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Antigenicity and immunogenicity of inactivated poliovirus vaccine in combined vaccine trials

  • N. Ajjan
  • P. Saliou

Summary

In developed countries the use of OPV is associated with the risk of paralysis,, whereas in developing countries its use is associated with relative inefficacy.

  • Various studies demonstrate that the seroconversion rate and level of protective anti bodies induced by the E-IPV are higher than with the OPV. After 2 or 3 doses of E-IPV the proportion of subjects with detectable neutralizing antibodies are similar. The third dose is necessary however in order to increase the geometric mean titer of antibodies and thus the duration of immunity. A schedule with 2 doses may be useful in rural areas where there are no operational health delivery services.

  • The potential value of OPV in limiting wild virus circulation is contrabalanced by the higher and more liable production antibodies of E-IPV. The incorporation of at least one dose of E-IPV at the start of the immunization schedule increases humoral as well as local antibody production. The sequential or combined use of the E-IPV and OPV could reduce or even eliminate the risk of vaccine associated poliomyelitis and maintain a high degree of humoral and local immunity.

Keywords

Seroconversion Rate Immunization Schedule Oral Poliovirus Vaccine Oral Polio Vaccine Inactivate Poliovirus Vaccine 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag/Wien 1993

Authors and Affiliations

  • N. Ajjan
    • 1
  • P. Saliou
    • 1
  1. 1.Pasteur Mérieux Serums and VaccinesMarnes-La-CoquetteFrance

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