Live Attenuated Vaccine (LAV) - Advantages and Disadvantages

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Questions and Answers

Which of the following is NOT a characteristic of an ideal vaccine?

  • Inducing both humoral and cellular immunity
  • Providing long-lasting immunity
  • Inducing autoimmunity (correct)
  • Being easy to administer

What is the main purpose of a Vaccine Vial Monitor (VVM)?

  • To monitor vaccine storage temperature (correct)
  • To enhance vaccine immunogenicity
  • To ensure vaccine affordability
  • To prevent vaccine freezing

Why is the Vaccine Cold Chain essential for maintaining vaccine quality?

  • To promote vaccine affordability
  • To induce autoimmunity in recipients
  • To make vaccines easy to store
  • To prevent vaccines from denaturing at high temperatures (correct)

What does the central square on a Vaccine Vial Monitor (VVM) indicate about the vaccine?

<p>It is still potent and effective (D)</p> Signup and view all the answers

Which of the following is a common issue that Electronic Time-Temperature Indicators (ETTI) can detect but heat-detecting VVMs cannot?

<p>Freezing of vaccines (B)</p> Signup and view all the answers

How does an ideal vaccine differ from vaccines that may induce autoimmunity or hypersensitivity?

<p>Ideal vaccines do not cause autoimmunity or hypersensitivity (C)</p> Signup and view all the answers

What is the primary characteristic of live attenuated vaccines?

<p>They cause limited infection in hosts (B)</p> Signup and view all the answers

How are live attenuated vaccines altered to a non-pathogenic form?

<p>By making them less virulent (A)</p> Signup and view all the answers

Which type of immunity is desired for viral live attenuated vaccines?

<p>Cell-mediated immunity (A)</p> Signup and view all the answers

In what form can live attenuated vaccines be given to individuals?

<p>By injection or orally (A)</p> Signup and view all the answers

What is the main objective of using live attenuated vaccines as part of immunization programs?

<p>To induce a strong immune response without causing disease (D)</p> Signup and view all the answers

How do live attenuated vaccines compare to infections with wild-type pathogens in terms of immune response?

<p>Nearly as good (D)</p> Signup and view all the answers

What is a key advantage of live attenuated vaccines (LAVs) according to the text?

<p>They stimulate the generation of memory cellular and humoral immune responses (B)</p> Signup and view all the answers

What is the main disadvantage of live attenuated vaccines (LAVs) mentioned in the text?

<p>They cannot be safely given to immunosuppressed individuals (D)</p> Signup and view all the answers

How do live attenuated vaccines (LAVs) stimulate immune responses?

<p>By inducing mucosal immunity and IgA synthesis (B)</p> Signup and view all the answers

What can happen if live attenuated vaccines are not stored properly?

<p>They can revert to their virulent form (A)</p> Signup and view all the answers

Why is it critical to properly store live attenuated vaccines?

<p>To maintain their viability and effectiveness (D)</p> Signup and view all the answers

Why are live attenuated vaccines not suitable for immunosuppressed individuals?

<p>Because they can cause serious illness or death in such individuals (D)</p> Signup and view all the answers

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Study Notes

Live Attenuated Vaccine (LAV)

  • Infectious microbes stimulate generation of memory cellular and humoral immune responses
  • Fewer quantities are needed to induce protection as they can multiply in the host
  • A single administration often produces long-lived immunity, eliminating the need for multiple booster doses
  • Whole microbes stimulate response to antigens in their natural conformation, raising immune response to all protective antigens
  • Some live vaccines can be given orally, inducing mucosal immunity and IgA synthesis, providing more protection at the site of entry
  • Oral preparations are less expensive than injections
  • They can lead to elimination of wild-type virus from the community

Advantages and Disadvantages of LAV

  • Advantages: stimulate generation of memory cellular and humoral immune responses, fewer quantities needed, long-lived immunity, oral administration, and elimination of wild-type virus
  • Disadvantages: may rarely revert to virulent form, cannot be given to immunosuppressed individuals, require proper storage, and can spread to contacts

Types of Vaccines

  • Live attenuated vaccine (LAV)
  • Inactivated or killed vaccines
  • Subunit or purified (antigen) vaccines
  • Recombinant vaccines
  • Conjugate (peptide) vaccines
  • DNA vaccines

Ideal Vaccine Characteristics

  • Immunogenic
  • Induces both humoral and cellular immunity
  • Does not induce autoimmunity or hypersensitivity
  • Provides long-lasting immunity
  • Safe and effective in all subjects (young and old)
  • Easy to store and stable in field conditions
  • Easy to administer
  • Combined and single dose
  • Affordable and accessible to all

Vaccine Vial Monitor (VVM)

  • Thermochromic/temperature sensitive label on vaccine vials
  • Provides visual indication of whether the vaccine has been kept at a temperature that preserves its potency
  • Originally designed for delivering vaccines to developing countries where cold chain preservation is difficult
  • Can detect temperature changes, including freezing issues

Vaccine Cold Chain

  • System used for storing vaccines in good condition
  • Consists of links to keep vaccines potent
  • Maintains product quality from manufacture to administration by ensuring vaccines are stored and transported within WHO-recommended temperature ranges

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