Vaccine escape in a heterogeneous population: insights for SARS-CoV-2 from a simple model

As a countermeasure to the SARS-CoV-2 pandemic, there has been swift development and clinical trial assessment of candidate vaccines, with subsequent deployment as part of mass vaccination campaigns. However, the SARS-CoV-2 virus has demonstrated the ability to mutate and develop variants, which can...

Cur síos iomlán

Sonraí bibleagrafaíochta
Príomhchruthaitheoirí: Gog, JR, Hill, EM, Danon, L, Thompson, RN
Formáid: Journal article
Teanga:English
Foilsithe / Cruthaithe: Royal Society 2021
_version_ 1826310769702076416
author Gog, JR
Hill, EM
Danon, L
Thompson, RN
author_facet Gog, JR
Hill, EM
Danon, L
Thompson, RN
author_sort Gog, JR
collection OXFORD
description As a countermeasure to the SARS-CoV-2 pandemic, there has been swift development and clinical trial assessment of candidate vaccines, with subsequent deployment as part of mass vaccination campaigns. However, the SARS-CoV-2 virus has demonstrated the ability to mutate and develop variants, which can modify epidemiological properties and potentially also the effectiveness of vaccines. The widespread deployment of highly effective vaccines may rapidly exert selection pressure on the SARS-CoV-2 virus directed towards mutations that escape the vaccine-induced immune response. This is particularly concerning while infection is widespread. By developing and analysing a mathematical model of two population groupings with differing vulnerability and contact rates, we explore the impact of the deployment of vaccines among the population on the reproduction ratio, cases, disease abundance and vaccine escape pressure. The results from this model illustrate two insights: (i) vaccination aimed at reducing prevalence could be more effective at reducing disease than directly vaccinating the vulnerable; (ii) the highest risk for vaccine escape can occur at intermediate levels of vaccination. This work demonstrates a key principle: the careful targeting of vaccines towards particular population groups could reduce disease as much as possible while limiting the risk of vaccine escape.
first_indexed 2024-03-07T07:58:24Z
format Journal article
id oxford-uuid:01d316a1-c36e-4cd8-a7b5-92d6a9323cd4
institution University of Oxford
language English
last_indexed 2024-03-07T07:58:24Z
publishDate 2021
publisher Royal Society
record_format dspace
spelling oxford-uuid:01d316a1-c36e-4cd8-a7b5-92d6a9323cd42023-09-11T12:37:17ZVaccine escape in a heterogeneous population: insights for SARS-CoV-2 from a simple modelJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:01d316a1-c36e-4cd8-a7b5-92d6a9323cd4EnglishSymplectic ElementsRoyal Society2021Gog, JRHill, EMDanon, LThompson, RNAs a countermeasure to the SARS-CoV-2 pandemic, there has been swift development and clinical trial assessment of candidate vaccines, with subsequent deployment as part of mass vaccination campaigns. However, the SARS-CoV-2 virus has demonstrated the ability to mutate and develop variants, which can modify epidemiological properties and potentially also the effectiveness of vaccines. The widespread deployment of highly effective vaccines may rapidly exert selection pressure on the SARS-CoV-2 virus directed towards mutations that escape the vaccine-induced immune response. This is particularly concerning while infection is widespread. By developing and analysing a mathematical model of two population groupings with differing vulnerability and contact rates, we explore the impact of the deployment of vaccines among the population on the reproduction ratio, cases, disease abundance and vaccine escape pressure. The results from this model illustrate two insights: (i) vaccination aimed at reducing prevalence could be more effective at reducing disease than directly vaccinating the vulnerable; (ii) the highest risk for vaccine escape can occur at intermediate levels of vaccination. This work demonstrates a key principle: the careful targeting of vaccines towards particular population groups could reduce disease as much as possible while limiting the risk of vaccine escape.
spellingShingle Gog, JR
Hill, EM
Danon, L
Thompson, RN
Vaccine escape in a heterogeneous population: insights for SARS-CoV-2 from a simple model
title Vaccine escape in a heterogeneous population: insights for SARS-CoV-2 from a simple model
title_full Vaccine escape in a heterogeneous population: insights for SARS-CoV-2 from a simple model
title_fullStr Vaccine escape in a heterogeneous population: insights for SARS-CoV-2 from a simple model
title_full_unstemmed Vaccine escape in a heterogeneous population: insights for SARS-CoV-2 from a simple model
title_short Vaccine escape in a heterogeneous population: insights for SARS-CoV-2 from a simple model
title_sort vaccine escape in a heterogeneous population insights for sars cov 2 from a simple model
work_keys_str_mv AT gogjr vaccineescapeinaheterogeneouspopulationinsightsforsarscov2fromasimplemodel
AT hillem vaccineescapeinaheterogeneouspopulationinsightsforsarscov2fromasimplemodel
AT danonl vaccineescapeinaheterogeneouspopulationinsightsforsarscov2fromasimplemodel
AT thompsonrn vaccineescapeinaheterogeneouspopulationinsightsforsarscov2fromasimplemodel