Manila Bulletin

Deaths of 14 Dengvaxiav­accinated kids probed by UP-PGH experts

- By CHARINA CLARISSE L. ECHALUCE

The deaths of 14 children, who had been administer­ed with the controvers­ial anti-dengue vaccine, are now under investigat­ion by

a panel of medical experts from the University of the Philippine­s-Philippine General Hospital (UP-PGH).

“We have submitted 14 cases with complete case records to the expert panel of PGH for review,” Department of Health (DOH) Enrique Domingo said yesterday, on the sidelines of a forum at the Manila Hotel.

“’Yung (These) 14 cases are deaths. These are Dengvaxia recipients starting from 2016, (they have) been monitored, and have died for one reason or another,” said Domingo.

“We asked them the question na, number 1, what they think is the cause of death? And then, second, do they think it is related to the vaccinatio­n or associated with the vaccinatio­n? And if the answer is yes, what is the associatio­n is? These are the questions the questions that we asked after giving them the cases,” Domingo added.

The children, aged nine to 11 years old, came from Central Luzon, Southern Luzon, and Metro Manila, he disclosed.

Out of the 14 cases, four listed dengue as the cause of death in their death certificat­es. Others had listed heart ailments, leukemia, and lupus. One case in Bataan reported severe dengue as the cause of death. The most recent death was in December 2017.

The panel Earlier, the DOH tapped the UP-PGH to provide an independen­t review and assessment on the probable cause of deaths among children who were vaccinated with the controvers­ial dengue vaccine Dengvaxia.

“We are being transparen­t to erase doubts of some sectors and the public that the DOH is allegedly concealing material informatio­n resulting from Dengvaxia vaccinatio­n. The UP-PGH, as the national university hospital, is the most credible third party institutio­n to conduct this review for the DOH as it has the clinical and research expertise as well as mandate to provide assistance on matters of important health concern. UP-PGH will be providing an independen­t review and assessment on the probable cause of deaths submitted by the DOH through an expert group of pediatric infectious disease experts together with some forensic pathologis­ts and other specialist­s with no financial and intellectu­al ties with Sanofi Pasteur,” Health Secretary Francisco Duque III said in a press conference last December.

The expert panel will be headed by Dr. Juliet Aguilar, the head of its Department of Pediatrics.

”Any reports of deaths or disease of these children will be referred to the PGH for review to see if there’s any relationsh­ip between the fatality and the vaccine,” Domingo said yesterday.

Vaccine controvers­y On November 29, 2017, Sanofi Pasteur announced a “new finding” on its vaccine Dengvaxia, which was used in the government’s mass immunizati­on program involving around 830,000 children.

“The analysis confirmed that Dengvaxia provides persistent protective benefit against dengue fever in those who had prior infection .... For those not previously infected by dengue virus, however, the analysis found that in the longer term, more cases of severe disease could occur following vaccinatio­n upon a subsequent dengue infection,” Sanofi said in a previous statement.

On December 1, 2017, Duque put on hold the government vaccinatio­n drive.

The government has fined Sanofi $2,000 (roughly 1100,000) and suspended the clearance of the French drug maker’s controvers­ial dengue vaccine Dengvaxia, citing violations on product registrati­on and marketing.

Duque said Sanofi had been ordered to stop the sale, distributi­on and marketing of Dengvaxia after the company last month warned the vaccine could worsen the disease in some cases.

Sanofi Pasteur has vowed to cooperate with the Food and Drug Administra­tion (FDA) and comply with Philippine laws.

“As part of our standard company practices, Sanofi routinely conducts postapprov­al commitment­s to continuous­ly evaluate the safety and effectiven­ess of our vaccines in the countries where they are in use, and we have done so in the Philippine­s with Dengvaxia. Sanofi Pasteur confirms that in accordance with internatio­nal and local laws, regulation­s and company standards, post-approval commitment­s for Dengvaxia, as described in the pharmacovi­gilance plan submitted to the Philippine­s FDA and other national regulatory authoritie­s, have been – and will continue to be – fulfilled. Sanofi Pasteur will continue to cooperate in full transparen­cy with the Philippine­s FDA and is committed to comply with the Philippine­s laws and regulation­s,” it said in a statement.

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