The hunt for a vaccine to prevent the Zika virus could take years, a
top US health chief said Thursday amid a worrying outbreak of the
mosquito-borne illness blamed for birth defects.
There is no
vaccine or treatment for Zika, which the World Health Organization said
is “spreading explosively” through the Americas and may lead to as many
as four million cases in the region.
Zika has been linked to a
rise in cases of microcephaly — abnormally small heads and brains — in
babies born to infected women in Brazil.
Anthony Fauci, the
director of the National Institute for Allergy and Infectious Diseases
(NIAID), said the US government is working on two approaches toward a
vaccine against Zika, based on research already done on related
mosquito-borne viruses.
The first is a “DNA-based vaccine using a
strategy very similar to what we employed for another flavivirus, the
West Nile virus,” he told reporters. Flaviviruses are generally
transmitted by mosquitoes or ticks.
“Secondly, a live attenuated
vaccine, building on similar and highly immunogenic approaches used for
the closely related dengue virus,” he added.
Hopes
are high that a so-called Phase I clinical trial could begin later this
year to test the safety and efficacy of a Zika vaccine in people, but
Fauci cautioned that a finished product will take far longer.
“While
these approaches are promising, it is important to understand that we
will not have a widely available, safe and effective Zika vaccine this
year and probably not even in the next few years,” he said.
The US Centers for Disease Control and Prevention (CDC) has warned
women who are pregnant or want to become pregnant to avoid traveling to
areas in Latin America and the Caribbean that are experiencing outbreaks
of the virus.
Although the Zika virus was first documented in
1947, it caused only sporadic and small outbreaks of illness until
recently. Little is known about it.
“Please take this seriously,” said CDC principal deputy director Anne Schuchat.
“It
is very important that you understand that we don’t know as much as we
want to know about this yet, and while we are learning more it is
prudent to consider postponing travel.”
Some
airlines are offering refunds to expectant mothers with tickets to any
of 22 countries or territories with outbreaks of the disease.
Brazil
experienced its first outbreak of Zika last year and has seen the
number of microcephaly cases soar, from 163 a year on average to more
than 3,718 suspected cases, according to the health ministry.
A
total of 31 cases of Zika have been documented in the United States
since last year, all involving people who were infected while they were
out of the country, Schuchat said.
In the future, “it is possible,
even likely, that we will see limited Zika outbreaks in the US,”
Schuchat said, particularly in the southern parts of Florida and Texas.
Fauci
said the United States typically spends $97 million per year on viruses
that are transmitted by mosquitoes and ticks, and it will draw from
that pool of money to fund new Zika research in a host of areas,
including diagnostic tests, vaccines, basic research and vector control.
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