulnerable populations during future booster campaigns in lower- middle income countries (LMICs).

Methods

To address this need, we conducted a phase II clinical trial to evaluate the safety and immunogenicity of the locally manufactured AVX/COVID-12 “Patria” (AVX) vaccine as a booster dose. The vaccine was administered either intramuscularly (IM) or intranasally (IN) to participants who had previously completed a vaccination regimen for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) using adenoviral vector, inactivated virus, or mRNA-based vaccines. Participants with initial anti-spike IgG titers below 1,200 U/mL were included, allowing us to observe the booster effect induced by vaccination.

Results

Both IM and IN immunization with AVX were found to be safe and well-tolerated. The vaccine induced a significant (>2.5-fold) increase in neutralizing antibodies against the ancestral Wuhan strain and variants of concern (VOCs), including Alpha, Beta, Delta, and Omicron (BA.2 and BA.5). This immune response was further supported by increased cellular production of interferon-gamma (IFN-γ), demonstrating a robust and multifaceted immune reaction.

Conclusions

The administration of AVX as a booster dose, whether through IM or IN routes, was safe and well-tolerated. The vaccine extended immune responses not only against the ancestral Wuhan-1 strain but also against various VOCs. Its ability to enhance preexisting immune responses suggests a potential contribution to expanding and sustaining herd immunity within the population.
背景:COVID-19 疫苗在全球范围内的分布不均突出表明,迫切需要创新且具有成本效益的疫苗技术来解决接种不均的问题,并实现本地化生产。这对于实现和维持广泛的免疫力以及确保在中低收入国家(LMICs)未来的强化免疫活动中及时保护易感人群至关重要:为了满足这一需求,我们开展了一项 II 期临床试验,以评估本地生产的 AVX/COVID-12 "Patria"(AVX)疫苗作为加强剂量的安全性和免疫原性。该疫苗通过肌肉注射(IM)或鼻内注射(IN)给曾使用腺病毒载体、灭活病毒或基于 mRNA 的疫苗接种过严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)的参与者。我们纳入了初始抗穗IgG滴度低于1,200 U/mL的参与者,以便观察疫苗接种引起的增效作用:结果:使用 AVX 进行 IM 和 IN 免疫接种均安全且耐受性良好。疫苗诱导的针对武汉祖毒株和相关变异株(VOCs)(包括 Alpha、Beta、Delta 和 Omicron(BA.2 和 BA.5))的中和抗体显著增加(>2.5 倍)。细胞产生的γ干扰素(IFN-γ)增加进一步支持了这种免疫反应,显示了一种强健的、多方面的免疫反应:结论:通过 IM 或 IN 途径注射 AVX 作为加强剂量是安全和耐受性良好的。该疫苗不仅能增强针对武汉-1 祖毒株的免疫反应,还能增强针对各种挥发性有机化合物的免疫反应。其增强原有免疫反应的能力表明,它可能有助于扩大和维持人群的群体免疫力。
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引用次数: 0
Modification and validation of a vaccine hesitancy scale for adolescent COVID-19 vaccination 修改并验证青少年 COVID-19 疫苗接种犹豫量表。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-11-10 DOI: 10.1016/j.vaccine.2024.126495
Annette K. Regan , Marie-Claude Couture , Timothy Callaghan , Brianna Agnew , Jillian Baker , Onyebuchi A. Arah

Background

Vaccine hesitancy is an urgent public health threat. While tools have been developed to monitor vaccine hesitancy among parents and the general adult population, no such tool exists for adolescents.

Methods

We modified an existing adult Vaccine Hesitancy Scale to create a teen COVID-19 Vaccine Hesitancy Scale (tVHS-COVID) for adolescents and their parents. To validate our scale, we conducted a nationally representative survey of 764 parent-teen dyads. We performed exploratory factor analysis (EFA) to determine the factor structure followed by confirmatory factor analysis (CFA) to test the factor structure validity using two random subsets. We evaluated internal consistency by Cronbach alpha values and construct validity by comparing tVHS-COVID scores to intention to receive future COVID-19 doses.

Results

EFA suggested a three-factor structure with 13-items. CFA indicated good fit for adolescents (CFI = 1.00; RMSEA = 0.023; SRMR = 0.062; NNFI-TLI = 0.998) and for parents (CFI = 1.00, RMSEA = 0.031; SRMR = 0.028; NNFI-TLI = 1.00). Internal consistency exceeded 0.79 for adolescents and 0.78 for parents. As tVHS-COVID scores increased, the percent of adolescent and parent respondents who reported they were willing to receive a COVID-19 vaccine decreased.

Discussion

The tVHS-COVID offers a unique tool that can be used to monitor COVID-19 vaccine hesitancy among adolescents and their parents. As adolescents take on more proactive roles in medical decision-making, monitoring vaccine hesitancy among this population becomes increasingly important.
背景:疫苗接种犹豫是一个紧迫的公共卫生威胁。虽然已经开发了一些工具来监测父母和普通成年人的疫苗接种犹豫,但还没有针对青少年的此类工具:方法:我们修改了现有的成人疫苗接种犹豫量表,为青少年及其父母设计了青少年 COVID-19 疫苗接种犹豫量表(tVHS-COVID)。为了验证我们的量表,我们在全国范围内对 764 对父母和青少年组合进行了调查。我们进行了探索性因子分析(EFA)以确定因子结构,然后使用两个随机子集进行确证性因子分析(CFA)以检验因子结构的有效性。我们通过 Cronbach alpha 值评估了内部一致性,并通过比较 tVHS-COVID 分数和未来接受 COVID-19 剂量的意愿评估了构建有效性:结果:EFA显示了一个包含13个项目的三因素结构。CFA表明青少年(CFI=1.00;RMSEA=0.023;SRMR=0.062;NNFI-TLI=0.998)和家长(CFI=1.00;RMSEA=0.031;SRMR=0.028;NNFI-TLI=1.00)的拟合度良好。青少年和家长的内部一致性分别超过 0.79 和 0.78。随着 tVHS-COVID 分数的增加,表示愿意接种 COVID-19 疫苗的青少年和家长受访者的百分比下降:讨论:tVHS-COVID 提供了一种独特的工具,可用于监测青少年及其家长对 COVID-19 疫苗的犹豫态度。随着青少年在医疗决策中扮演更加积极主动的角色,对这一人群的疫苗接种犹豫进行监测变得越来越重要。
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引用次数: 0
Mumps virus neurovirulence assessment-impact of viral doses, animal sex and age on results dispersion 腮腺炎病毒神经病毒性评估--病毒剂量、动物性别和年龄对结果散布的影响。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-11-09 DOI: 10.1016/j.vaccine.2024.126487
Maja Lang Balija, Maja Jagušić, Dubravko Forčić, Jelena Ivančić-Jelečki, Tanja Košutić Gulija
Mumps epidemics highlight the necessity for new live mumps vaccines. For vaccine candidate neurosafety assessment, the most commonly used test is the rat-based neurovirulence test (RNVT). Its main experimental and ethical deficiency is the results dispersion which requires large number of animals to obtain statistically relevant results.
To additionally characterize the RNVT the impact of two experimental animal characteristics, age for inoculation and sex, as well as range of infectious viral doses were analysed. Results obtained from two neurovirulent mumps viruses, SHdeopti-MRV2 and 9218/Zg98, demonstrated no corelation between animal sex and RNVT results (p = 0.9638 and p = 0.3337). Analysis of animal inoculation age found that hydrocephalus formation is impaired in neonatal rats older than 3 days. The inoculation period could be extended from first to the second postanatal day without the impact on RNVT results (p = 0.5865).
RNVT results demonstrated robustness to infectious doses in a range from 100 to 1000 PFU, but using the non-standard infectious doses,10 PFU or 100 CCID50, poses a risk of underestimating the neurovirulence potential of the MuV. However, none of the analysed parameters influenced the high dispersion of results.
In conclusion, although our finding will facilitate the implementation of the RNVT, the dispersion of the results indicates the need for a better mumps neurovirulence test that would align more closely with the 3R principles.
流行性腮腺炎疫情凸显了新型流行性腮腺炎活疫苗的必要性。在候选疫苗的神经安全性评估中,最常用的试验是大鼠神经毒力试验(RNVT)。它在实验和伦理方面的主要缺陷是结果分散,需要大量动物才能获得统计相关的结果。为了进一步说明 RNVT 的特点,我们分析了两种实验动物特征(接种年龄和性别)以及传染性病毒剂量范围的影响。两种神经病毒性腮腺炎病毒(SHdeopti-MRV2 和 9218/Zg98)的结果表明,动物性别与 RNVT 结果之间没有核心关系(p = 0.9638 和 p = 0.3337)。对动物接种年龄的分析发现,3 天以上的新生大鼠脑积水的形成会受到影响。接种期可以从出生后第一天延长到第二天,但不会影响 RNVT 结果(p = 0.5865)。RNVT 结果表明,感染剂量在 100 到 1000 PFU 的范围内都是稳健的,但使用非标准感染剂量(10 PFU 或 100 CCID50)有可能低估 MuV 的神经感染潜力。然而,没有一个分析参数会影响结果的高度分散性。总之,尽管我们的发现将有助于 RNVT 的实施,但结果的分散性表明需要一种更好的流行性腮腺炎神经毒力检测方法,使其更符合 3R 原则。
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引用次数: 0
Relative effectiveness of homologous NVX-CoV2373 and BNT162b2 COVID-19 vaccinations in South Korea 韩国同源 NVX-CoV2373 和 BNT162b2 COVID-19 疫苗接种的相对效果。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-11-09 DOI: 10.1016/j.vaccine.2024.126503
Eunseon Gwak , Seung-Ah Choe , Erdenetuya Bolormaa , Young June Choe , Chengbin Wang , Jonathan Fix , Muruga Vadivale , Matthew D. Rousculp
To estimate the relative effectiveness of NVX-CoV2373 versus BNT162b2 (Pfizer–BioNTech) in preventing SARS-CoV-2 infection and severe COVID-19 disease during the Omicron variant dominance in South Korea, we conducted a retrospective cohort-study among ≥12-year-olds using the K-COV-N database, which links COVID-19 vaccine registry data with health insurance claims data. The Cox proportional-hazards model and inverse probability of treatment weighting were employed to calculate adjusted hazard ratios (aHRs). Among homologous primary-series NVX-CoV2373 versus BNT162b2 recipients at Day 180 post-vaccination, the aHR was 0.90 (95% CI: 0.87–0.93) for all laboratory-confirmed and 0.65 (95% CI: 0.48–0.88) for severe infections. Among homologous 1st-booster recipients, it was 1.15 (95% CI: 1.01–1.30) for all laboratory-confirmed and 0.39 (95% CI: 0.20–0.75) for severe infections. At 180-days post-immunization, we observed homologous, NVX-CoV2373 primary-series added and 1st booster offered comparable protection against SARS-CoV-2 infection versus BNT162b2.
为了估算 NVX-CoV2373 与 BNT162b2(辉瑞生物技术公司)在韩国 Omicron 变异优势期预防 SARS-CoV-2 感染和严重 COVID-19 疾病的相对有效性,我们利用 K-COV-N 数据库对年龄≥12 岁的儿童进行了回顾性队列研究,该数据库将 COVID-19 疫苗登记数据与医疗保险索赔数据联系在一起。研究采用了 Cox 比例危险模型和逆概率治疗加权法来计算调整后的危险比(aHRs)。在接种后第 180 天,同源初免系列 NVX-CoV2373 与 BNT162b2 接种者中,所有实验室确诊感染的 aHR 为 0.90(95% CI:0.87-0.93),严重感染的 aHR 为 0.65(95% CI:0.48-0.88)。在同源第 1 次加强免疫者中,所有实验室确诊的感染率为 1.15(95% CI:1.01-1.30),严重感染率为 0.39(95% CI:0.20-0.75)。在免疫后 180 天,我们观察到同源、添加 NVX-CoV2373 主系列和第一加强剂与 BNT162b2 相比,对 SARS-CoV-2 感染的保护效果相当。
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引用次数: 0
Vaccination strategies to protect chickens from fowl adenovirus (FAdV)-induced diseases: A comprehensive review 保护鸡免受鸡腺病毒 (FAdV) 引起的疾病影响的疫苗接种策略:全面综述。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2024-11-09 DOI: 10.1016/j.vaccine.2024.126496
Carlotta De Luca, Michael Hess
In recent years, fowl adenovirus (FAdV)-induced diseases became a global problem with considerable impact on chicken health and welfare. This has prompted numerous studies to focus on experimental immunization strategies using whole virus formulations (live or killed vaccines), some of them modified as recombinantly constructed vector vaccines. In addition, FAdV capsid proteins were frequently reported as immunizing antigens (subunit vaccines), with fiber proteins being amongst the most successful candidates. To date, there is no standardized protocol to assess vaccine efficacy in experimental FAdV protection studies, with the consequence that the experimental settings present several degrees of variations even when sharing similar premises. Differences in formulation preparations, route of inoculation, antigen dose, vaccination scheme, choice of challenge strain, or type and age of the birds are capable to greatly influence the magnitude of the immune response and the consequent protective efficacy, altogether addressing remaining challenges. Beyond the antigen composition of a vaccine, the epidemiology of FAdVs with the potential of vertical transmission of virus and/or antibodies from breeders to progenies has a substantial impact on protection strategies. The goal of this review is to outline a broad overview of the findings made thus far regarding immunization strategies against diseases associated to FAdV infections, considering the literature published since the appearance of hepatitis-hydropericardium syndrome (HHS) in the late Eighties, in order to emphasize the current knowledge on FAdV vaccines and highlight fields of future research and intervention.
近年来,鸡腺病毒(FAdV)引起的疾病已成为一个全球性问题,对鸡的健康和福利造成了相当大的影响。这促使许多研究开始关注使用全病毒制剂(活疫苗或杀毒疫苗)的试验性免疫策略,其中一些是经过改良的重组载体疫苗。此外,FAdV 的囊膜蛋白经常被报道为免疫抗原(亚单位疫苗),其中纤维蛋白是最成功的候选抗原之一。迄今为止,在 FAdV 保护实验研究中还没有评估疫苗疗效的标准化方案,因此,即使在相似的前提下,实验设置也会出现不同程度的差异。制剂配制、接种途径、抗原剂量、接种方案、挑战株的选择或禽类的类型和年龄等方面的差异都会极大地影响免疫反应的程度和由此产生的保护效力,从而彻底解决剩余的难题。除了疫苗的抗原成分外,FAdV 的流行病学以及病毒和/或抗体从种鸡向后代垂直传播的可能性对保护策略也有重大影响。本综述旨在概述自八十年代末出现肝炎-心包积水综合征(HHS)以来,有关针对 FAdV 感染相关疾病的免疫策略的研究成果,以强调当前有关 FAdV 疫苗的知识,并突出未来研究和干预的领域。
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引用次数: 0
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