During a 'flu epidemic vaccination helps. It reduces the pool of
susceptible individuals and reduces infection rates in groups most likely to
need hospital treatment. The big limitation is that it does not work very
quickly. It takes the adaptive division of the immune system a week or two to
respond to the vaccine and by that time someone could have contracted flu and
become seriously ill. So it would be very handy if there were some means of
protecting those who have been exposed to the disease - family members, carers, patients
in hospital wards and residents in residential settings spring to mind. Not to
mention people with weakened immune systems who may be vulnerable to both 'flu
and secondary infections.
The other limitation is that flu vaccines are currently strain-specific.
When swine flu started to spread in 2009 it took months before an effective vaccine was in full production. Too late to nip the pandemic in the bud. Too
late to prevent some quarter of a million deaths, worldwide. These numbers are
far higher than original estimates according to a recent analysis published in The Lancet Infectious Diseases last
month
Exciting then, that an American research team have identified a protein
that, when administered to mice that had just been deliberately infected with
'flu virus, seems to have a significantly protective effect. It works by
stimulating the innate division of the immune system into action - something
that is slow to happen in normal 'flu infection. Furthermore this protein is
already approved for use in humans, as an immune-stimulating adjuvant in
vaccines. This means that translating the research into human trials will be easier
than if it was an untried substance. One of the benefits might be that it is
generic, rather than strain-specific, which could be a real life saver next
time a new pandemic strain emerges.
This would be an unusual treatment - something that truly "boosts" part of the immune system - as opposed to a wide range of ineffective vitamins, potions and herbs.
Sam
D. Sanderson, Marilyn L. Thoman, Kornelia Kis, Elizabeth L. Virts, Edgar B.
Herrera, Stephanie Widmann, Homero Sepulveda, Joy A. Phillips. Innate Immune
Induction and Influenza Protection Elicited by a Response-Selective Agonist of
Human C5a. PLoS ONE, 2012; 7 (7):
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