Friday, October 21, 2011

Malaria Vaccine: Interim Results Show Promise

Each year, malaria occurs in approximately 225 million persons worldwide,
and 781,000 persons, mostly African children,die from the disease. During the past decade,the scale-up of malaria-control interventions has resulted in considerable reductions in morbidity and mortality associated with malaria
in parts of Africa. However, malaria continues to pose a major public health threat. A malaria vaccine, deployed in combination with current malaria-control tools, could play an important role in future control and eventual elimination of malaria Worldwide.
Study of the efficacy, safety, and immunogenicity of candidate
malaria vaccine RTS,S/AS01  conducted in seven African countries showed an efficacy of 56% in interim, phase III results published in the New England Journal of Medicine. The study was partially funded by and included scientist-employees of the vaccine maker. After 12 months of follow-up among 6000 African children vaccinated at age 5 to 17 months, the incidence of malaria was 0.44 per person-year among RTS,S/AS01 recipients and 0.83 among recipients of a control vaccine. Meningitis was more frequent among RTS,S/AS01 recipients.
An editorialist praises the work, while wondering about the duration of the vaccine's protection and its cost.
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