Hilleman M R
Bull World Health Organ. 1969;41(3):623-8.
The major antigenic changes in influenza A virus that occur at 10-year intervals reduce the effectiveness of existing vaccines and pose a problem for the control of pandemics by vaccination. These difficulties may be obviated in two ways. First, by detecting the emergence of a new variant sufficiently ahead of its general spread for it to be possible to produce a corresponding vaccine in good time; the World Health Organization is widely depended upon for this early warning. Secondly, by the improvement of existing vaccines to increase and broaden their antigenicity; here, their modification by, for instance, adjuvant 65 may contribute significantly.
甲型流感病毒每10年发生的主要抗原变化会降低现有疫苗的效力,并给通过接种疫苗控制大流行带来问题。这些困难可以通过两种方式消除。第一,在新变种普遍传播之前足够早地检测到其出现,以便能够及时生产相应的疫苗;世界卫生组织在很大程度上依赖于此进行早期预警。第二,通过改进现有疫苗以增强和拓宽其抗原性;在这里,例如用佐剂65对其进行修饰可能会有很大帮助。