University of British Columbia and the British Columbia Centre for Disease Control, Vancouver, Canada.
Vaccine. 2013 Apr 8;31(15):1892-7. doi: 10.1016/j.vaccine.2013.01.024. Epub 2013 Jan 29.
As the most common reported communicable disease in North America and Europe, Chlamydia trachomatis is the focus of concerted public health control efforts based on screening and treatment. Unexpectedly control efforts are accompanied by rising reinfection rates attributed in part to arresting the development of herd immunity. Shortening the duration of infection through the testing and treatment program is the root cause behind the arrested immunity hypothesis and because of this a vaccine will be essential to control efforts. Advances in Chlamydia vaccinomics have revealed the C. trachomatis antigens that can be used to constitute a subunit vaccine and a vaccine solution appears to be scientifically achievable. We propose that an accelerated C. trachomatis vaccine effort requires coordinated partnership among academic, public health and private sector players together with a commitment to C. trachomatis vaccine control as a global public health priority.
作为北美和欧洲最常见的传染病报告,衣原体是基于筛查和治疗的协同公共卫生控制努力的重点。出乎意料的是,控制工作伴随着再感染率的上升,部分原因是阻止了群体免疫的发展。通过检测和治疗计划缩短感染持续时间是免疫中止假说的根本原因,因此疫苗将是控制工作的关键。衣原体疫苗学的进展揭示了可用于构成亚单位疫苗的衣原体抗原,并且疫苗解决方案似乎在科学上是可行的。我们提出,加速衣原体疫苗的努力需要学术、公共卫生和私营部门参与者之间的协调伙伴关系,以及承诺将衣原体疫苗控制作为全球公共卫生重点。