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Two-part Ebola vaccine may offer protection for a year against the deadly disease

An immune response was induced by the vaccine that persisted for approximately one year in volunteers according to results from the phase-1 clinical trial

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FILE - A health worker, center, takes the temperature of people to see if they might be infected by the Ebola virus inside the Ignace Deen government hospital in Conakry, Guinea, March 18, 2016. VOA
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New York, March 15, 2017: A two-part Ebola vaccine regimen has been found to offer protection against the deadly disease for about a year in an early human trial.

The vaccine regimen induced an immune response that persisted for approximately one year in healthy adult volunteers, according to results from the phase-1 clinical trial published in the Journal of the American Medical Association.

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The experimental vaccines included Ad26.ZEBOV, developed by Johnson & Johnson, and MVA-BN-Filo, developed by Denmark-based Bavarian Nordic.

Both of the vaccines in the regimen use harmless viral vectors, or carriers, to deliver proteins of the Ebola virus, which prompt an immune response.

The trial, conducted by Matthew D. Snape of the University of Oxford and colleagues, enrolled healthy participants aged 18-50 years in Britain.

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Participants were selected randomly to receive either the two-vaccine regimen or placebo (saltwater injections).

Previously reported initial results showed the two-vaccine regimen is safe, well-tolerated and induced immune responses in participants eight months after immunisation.

Of the 75 participants who received the vaccine regimen, 64 remained in the study for a follow-up visit on day 360.

No serious vaccine-associated adverse events were observed, and all 64 participants maintained antibodies to Ebola virus at day 360.

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The researchers noted that additional research is necessary to assess the durability of immunity beyond one year and the immune response to booster doses of vaccine. (IANS)

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Patients who Survive Ebola often Continue to Face Numerous Health Problems: Study

They have to face numerous health problems

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Laboratory technician Mohamed SK Sesay, who survived Ebola but saw many of his colleagues die and now has joint and muscle pains and loss of sight, holds the child of one of his work colleagues who died of the disease, in Kenema, Sierra Leone
Laboratory technician Mohamed SK Sesay, who survived Ebola but saw many of his colleagues die and now has joint and muscle pains and loss of sight, holds the child of one of his work colleagues who died of the disease, in Kenema, Sierra Leone. VOA
  • Approximately 11,000 people died in the Ebola outbreak that hit West Africa from 2014 to 2016
  • Many battled vision problems and headaches that lasted for months
  • They show some quite distinct scarring patterns

Sierra Leone, West Africa, August 25, 2017: Patients who survive infection with the Ebola virus often continue to face numerous health problems. New research finds 80 percent of Ebola survivors suffer disabilities one year after being discharged from the hospital.

Approximately 11,000 people died in the Ebola outbreak that hit West Africa from 2014 to 2016; tens of thousands more who were infected survived.

Of those survivors, many battled vision problems and headaches that lasted for months.

Researchers at the University of Liverpool, the UK and the Liverpool School of Tropical Medicine, UK are studying what’s called post-Ebola syndrome. One of the senior authors of the study, Dr. Janet Scott, says researchers are unsure why survivors experience such disabilities.

“I’m not sure we’ve quite gotten to the bottom of it yet,” Scott said. “The idea that you go through something as horrific as Ebola and just walk away from that unscathed was always a bit of a vain hope. So, it could be the inflammatory response. It could be damage to the muscles, and it could be the persistence of the virus in some cases. It could be all of those things.”

Scott says problems found in Ebola survivors’ eyes may provide clues to what is happening elsewhere in the body.

“They show some quite distinct scarring patterns,” she said. “There’s definitely scar tissue there. We can see it in the eyes. We can’t see it in the rest of the body, but I’m sure it’s in the rest of the body because the patients are coming in with this huge range of problems.”

The disabilities were reported in past cases of  Ebola outbreak, as well. However, because past outbreaks were smaller and there were few survivors, researchers were not able to do major, long-term studies on the after effects.

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This time, said Scott, “There are 5,000 survivors or thereabouts in Sierra Leone, and more in Guinea and Liberia. So, it’s an opportunity from a research point of view to find out the full spectrum of sequelae … the things that happen after an acute illness.”

Military Hospital 34 in Freetown, Sierra Leone, also took part in the study, helping to recruit 27 Ebola survivors and 54 close contacts who were not infected. About 80 percent of survivors reported disabilities compared to 11 percent of close contacts.

“The problems we’re seeing in Ebola survivors, this is not due just to the tough life in Sierra Leone. This is more than likely down to their experience in Ebola,” Scott said.

The research was led by Dr. Soushieta Jagadesh, who said: “a year following acute disease, survivors of West Africa Ebola Virus Disease continue to have a higher chance of disability in mobility, cognition, and vision.”

“Issues such as anxiety and depression persist in survivors and must not be neglected,” she added.

Scott hopes the findings can be used to provide better care in the event of another Ebola outbreak, no matter where it is. In the West Africa outbreak, the first goal was to contain the epidemic, followed by reducing the death rate.

“If I was treating an Ebola patient again, it has to be more than just surviving,” Scott said. “You have to try to make people survive well. Surviving with half your body paralyzed or with your vision impaired and being unable to care for your family or earn a living isn’t really enough. So, what I would like to do is to focus on that aspect to make people survive better and survive well.” (VOA)