2019
DOI: 10.1038/s41598-019-42714-9
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Environmental distribution of certain modified live-virus vaccines with a high safety profile presents a low-risk, high-reward to control zoonotic diseases

Abstract: Oral vaccines aid immunization of hard to reach animal populations but often contain live-attenuated viruses that pose risks of reversion to virulence or residual pathogenicity. Human risk assessment is crucial prior to vaccine field distribution but there is currently no standardized approach. We mapped exposure pathways by which distribution of oral vaccines may result in inoculation into people and applied a Markov chain to estimate the number of severe adverse events. We simulated three oral rabies vaccina… Show more

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Cited by 26 publications
(22 citation statements)
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“…The half day training described in this study would need to be followed by a period of field supervision and evaluation to ensure that competence in the distribution method is reached. One of the main advantage of the OBH method as practiced in this study is that even if baits are not accepted, the risk of direct human contact with the vaccine is reduced to negligible levels through recollection of unconsumed baits [44].…”
Section: Discussionmentioning
confidence: 99%
“…The half day training described in this study would need to be followed by a period of field supervision and evaluation to ensure that competence in the distribution method is reached. One of the main advantage of the OBH method as practiced in this study is that even if baits are not accepted, the risk of direct human contact with the vaccine is reduced to negligible levels through recollection of unconsumed baits [44].…”
Section: Discussionmentioning
confidence: 99%
“…Beyond prevention in humans and domestic animals, rabies is the only zoonosis in which wildlife vaccination, using attenuated or recombinant biologics, has risen from an academic concept to a safe, effective, and economical long-term practice on a grand scale 129 133 . For example, after the multi-year use of oral rabies vaccine (ORV) distributed in edible baits, western Europe and large parts of southern Ontario became free of fox rabies 124 , 134 .…”
Section: Modern Strategies To Prevent Control and Selectively Elimimentioning
confidence: 99%
“…Recent fieldwork on ORV has focused on bait development and acceptance [ 15 , 16 , 17 , 18 ]. Additionally, due to the fact that all commercially available oral rabies vaccines are based on live replication-competent viruses, an assessment of human safety aspects associated with ORV of dogs was conducted, with particular focus on potential human contacts with the vaccine construct candidates [ 19 ]. Finally, the economic aspects of including ORV of dogs has been assessed in detail under specific settings [ 13 , 20 , 21 ].…”
Section: Introductionmentioning
confidence: 99%