Barrett Alan D T, Monath Thomas P, Barban Veronique, Niedrig Matthias, Teuwen Dirk E
Sealy Centre for Vaccine Development, University of Texas Medical Branch, Galveston, TX 77555 0609, USA.
Vaccine. 2007 Apr 12;25(15):2758-65. doi: 10.1016/j.vaccine.2006.12.015. Epub 2006 Dec 28.
Yellow fever (YF) is a major health problem in endemic regions of Africa and South America. It also poses a serious health risk to travellers to areas with endemic disease. Currently, there is no effective drug treatment for YF; however, 17D YF vaccines have demonstrated high rates of effectiveness and good safety profiles. This workshop was organized to review key data and issues about YF disease and currently available 17D YF vaccines. Starting with an overview of the current disease epidemiology in Africa and South America and a review of the safety data of 17D YF vaccines, data were then presented demonstrating the genetic stability of multiple production lots of a 17D YF vaccine, the immunological responses of healthy subjects post-vaccination and the long-term immunogenicity of 17D YF vaccines. Finally, the findings of the molecular characterization of 17D YF virus sub-strains recovered from rare, fatal cases of post-vaccination serious adverse events were presented. There was unanimous agreement that current 17D YF vaccines have a highly favourable benefit-risk profile when used in persons at risk of exposure to the YF virus, and that appropriate use of 17D YF vaccines will minimize the occurrence of serious adverse events post-vaccination.
黄热病(YF)是非洲和南美洲流行地区的一个主要健康问题。它也对前往有地方病地区的旅行者构成严重的健康风险。目前,尚无针对黄热病的有效药物治疗方法;然而,17D黄热病疫苗已显示出高有效率和良好的安全性。本次研讨会旨在回顾有关黄热病疾病和目前可用的17D黄热病疫苗的关键数据及问题。首先概述了非洲和南美洲当前的疾病流行病学情况,并回顾了17D黄热病疫苗的安全性数据,随后展示的数据表明了多个生产批次的17D黄热病疫苗的遗传稳定性、健康受试者接种疫苗后的免疫反应以及17D黄热病疫苗的长期免疫原性。最后,展示了从罕见的接种疫苗后严重不良事件致死病例中分离出的17D黄热病病毒亚株的分子特征研究结果。与会者一致认为,当17D黄热病疫苗用于有接触黄热病病毒风险的人群时,其效益风险比非常有利,并且适当使用17D黄热病疫苗将使接种疫苗后严重不良事件的发生率降至最低。