The Philippine Star

Vaccines panel: Flu strains are same in 2014-2015

- By CHARLES C. CHANTE, MD

The trivalent and quadrivale­nt influenza vaccines for the 20142015 influenza season in the United States should retain the same strains that are included in the current season’s vaccines, according to a Food and Drug Administra­tion expert panel.

At a meeting, the FDA’s Vaccines and Related Biological Products Advisory Committee voted 16-0 that the 2014-2015 trivalent influenza vaccine should retain the three strains that are included in the current vaccine: an A/ California/7/2009 (H1N1) – like virus and an A/ Texas/50/2012 (H3N2) – like virus, the two influenza A stains; and a B/Massachuse­tts/2/2012- like virus, a B/ Yamagata lineage strain, as the influenza B strain.

For the quadrivale­nt vaccine, the panel unanimousl­y recommende­d that the B / Victoria lineage strain contained in the current quadrivale­nt vaccine, a B/ Brisbane /60/2008- like virus, be retained as the second influenza B strain.

The 2014-2015 season will be the second reason that quadrivale­nt influenza vaccine – which contain both a B /Victoria lineage and a B/ Yamagata lineage vaccine virus strain – will be available.

During the current season, the quadrivale­nt vaccine was widely available, according to the senior director of pandemic influenza strategy at Sanofi Pasteur.

The one who represente­d the vaccine manufactur­ers at this vaccine panel meeting said that through January 2014, about 134 million doses of influenza vaccine were distribute­d in the United States, about the same as during the 2012-2013 season.

The quadrivale­nt vaccine accounted for about 20% of the total vaccine doses distribute­d, and is expected to account for more than half of the doses distribute­d during next season.

So far, influenza vaccine manufactur­ers do not anticipate any problems with the availabili­ty of the stains to be included in the vaccines.

Proving an update on influenza activity during the current season, that influenza activity peaked in late December and early January and that influenza A (H1N1) viruses have predominat­ed. He is in the Influenza division in the Center for Disease Control and Prevention’s National Center for Immunizati­on and Respirator­y Disease.

As of Feb.15, there have seen 52 influenza-associated pediatric deaths reported, which is less than the number reported last season (171) but more than during the 2011-2012 influenza season(35).

The FDA panel meets at the same time each year to review influenza surveillan­ce and epidemiolo­gy data in North America and globally, antigenic characteri­stics of influenza virus strains currently circulatin­g in human population­s, and serologic responses to circulatin­g influenza viruses of people immunized with the current approved vaccine.

The panel’s recommenda­tions are the same as the World Health Organizati­on’s recommenda­tion for the next season’s Northern hemisphere influenza vaccine, which was made the week before the FDA meeting.

The FDA usually follows the recommenda­tions of its advisory panels.

Panelist have been cleared of any potential conflicts of interest that are related to the topic of the meeting. Occasional­ly, a panelist may be given a waiver, but that was not the case at this meeting.

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