Delays for malaria vaccine. First european approval, then WHO approval, then per-country approval in Africa. No wonder we can’t have nice things with that much redundancy.
2021-04-24: Malaria Vaccine 77% effective
A year-long trial of R21 in Burkina Faso has shown 77% efficacy, which is by far the record, and which opens the way to potentially relieving a nearly incalculable burden of disease and human suffering. This is definitely the best malaria vaccine candidate the world has yet seen, and that is unequivocal good news. Congratulations and thanks to the widespread group of researchers who have made this possible – and especially, thanks to 450 infants and toddlers in central Burkina Faso and to their parents. You have done the world a great service.
2023-07-03: Many vaccines are in development, with different approaches.
Most vaccines aim to reduce malaria deaths and illness. But to eradicate malaria altogether, scientists will also have to find a way to stop transmission. Sporozoite- and merozoite-targeting vaccines could help to reduce transmission by preventing infections or reducing the number of parasites in the blood. Duffy, however, is working on an altogether different vaccine that makes transmission its main aim — one that can destroy the malaria parasite inside the mosquito.
Inside people, a small subset of merozoites differentiate into male and female gametocytes, which the parasite needs to complete the sexual stage of its life cycle. When a mosquito feeds on an infected person, it ingests red blood cells that contain the parasites’ gametocytes. These gametocytes emerge as gametes in the mosquito’s gut, mate, and eventually give rise to fresh sporozoites ready to infect the next person.
The idea behind Duffy’s vaccine is to take out the gametes by stimulating the human immune system to generate antibodies against a protein called Pfs230 that gametes display on their surface. A feeding mosquito will then take up not just the gametocytes, but also those antibodies. When gametes emerge from red blood cells in the mosquito’s gut, the theory goes, the antibodies will be there to destroy them before they can complete their development
