Health Policy

Battling Malaria: Strengthening the U.S. Military Malaria by Institute of Medicine, Medical Follow-Up Agency, Committee

By Institute of Medicine, Medical Follow-Up Agency, Committee on U.S. Military Malaria Vaccine Research - A Program Review, Myron M. Levine, Patricia M. Graves

Malaria is an infectious disorder universal to a number of elements of the realm, together with Africa, northern South the United States, and Asia. in the course of their provider within the army, U.S. lively contributors might be despatched to any a part of the area, together with components of the realm the place Malaria is a controversy. In Liberia in 2003, for instance, there has been a 28 percentage assault expense in Marines who spent a little while ashore, and half the eighty Marines affected had to be evacuated to Germany. This used to be not just expensive to the U.S. army yet risky in addition. To struggle by contrast affliction, there exists a Malaria Vaccine application within the U.S. army. besides the fact that, there exists various capability vaccine ambitions for the main critical and significant type of malaria; malaria from the species Plasmodium falciparum. matters additionally come up with the truth that there are 3 attainable phases to create vaccines against-preerythrocytic, blood, or transmission.

The division of security (DoD), in the course of the commanding normal of the U.S. military clinical learn and Materiel Command (USAMRMC), asked that the Institute of drugs (IOM) behavior a programmatic evaluation of the army Plasmodium falciparum malaria vaccine examine and improvement application. there has been to be a spotlight on vaccine opposed to the preerythrocytic and blood levels. The IOM shaped a committee of eleven specialists with collective services in malaria vaccine learn, parasite immunology, malarial biology, medical trials and regulatory affairs, business and public-sector vaccine improvement, biologic items learn and improvement (vaccinology), army examine and improvement courses, tropical medication, and public health.

The committee centred diversified initiatives together with settling on even if the DoD malaria vaccine examine and improvement software is scientifically sound and ready to in attaining the vaccine software goals inside of exact timelines, recommending easy methods to conquer major, pointed out obstacles, and making a choice on significant strategic ambitions and timelines according to the cloth bought and shows made by way of the DoD's application representatives. Battling Malaria: Strengthening the U.S. army Malaria Vaccine Program offers the committee's findings, present malaria vaccines, and proposals for the improvement of the U.S. army vaccine research.

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Additional info for Battling Malaria: Strengthening the U.S. Military Malaria Vaccine Program

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26 BATTLING MALARIA MALARIA VACCINE DEVELOPMENT Development of any new vaccine is a difficult task, and the malaria parasite is even more challenging because of its complex life cycle and antigenic complexity. , HIV, tuberculosis), there will be a long list of potential vaccine antigens and formulations in the early stages; this list is expected to be whittled down to a few better prospects during the development process. , adjuvants). Malaria vaccines under development include attenuated whole organisms, recombinant proteins, peptides, and gene-based (DNA or viral vector) vaccines, using a variety of adjuvants.

Military personnel in South Vietnam. S. forces. S. Army Research Program on Malaria was launched in 1963 as part of the Walter Reed Army Institute of Research (WRAIR) (WHO, 1986). By 1974, 26 new drugs (or combinations) had been developed, 11 completing clinical trials, with mefloquine as the flagship response to chloroquine-resistant P. falciparum. Fansidar (sulfadoxine/pyrimethamine) became available when it was licensed in the United States in 1983, but it was little used by the military for prophylaxis because of the risk of adverse effects and because of the availability of mefloquine in the late 1980s.

Appendix G gives the recommendations of a previous committee of independent experts who advised the DoD on vaccine acquisition and production. Appendix H gives the agenda of the open meeting held in January 2006, and Appendix I contains biosketches of the IOM committee and staff members. 2 The Malaria Threat and Need for a Vaccine GLOBAL MALARIA PROBLEM Malaria is an infection caused in humans by four species of the Plasmodium genus of parasitic protozoans (P. falciparum, P. vivax, P. ovale, and P.

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