The
World Health Organization says the two leading Ebola vaccines appear safe and
will soon be tested in healthy volunteers in West Africa.
After
an expert meeting this week, WHO said there is now enough information to
conclude that the two most advanced Ebola vaccines — one made by
GlaxoSmithKline and the other licensed by Merck and NewLink — have "an
acceptable safety profile."
In
a press briefing on Friday, Dr. Marie-Paule Kieny, who heads WHO's Ebola
vaccine efforts, said "the cupboard (for Ebola vaccines) is filling up
rapidly." She
said further trials in healthy people in West Africa, including health workers,
are scheduled to start soon. Kieny added several other vaccines were being
developed in the U.S., Russia and elsewhere.
Despite
the temporary suspension of a trial of the vaccine made by NewLink and Merck in
December, Kieny said there was no sign of significant side effects. That trial
was put on hold while experts investigated reports of "transient,
mild" joint pain in a number of participants. It was an unexpected side
effect but Kieny said it was not worrying enough to stop the vaccine's
development. No such side effects have been reported with the other vaccine.
The
next phase of trials will likely take about six months and manufacturers will
ramp up their production at the same time, meaning millions of doses could be
available later this year. It's unclear if that will be quick enough to help
slow the epidemic, which is mostly on the decline. So far, Ebola is believed to
have sickened more than 20,000 people and killed about 8,000, the vast majority
in Guinea, Liberia and Sierra Leone.
"We
will have to take stock when we have the vaccines," said Helen Rees of the
University of Witwatersrand, who chaired the WHO meeting. She said experts
would have to consider at that point whether it's useful to vaccinate entire
populations or focus only on high-risk groups.
Dr.
Peter Piot, the co-discoverer of the Ebola virus, said he was concerned there
might be too few cases to prove the vaccines worked, if they are effective.
Still, he said every option should be pursued to stop the world's biggest-ever
outbreak of Ebola.
"With
Ebola, you need to find every last case and stop all transmission," he
said. "It may be that we won't be able to do that without a vaccine,"
Piot said.
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