Assessing dengue vaccination impact: Model challenges and future directions.

In response to the sharp rise in the global burden caused by dengue virus (DENV) over the last few decades, the WHO has set out three specific key objectives in its disease control strategy: (i) to estimate the true burden of dengue by 2015; (ii) a reduction in dengue mortality by at least 50% by 20...

Full description

Bibliographic Details
Main Authors: Recker, M, Vannice, K, Hombach, J, Jit, M, Simmons, C
Format: Journal article
Language:English
Published: Elsevier 2016
_version_ 1797105415801012224
author Recker, M
Vannice, K
Hombach, J
Jit, M
Simmons, C
author_facet Recker, M
Vannice, K
Hombach, J
Jit, M
Simmons, C
author_sort Recker, M
collection OXFORD
description In response to the sharp rise in the global burden caused by dengue virus (DENV) over the last few decades, the WHO has set out three specific key objectives in its disease control strategy: (i) to estimate the true burden of dengue by 2015; (ii) a reduction in dengue mortality by at least 50% by 2020 (used as a baseline); and (iii) a reduction in dengue morbidity by at least 25% by 2020. Although various elements will all play crucial parts in achieving this goal, from diagnosis and case management to integrated surveillance and outbreak response, sustainable vector control, vaccine implementation and finally operational and implementation research, it seems clear that new tools (e.g. a safe and effective vaccine and/or effective vector control) are key to success. The first dengue vaccine was licensed in December 2015, Dengvaxia (CYD-TDV) developed by Sanofi Pasteur. The WHO has provided guidance on the use of CYDTDV in endemic countries, for which there are a variety of considerations beyond the risk–benefit evaluation done by regulatory authorities, including public health impact and cost-effectiveness. Populationlevel vaccine impact and economic and financial aspects are two issues that can potentially be considered by means of mathematical modelling, especially for new products for which empirical data are still lacking. In December 2014 a meeting was convened by the WHO in order to revisit the current status of dengue transmission models and their utility for public health decision-making. Here, we report on the main points of discussion and the conclusions of this meeting, as well as next steps for maximising the use of mathematical models for vaccine decision-making
first_indexed 2024-03-07T06:47:14Z
format Journal article
id oxford-uuid:fb46939f-53ce-4479-bee4-4e56b39952f4
institution University of Oxford
language English
last_indexed 2024-03-07T06:47:14Z
publishDate 2016
publisher Elsevier
record_format dspace
spelling oxford-uuid:fb46939f-53ce-4479-bee4-4e56b39952f42022-03-27T13:12:28ZAssessing dengue vaccination impact: Model challenges and future directions.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:fb46939f-53ce-4479-bee4-4e56b39952f4EnglishSymplectic Elements at OxfordElsevier2016Recker, MVannice, KHombach, JJit, MSimmons, CIn response to the sharp rise in the global burden caused by dengue virus (DENV) over the last few decades, the WHO has set out three specific key objectives in its disease control strategy: (i) to estimate the true burden of dengue by 2015; (ii) a reduction in dengue mortality by at least 50% by 2020 (used as a baseline); and (iii) a reduction in dengue morbidity by at least 25% by 2020. Although various elements will all play crucial parts in achieving this goal, from diagnosis and case management to integrated surveillance and outbreak response, sustainable vector control, vaccine implementation and finally operational and implementation research, it seems clear that new tools (e.g. a safe and effective vaccine and/or effective vector control) are key to success. The first dengue vaccine was licensed in December 2015, Dengvaxia (CYD-TDV) developed by Sanofi Pasteur. The WHO has provided guidance on the use of CYDTDV in endemic countries, for which there are a variety of considerations beyond the risk–benefit evaluation done by regulatory authorities, including public health impact and cost-effectiveness. Populationlevel vaccine impact and economic and financial aspects are two issues that can potentially be considered by means of mathematical modelling, especially for new products for which empirical data are still lacking. In December 2014 a meeting was convened by the WHO in order to revisit the current status of dengue transmission models and their utility for public health decision-making. Here, we report on the main points of discussion and the conclusions of this meeting, as well as next steps for maximising the use of mathematical models for vaccine decision-making
spellingShingle Recker, M
Vannice, K
Hombach, J
Jit, M
Simmons, C
Assessing dengue vaccination impact: Model challenges and future directions.
title Assessing dengue vaccination impact: Model challenges and future directions.
title_full Assessing dengue vaccination impact: Model challenges and future directions.
title_fullStr Assessing dengue vaccination impact: Model challenges and future directions.
title_full_unstemmed Assessing dengue vaccination impact: Model challenges and future directions.
title_short Assessing dengue vaccination impact: Model challenges and future directions.
title_sort assessing dengue vaccination impact model challenges and future directions
work_keys_str_mv AT reckerm assessingdenguevaccinationimpactmodelchallengesandfuturedirections
AT vannicek assessingdenguevaccinationimpactmodelchallengesandfuturedirections
AT hombachj assessingdenguevaccinationimpactmodelchallengesandfuturedirections
AT jitm assessingdenguevaccinationimpactmodelchallengesandfuturedirections
AT simmonsc assessingdenguevaccinationimpactmodelchallengesandfuturedirections