Vaccines for Infectious Diseases: Reality Check

April 14 2020

We hear endless talk about vaccine development for newly encountered infection(s) promising “speedy” development of a “very powerful” vaccine. Indeed, the list of vaccines available is the United States is impressive. These include (complete list):

  1. Adenovirus

  2. Anthrax

  3. Cholera

  4. Diphtheria (7 types of vaccine)

  5. Hepatitis A (2 types)

  6. Hepatitis B (3 types)

  7. Haemophilus influenzae type B (2 types)

  8. Human Papilloma Virus

  9. Seasonal influenza (2 types)

  10. Japanese encephalitis

  11. Measles (2 types)

  12. Meningococcal (2 types)

  13. Mumps (2 types)

  14. Pertussis (5 types)

  15. Pneumococcal (2 types)

  16. Polio (4 types)

  17. Rabies

  18. Rotavirus (2 types)

  19. Rubella (2 types)

  20. Shingles (2 types)

  21. Smallpox

  22. Tetanus (7 types)

  23. Tuberculosis (BCG - limited use in the USA)

  24. Thyroid fever (2 types)

  25. Varicella (2 types)

  26. Yellow fever

Most notably, vaccines for many well known diseases are suspiciously absent from this list. There are (incomplete list):

  1. Amoeba

  2. Arbovirus

  3. Botulism

  4. Brucellosis

  5. Campylobacter

  6. C. difficile

  7. Chlamydia

  8. Cocci

  9. Creutzfeldt-Jakob Disease

  10. Cryptosporidium

  11. Cyclosporiasis

  12. Cytomegalovirus

  13. Dengue

  14. Ebola

  15. Epstein-Barr virus

  16. E.coli

  17. Enteroviruses

  18. Giardia

  19. Gonococci

  20. Hand, foot, and mouth disease

  21. Hantavirus

  22. Helicobacter Pylori

  23. Hepatitis C

  24. Hepatitis D

  25. Hepatitis E

  26. Herpes Simplex I and 2

  27. HIV I and II

  28. HTLV-IV

  29. Lassa fever

  30. Legionella

  31. Leishmaniasis

  32. Leprosy

  33. Lyme

  34. Malaria

  35. MERS CoV

  36. Norovirus

  37. Parvovirus B19

  38. Plague

  39. Q fever

  40. Respiratory Syncycial virus

  41. Roseola

  42. Salmonella

  43. SARS-CoV-1

  44. SARS-CoV-2

  45. Scabies

  46. Shigella

  47. Staphylococci

  48. St. Louis encephalitis

  49. Streptococci

  50. Syphilis

  51. Trichinosis

  52. Trichomona

  53. Tularemia

  54. West Nile Encephalitis

  55. Zica

Other facts:

  • Bill and Melinda Gates Foundation contributed > $10 billion to develop malaria, HIV, and a new tuberculosis vaccines over the last decade;

  • HIV pandemic is 40 years old, vaccine?

  • Approximately $1 billion a year spent on HIV vaccine development by the US government alone;

  • As of the latest surveillance by UNAIDS, it is estimated that there are 37.9 million people living with HIV globally as of the end of 2018. Of these, approximately 1.7 million were newly infected;

  • In 2018, UNAIDS reported an estimated 770,000 people died of HIV worldwide, the majority of whom were from sub-Saharan Africa. The United States accounted for around 16,000 of these deaths;

  • In 2018, there were estimated 228 million cases of malaria;

  • In 2018, approximately 405,000 people died of malaria;

  • In 2018 - there were 9.8 million cases of measles and 142,000 deaths;

  • Seasonal influenza vaccine efficacy is between 35-55%, e.g. a “coin toss”

  • SARS-CoV-1 and MERS coronavirus vaccines did not make it past clinical trials in 17 years;

  • 2 billion people - 1/3 of the world population is infected with tuberculosis

  • Tuberculosis causes 2,000,000 deaths annually;

  • Norovirus is the leading cause of vomiting and diarrhea from acute gastroenteritis (inflammation of the stomach and intestines) among people of all ages in the United States. Each year, on average in the United States, norovirus:

    • causes 19 to 21 million cases of acute gastroenteritis

    • leads to 1.7 to 1.9 million outpatient visits and 400,000 emergency department visits, primarily in young children

    • contributes to about 56,000 to 71,000 hospitalizations and 570 to 800 deaths, mostly among young children and the elderly.

    Norovirus is the leading cause of acute gastroenteritis among U.S. children less than 5 years of age who seek medical care. Norovirus is responsible for nearly 1 million pediatric medical care visits annually.

Got the point?

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