Since the first report of Covid-19 in December 2019, greater than 775 million registered infections and greater than 7 million deaths from the disease. This is what makes COVID seventh deadliest pandemic in recorded history.
Factors akin to climate change, disruption of animal habitats, poverty and global travel mean we’re prone to see more pandemics in the future.
It is unattainable to predict exactly when the next pandemic will occur or what it’s going to be. However, experts around the world are working to arrange for this inevitable “Disease X.”
One of the cornerstones of preparing for the next pandemic is to be in the absolute best position to design and implement appropriate vaccine. To this end, scientists and researchers can learn rather a lot from the development of a Covid vaccine.
A glance back
After the discovery of SARS-CoV-2 (the virus that causes COVID), work on the vaccine progressed in a short time. IN February 2020 the first batch of vaccines (from Moderna) was accomplished and the first clinical trials were conducted began in March.
The first vaccine was Pfizer/BioNTech mRNA for approvalDecember 2, 2020 in the UK. Approvals of this and other vaccines, including shots developed by Moderna (one other mRNA vaccine) and Oxford/AstraZeneca (a viral vector vaccine), followed elsewhere shortly thereafter.
Previously the fastest vaccine developed took about 4 years (for mumps in the Sixties). If Covid-19 vaccines took so long, it will mean we’d only introduce them this yr.
Estimated 13.72 billion doses of Covid vaccine have already been administered, and over 70% of the world’s population has received a minimum of one dose.
The rapid development and commercialization of Covid-19 vaccines will likely be one of the biggest achievements in medical science in history. It also means we’re in a a lot better position to reply to emerging pathogens in the future.
New vaccine technology
Rather a lot of work has been preparing us for development for a few years Covid vaccines as fast as us. This included the development of recent platforms, akin to viral vector and mRNA vaccines, that might be rapidly adapted to recent pathogens.
While scientists were working on mRNA vaccines for many years before the virus pandemic, Covid shots from Pfizer/BioNTech and Moderna were the first mRNA vaccines approved for use in humans.
These vaccines work by instructing our bodies (the “m” in mRNA stands for messenger) to provide the SARS-CoV-2 spike proteins. These are proteins found on the surface of the virus that help it attach to our cells. This implies that once we come into contact with SARS-CoV-2, our immune system is able to react.
This technology will almost actually be used to guard against other diseasesand will potentially assist in a future pandemic.
In the meantime, scientists are working to further improve mRNA technology. For example, “self-amplifying RNA” has the potential to reinforce the immune response at lower doses compared to traditional mRNA.
While our current Covid-19 vaccines are protected and really effective at protecting against severe disease, they usually are not perfect. We may never have the opportunity to create a “perfect” vaccine, but some additional properties we would prefer to see in future COVID vaccines include higher reduction in transmission, longer-lasting effects, and the need for less frequent updates as recent variants emerge.
Even now they’re multiple Covid vaccines in clinical trials. So let’s hope that Covid-19 vaccines that improve the effectiveness of initial vaccinations might be available relatively soon.
Other desirable features include the vaccines we will administer with alternative routes for needles. For Covid-19 and other diseases akin to influenza, we’re seeing significant progress locally and internationally in terms of vaccines that might be administered through skin patches, through the noseand even orally.
Some challenges
Developing Covid vaccines has been an enormous challenge, but for the most part it may well be considered successful. Studies have estimated Covid vaccines In the first yr alone, 14.4 million lives were saved in 185 countries.
However, the history of vaccination against Covid-19 has also been related to many other challenges and doubtless many failures.
First, vaccine distribution was not equitable. An evaluation of the initial implementation was suggested almost 80% eligible people in high-income countries have been vaccinated, compared with just over 10% in low-income countries.
Vaccine delivery there was an issue in lots of parts of the world, so expanding local capability to enable faster vaccine production and distribution might be necessary in the next pandemic.
Moreover, hostile events related to Covid-19 vaccines, akin to rare blood clots after administration of the AstraZeneca vaccine, have influenced perceptions of the vaccine’s safety. Although any serious hostile event is very important, these events were very rare.
However, these problems have exacerbated other challenges which might be hampering the vaccine rollout, including: spreading disinformation.
Disinformation stays an issue today and can likely proceed to be widespread as we face the next pandemic. Meeting this challenge requires understanding what stops people from getting vaccinated, then informing, educating, and eliminating misinformation about each vaccinations and the risks of the disease itself.
The essential goal should proceed to be to revive and construct trust in public health authorities. Trust in governments and health authorities has declined during the Covid-19 pandemic, and evidence shows that less trust is related to fewer vaccines.
Current preparations
There is little doubt that our recent experience with Covid-19, particularly the rapid development of a number of protected and effective vaccines, has placed us in a greater position to face one other pandemic.
This didn’t occur by accident. Even before the discovery of the Covid-19 virus, many preparations were made to facilitate this. Organizations akin to the Coalition for Epidemic Preparedness Innovations (CEPI) have been supporting research to rapidly develop vaccines to reply to a brand new threat.
CEPI conducts an ongoing program aimed toward developing a vaccine against the recent threat, i.e. disease just 100 days. While Covid-19 vaccines have been an enormous achievement, work continues in the hope that next time we will develop a vaccine even faster.