World's second malaria vaccine gets WHO approval: Serum Institute of India
The World Health Organization (WHO) has made several significant recommendations related to vaccines and immunization in a recent update:
WHO recommends a new malaria vaccine called R21/Matrix-M for the prevention of malaria in children.
This vaccine, along with the previously recommended RTS,S/AS01 vaccine, is expected to have a high impact on preventing malaria in children, especially in the African Region.
Demand for malaria vaccines is high, and the addition of R21 is expected to address the supply shortage.
– The R21 vaccine has demonstrated high efficacy when given before the high transmission season, reducing symptomatic malaria cases by 75% during the 12 months following a 3-dose series.
– Good efficacy (66%) is observed when given in an age-based schedule. – It is cost-effective, with a price range of US$2 to US$4 per dose. – Safety has been demonstrated in clinical trials.
The choice between R21 and RTS,S vaccines should be based on programmatic considerations, vaccine supply, and affordability.
WHO recommends the introduction of a live-attenuated quadrivalent dengue vaccine (TAK-003) in settings with high dengue disease burden and transmission.
The vaccine is recommended for children aged 6 to 16 years, introduced 1-2 years prior to the peak incidence of dengue-related hospitalizations.
Community engagement and communication strategies are crucial for vaccine introduction.
WHO recommends the introduction of the novel pentavalent meningococcal conjugate vaccine (Men5CV) in the African meningitis belt.
– It should be administered in a single-dose schedule at 9 to 18 months of age. – Catch-up campaigns are recommended in high-risk countries and districts targeting individuals aged 1 to 19 years.
SAGE (Strategic Advisory Group of Experts on Immunization) recommends a simplified single-dose regimen for most COVID-19 vaccines to improve acceptance and uptake.
Monovalent Omicron XBB vaccines are found to provide enhanced protection compared to other variants.
Any available WHO emergency-use listed or prequalified vaccine can be used in the absence of monovalent XBB vaccines.
Progress against IA2030 indicators was impacted by the COVID-19 pandemic, particularly in low-income countries and vulnerable populations.
A shared action agenda for 2023-2024 aims to align efforts to regain control of immunization programs, promote equity, control measles, secure investment, introduce recommended vaccines, and advance vaccination in adolescence.
These recommendations reflect the WHO's commitment to improving public health through immunization and addressing significant health challenges such as malaria, dengue, meningitis, and COVID-19.