Vaccine History & Societal Impact

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Questions and Answers

What key factor plays a significant role in how vaccination can interrupt future disease transmission?

  • The educational level of the population
  • The availability of healthcare services
  • The host's age and health status
  • The length of the pathogen's incubation period (correct)

Which of the following describes the difference between protection from disease and protection from infection?

  • Protection from disease refers to preventing clinical illness, while protection from infection means blocking the pathogen entirely. (correct)
  • Protection from disease means no symptoms, while protection from infection means the pathogen is completely eliminated.
  • Protection from disease involves vaccination, while protection from infection only occurs naturally.
  • Both types of protection refer to the same outcome concerning the immune system response.

What distinguishes primary immune response from secondary immune response regarding memory cells?

  • Memory T cells only develop during primary immune response.
  • Secondary response is faster due to the presence of memory B cells formed during primary response. (correct)
  • Primary response has no memory cells, while secondary response has both memory B and T cells.
  • There is no difference; both responses utilize the same types of memory cells.

What is the role of passive immunization in early pandemic protection?

<p>It provides immediate immunity without the need for the body to produce its own antibodies. (D)</p> Signup and view all the answers

What are polysaccharide conjugate vaccines particularly effective at doing?

<p>Creating a long-lasting memory response by linking polysaccharides to proteins. (B)</p> Signup and view all the answers

In the context of vaccination, which of the following statements is true about the mechanisms of protection from the smallpox vaccine?

<p>It provides long-term immunity primarily through the memory cells generated. (B)</p> Signup and view all the answers

Which immune cells are primarily responsible for the memory response in a secondary immune response?

<p>Memory B and T cells (C)</p> Signup and view all the answers

What immunological principle distinguishes artificial passive vaccination from natural passive vaccination?

<p>Natural passive vaccination occurs through the mother's antibodies, while artificial is from medical sources. (A)</p> Signup and view all the answers

How does vaccination help break the chain of disease transmission in a population?

<p>By establishing herd immunity that decreases the overall number of susceptible individuals. (B)</p> Signup and view all the answers

Which statement best describes the role of vaccines in infection?

<p>Vaccines reduce the severity of diseases but do not prevent infection. (C)</p> Signup and view all the answers

What was the primary method used by Edward Jenner to protect against smallpox?

<p>Injection of cowpox virus. (A)</p> Signup and view all the answers

What is a significant consequence of vaccine hesitancy according to the content?

<p>It can decrease the overall efficacy of vaccine programs. (A)</p> Signup and view all the answers

What was the fatality rate for variolation described in the content?

<p>2-3% (B)</p> Signup and view all the answers

Which of the following best describes the impact of vaccination campaigns according to estimates?

<p>They save 2-3 million lives each year. (D)</p> Signup and view all the answers

What is one of the challenges faced by vaccination programs in developing nations?

<p>Limited access to vaccine resources. (A)</p> Signup and view all the answers

What common misconception did people have about the smallpox vaccine when it became available?

<p>It might cause the development of cow parts. (D)</p> Signup and view all the answers

What is the likely fatality rate of variola major?

<p>35% (C)</p> Signup and view all the answers

Passive and active immunizations differ in what key aspect?

<p>Active immunization stimulates the body's own immune response. (C)</p> Signup and view all the answers

Which of the following statements is false regarding vaccine exemptions?

<p>Medical exemptions should exceed 1% of the population. (C)</p> Signup and view all the answers

What is the key difference between active vaccination and passive immunization?

<p>Active vaccination induces immunity from modified pathogens. (A)</p> Signup and view all the answers

Which method is used to confer temporary immunity to a newborn through maternal circulation?

<p>Passive maternal IgG transfer (A)</p> Signup and view all the answers

The RSV vaccine ABRYSVO was developed to protect against which condition?

<p>Lower respiratory tract illness in infants (D)</p> Signup and view all the answers

What characteristic of convalescent serum makes it suitable for passive therapy during emerging infections?

<p>It provides high titers of pre-formed antibodies. (B)</p> Signup and view all the answers

During which gestational weeks is the RSV vaccine recommended for pregnant women?

<p>32-36 weeks (C)</p> Signup and view all the answers

What complication does Respiratory Syncytial Virus predominantly cause in infected children?

<p>Bronchiolitis or pneumonia (A)</p> Signup and view all the answers

What is the main function of monoclonal antibodies in the context of COVID-19 treatment?

<p>To block specific viral infection pathways. (B)</p> Signup and view all the answers

Which of the following strategies is categorized under artificial passive immunization?

<p>Transfusion of convalescent serum. (D)</p> Signup and view all the answers

What is the primary limitation of passive immunization methods?

<p>They have a short duration of protective effect. (C)</p> Signup and view all the answers

How was convalescent serum used during the emergence of new pathogens historically?

<p>As an early therapy for immediate protection. (D)</p> Signup and view all the answers

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Study Notes

Vaccine History & Societal Impact

  • Vaccination is one of the most important public health interventions, preventing disease and saving lives.
  • Variolation, a practice of nasal inoculation with dried smallpox scabs dating back to the 11th century, had a fatality rate of 2-3%.
  • Edward Jenner is credited with discovering the smallpox vaccine in 1796, using cowpox to protect against smallpox.
  • The smallpox vaccine has led to the eradication of smallpox worldwide.
  • Large-scale vaccination campaigns have been successful in preventing diseases and saving lives.
  • Vaccine hesitancy can undermine the effectiveness of vaccination programs.
  • Medical exemptions to vaccination should be limited to a very small percentage of the population.

Passive vs. Active Immunization

  • Passive Immunization: Provides short-term protection by administering antibodies from another source.
  • Active Immunization: Triggers the body's immune system to generate its own antibodies for long-term protection.
  • Natural Passive Immunization: IgG from the mother is transferred to the fetus, providing immunity during the first 6 months of life.
  • Vaccination of pregnant women can protect the baby for the first 6 months of life.

Respiratory Syncytial Virus (RSV)

  • RSV is a common respiratory virus that causes bronchiolitis and pneumonia in children.
  • Virtually all children are infected by age 2.
  • 1-2% of children infected with RSV require hospitalization and may require oxygen or ventilation.

RSV Prevention

  • Active Vaccine:

    • ABRYSVO is a new vaccine approved in 2023 that provides protection against RSV infection in infants.
    • It is recommended for pregnant women and should be administered during RSV season at 32–36 weeks gestation.
  • Artificial Passive Immunization

    • Nirsevima is a new passive immunization approved in 2023 for infants, providing short-term protection against RSV.

Artificial Passive Immunization: Convalescent Serum

  • Convalescent serum, plasma from individuals who have recovered from a disease, can be used to treat patients early in an outbreak.
  • The plasma is rich in antibodies and can provide short-term protection.
  • This therapy is often used in the early stages of new pathogen outbreaks.

Convalescent Plasma and Monoclonal Antibodies for COVID-19 Treatment or Prevention

  • Plasma is the liquid part of blood that remains after cells are removed.
  • Convalescent plasma was used for the treatment of COVID-19 patients in the early stages of the pandemic.
  • Monoclonal antibodies, which bind to specific epitopes on a pathogen, can block viral attachment and infection.
  • Monoclonal antibodies were used to treat COVID-19 patients during the early stages of the pandemic.
  • Resistance to monoclonal antibodies by variants reduced their effectiveness over time.

Polysaccharide Conjugate Vaccines

  • Polysaccharide conjugate vaccines are used to protect against bacterial infections.
  • They combine a polysaccharide antigen with a protein carrier.
  • These vaccines are better than polysaccharide-only vaccines because they induce the immune response.
  • Examples include Haemophilus influenzae type b (Hib) and Streptococcus pneumoniae vaccines.

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