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Epidemiological views into possible components of paediatric combined vaccines in 2015
1National Public Health Institute, Finland.
Insights
Future childhood vaccines will combine existing immunizations with new antigens targeting encapsulated bacteria and respiratory viruses. This approach aims to prevent severe invasive infections, pneumonia, and congenital infections for broader public health protection.
Area of Science:
- Pediatric Vaccinology
- Infectious Disease Prevention
- Public Health
Background:
- Combined vaccines offer a streamlined approach to childhood immunization.
- Existing vaccines have proven efficacy, forming the basis for new combinations.
- Emerging infectious threats necessitate the development of broader-spectrum vaccines.
Purpose of the Study:
- To outline the future development of combined vaccines for childhood immunization.
- To identify key vaccine candidates for inclusion in next-generation combination vaccines.
- To explore strategies for preventing bacterial, viral, and congenital infections through vaccination.
Main Methods:
- Review of current vaccine development pipelines for encapsulated bacteria and respiratory viruses.
- Analysis of the potential impact of novel antigens in combination vaccines.
- Consideration of vaccines for congenital infections in adolescent immunization schedules.
Main Results:
- Multivalent pneumococcal and meningococcal conjugate vaccines (groups A, B, C) are in clinical trials.
- Pneumococcal conjugate vaccines are crucial for preventing respiratory infections.
- Respiratory viruses (RSV, parainfluenza, adenoviruses) and pathogens causing congenital infections (HSV, CMV, GBS) are key targets.
Conclusions:
- Combined vaccines will integrate existing and novel antigens for comprehensive disease prevention.
- Vaccines against encapsulated bacteria and respiratory viruses are critical components.
- Adolescent vaccination may include components to prevent congenital infections, protecting future offspring.
Abstract:
Efforts to develop combined vaccines for childhood immunization schedules will during the next years focus on combined administration of the existing vaccines which have already shown their impact. First candidate components for more wide-spectrum combinations could be the new antigens against severe invasive infections caused by encapsulated bacteria. Multivalent pneumococcal and meningococcal group A and C conjugate vaccines are already in clinical trials, and the same is true of the first candidates for the meningococcal group B vaccine. Pneumococcal conjugate vaccines are also important in prevention of a large variety of respiratory infections. Since viruses are important causative agents of bronchiolitis and pneumonia, components of the paediatric combined vaccine should include at least respiratory syncytial virus, and possibly also other respiratory viruses like parainfluenza and adenoviruses. The third group of diseases to be considered from the preventive point of view are congenital infections, and vaccines against herpes simplex viruses, cytomegalovirus, or group B streptococci might be included in a combined vaccine to be administered to adolescents in order to afford protection to their future children.
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