Re: Follow-Up to Flu Vaccine Predictions
- From: ziggittes@xxxxxxxxx
- Date: 20 Nov 2005 14:10:01 -0800
johngohde@xxxxxxxxxxxxxxxxxxxxxxxxxxxx wrote:
> As many threads on sci.med have previously stated, the long lead time
> required to produce an annual flu vaccine dooms it to failure.
Not really. The committee responsible for choosing the vaccine
fomulation have a lot of experience in monitoring emergence of
influenza strains and they almost always do a great job because the
strains usually persist for several years at a time (see below).
> There is no other logical possiblity until the long lead time is drastically
> cut back.
Here's what I've been able to piece together from MMWR's archives over
the last half hour:
1997-2000: Predominant circulating strain: A/Sydney/05/97-like (H3N2),
which was in the vaccine.
2000-2001: Predominant circulating strain: A/New Caledonia/20/99-like
(H1N1), which was in the vaccine.
2001-2002: Predominant circulating strain: A/Panama/2007/99-like
(H3N2), which was in the vaccine.
2002-2003: Predominant circulating strains: A/New Caledonia/20/99-like
(H1N1) and A/Panama/2007/99-like (H3N1 and H3N2), the H1N1 and H3N1
strains were formulated in the vaccine, but the H3N2 was not.
2003-2004: Predominant circulating strain: A/Fujian/411/2002-like
(H3N2), which was not in the vaccine. Post-hoc studies showed that
vaccinated people had less severe disease. The vaccine formulation was
A/New Caledonia/20/99(H1N1)-like virus, B/HongKing/330/2001-like, and
A/Panama/2007/99 (H3N2)
2004-2005: Predominant circulating strain: A/Fujian/411/2002-like
(H3N2), which was in the vaccine.
2005-2006: So far, the predominant circulating strain is
A/California/07/2004-like (H3N2), which is in the vaccine. It's too
early to tell if this will be THE predominant strain, but so far the
vaccine's on target.
It appears that in the last 9 years, all but one vaccine was on target.
And even the one that missed reduced the overall severity of influenza
infections.
.
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