Category Archives: Vaccines

Advocacy day trip to an AIDS vaccine lab, as described one who was there

Today’s blog comes from Mark Pointer of our Norwich group, who joined us on out advocacy day trip to a working AIDS vaccine lab.

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Dr Bergin speaks to the group

On the last day of our National Conference, we spent a very enjoyable and informative morning at the Chelsea & Westminster Hospital, as we visited the prestigious Human Immunology Laboratory (HIL).

The HIL is the International AIDS Vaccine Initiative`s flagship laboratory where it performs its own AIDS vaccine research as well as coordinating research for other IAVI labs around the world. IAVI is a global, not-for-profit, public-private product-development partnership working with organizations in countries worldwide to help to develop an affordable AIDS vaccine through research and development, effective clinical trials, education initiatives, policy analysis and advocacy.

We were greeted by Dr Philip Bergin and Dr Emmanuel Cormier, who explained

Dr Bergin shows us the £250,000 multi-laser flow cytometer

Dr Bergin shows us the £250,000 multi-laser flow cytometer

their AIDS research work to date and how HIL serves as a hub for IAVI’s vaccine development partnerships. The HIL team, consisting of 18 research scientists and technicians play a pivotal role in AIDS vaccine development in low and middle income countries. Partners include the Kenya AIDS Vaccine Initiative, Rwanda’s Project San Francisco, the Uganda Virus Research Institute, the Indian Council of Medical Research and the Zambia–Emory HIV Research Project. In some countries where IAVI is not sponsoring clinical studies, the organization works with partners to support AIDS vaccine research and advocacy efforts

The HIL team also oversees the training in IAVI’s extended network of collaborating clinical research centres  With their support nearly all of the labs in this network have received international accreditation in Good Clinical Laboratory Practices (GCLP), ensuring the standardization of laboratory procedures applied in IAVI-sponsored vaccine trials.

Blood samples!

Blood samples!

Dr Bergin took us on a guided tour of the laboratory, explaining the research which was being carried out in different areas. He told us that one of the main problems of the development an AIDS vaccine is the ability of the HIV virus to mutate before immune system antibodies can neutralize the virus. Also, the cost of developing a vaccine became clear when we were told that just one of the pieces of equipment (multi-laser flow cytometer) cost £250,000!

The laboratory is the central Repository where all the specimens from HIV vaccine trials and epidemiology studies are stored and we were very impressed with the liquid nitrogen pods, in which tens of thousands of 1ml specimen tubes are stored either in -180 C in liquid nitrogen pods (Blood) or in– 80 C freezers (Serum).

During a Q & A session with Dr Bergin and Dr Cormier they explained that DFID is a major funder but IAVI has brought in other UK partners including Oxford University, St.George’s Hospital and Imperial College.

Vaccine research is a long-term and costly investment, but the potential rewards

Our handsome Mr Poitner inspects the samples

Our handsome Mr Poitner inspects the samplesare very much more cost effective compared to the price of continual antiretroviral treatment. Currently investment in AIDS vaccine research stands at £800 million compared to the cost of antiretroviral drugs being £22 billion. However, for every two people put on antiretroviral therapy five become newly infected with HIV.

IAVI’s current donors include the Bill & Melinda Gates Foundation, the Starr Foundation, the governments of Denmark, Ireland, Japan, the Netherlands, New York City, Norway, Spain, Sweden, the United Kingdom and the United States.

Dr Cormier explained that IAVI helps to address the critical gaps in vaccine development by bringing together experience and expertise with ground breaking new early research from academia. In IAVI projected models, if a vaccine can be produced giving 70 % effectiveness against the AIDS virus, it would save 8.9 million lives.

Both doctors have been encouraged by results of a clinical trial in Thailand in 2009 and are hoping that the new development goals feature R & D. They are also hoping that the UK government will understand the value and benefits of a long-term investment into vaccine development.

The HIL is tucked away inside the Chelsea and Westminister Hospital. I work in an NHS laboratory and was not even aware of its existence. Yet, as we walked around the HIL and talked to Drs. Bergin and Cormier it was clear to us that it is carrying out ground breaking work. What a shame its work is not better known and made more visible to potential donors, policy decision makers and the general public. The UK should be very proud of the work these researchers are doing. Just listening to Dr Bergin and Dr Cormier, you can see how passionate and determined they are to maintain the important progress made in IAVI`s research in finding an AIDS vaccine. A vaccine would dramatically transform the lives of millions of people world-wide. It would also reduce the growing need for antiretroviral drugs by stopping AIDS infections taking hold. We sincerely hope that IAVI’s present donors continue to support them are that more donors will come on board to support this vital research.

RESULTS UK leads delegation to Ethiopia

Last week, RESULTS led a cross-party parliamentary delegation to Ethiopia to explore how the country is dealing with key health issues affecting international development. The country continues to face enormous health challenges that include the spread of infectious disease and malnutrition. Yet, in light of this, Ethiopia is making impressive strides towards improving key health indicators and come up with innovative ways of responding to its health worker crisis.

RESULTS was joined by parliamentarians from all three major parties – Sir Tony Cunningham MP, Heather Wheeler MP, Kevin Barron MP, Baroness Hooper and Lord Hussain. The parliamentarians were able to attest that aid works – over the past ten Ethiopia has cut its infant mortality rate in half and it is on track to meet Millennium Development Goal 4 to reduce under-five mortality rates by two thirds. It has also created a model for dealing with its health worker crisis, which has successfully delivered TB care and treatment to the population.

The Global Fund to Fight AIDS, TB and Malaria

The delegation was able to visit one of only two hospitals in Addis Ababa that treats multidrug-resistant TB (MDR-TB). With support from the Global Fund, the most successful health financing mechanism to date, the hospital is providing MDR-TB treatment to patients from all over the country. MDR-TB is a form of TB that does not respond to the standard treatment using first-line drugs and is extremely difficult and expensive to treat. The Global Fund grant covered the cost for renovating the hospital’s MDR-TB ward and provides all second-line drugs needed to treat MDR-TB.

Innovative Reponse to the Health Worker Crisis

Ethiopia is one of 57 countries worldwide that faces severe shortages in their healthcare workforce and lacks doctors, nurses, midwives and other health workers needed to deliver healthcare to its population. In response to this crisis, Ethiopia has developed an innovative model called their Health Extension Programme (HEP).

The HEP shifts tasks to less specialised health workers called Health Extension Workers (HEWs) in order to deliver essential healthcare to communities that would otherwise not have access to such services. HEWs are women from the local community aged at least 18 years with 10 years of schooling who are provided with one year of healthcare training encompassing family planning, water and sanitation, and control of infectious diseases, including TB. Two HEWs are placed in each local health posts that provide primary care to their communities.

Health Extension Workers Delivering TB Care

The delegation was able to meet with HEWs in both Addis Ababa as well in more rural settings around Awassa in the south of the country. We were able to visit sites supported by TB REACH, a funding mechanism that finances projects to carry out TB diagnosis and treatment in areas with limited or no access to TB care.

The TB REACH grant currently allows HEWs to collect sputum samples from individuals with TB symptoms and provides local health centres with motor bikes to collect these samples and transport them to the lab for diagnosis. TB diagnosis has more than doubled since the project started, more people are being treated for TB and fewer people are dying or failing to complete their treatment.

Improving Child Survival Rates

Ethiopia’s HEWs have also been trained to treat the diseases that needlessly kill more than hundreds of thousands of children under five each year: malaria, diarrhoea, pneumonia, as well as malnutrition. Within the HEW programme’s first five years, malaria death rates in Ethiopia decreased by more than half and new HIV infections fell by 25 percent. In addition, mortality of children under five dropped by 28 percent, a lauded outcome.

The UK Government is a key donor supporting the Ethiopian Government to carry out health interventions that are working. The delegation heard time and again about how effectively and transparently the Ethiopian Government is using UK aid to reach the most vulnerable, making a real difference in the lives of some of poorest. The delegation validated that UK aid equals excellent value for money.

National Conference early bird tickets now on sale

We are pleased to announce that early bird tickets for this year’s National Conference are now available at a discounted price of just £15!

This year’s event will take place over the weekend of the 20th-22nd of April 2013 at the NVCO Centre, Kings Cross, London. Click here to register!

The conference is an excellent opportunity to learn about issues relating to international development and to join a full day’s training workshop on how to undertake strategic advocacy. We are also again holding our lobby day on the Monday, when we have meetings arranged with key professionals from across the international development spectrum.

This year’s conference, titled What next for development? The world after the Millennium Development Goals’ will reflect on the progress of the Millennium Development Goals and look ahead to the new international framework that will replace the MDGs in 2015.

To secure your place at this year’s National Conference for just £15,  please either send a cheque made payable to ‘RESULTS Education’ to RESULTS UK, RESULTS UK Head Office, 31-33 Bondway, London, SW8 1SJ

Or do a bank transfer to Alliance and Leicester, account number 42817802, sort code 72-00-05. Please identify your  payment with the reference code ‘NC13’ plus your surname, e.g. ‘NC13 Smith’

Your £15 will include entrance to the 3 days of the conference, plus lunch and refreshements on each day.

Saturday night will also feature the now infamous RESULTS social event! A great chance to unwind with fellow advocates.

More information about speakers and the conference will be available ahead of the event.

You will also need to complete an early bird registration form and return it to the office via post to RESULTS UK Head Office, RESULTS UK Head Office
31-33 Bondway, London, SW8 1SJ or via e-mail to tom.maguire@results.org.uk.

Download a registration form now by clicking here

Registration form

If you have any questions, please contact Tom in the office at tom.maguire@results.org.uk or call 0207 499 8238

Thousands of children’s lives to be protected with rotavirus vaccines in the ‘Warm Heart of Africa’

Malawi, affectionately known as Africa’s ‘warm heart’, has become the latest in a growing number of African countries to introduce rotavirus vaccine. This will offer its children the best possible protection against the primary cause of diarrhoea, a leading cause of under-five mortality globally, accounting for 11% of all deaths.

The integration of rotavirus vaccine into Malawi’s national immunisation programme is being supported by the GAVI Alliance, a public-private partnership focused on saving children’s lives and protecting people’s health by increasing access to immunisation in poor countries.

If used in all GAVI-eligible countries (57 low-income countries at present), rotavirus vaccines could prevent an estimated 180,000 deaths and avert six million clinic and hospital visits each year, subsequently saving an estimated US $68 million per year in treatment costs. By 2015 GAVI and its partners plan to have supported the immunisation of more than 50 million children with rotavirus vaccine in at least 40 of the world’s poorest countries. You can read the full press release from the GAVI Alliance here.

Back on the right track

Joyce Banda, Malawi's new president

2012 has been a year of much change for Malawi. Joyce Banda became its new president, replacing Bingu wa Mutharika who died suddenly from a heart attack in April. Mutharika’s last years in power were somewhat troubled, with donor capitals growing frustrated with his increasingly authoritarian style. This came to a head when the UK temporarily suspended part of it aid to Malawi in 2011 after a diplomatic dispute.

With Banda now at the helm, there have been encouraging signs emerging out of Malawi that this impoverished part of Southern Africa is moving in the right direction again. These have been both symbolic and of real weight. Continue reading

Top scientists call for a TB vaccine to address growing concerns over drug resistance

Today, leading tuberculosis researchers including Helen McShane, PhD, Professor of Vaccinology, University of Oxford, Ann Ginsberg, MD, PhD, Vice President of Scientific Affairs at Aeras and Tim McHugh, PhD, Professor of Medical Microbiology, University College London, gathered in London just days ahead of the launch of the World Health Organization annual Global Tuberculosis report, to call for a greater focus on the development of a new vaccine in light of rising numbers of drug resistance .

This follows a study published in the Lancet in August 2012, which indicates that incidence rates of drug resistant strains may be even higher than previously expected. Tuberculosis is the second leading infectious killer and continues to take the lives of 1.45 million people each year (the equivalent of the populations of Birmingham and Liverpool combined). The increase in strains of tuberculosis that are resistant to both first and second line drugs for TB is of significant concern as the cost of treating drug resistance can be 10x more expensive to treat. While the continued research and development of better tools to diagnose and treat TB are still crucial, so is the development of a vaccine that provides life long protection against the most infectious forms of TB.

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RESULTS lead parliamentary delegation to Zambia

If you’re a regular follower of our blog, you may have already gathered from last week’s post about TB in Zambian prisons that RESULTS led a cross-party parliamentary delegation to Zambia at the end of August. The delegation looked at key global health issues, including TB, TB-HIV co-infection and research into an AIDS vaccine. In addition to Lusaka Central Prison, we were able to visit a number of health clinics, speak with health workers and meet with Government ministers and officials.

An end to AIDS? Addressing the AIDS epidemic through health interventions and research:

The trip kicked off with a visit to two government clinics in Lusaka offering free testing and counselling to discordant couples where one partner is HIV positive and the other is HIV negative. Counselling and testing is provided by ZEHRP (Zambia-Emory HIV Research Project), an NGO that receives funding from the International AIDS Vaccine Initiative (IAVI) and works in collaboration with the Zambian government to offer these services at 60 government clinics.

In addition, ZEHRP is leading on research to find an AIDS vaccine, something that is urgently needed if we are to achieve an end to the AIDS pandemic. Thirty-four million people are currently living with HIV worldwide and require lifelong treatment to lead healthy and productive lives. An HIV vaccine would save lives and could significantly reduce AIDS-related costs.

Supporting innovative techniques to find people with TB:

As part of our ongoing work advocating for more resources for TB REACH, we visited two TB REACH supported sites. TB REACH is a funding mechanism that awards grants up to US $1 million for a one year period to find people with TB quickly, avert deaths and stop TB from spreading. TB REACH has been the single largest supporter of GeneXpert (a new TB diagnostic tool) rollout to date.

We had the opportunity to see the GeneXpert machine in practice at the Kanyama Health Clinic in Lusaka, which treats over 10,000 TB patients every year. The NGO ZAMBART opened a tuberculosis diagnostic area at the clinic that includes a digital x-ray machine as well as the GeneXpert machine. GeneXpert is being used in this setting to diagnose TB in patients with HIV who are much more difficult to diagnose using a traditional microscope to examine a sputum sample.

The second TB REACH supported site we visited was Lusaka Central Prison, where TB REACH provided CIDRZ a grant to screen every prison inmate for TB and HIV. Prisoners are a neglected population at high risk for both TB and HIV infection. Effective TB control in prison protects prisoners, staff, visitors and the community at large as diseases do not respect prison walls. Continue reading

Aeras launches new clinical trials for TB vaccine

Yesterday Aeras and the Infectious Disease Research Institute (IDRI) announced the start of the Phase I trial of vaccine candidate ID93.
This trial is significant for a number of reasons. It is the first clinical trial of this candidate TB vaccine by Aeras in collaboration with IDRI – two non-profit research organisations. It is also the first time this vaccine candidate is being tested in people (‘first-in-human’) – the trial is now underway in Lenexa, Kansas. The candidate is designed to act against active AND latent TB.

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Ejike Ndaji: Global Polio Eradication Initiative declares last stand against polio

Today’s post comes from Ejike Ndaji. Ejike has a Masters in International and European Law and is currently a trainee solicitor in England.

The fight against Polio (poliomyelitis) received a boost last week with the launch of an ‘emergency action plan’ by the Global Polio Eradication Initiative (GPEI). The news follows recent fears about the resurgence of the disease in countries such as the Congo and China where the disease was thought to have been eradicated.

Polio is a disease caused by a virus which operates within its victims’ nervous system. It affects children mainly under the age of five and often leads to paralysis and in some cases death.

The plan devised by the GPEI involves increasing the WHO’s current vaccination programmes in Nigeria, Pakistan and Afghanistan, the only three countries where polio remains endemic, to levels needed to prevent the transmission of the disease. If the programme is successful in eradicating the disease, polio will become only the second disease ever to have been eradicated after small pox.

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UK Civil Society reflects on progress towards an AIDS and TB vaccine

This World AIDS Vaccine Day, 18th May 2012, the UK Consortium on AIDS and International Development working groups on TB-HIV and Prevention held an event which sought to address the importance of TB and HIV vaccines in assisting in getting to zero deaths from TB-HIV.  The key message which came across during the meeting was that a vaccine is possible and that we not only have the tools to develop TB and Aids vaccines but we are well on the way towards doing so, with sustained and predictable funding.

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Written Declaration on vaccination passes 300 signatures

We are delighted to announce that a European Parliament Written Declaration that is currently under signature has passed 300 signatories. A Written Declaration is a statement by members of the European Parliament calling on the European Commission to undertake a specific action on a policy decision. In order to pass and thus be debated in plenary, a Written Declaration needs to be signed, in person, by over half of the parliament’s MEPs, which currently stands at 378.

This particular Written Declaration was tabled by a group of MEPs including Mary Honeyball who represents members of the RESULTS London groups. The RESULTS July 2011 action on EU financing for vaccination played an important role in getting the Declaration tabled.

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