新发传染病疫苗的研发。
Vaccine development for emerging infectious diseases.
机构信息
International Vaccine Institute, Seoul, Republic of Korea.
Coalition for Epidemic Preparedness Innovations (CEPI), London, UK.
出版信息
Nat Med. 2021 Apr;27(4):591-600. doi: 10.1038/s41591-021-01301-0. Epub 2021 Apr 12.
Examination of the vaccine strategies and technical platforms used for the COVID-19 pandemic in the context of those used for previous emerging and reemerging infectious diseases and pandemics may offer some mutually beneficial lessons. The unprecedented scale and rapidity of dissemination of recent emerging infectious diseases pose new challenges for vaccine developers, regulators, health authorities and political constituencies. Vaccine manufacturing and distribution are complex and challenging. While speed is essential, clinical development to emergency use authorization and licensure, pharmacovigilance of vaccine safety and surveillance of virus variants are also critical. Access to vaccines and vaccination needs to be prioritized in low- and middle-income countries. The combination of these factors will weigh heavily on the ultimate success of efforts to bring the current and any future emerging infectious disease pandemics to a close.
在考虑到以往新发和再现传染病和大流行所使用的疫苗策略和技术平台的情况下,对 COVID-19 大流行中所使用的疫苗策略和技术平台进行研究,可能会带来一些互利的经验教训。最近新发传染病传播规模空前且迅速,这给疫苗开发者、监管机构、卫生当局和政治选区带来了新的挑战。疫苗的生产和分发是复杂而具有挑战性的。虽然速度至关重要,但临床开发到紧急使用授权和许可、疫苗安全性的药物警戒以及病毒变异的监测也至关重要。在中低收入国家,需要优先考虑疫苗的获取和接种。这些因素的结合将对当前和未来任何新发传染病大流行的最终成功产生重大影响。