WHO desires switch from the traditional "live" oral
polio vaccine to an inactivated vaccine that needs to be injected
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Two companies making
vaccines to help the world eradicate polio are failing to produce enough, so
many countries should prepare to give lower doses to make stocks last, a group
of experts has advised the World Health Organization.
Reuters
report continues:
With
polio on the brink of eradication globally, the WHO wants to see a worldwide
switch from the traditional "live" oral polio vaccine, which runs the
risk of spreading the disease, to an inactivated vaccine that needs to be
injected.
But
WHO's Strategic Advisory Group of Experts (SAGE), which meets twice a year,
said a severe shortage of inactivated vaccine means many countries should use a
fractional dose, via an intra-dermal rather than intra-muscular injection,
allowing each dose to go twice as far.
"There
are only two manufacturers of the vaccine and they are having some problems
with production of the vaccine, and getting enough raw material of the polio
virus," SAGE Chairman Jon Abramson told reporters on a conference call on
Friday.
Polio
is a contagious viral disease which invades the nervous system and can cause
irreversible paralysis within hours.
"Each
time we hear that there's a further reduction in the amount that can be
anticipated, we have to make further adjustments," Abramson said. "My
hope is this problem can be solved by 2018. But I can't promise that,
obviously. It's not something we can control."
The
two manufacturers are French drugmaker Sanofi Pasteur and Asia's largest
vaccine maker, Serum Institute of India Ltd, owned by the billionaire Cyrus
Poonawalla. No comment was available from the companies on Friday evening.
"It's
a serious inconvenience," said Philippe Duclos, senior health adviser at
WHO. "By and large the two manufacturers... underestimated the challenges
of scaling up their production when they made the pledge to WHO."
WHO
polio spokeswoman Sona Bari told Reuters that production was about 40 percent
below what had been requested, leaving about 50 countries without adequate
supplies.
The economic savings of the polio programme, between 1988 and whenever the disease is eradicated, were estimated at US$50 billion, she said.
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