Invasive meningococcal disease epidemiology and vaccination strategies in four Southern European countries: a review of the available data

Introduction Invasive meningococcal disease (IMD) is a major health concern which can be prevented through vaccination. Conjugate vaccines against serogroups A, C, W, and Y and two protein-based vaccines against serogroup B are currently available in the European Union. Areas covered We present epid...

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Main Authors: Irini Zografaki, Marios Detsis, Maria Del Amo, Raffaella Iantomasi, Ana Maia, Eva Agostina Montuori, Cristina Mendez
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Expert Review of Vaccines
Subjects:
Online Access:http://dx.doi.org/10.1080/14760584.2023.2225596
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author Irini Zografaki
Marios Detsis
Maria Del Amo
Raffaella Iantomasi
Ana Maia
Eva Agostina Montuori
Cristina Mendez
author_facet Irini Zografaki
Marios Detsis
Maria Del Amo
Raffaella Iantomasi
Ana Maia
Eva Agostina Montuori
Cristina Mendez
author_sort Irini Zografaki
collection DOAJ
description Introduction Invasive meningococcal disease (IMD) is a major health concern which can be prevented through vaccination. Conjugate vaccines against serogroups A, C, W, and Y and two protein-based vaccines against serogroup B are currently available in the European Union. Areas covered We present epidemiologic data for Italy, Portugal, Greece, and Spain using publicly available reports from national reference laboratories and national or regional immunization programs (1999–2019), aiming to confirm risk groups, and describe time trends in overall incidence and serogroup distribution, as well as impact of immunization. Analysis of circulating MenB isolates in terms of the surface factor H binding protein (fHbp) using PubMLST is discussed as fHbp represents an important MenB vaccine antigen. Predictions of potential reactivity of the two available MenB vaccines (MenB-fHbp and 4CMenB) with circulating MenB isolates are also provided as assessed using the recently developed MenDeVAR tool. Expert opinion Understanding dynamics of IMD and continued genomic surveillance are essential for evaluating vaccine effectiveness, but also prompting proactive immunization programs to prevent future outbreaks. Importantly, the successful design of further effective meningococcal vaccines to fight IMD relies on considering the unpredictable epidemiology of the disease and combining lessons learnt from capsule polysaccharide vaccines and protein-based vaccines.
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spelling doaj.art-ed16696fb1aa41af89394560cd0c83692023-09-20T10:33:44ZengTaylor & Francis GroupExpert Review of Vaccines1476-05841744-83952023-12-0122154556210.1080/14760584.2023.22255962225596Invasive meningococcal disease epidemiology and vaccination strategies in four Southern European countries: a review of the available dataIrini Zografaki0Marios Detsis1Maria Del Amo2Raffaella Iantomasi3Ana Maia4Eva Agostina Montuori5Cristina Mendez6Pfizer GreecePfizer GreecePfizer SpainPfizer ItalyPfizer PortugalPfizer ItalyPfizer SpainIntroduction Invasive meningococcal disease (IMD) is a major health concern which can be prevented through vaccination. Conjugate vaccines against serogroups A, C, W, and Y and two protein-based vaccines against serogroup B are currently available in the European Union. Areas covered We present epidemiologic data for Italy, Portugal, Greece, and Spain using publicly available reports from national reference laboratories and national or regional immunization programs (1999–2019), aiming to confirm risk groups, and describe time trends in overall incidence and serogroup distribution, as well as impact of immunization. Analysis of circulating MenB isolates in terms of the surface factor H binding protein (fHbp) using PubMLST is discussed as fHbp represents an important MenB vaccine antigen. Predictions of potential reactivity of the two available MenB vaccines (MenB-fHbp and 4CMenB) with circulating MenB isolates are also provided as assessed using the recently developed MenDeVAR tool. Expert opinion Understanding dynamics of IMD and continued genomic surveillance are essential for evaluating vaccine effectiveness, but also prompting proactive immunization programs to prevent future outbreaks. Importantly, the successful design of further effective meningococcal vaccines to fight IMD relies on considering the unpredictable epidemiology of the disease and combining lessons learnt from capsule polysaccharide vaccines and protein-based vaccines.http://dx.doi.org/10.1080/14760584.2023.2225596factor h binding proteininvasive meningococcal diseasemendevarneisseria meningitidisserogroupsouthern europevaccine
spellingShingle Irini Zografaki
Marios Detsis
Maria Del Amo
Raffaella Iantomasi
Ana Maia
Eva Agostina Montuori
Cristina Mendez
Invasive meningococcal disease epidemiology and vaccination strategies in four Southern European countries: a review of the available data
Expert Review of Vaccines
factor h binding protein
invasive meningococcal disease
mendevar
neisseria meningitidis
serogroup
southern europe
vaccine
title Invasive meningococcal disease epidemiology and vaccination strategies in four Southern European countries: a review of the available data
title_full Invasive meningococcal disease epidemiology and vaccination strategies in four Southern European countries: a review of the available data
title_fullStr Invasive meningococcal disease epidemiology and vaccination strategies in four Southern European countries: a review of the available data
title_full_unstemmed Invasive meningococcal disease epidemiology and vaccination strategies in four Southern European countries: a review of the available data
title_short Invasive meningococcal disease epidemiology and vaccination strategies in four Southern European countries: a review of the available data
title_sort invasive meningococcal disease epidemiology and vaccination strategies in four southern european countries a review of the available data
topic factor h binding protein
invasive meningococcal disease
mendevar
neisseria meningitidis
serogroup
southern europe
vaccine
url http://dx.doi.org/10.1080/14760584.2023.2225596
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