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Reasons for unvaccinated booster dose of COVID-19, adverse reaction after vaccination, and COVID-19 infection status among those with COVID-19 booster vaccination hesitancy 未接种COVID-19加强疫苗剂量的原因、疫苗接种后的不良反应以及COVID-19加强疫苗接种犹豫不决者的感染状况
IF 2.2 Q3 IMMUNOLOGY Pub Date : 2025-08-06 DOI: 10.1016/j.jvacx.2025.100701
Sho Takahashi , Shohei Sakai , Yuichiro Ohki , Kaede Tobe , Yurie Kobashi , Masaharu Tsubokura

Background

We have previously reported reasons for vaccine hesitance among those who did not receive the coronavirus disease 2019 (COVID-19) vaccination. However, the detailed causes of hesitancy related to booster vaccinations remain largely uninvestigated. This study aimed to describe why individuals who received one or two vaccine doses avoided booster shots.

Methods

In March 2023, a cross-sectional Internet survey was conducted to investigate the reasons for vaccine hesitancy and the extent of adverse reactions following vaccination among individuals who had not received a booster dose in Japan. Survey items included social demographics, comorbidities, history of SARS-CoV-2 infection, history of COVID-19 vaccination, adverse reactions to COVID-19 vaccines, and reasons for vaccination decline. The reasons for avoiding vaccination were summarized.

Results

In this study, 545 individuals were included: 262 did not receive vaccination, 21 received one dose, and 263 received two doses by March 2023. The most common reason for avoiding subsequent booster doses among individuals who received one or two doses of the vaccine was concerns about adverse reactions (n[%] = 192 [67.8 %]), followed by concerns about vaccine safety (n[%] = 154 [54.4 %]). The proportion of vaccine safety concerns was lower in the booster vaccination hesitant group than in the non-vaccination group (p < 0.001). The group that avoided booster vaccination due to adverse reactions experienced all types of adverse reactions more severely than those for which adverse reactions were not a reason for vaccine hesitancy.

Conclusions

The most prominent reason for avoiding booster doses after receiving one or two doses of the COVID-19 vaccine was related to concerns regarding associated side effects. To prevent vaccine hesitancy regarding booster doses, including COVID-19, the strategy for reducing discomfort caused by these adverse reactions should involve the first and second doses.
我们之前曾报道过未接种2019冠状病毒病(COVID-19)疫苗的人对疫苗犹豫的原因。然而,与加强疫苗接种有关的犹豫的详细原因在很大程度上仍未得到调查。这项研究的目的是描述为什么接种了一剂或两剂疫苗的人避免了加强注射。方法2023年3月,在日本进行了一项横断面网络调查,调查未接种加强剂的个体接种疫苗后犹豫的原因和不良反应的程度。调查项目包括社会人口统计学、合并症、SARS-CoV-2感染史、COVID-19疫苗接种史、COVID-19疫苗不良反应、疫苗接种率下降原因。总结了避免接种疫苗的原因。结果截至2023年3月,545人未接种疫苗262人,接种一剂疫苗21人,接种两剂疫苗263人。在接受一剂或两剂疫苗的个体中,避免后续加强剂量的最常见原因是担心不良反应(n[%] = 192[67.8%]),其次是担心疫苗安全性(n[%] = 154[54.4%])。加强疫苗接种犹豫组对疫苗安全的担忧比例低于未接种疫苗组(p <;0.001)。由于不良反应而避免加强疫苗接种的组比不良反应不是疫苗犹豫的原因的组经历了更严重的各种不良反应。结论接种一剂或两剂新冠肺炎疫苗后避免加强接种的最主要原因与担心相关副作用有关。为了防止对加强剂量(包括COVID-19)的疫苗犹豫,减少这些不良反应引起的不适的策略应包括第一剂和第二剂。
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引用次数: 0
Knowledge, attitudes, and practices towards hepatitis A virus immunization in Jordan: A nationwide cross-sectional study 约旦对甲型肝炎病毒免疫的知识、态度和做法:一项全国性的横断面研究
IF 2.2 Q3 IMMUNOLOGY Pub Date : 2025-08-01 DOI: 10.1016/j.jvacx.2025.100696
Jehad A. Yasin , Fares A. Qtaishat , Mohammad-Amer A. Tamimi , Leen A. Alkuttob , Muaath I. Alsufi , Ramez M. Odat , Yazeed H. Heqail , Areen Hatamleh , Diala Walid Abu-Hassan

Background

Hepatitis A virus (HAV) is an RNA virus transmitted via the fecal-oral route, often through contaminated water and poor sanitation. Although the HAV vaccine was included in Jordan's vaccination program in 2020 to address rising infection rates, there is limited research on the population's knowledge, attitudes, and practices regarding HAV.

Aim

To assess knowledge, attitudes, and practices towards hepatitis A and its vaccine among Jordanian adults, identify their predictors, and inform future educational interventions.

Methods

This observational cross-sectional study utilized data from Jordanians in all regions of the country. Data collection was conducted via an online Arabic survey to collect information regarding demographics, HAV knowledge, immunization attitudes, and practices.

Results

Data were collected from 716 participants. Female participants resembled 60.3 % of participants, with a mean age of 31.18 years old. Participants deemed doctors as a trustworthy source of knowledge, however, only 46.51 % would consult them for information regarding HAV and its vaccine. The findings highlighted lower HAV vaccination knowledge and poorer attitudes in participants from the southern region of the country (p < 0.001). Higher knowledge scores were positively correlated with attitudes towards immunization (p < 0.001). Females demonstrated significantly higher attitude scores compared with males, as shown by the Mann-Whitney U Test (p = 0.001) and regression coefficients. Positive attitudes towards vaccination positively influenced immunization willingness, while age had a negative influence (p < 0.05).

Conclusion

The study offered valuable insight on the gaps in HAV knowledge among Jordanians, emphasizing the need for targeted educational interventions. Future research should identify additional cultural and socioeconomic factors that may play a role in HAV knowledge and attitudes.
甲型肝炎病毒(HAV)是一种通过粪-口途径传播的RNA病毒,通常通过受污染的水和恶劣的卫生条件传播。尽管为了应对不断上升的感染率,约旦在2020年将甲肝疫苗纳入了疫苗接种规划,但关于民众对甲肝的知识、态度和做法的研究有限。目的评估约旦成年人对甲型肝炎及其疫苗的知识、态度和做法,确定其预测因素,并为未来的教育干预提供信息。方法:这项观察性横断面研究利用了来自全国所有地区的约旦人的数据。数据收集是通过在线阿拉伯语调查进行的,以收集有关人口统计、甲型肝炎知识、免疫态度和做法的信息。结果共收集了716名参与者的数据。女性参与者与60.3%的参与者相似,平均年龄为31.18岁。然而,只有46.51%的受访者认为医生是值得信赖的知识来源,他们会向医生咨询有关甲肝病毒及其疫苗的信息。调查结果强调,来自该国南部地区的参与者对甲肝疫苗接种的了解程度较低,态度较差(p <;0.001)。较高的知识得分与免疫态度呈正相关(p <;0.001)。根据Mann-Whitney U检验(p = 0.001)和回归系数,女性的态度得分明显高于男性。对疫苗接种的积极态度正向影响免疫接种意愿,而年龄有负向影响(p <;0.05)。结论该研究对约旦人在艾滋病知识方面的差距提供了有价值的见解,强调了有针对性的教育干预的必要性。未来的研究应确定可能在甲型肝炎知识和态度中发挥作用的其他文化和社会经济因素。
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引用次数: 0
A narrative review of pneumococcal serotypes causing invasive disease in North Africa and the Middle East 北非和中东引起侵袭性疾病的肺炎球菌血清型的叙述性回顾
IF 2.2 Q3 IMMUNOLOGY Pub Date : 2025-08-01 DOI: 10.1016/j.jvacx.2025.100688
Hammam Haridy , Ghassan Dbaibo , Prakash Jeena , Amina Al-Jardani

Introduction

Invasive pneumococcal disease (IPD) poses an enormous burden for developing countries. The introduction of pneumococcal conjugate vaccines (PCVs) has resulted in global declines in invasive pneumococcal disease (IPD), and the World Health Organization recommends PCV inclusion in all national immunization programs (NIPs). This review assesses the pneumococcal serotypes causing IPD in North Africa and the Middle East and the potential prevention of IPD by different serotype-specific PCVs.

Methods

A search was conducted in PubMed for articles published from 2012 to 2025 evaluating the serotypes causing IPD in North Africa and the Middle East.

Results

Of 263 articles retrieved, the 30 that met inclusion criteria investigated IPD in 10 countries from 1994 through 2022: Algeria, Iran, Jordan, Kuwait, Lebanon, Morocco, Oman, Qatar, Saudi Arabia, and Tunisia. The studies showed that the serotypes most responsible for IPD varied widely over time and across countries and often demonstrated an inverse relationship to vaccine uptake. The most common IPD-causing serotypes were 14 (≤57.0 %), 19A (≤46.2 %) and 19F (≤30.8 %), but the prevalence of serotypes 14, 19A, and 19F tended to decline after the introduction of 7-valent PCV and 13-valent PCV (PCV13) into NIPs. In contrast, percentages of IPD caused by non-vaccine serotypes remained high in some countries.

Discussion

Although limited data and variable results made major serotype distribution trends difficult to determine, IPD caused by PCV13 serotypes clearly declined after vaccine introduction whereas IPD caused by serotypes not included in the available vaccines tended to remain high or increase.

Conclusion

In North Africa and the Middle East, improved IPD serotype surveillance is needed. The introduction of higher valency vaccines into regional NIPs may alleviate IPD burden.
侵袭性肺炎球菌病(IPD)给发展中国家带来了巨大的负担。肺炎球菌结合疫苗(PCV)的引入导致全球侵袭性肺炎球菌疾病(IPD)的下降,世界卫生组织建议将PCV纳入所有国家免疫规划(NIPs)。本综述评估了北非和中东地区引起IPD的肺炎球菌血清型,以及不同血清型特异性pcv预防IPD的可能性。方法在PubMed检索2012 - 2025年发表的评价北非和中东地区IPD血清型的文章。在检索到的263篇文章中,符合纳入标准的30篇文章调查了1994年至2022年间10个国家的IPD:阿尔及利亚、伊朗、约旦、科威特、黎巴嫩、摩洛哥、阿曼、卡塔尔、沙特阿拉伯和突尼斯。这些研究表明,随着时间的推移和国家的不同,导致IPD的血清型差异很大,而且往往与疫苗摄取呈反比关系。引起ipd最常见的血清型为14型(≤57.0%)、19A型(≤46.2%)和19F型(≤30.8%),但在将7价PCV和13价PCV (PCV13)引入NIPs后,14、19A和19F型的患病率呈下降趋势。相反,在一些国家,由非疫苗血清型引起的IPD的百分比仍然很高。虽然有限的数据和可变的结果使主要血清型分布趋势难以确定,但PCV13血清型引起的IPD在疫苗引入后明显下降,而未包括在现有疫苗中的血清型引起的IPD趋于保持高水平或增加。结论北非和中东地区需要加强IPD血清型监测。将高价疫苗引入区域国家免疫规划可减轻IPD负担。
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引用次数: 0
A phase II/III, randomized, double-blind, placebo-controlled trial to evaluate immunogenicity and safety of the Gam-COVID-Vac combined vector vaccine in the prophylactic treatment for SARS-СoV-2 infection in the United Arab Emirates 在阿拉伯联合酋长国开展一项II/III期、随机、双盲、安慰剂对照试验,评估Gam-COVID-Vac联合载体疫苗预防性治疗SARS-СoV-2感染的免疫原性和安全性
IF 2.2 Q3 IMMUNOLOGY Pub Date : 2025-08-01 DOI: 10.1016/j.jvacx.2025.100698
Ahmed A.K. AlHammadi , Amna H. Alzaabi , Haneen B. Choker , Ahmed A. Ibrahim , Asma Bin Ishaq , Ahmed E. Mahboub , Reem S. Al Dhaheri , Mohamed N. Alzaabi , Timothy A. Collyns , Gehad ElGhazali , Stefan Weber , Basel K. Al-Ramadi

Background

Long-term efficacy and safety profiles of the various SARS-CoV-2 vaccines were investigated. Current trial aimed to assess the safety and immunogenicity of the Gam-COVID-Vac combined vector vaccine against SARS-CoV-2-induced coronavirus infection up to 6 months post vaccination.

Research design and methods

Participants ≥18 years of age with no prior SARS-COV-2 infection or vaccination were randomized on a 3:1 ratio to receive heterologous recombinant human adenovirus-vectored vaccines or placebo, respectively. Immunogenicity was determined based on quantitative IgG antibodies to viral S and N proteins, virus- neutralizing Abs (VNA), seroconversion rates, and S protein-specific CD4 and CD8 T-cell responses.

Results

A total of 990 participants were randomized on a 3:1 ratio to vaccine and placebo groups. Majority of Adverse events were mild-moderate. Two doses of vaccine induced VNA in 100 % of participants on Day 42, with geometric mean ratio (GMR) peaking at 120 days with average 24.14 (p < 0.001). Vaccine group showed a very significant GMR for quantitative IgG to S protein. Seroconversion rates were 90.0 %, 83.7 % and 78.9 % on days 42, 120 and 180 (p < 0.001 compared to placebo). A significant rise in the median of S protein-specific CD4+ and CD8+ T- lymphocytes with a robust IFN-γ response was evident after 28 days compared to baseline. Long-term follow-up demonstrated persistent and significant CD8+ T-cell and IFN-γ responses at 120 days (p = 0.049 and 0.039, respectively) compared to placebo.

Conclusions

Gam-COVID-Vac vaccine showed a good safety profile and induced durable humoral and cellular immune responses. The viral-specific CD8+ T-cell response was more durable following vaccination than CD4+ T cell counterpart.

Trial Registration

The trial is registered at ClinicalTrials.gov (CT.gov identifier: NCT04656613).
研究了各种SARS-CoV-2疫苗的长期疗效和安全性。目前的试验旨在评估Gam-COVID-Vac联合载体疫苗在接种后6个月内抗sars - cov -2诱导的冠状病毒感染的安全性和免疫原性。研究设计和方法年龄≥18岁、既往未感染SARS-COV-2或未接种过SARS-COV-2疫苗的受试者按3:1的比例随机分为异源重组人腺病毒载体疫苗组和安慰剂组。免疫原性的测定是基于对病毒S和N蛋白的定量IgG抗体、病毒中和抗体(VNA)、血清转化率和S蛋白特异性CD4和CD8 t细胞反应。结果共有990名参与者按3:1的比例随机分为疫苗组和安慰剂组。大多数不良事件为轻中度。在第42天,100%的参与者接受了两剂疫苗诱导的VNA,几何平均比(GMR)在120天达到峰值,平均为24.14 (p <;0.001)。疫苗组对S蛋白定量IgG的GMR极显著。血清转换率分别为90.0%、83.7%和78.9%,分别在第42、120和180天(p <;0.001(与安慰剂相比)。与基线相比,28天后S蛋白特异性CD4+和CD8+ T-淋巴细胞的中位数显著上升,IFN-γ反应强劲。长期随访显示,与安慰剂相比,120天的CD8+ t细胞和IFN-γ反应持续且显著(p分别= 0.049和0.039)。结论gam - covid - vac疫苗具有良好的安全性,可诱导持久的体液和细胞免疫反应。接种疫苗后,病毒特异性CD8+ T细胞应答比CD4+ T细胞应答更持久。试验注册该试验在ClinicalTrials.gov (CT.gov标识符:NCT04656613)上注册。
{"title":"A phase II/III, randomized, double-blind, placebo-controlled trial to evaluate immunogenicity and safety of the Gam-COVID-Vac combined vector vaccine in the prophylactic treatment for SARS-СoV-2 infection in the United Arab Emirates","authors":"Ahmed A.K. AlHammadi ,&nbsp;Amna H. Alzaabi ,&nbsp;Haneen B. Choker ,&nbsp;Ahmed A. Ibrahim ,&nbsp;Asma Bin Ishaq ,&nbsp;Ahmed E. Mahboub ,&nbsp;Reem S. Al Dhaheri ,&nbsp;Mohamed N. Alzaabi ,&nbsp;Timothy A. Collyns ,&nbsp;Gehad ElGhazali ,&nbsp;Stefan Weber ,&nbsp;Basel K. Al-Ramadi","doi":"10.1016/j.jvacx.2025.100698","DOIUrl":"10.1016/j.jvacx.2025.100698","url":null,"abstract":"<div><h3>Background</h3><div>Long-term efficacy and safety profiles of the various SARS-CoV-2 vaccines were investigated. Current trial aimed to assess the safety and immunogenicity of the Gam-COVID-Vac combined vector vaccine against SARS-CoV-2-induced coronavirus infection up to 6 months post vaccination.</div></div><div><h3>Research design and methods</h3><div>Participants ≥18 years of age with no prior SARS-COV-2 infection or vaccination were randomized on a 3:1 ratio to receive heterologous recombinant human adenovirus-vectored vaccines or placebo, respectively. Immunogenicity was determined based on quantitative IgG antibodies to viral S and N proteins, virus- neutralizing Abs (VNA), seroconversion rates, and S protein-specific CD4 and CD8 T-cell responses.</div></div><div><h3>Results</h3><div>A total of 990 participants were randomized on a 3:1 ratio to vaccine and placebo groups. Majority of Adverse events were mild-moderate. Two doses of vaccine induced VNA in 100 % of participants on Day 42, with geometric mean ratio (GMR) peaking at 120 days with average 24.14 (<em>p</em> &lt; 0.001). Vaccine group showed a very significant GMR for quantitative IgG to S protein. Seroconversion rates were 90.0 %, 83.7 % and 78.9 % on days 42, 120 and 180 (p &lt; 0.001 compared to placebo). A significant rise in the median of S protein-specific CD4<sup>+</sup> and CD8<sup>+</sup> T- lymphocytes with a robust IFN-γ response was evident after 28 days compared to baseline. Long-term follow-up demonstrated persistent and significant CD8<sup>+</sup> T-cell and IFN-γ responses at 120 days (<em>p</em> = 0.049 and 0.039, respectively) compared to placebo.</div></div><div><h3>Conclusions</h3><div>Gam-COVID-Vac vaccine showed a good safety profile and induced durable humoral and cellular immune responses. The viral-specific CD8+ T-cell response was more durable following vaccination than CD4+ T cell counterpart.</div></div><div><h3>Trial Registration</h3><div>The trial is registered at <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> (<span><span>CT.gov</span><svg><path></path></svg></span> identifier: <span><span>NCT04656613</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":43021,"journal":{"name":"Vaccine: X","volume":"25 ","pages":"Article 100698"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144767072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to “Streptococcus pneumoniae infections in an adult intensive care unit: A retrospective study from a tertiary Center in Portugal” [Vaccine: X 24 (2025) 100627] “成人重症监护病房中的肺炎链球菌感染:来自葡萄牙三级中心的回顾性研究”[疫苗:x24(2025) 100627]的勘误表。
IF 2.2 Q3 IMMUNOLOGY Pub Date : 2025-08-01 DOI: 10.1016/j.jvacx.2025.100697
Ana Catarina Rodrigues Gonçalves , Diogo Costa Oliveira , Rita Jorge , José Chen-Xu , Matilde Couto , Isabel Campos , José Artur Paiva
{"title":"Corrigendum to “Streptococcus pneumoniae infections in an adult intensive care unit: A retrospective study from a tertiary Center in Portugal” [Vaccine: X 24 (2025) 100627]","authors":"Ana Catarina Rodrigues Gonçalves ,&nbsp;Diogo Costa Oliveira ,&nbsp;Rita Jorge ,&nbsp;José Chen-Xu ,&nbsp;Matilde Couto ,&nbsp;Isabel Campos ,&nbsp;José Artur Paiva","doi":"10.1016/j.jvacx.2025.100697","DOIUrl":"10.1016/j.jvacx.2025.100697","url":null,"abstract":"","PeriodicalId":43021,"journal":{"name":"Vaccine: X","volume":"25 ","pages":"Article 100697"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144831570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to “Seasonal influenza vaccination: Overcoming immunosenescence with enhanced vaccines” [Vaccine: X 24 (2025) 100662] “季节性流感疫苗接种:用强化疫苗克服免疫衰老”的勘误表[疫苗:x24 (2025) 100662]
IF 2.2 Q3 IMMUNOLOGY Pub Date : 2025-08-01 DOI: 10.1016/j.jvacx.2025.100680
Wendy Boivin , Mark Loeb , Peter Openshaw , Mansoor Ashraf , Graham Pawelec
{"title":"Corrigendum to “Seasonal influenza vaccination: Overcoming immunosenescence with enhanced vaccines” [Vaccine: X 24 (2025) 100662]","authors":"Wendy Boivin ,&nbsp;Mark Loeb ,&nbsp;Peter Openshaw ,&nbsp;Mansoor Ashraf ,&nbsp;Graham Pawelec","doi":"10.1016/j.jvacx.2025.100680","DOIUrl":"10.1016/j.jvacx.2025.100680","url":null,"abstract":"","PeriodicalId":43021,"journal":{"name":"Vaccine: X","volume":"25 ","pages":"Article 100680"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144831569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Seroprevalence of Bordetella pertussis antibodies in Libyan pregnant women at the time of delivery 利比亚孕妇分娩时百日咳博德泰拉抗体的血清流行率
IF 2.2 Q3 IMMUNOLOGY Pub Date : 2025-07-23 DOI: 10.1016/j.jvacx.2025.100695
Suleiman Abusrewil , Mostafa Gawass , Inas Alhudiri , Marwan Sherif , Fawzi Ebrahim , Ali Amgadmi , Yosra Lamami , Salah Tabal , Musa O. Busarira , Hussain Asherkaci , Lubna Almaghur , Samira Al Dwigen , Mohamed Milad , Fatma Faraj Alhoty , Fatimah Abouthiheer , Zaynab Algharyani , Mirfat Albasheer , Hana Elghoul , Shaima Abuzaid , Khoulod Tawel , Adam Elzagheid

Background

Pertussis is a highly contagious respiratory disease. Low levels of maternal antibodies make infants more susceptible to pertussis infection before they are eligible for vaccination at 2 months of age. This study aimed to investigate the seroprevalence of antibodies against Bordetella pertussis in Libyan pregnant women at the time of delivery.

Methods

In this observational cross-sectional clinic-based study, 840 pregnant women were enrolled at five tertiary hospitals in three major cities in Libya from March 2023 to February 2024. Informed consent was obtained from all subjects involved in the study. At the time of delivery, venous blood was extracted from participants, and the samples were analyzed for serum levels of anti-B.pertussis toxin antibodies (IgG and IgA) using enzyme-linked immunosorbent assay (ELISA). Samples were positive if the antibody level was ≥100 IU/mL for IgG or ≥ 12 IU/mL for IgA.

Results

Mean age of pregnant women was 31.1 ± 6.2 years old. All participants had received four doses of whole cell pertussis vaccine as part of the expanded Libyan national immunization program during their childhood. In this study, 827 (98.5 %) participants had IgG and IgA antibodies to B.pertussis toxin below the cut-off level of the assay. Only 13 (1.5 %) participants had recent infections (Two were positive for IgG, nine were positive for IgA antibodies and two were positive for both antibodies).

Conclusions

In this study, most pregnant women in Libya were seronegative for B. pertussis antibodies. This makes their young infants more vulnerable to pertussis infection at this critical age. These findings support the need to introduce maternal Tdap vaccination as an important preventive strategy to reduce the burden of neonatal and younger infants' pertussis infections in Libya. National immunization programs should prioritize maternal vaccination, booster doses, and enhanced surveillance to protect the most vulnerable groups.
背景百日咳是一种高度传染性的呼吸道疾病。低水平的母体抗体使婴儿在2个月大时有资格接种疫苗之前更容易受到百日咳感染。本研究旨在调查利比亚孕妇在分娩时抗百日咳博德泰拉抗体的血清阳性率。方法在这项以临床为基础的观察性横断面研究中,从2023年3月至2024年2月,在利比亚三个主要城市的五家三级医院招募了840名孕妇。所有参与研究的受试者都获得了知情同意。在分娩时,从参与者身上提取静脉血,并分析样本的血清抗b水平。ELISA法检测百日咳毒素抗体(IgG和IgA)。IgG抗体≥100 IU/mL或IgA抗体≥12 IU/mL为阳性。结果孕妇平均年龄为31.1±6.2岁。作为扩大的利比亚国家免疫规划的一部分,所有参与者在童年时期都接种了四剂全细胞百日咳疫苗。在这项研究中,827名(98.5%)参与者的百日咳毒素IgG和IgA抗体低于检测的截止水平。只有13名(1.5%)参与者最近有感染(2名IgG抗体阳性,9名IgA抗体阳性,2名两种抗体均阳性)。结论在本研究中,利比亚大多数孕妇血清百日咳抗体阴性。这使得他们的婴儿在这个关键年龄更容易受到百日咳感染。这些发现支持有必要将产妇百日咳疫苗接种作为一项重要的预防战略,以减轻利比亚新生儿和年幼婴儿百日咳感染的负担。国家免疫规划应优先考虑孕产妇疫苗接种、加强剂量和加强监测,以保护最脆弱群体。
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引用次数: 0
Evaluation of immune response to hepatitis B vaccine and its determinants among immunized anti-HBc-negative children in Ethiopia: A community-based cross-sectional study 埃塞俄比亚免疫抗乙肝病毒阴性儿童对乙肝疫苗的免疫反应及其决定因素的评估:一项基于社区的横断面研究
IF 2.7 Q3 IMMUNOLOGY Pub Date : 2025-07-23 DOI: 10.1016/j.jvacx.2025.100694
Adane Adugna , Desalegn Abebaw , Mohammed Jemal

Background

The hepatitis B vaccine is a crucial tool for preventing hepatitis B virus (HBV) infection, particularly in children. However, various factors can influence the vaccine's protective effectiveness and the duration of protection it provides.

Objective

The objective of this study was to evaluate the immune response to the hepatitis B vaccine, specifically the levels of anti-HBs, and to identify the factors influencing its production among immunized anti-HBc-negative children in the northwestern region of Ethiopia.

Methods and materials

A community-based cross-sectional study was done with 157 participants ranging in age from 5 to 12 years, from July to December 2021. A simple random sampling method was employed to recruit the subjects. After drawing blood samples, serum was analyzed to detect the presence of antibodies to hepatitis B core antigen (anti-HBc) and antibodies to hepatitis B surface antigen (anti-HBs) via enzyme-linked immunosorbent assay (ELISA). Generalized linear models with a Poisson distribution, log link function, and robust standard errors were used for multivariable analysis, with 95 % confidence intervals. A p-value <0.05 was considered statistically significant.

Results

The total percentage of protective anti-HBs levels (anti-HBs ≥10 mIU/ml) among immunized anti-HBc-negative children in this study was 102/157 (65.0 %) (95 % CI: 57.0–73.0). Of these, 42.0 % were hypo-responders (their anti-HBs levels >10–100 mIU/ml), while 23.0 % were hyper-responders (their anti-HBs levels >100 mIU/ml). Moreover, concomitant vaccinations showed a significant negative association with anti-HBs antibody levels. Participants who had concomitant vaccinations, antibody levels decrease by ∼1.26 units compared to no concomitant vaccinations (APR: 1.26, 95 % CI: −1.892, −0.624) (P < 0.001). Conclusion: Childhood vaccination against hepatitis B is effective in only 65 % of children. In the study area, protective antibody levels (anti-HBs ≥10 mIU/ml) were reduced among immunized anti-HBc-negative children.
背景:乙型肝炎疫苗是预防乙型肝炎病毒(HBV)感染的重要工具,特别是在儿童中。然而,各种因素会影响疫苗的保护效力和保护的持续时间。目的本研究旨在评价埃塞俄比亚西北地区接种乙肝疫苗的儿童对乙肝疫苗的免疫反应,特别是抗hbs水平,并确定影响其产生的因素。方法和材料本研究于2021年7月至12月对157名年龄在5至12岁之间的参与者进行了基于社区的横断面研究。采用简单随机抽样方法招募受试者。抽取血样后,采用酶联免疫吸附试验(ELISA)检测血清中是否存在乙型肝炎核心抗原(anti-HBc)抗体和乙型肝炎表面抗原(anti-HBs)抗体。采用泊松分布、对数链接函数和稳健标准误差的广义线性模型进行多变量分析,置信区间为95%。p值<;0.05被认为具有统计学意义。结果本研究中免疫的抗hbs阴性儿童的保护性抗hbs水平(抗hbs≥10 mIU/ml)的总百分比为102/157 (65.0%)(95% CI: 57.0 ~ 73.0)。其中,42.0%为低反应(其抗hbs水平为10-100 mIU/ml),而23.0%为超反应(其抗hbs水平为100 mIU/ml)。此外,同时接种疫苗与抗hbs抗体水平呈显著负相关。与未接种疫苗的参与者相比,接种了联合疫苗的参与者抗体水平降低了约1.26个单位(APR: 1.26, 95% CI: - 1.892, - 0.624) (P <;0.001)。结论:儿童接种乙型肝炎疫苗的有效率仅为65%。在研究区域,免疫抗hbc阴性儿童的保护性抗体水平(抗hbs≥10 mIU/ml)降低。
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引用次数: 0
Immunogenicity of ARCT-154, a self-amplifying mRNA COVID-19 vaccine, in different booster settings 自扩增mRNA COVID-19疫苗ARCT-154在不同强化设置中的免疫原性
IF 2.7 Q3 IMMUNOLOGY Pub Date : 2025-07-17 DOI: 10.1016/j.jvacx.2025.100693
Yoshiaki Oda , Nhan Thi Ho , Xuan-Hung Nguyen , Ly-Thi-Le Tran , Van Thu Nguyen , Yasuhiro Iwama , Iori Okura , Yukihiro Yagi , Jenny Guek-Hong Low , Steven G. Hughes , Roberto Bugarini , Rose Sekulovich , Hongfan Jin , Carole Verhoeven , Igor Smolenov
A self-amplifying mRNA (sa-mRNA) vaccine against COVID-19 (ARCT-154) was evaluated for immunogenicity in three clinical studies with four booster scenarios: first homologous booster, first heterologous booster, second heterologous booster, and a two-dose series in previously infected participants. Neutralizing antibody responses were measured four weeks after vaccination using pseudovirus microneutralization assays against the Wuhan-Hu-1 and SARS-CoV-2 variants. ARCT-154, administered as a homologous booster, resulted in a geometric mean fold-rise (GMFR) of 6.5 (95 % confidence interval, 5.6–7.5) and seroconversion rate (SCR) of 77 % (69.8–83.2), compared with 1.4 (0.9–2.2) and 17.3 % (8.2–30.3) with placebo. A first heterologous booster of ARCT-154 achieved a GMFR of 36.7 (17.4–77.5) and SCR of 91.7 % (61.5–99.8) against Wuhan-Hu-1, with GMFRs ranging from 20.0 to 29.4 for Beta, Delta, and Omicron BA.1 variants. When comparing ARCT-154 and BNT162b2 mRNA vaccine as a second booster dose, GMFRs against Wuhan-Hu-1 were 6.8 (6.0–7.6) and 4.4 (4.0–4.8), and SCRs were 66.1 % (61.1–70.9) and 51.2 % (46.0–56.4), respectively. Similar inter-group differences were shown for the Omicron BA.4/5 and persisted for ≥12 months. Following natural infection, one dose and two doses of ARCT-154 resulted in GMFR of 4.4 (2.2–7.0) and 6.2 (3.8–10.0), and SCR of 58.8 % (32.9–81.6) and 73.3 % (44.9–92.2) against Wuhan-Hu-1, respectively. Neutralizing antibodies remained elevated for at least 6 months. These results confirm that ARCT-154, administered as a homologous or heterologous booster after previous COVID-19 vaccination or natural exposure, provides robust, broad, and durable immune responses against SARS-CoV-2 viruses.
在三项临床研究中评估了针对COVID-19的自扩增mRNA (sa-mRNA)疫苗(ARCT-154)的免疫原性,该疫苗有四种增强方案:第一次同源增强剂、第一次异种增强剂、第二次异种增强剂和先前感染参与者的两剂系列。使用针对武汉- hu -1和SARS-CoV-2变体的假病毒微中和试验,在接种疫苗四周后测量中和抗体反应。作为同源增强剂使用的ARCT-154导致几何平均翻倍(GMFR)为6.5(95%置信区间,5.6-7.5),血清转化率(SCR)为77%(69.8-83.2),而安慰剂为1.4(0.9-2.2)和17.3%(8.2-30.3)。ARCT-154的第一个异源增强剂对武汉- hu -1的GMFR为36.7 (17.4-77.5),SCR为91.7%(61.5-99.8),对Beta、Delta和Omicron ba -1变体的GMFR为20.0 - 29.4。将ARCT-154和BNT162b2 mRNA疫苗作为第二次加强剂进行比较,对武汉- hu -1病毒的GMFRs分别为6.8(6.0-7.6)和4.4 (4.0-4.8),SCRs分别为66.1%(61.1-70.9)和51.2%(46.0-56.4)。Omicron BA.4/5的组间差异相似,且持续时间≥12个月。自然感染后,1剂和2剂ARCT-154对武汉- hu -1病毒的GMFR分别为4.4(2.2 ~ 7.0)和6.2 (3.8 ~ 10.0),SCR分别为58.8%(32.9 ~ 81.6)和73.3%(44.9 ~ 92.2)。中和抗体保持升高至少6个月。这些结果证实,在先前的COVID-19疫苗接种或自然暴露后,作为同源或异源增强剂给予ARCT-154,可提供针对SARS-CoV-2病毒的强大、广泛和持久的免疫应答。
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引用次数: 0
Post-licensure safety monitoring of human papillomavirus vaccines in Jiangsu Province, China from 2019 to 2023 江苏省2019 - 2023年人乳头瘤病毒疫苗上市后安全性监测
IF 2.7 Q3 IMMUNOLOGY Pub Date : 2025-07-16 DOI: 10.1016/j.jvacx.2025.100692
Ran Hu , Nuo Xu , Hongxiong Guo , Jing Yu , Borong Xu , Yuanyuan Zhu , Li Liu , Xun Li , Poning Liu , Zhiguo Wang
The five types of human papillomavirus (HPV) vaccines have been administered in Jiangsu Province. In this study, we evaluated the safety profiles of HPV vaccines using records collected from the Chinese National Adverse Events Following Immunization Information System (CNAEFIS) and the Jiangsu Province Vaccination Integrated Service Management Information System (JSEIRS) from January 2019 to August 2023. Demographic characteristics of cases, symptoms, and clinical diagnosis were summarized from reported adverse events following immunization (AEFI) in the CNAEFIS. Administered doses of the five HPV vaccines were retrieved from the JSEIRS Disproportionality Analysis (DPA) was applied to detect potential positive signals for specific adverse events associated with HPV vaccination. A total of 115, 104, 3, 167, and 277 cases of AEFI following 2-valent HPV vaccine (adsorbed), 2-valent HPV vaccine (E. coli), 2-valent HPV vaccine (P. pastoris), 4-valent HPV vaccine (S. cerevisiae) and 9-valent HPV vaccine (S. cerevisiae) administration were reported, respectively. Common adverse reactions (fever, redness and induration) were the most frequently reported AEFI after HPV vaccination, while fatigue, myalgia, dizziness, rash, and itching were the most commonly reported systemic symptoms. DPA suggests that urticaria is an AEFI that should be of particular concern after HPV vaccination. In all, HPV vaccines showed satisfactory safety profiles in the Jiangsu Province. Further active surveillance studies are warranted to yield more comprehensive post-marketing safety data.
五种人乳头瘤病毒(HPV)疫苗已在江苏省实施。在这项研究中,我们利用2019年1月至2023年8月从中国国家免疫不良事件信息系统(CNAEFIS)和江苏省疫苗接种综合服务管理信息系统(JSEIRS)收集的记录评估了HPV疫苗的安全性。从CNAEFIS报告的免疫不良事件(AEFI)中总结了病例、症状和临床诊断的人口统计学特征。从JSEIRS检索五种HPV疫苗的给药剂量,应用歧化分析(DPA)来检测与HPV疫苗接种相关的特定不良事件的潜在阳性信号。分别接种2价HPV疫苗(吸附型)、2价HPV疫苗(大肠杆菌型)、2价HPV疫苗(帕斯德酵母型)、4价HPV疫苗(酿酒葡萄球菌型)和9价HPV疫苗(酿酒葡萄球菌型)后,报告AEFI病例115例、104例、3例、167例和277例。常见的不良反应(发烧、发红和硬化)是HPV疫苗接种后最常见的AEFI,而疲劳、肌痛、头晕、皮疹和瘙痒是最常见的全身症状。DPA表明荨麻疹是一种应在HPV疫苗接种后特别关注的AEFI。总的来说,HPV疫苗在江苏省显示出令人满意的安全性。有必要进行进一步的主动监测研究,以获得更全面的上市后安全性数据。
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引用次数: 0
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Vaccine: X
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