大家选好时间打针去,宝宝们可以优先。

对是否注射流感疫苗有很多的争论,还是打好一点吧?
谢谢信息!
 
anyone know when we(not kids) can take shot?

please let us know.
 
大家都打算给1岁左右的小宝宝打H1N1疫苗吗?
 
我们PD说会尽量推迟打H1N1疫苗的时间,我也打算先观望一段时间。

这个疫苗被批准得太快了,恐怕没有经过严格测试,而且据我所知,我们今年用的疫苗是添加了佐剂的,疫苗里的抗原只有普通的1/4。尽管GlaxalSmithKline说他们加的佐剂很安全,在欧洲已经使用了十几年了。但他们只用了100多成年人测试,这个sample size也太小了!

不添加佐剂的疫苗十一月中旬才会出来,而且好像只能给孕妇用。
 
September 14, 2009

Helen Branswell, Medical Reporter, THE CANADIAN PRESS

TORONTO - A shot of swine flu vaccine that is about a third of the size of a standard dose is protective when boosted with an additive called an adjuvant, Canada's pandemic vaccine manufacturer said Monday.

The ability to use one dose - and a small one at that - should both speed up the time it takes to fill an individual country's order and stretch limited global supplies of pandemic vaccine, experts have said.

Results of a clinical trial conducted in Europe by GlaxoSmithKline showed that 98 per cent of adults who received a single shot containing 5.25 micrograms of vaccine and the company's AS03 adjuvant had a spike in antibody levels thought to signal protection.

While a number of other companies have already shown that one shot of pandemic vaccine will likely protect most people, this is the smallest dose size that has been shown to be protective. Other companies have demonstrated that 15 micrograms of vaccine without adjuvant or 7.5 micrograms with adjuvant will probably protect against the new virus.

However, this trial does not answer the question of whether the dose GSK hopes to sell to Canada will work.

The company plans to sell a formulation containing 3.75 micrograms of antigen (vaccine) plus adjuvant. A statement from GSK said the formulation tested was "comparable to the expected final formulation of the adjuvanted vaccine."

An influenza expert said that may be true, but the company still needs to generate data showing that the smaller dose will work as well.

"The truth of the matter is if you have good immunogenicity with a 5.25 mcg dose, then, yeah, probably 3.75 mcg is going to be not bad. But it's clearly better to have data with the real dose," said Dr. Allison McGeer, an influenza expert at Toronto's Mount Sinai Hospital.

"The best data is obviously immunogenicity data that is as close as you can get to the actual vaccine that's being produced."

The Public Health Agency of Canada said these results and others released last week are promising but are not the final answer on dosing requirements.

"These preliminary results to date show that the vaccines help to protect people from the H1N1 strain. We will need additional data before making any final decisions about safety and effectiveness," Jirina Vlk, a spokeswoman for the agency, said in an email.

Though evidence is mounting that one shot of vaccine will protect adults against the novel H1N1 virus, Vlk said the public health agency is still hedging its bets. "Prudence dictates that we continue planning for a two-dose regime until we have more conclusive information on which to take a decision."

GSK did not explain in its release why it tested 5.25 mcg of vaccine with adjuvant and 21 mcg without. Neither dose size is among those routinely chosen for testing. Generally speaking clinical trials look at doses that are some fraction or multiple of 15 mcg, the amount of antigen per strain contained in a seasonal flu shot.

But the company said in an email that the clinical trial was started before standardized reagents - tests used to determine the concentration of vaccine - were available from the World Health Organization. Rather than wait for the standardized reagents, the company used alternative tests that appear to have led to higher-than-intended doses.

"Based on GSK's experience with its adjuvants systems, we do not anticipate that there will be any significant difference in the immune response elicited by the final formulation," GSK said in the email.

The GSK release also did not reveal whether there were any side-effects seen or how frequently they were reported. Studies done by other vaccine manufacturers have reported a side-effect profile for swine flu vaccine that is similar to what is seen with seasonal flu shots, mainly sore arms.


The release did say, though, that the findings have been shared with regulatory authorities and additional studies will be done in Europe, Canada and the United States.

"This trial provides encouraging data on the potential use of a single dose of our pandemic vaccine," said Jean Stephenne, president GlaxoSmithKline Biologicals.

"Our next step is to complete this trial, as well as 15 other studies in our clinical development programme for the vaccine."

The trial took place in Germany and involved 130 healthy volunteers 18 to 60 years old. GSK has two flu vaccine manufacturing facilities - one in Dresden, Germany and the other in St-Foy, Que. The latter will supply Canada's pandemic vaccine.

The company said 98 per cent of volunteers who got the small dose with adjuvant had antibody levels that exceeded what regulatory agencies consider is protective when tested three weeks after the shot was administered. Among those who got the larger dose of unadjuvanted vaccine, 95 per cent reached the same threshold.

Last week Novartis, Sanofi Pasteur and CSL Limited announced that their vaccines were protective with a single dose. And studies done by the U.S. National Institute of Allergy and Infectious Diseases showed that antibody levels reached the predicted protective threshold within eight to 10 days after one shot, which is very quick for vaccine.

Source: http://www.whistlerquestion.com/article/GB/20090914/CP02/309149952/1030/WHISTLER&template=cpArt
 
孩子学校(G7,8)给的通知是12月份打,但不知道小学是不是比中学早一些....
 
我们PD说会尽量推迟打H1N1疫苗的时间,我也打算先观望一段时间。

这个疫苗被批准得太快了,恐怕没有经过严格测试,而且据我所知,我们今年用的疫苗是添加了佐剂的,疫苗里的抗原只有普通的1/4。尽管GlaxalSmithKline说他们加的佐剂很安全,在欧洲已经使用了十几年了。但他们只用了100多成年人测试,这个sample size也太小了!

不添加佐剂的疫苗十一月中旬才会出来,而且好像只能给孕妇用。


wow~~~wiki好专业哦:)佐剂是什么啊?
似乎两岁以下的孩子不能注射吧?但是妈妈需要注射,等待family dr.的消息~~
 
打还是不打?

上周见了OB,她要求在11月中旬前去打孕妇专用的H1N1疫苗,之后还要打一个流感疫苗。正如大家所说,H1N1疫苗有成熟性的问题,真不知道该不该打。
 
wow~~~wiki好专业哦:)佐剂是什么啊?
似乎两岁以下的孩子不能注射吧?但是妈妈需要注射,等待family dr.的消息~~

佐剂就是增加疫苗药性的东西,一般用于抗原缺乏的时候。
6个月以上的孩子就可以注射。
 
我小女儿3岁多,我是想打针,但不想抢在头几天里面。

可是晚两天打和一开始打有什么区别呢?疫苗起作用好像要5--7周。:confused:

顺便再次谢谢你发给我的文章。:thanks:
 
我们PD说会尽量推迟打H1N1疫苗的时间,我也打算先观望一段时间。

这个疫苗被批准得太快了,恐怕没有经过严格测试,而且据我所知,我们今年用的疫苗是添加了佐剂的,疫苗里的抗原只有普通的1/4。尽管GlaxalSmithKline说他们加的佐剂很安全,在欧洲已经使用了十几年了。但他们只用了100多成年人测试,这个sample size也太小了!

不添加佐剂的疫苗十一月中旬才会出来,而且好像只能给孕妇用。


请教一下:小朋友好像要打两针,第一针其作用据说是5--7周后,那如果要观望,多长时间比较合适呢?现在打和过阵子打有什么区别吗?我家宝宝11个月,我很纠结要不要打:(
 
请教一下:小朋友好像要打两针,第一针其作用据说是5--7周后,那如果要观望,多长时间比较合适呢?现在打和过阵子打有什么区别吗?我家宝宝11个月,我很纠结要不要打:(

我没听说小朋友需要打两针呀。不过据说猪流感针和普通流感针可以同时打,一个胳膊一针。
我们PD说的观望恐怕就是看看有没有什么不良副作用,毕竟这个针头一次使用,还有很多未知数。
我打算过些日子再问问他。现在就是想打也排不上队呀。
 
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