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Secondary eposure
Faster And stronger immune response
Disease Eradication
Disease is extinct
Examples
small pox
20-60% dealth rate
300-500 million dealths (20th century)
~ 50 million dealths (early 1950’s)
Rinderpest
Cow disease also called cattle plauge
Close to Plio
Disease Elimination
Reduction to zero of an infectous agent in a defined GEOGRAPHIC area
It can still get into the grography via tourists by will not cause an outbreak becuse of vaccinations
Canada has elimination status for polio, measles, mumps, and rubella
Benifits of Vaccination
Disease eradications
Local elimaination
Control of mortality, morbitiy and complications
some protect when administered after exposure (rabies)
Mitigation of disease severity
Prevent ~ 6 million dealths per year
Diseases reduced in developed countries by 98-99%
For mesales a 78% decaline in mostality 12.7 million deaths avodided (2000-2008)
Small Pox
Acient disease
30% mortality
18th centurey europe
400,000 deaths per year
Variola Virus (DNA virus)
Eradicated 1977 Due to
Vaccination and World Heaht Organization (WHO)
Variolation
developed in Asia
Delibriate infection with smallpox
LOW DOSES
inhalation of dried smallpox scabs(Asia)
Skin Puncture (Eruope America)
1-2% fatalities
Survivors “vaccinated (resistant) to small pox infection
30% fatality rate is not “vaccianted” and naturally exposed to smallpox
John Fewster (1738-1824)
counrty surgeon
Practiced Variolation
noticed soem pations dis not respond to smallpox inocualtion
Determined that the “non-responders” had been infected with cow pox before
Presented a paper the the medical society of london entitled “cow pos and its ability to prevent small pox” (1865)
Edward Jenner
Country physician
Advanced understading of anginal pectoris
Created Jenners Vaccine
Jenner’s Vaccine (1796)
Matter taken from a dairymaid’s fresh lesions
Cowpox: cross-immunityr to small pox
Cowpox-> Child→ gets infected with cowpox→ now immune to smallpox
Experiment recrated on ther children including his own son
Jenner was riddiculed and was called repulsive and ungodly
Rinderpest
Cattle plague
concidered the deadliest cattle disease with 100% death rate in some heards
RNA virus
related to measles, mumps, and Mipah
Transmistion
animal to animal contact
Virus present in Nasal secritaions preclinicaly
Global vaccination program
declared eradication 2010
Heard protection
Reduction in Disease incidence in Unvaccinated indiviuals when sufficent prportion of populaiton is vaccinated
unablet to genreate immune response (immuocomprimised, elderly, infant)
Diseases with high Ro (Measles) require higher coverage to attain hear protection that a disease with a lower Ro
Ro
Reproductive number of infection
number of indiviuals that will contract the infection from a single infected individual
How fast disease is expected to spread
NOT a measure of disease sevarity
Calcualting Pathogent’s Ro?
infectous period, contact rate, and mode of transmission
Ro<1
diease will die out on its own
For every one sick indifdual, fewer than one new infetion will arise
Ro=1
an existing infection causes one new infection
Maintain stable rate winthin a n affected population (no epidemic)
Ro>1
an exiting infection causes more than one new infection
Spread in population causeing epidemic
MMR Vaccine
MMR = Measles, Mups, & Rubella
Vaccine introduction in 1971
in canada adults borns before 1970 are generally presumed to have acuired natural immunity to measles
Canada
eliminated measles in 1998
coverage is BELOW the minimum needed to maintain measles elmination
Canada estimated 1st dose covreance :90% of population
Required dose vaccination coverage :95%
Vaccine testing and development
ANimal testing
saftey
Immunogenicity
Efficacy
Clinical Trials
3 phases
This is an expensive and LONG process
Traditional Vaccines
Live-attenuated Vaccines
Inactivated Vaccine
Subunit Recombinant Vaccines
Live-attenuated vaccines
weekened (attenuated) form of the virus
Strong longlsting immune response
Dont cause disease but cause immune respose
Examples
measles, mumps, rubells
Inaccivated Vaccine
“killed” virus (heat chemicals, or radiation)
Examples
hepatits A, Flu, Rabies
Subunit Rcombinant Vaccines
Protiedn Subunit
Make a protien/peice of virus and inject that
No potential of infecting, but can be inifective
Examples
hepititis B, Shingles
RNA Vaccines
Advantages
Quick To genreate
Vry sfa e
Effective
Disadvatages
RNA labile/degrades
Must be stored at low temperatures
“The Cutter Incident”
polio Vaccine 1955
flaw in the Salk polio vaccine manufacturing process
Cutter laboritories
Production of live polion virus in an “inactivated” vaccine
120,000 vaccinated with live polio viruse
40,00 cases of polio
56 paralyzed
5 deaths in family members
Cutter incident caused
reulatory changes
US government implimented much more vigilent monitoring and regulation of the vaccine industy