Japanese encephalitis vaccines – needs, flaws and achievements
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Erich Tauber
Abstract
Japanese encephalitis causes serious health problems in countries in Southeast Asia, where the causative virus is endemic. Whereas most adults living in this region have acquired immunity, children are at high risk of infection. Childhood mass immunization programs with first-generation mouse brain-derived vaccines efficiently reduced Japanese encephalitis incidence in affected countries, but immunization recommendations have mostly been abolished in Japan owing to the occurrence of severe side effects. Thus, there is a pressing need for safer vaccines to keep the disease under control. The safety profile of the current vaccines, together with the relatively low incidence, makes the risk/benefit ratio unfavorable for immunization of travelers to Southeast Asia, despite the high mortality once the clinical disease has developed. As Asian countries become increasingly popular travel destinations, the availability of well-tolerated vaccines would likely shift the ratio towards immunization. Currently, there is one second-generation inactivated cell-culture-grown vaccine in late-stage clinical development that is approaching licensing in developed countries.
©2008 by Walter de Gruyter Berlin New York
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Articles in the same Issue
- Guest Editorial
- Novel paradigms in vaccine development: from small pox eradication to therapeutic vaccines
- Highlight: 3rd Semmering Conference 2007
- Adaptive immune responses to hepatitis C virus: from viral immunobiology to a vaccine
- Dendritic cell subtypes as primary targets of vaccines: the emerging role and cross-talk of pattern recognition receptors
- Novel strategies to identify biomarkers in tuberculosis
- Not to wake a sleeping giant: new insights into host-pathogen interactions identify new targets for vaccination against latent Mycobacterium tuberculosis infection
- Lipopolysaccharide: a tool and target in enterobacterial vaccine development
- The coming of age of virus-like particle vaccines
- Maintenance of serological memory
- Adjuvant activity of type I interferons
- Japanese encephalitis vaccines – needs, flaws and achievements
- Analysis of the human cytomegalovirus pp65-directed T-cell response in healthy HLA-A2-positive individuals
- Non-regulatory CD8+CD45RO+CD25+ T-lymphocytes may compensate for the loss of antigen-inexperienced CD8+CD45RA+ T-cells in old age
- Pre-clinical development of cell culture (Vero)-derived H5N1 pandemic vaccines
- Construction of an encapsulated ESAT-6-based anti-TB DNA vaccine and evaluation of its immunogenic properties
- Review
- RNA switches regulate initiation of translation in bacteria
- Protein Structure and Function
- Inhibition of bacterial oxidases by formamide and analogs
- Modeling of variant copies of subunit D1 in the structure of photosystem II from Thermosynechococcus elongatus
