The Department of Control of Neglected Tropical Diseases, World Health Organization, ave. Appia 20 1211, Geneva, Switzerland.
World Organisation for Animal Health, 12, rue de Prony, 75017 Paris, France.
Vaccine. 2019 Oct 3;37 Suppl 1(Suppl 1):A73-A76. doi: 10.1016/j.vaccine.2018.10.012. Epub 2018 Nov 9.
In 2017, the World Health Organization, the World Organisation for Animal Health, the Food and Agriculture Organization of the United Nations and the Global Alliance for Rabies control developed a strategic plan to end human rabies deaths by 2030. A survey for manufacturing capacity and product characteristics of rabies biologics was conducted to inform this process. Twenty-three of 42 manufacturers, responded, giving a market capacity for 2017 of 90 million vials for human vaccines, 2.5 million vials for rabies immunoglobulins, 2 million vials for monoclonal antibodies and 181 million vials for dog vaccines. Production capacity could be increased by many manufacturers but was limited by country demand, lack of long-term planning and restricted market expansion. Should countries implement national rabies elimination programmes where biologic needs are forecasted and production lead times respected, manufacturers can meet future supply needs towards global elimination of human dog-mediated rabies deaths.
2017 年,世界卫生组织、世界动物卫生组织、联合国粮食及农业组织和全球狂犬病控制联盟制定了一项战略计划,旨在 2030 年前消除人类狂犬病死亡。为了制定该计划,进行了狂犬病生物制品制造能力和产品特征的调查。42 家制造商中有 23 家做出了回应,提供了 2017 年人用狂犬病疫苗 9000 万支、狂犬病免疫球蛋白 250 万支、单克隆抗体 200 万支和犬用狂犬病疫苗 1.81 亿支的市场容量。许多制造商都可以提高产能,但受到国家需求、缺乏长期规划和市场扩张受限的限制。如果各国实施预计生物制品需求并遵守生产提前期的国家狂犬病消除计划,制造商可以满足未来全球消除人犬传播狂犬病死亡的供应需求。