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...
Main Authors: | , , , , |
---|---|
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 |