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New Vaccine Development: Establishing Priorities: Volume II, Diseases of Importance in Developing Countries (1986)
Board on Population Health and Public Health Practice (BPH)

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. "8. Additional Issues in the Selection of Priorities for Accelerated Vaccine Development." New Vaccine Development: Establishing Priorities: Volume II, Diseases of Importance in Developing Countries. Washington, DC: The National Academies Press, 1986.

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New Vaccine Development: Establishing Priorities, Volume II, Diseases of Importance in Developing Countries

TABLE 8.2 Alternatives to Candidate Vaccines

Pathogen

Prevention or Control Measures

Treatment

Dengue virus

Vector control,a personal protectionb

Supportive care

E. coli (enter otoxigenic)

Potable water supply, improve sanitation, educational and behavioral change,c improve socioeconomic status

Oral rehydration therapy, antibacterial agents for severe cases

H. influenzae type b

Improve crowded living conditions, increase air circulation, early anti-bacterials for severe acute respiratory illness

Antibacterial agents (some problems with resistance), bronchodilators

Hepatitis A virus

Potable water supply, improve sanitation, education and behavioral change,c passive immunization of travelers

Supportive care

Hepatitis B virus

Improve crowded living conditions, improve socioeconomic status, personal hygiene, vaccine for high-risk groups (expensive)

Supportive care

Japanese encephalitis virus

Vector control,a control of nonhuman hosts, vaccine (slow antibody response)

Supportive care

Mycobacterium leprae

Active case finding in endemic areas; rapid, appropriate treatment of cases; chemoprophylaxis; personal sanitation; and isolation of cases (all ineffective)

Anti-mycobacterial agents (problems with development of resistance), patient education to prevent complications

Neisseria meningitidis

Respiratory isolation of cases, chemoprophylaxis of exposed persons, vaccine (limited serotype coverage), improve crowding and ventilation

Antibacterial agents, supportive care

Parainfluenza viruses

Improve crowded living conditions, increase air circulation

Supportive care, early antibacterial agents for secondary bacterial pneumonia

Plasmodium spp.

Vector control,a personal protection,b chemoprophylaxis for children and pregnant women to prevent falciparum malaria

Anti-malarials (some problem with resistance), supportive care

Page
116
Front Matter (R1-R16)
1. Summary (1-18)
2. Priority Setting for Health-Related Investments: A Review of Methods (19-29)
3. Overview of the Analytic Approach (30-43)
4. Comparison of Disease Burdens (44-62)
5. Predictions of Vaccine Development (63-75)
6. Assessing the Likely Utilization of New Vaccines (76-81)
7. Calculation and Comparison of the Health Benefits and Differential Costs Associated with Candidate Vaccines (82-105)
8. Additional Issues in the Selection of Priorities for Accelerated Vaccine Development (106-120)
9. Findings, Conclusions, and Recommendations (121-142)
Appendix A: Selection of Vaccine Candidates for Accelerated Development (143-148)
Appendix B: The Burden of Disease Resulting from Acute Respiratory Illness (149-158)
Appendix C: The Burden of Disease Resulting from Diarrhea (159-169)
Appendix D-1: The Prospects for Immunizing Against Dengue Virus (170-177)
Appendix D-2: The Prospects for Immunizing Against Escherichia coli (178-185)
Appendix D-3: The Prospects for Immunizing Against Hemophilus influenzae Type b (186-196)
Appendix D-4: The Prospects for Immunizing Against Hepatitis A Virus (197-207)
Appendix D-5: The Prospects for Immunizing Against Hepatitis B Virus (208-222)
Appendix D-6: The Prospects for Immunizing Against Japanese Encephalitis Virus (223-240)
Appendix D-7: The Prospects for Immunizing Against Mycobacterium leprae (241-250)
Appendix D-8: The Prospects for Immunizing Against Neisseria meningitidis (251-266)
Appendix D-9: The Prospects for Immunizing Against Parainfluenza Viruses (267-274)
Appendix D-10: The Prospects for Immunizing Against Plasmodium spp. (275-286)
Appendix D-11: The Prospects for Immunizing Against Rabies Virus (287-298)
Appendix D-12: The Prospects for Immunizing Against Respiratory Syncytial Virus (299-307)
Appendix D-13: The Prospects for Immunizing Against Rotavirus (308-318)
Appendix D-14: The Prospects for Immunizing Against Salmonella typhi (319-328)
Appendix D-15: The Prospects for Immunizing Against Shigella spp. (329-337)
Appendix D-16: The Prospects for Immunizing Against Streptococcus Group A (338-356)
Appendix D-17: The Prospects for Immunizing Against Streptococcus pneumoniae (357-375)
Appendix D-18: The Prospects for Immunizing Against Vibrio cholerae (376-389)
Appendix D-19: The Prospects for Immunizing Against Yellow Fever (390-402)
Appendix E: Questionnaire for Assessing Morbidity-Mortality Trade-Offs (403-411)
Appendix F: Technical Notes (412-412)
Appendix G: Biographical Notes on Committee Members (413-417)
Appendix H: Additional Sources of Advice to the Committee (418-419)
Appendix I: Contents of Supplement to Volume II (420-420)
Appendix J: Preface to Volume I (421-422)
Appendix K: Contents to Volume I (423-423)
Index (424-432)