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[Dengue vaccines. A reality for Argentina?]
Pablo W Orellano1, Oscar D Salomón2
1Universidad Tecnológica Nacional, Facultad Regional San Nicolás, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina.
Medicina
|March 31, 2016
Summary
Dengue vaccines show promise for Argentina, but implementation requires careful planning. A risk-stratified approach targeting high-risk populations is recommended for cost-effective dengue prevention.
Area of Science:
- Epidemiology of infectious diseases
- Vaccinology and immunology
- Public health policy
Context:
- Argentina faces recurring dengue outbreaks annually since 1998.
- Several candidate dengue vaccines have undergone testing in endemic regions.
- One advanced dengue vaccine is approved for individuals over nine years old in three Latin American countries.
Purpose:
- To analyze the benefits and drawbacks of dengue vaccines.
- To discuss challenges in implementing a vaccination strategy in Argentina.
- To propose a risk stratification model for targeted vaccination programs.
Summary:
- The article evaluates dengue vaccines, considering their advantages, disadvantages, and implementation hurdles in Argentina.
- A novel risk stratification strategy is proposed, focusing on high-transmission areas and individuals at risk of severe dengue.
- Local realities should inform endemicity definitions and vaccination program planning.
Impact:
- Provides evidence-based recommendations for incorporating dengue vaccines into national immunization programs.
- Suggests a cost-effective approach to dengue vaccine deployment by targeting specific subpopulations.
- Aims to inform public health policy for improved dengue control in Argentina.
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