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Stockpiling prepandemic influenza vaccines: a new cornerstone of pandemic preparedness plans - The Lancet Infectious Diseases

Giuseppe

Emeritus
The Lancet Infectious Diseases: Stockpiling prepandemic influenza vaccines: a new cornerstone of pandemic preparedness plans

The Lancet Infectious Diseases 2008; 8:650-658

DOI:10.1016/S1473-3099(08)70232-9

Stockpiling prepandemic influenza vaccines: a new cornerstone of pandemic preparedness plans

Dr Lance C Jennings PhD, Prof Arnold S Monto MD b, Prof Paul KS Chan MD c, Prof Thomas D Szucs MD d and Prof Karl G Nicholson MD e

Summary
The history of pandemic influenza, along with the evolving epizootic of the highly pathogenic avian influenza A (H5N1) virus and the severity of associated human infections, serve as a warning to the world of the threat of another influenza pandemic.

Conservative estimates suggest that up to 350 million people could die and many more would be affected, causing disruption to health-care systems, society, and the world's economy.

WHO has encouraged countries to prepare in advance by developing influenza pandemic preparedness plans that involve public-health and pharmaceutical interventions.

Vaccination is a cornerstone of these plans; however, a pandemic vaccine cannot be manufactured in advance because the next pandemic virus cannot be predicted.

The concepts of vaccine stockpiling and prepandemic vaccination have thus become attractive.

Human H5N1 vaccines are currently available and can induce heterotypic immunity.

WHO and governments should give urgent consideration to the use of these vaccines for the priming of individuals or communities who would be at greatest risk of infection if an H5N1 influenza pandemic were to emerge.


Affiliations
a. Microbiology Department, Canterbury Health Laboratories, and Department of Pathology, University of Otago, Christchurch, New Zealand
b. University of Michigan School of Public Health, Ann Arbor, MI, USA
c. Department of Microbiology and Stanley Ho Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR, China
d. Institute of Social and Preventive Medicine, University of Zurich, Zurich, Switzerland
e. Department of Infectious Disease and Tropical Medicine, Leicester Royal Infirmary, Leicester, UK

Corresponding
Correspondence to: Dr Lance C Jennings, Canterbury Health Laboratories, PO Box 151, Christchurch, New Zealand
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<cite cite="http://www.thelancet.com/journals/laninf/article/PIIS1473309908702329/abstract">The Lancet Infectious Diseases</cite>
 
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