CHICAGO/LONDON, May 27 (Reuters) - The United States and
Europe are taking steps to acquire or manufacture H5N1 bird flu
vaccines that could be used to protect at-risk poultry and dairy
workers, veterinarians and lab technicians, government officials
said, moves influenza experts say could curb the threat of a
pandemic.
U.S officials last week said they were moving bulk vaccine
from CSL Seqirus that closely matches the current virus
into finished shots that could provide 4.8 million doses of
vaccine. European health officials told Reuters they were in
talks to acquire CSL's prepandemic vaccine.
Canadian health officials said they have met with GSK
, maker of Canada's seasonal flu shots, to discuss
acquiring and manufacturing a prepandemic bird flu vaccine once
its seasonal flu production capacity is freed up.
Other countries, including the UK, are discussing how to
proceed on prepandemic vaccines, scientists said.
The actions follow the explosive spread of a new strain of
bird flu that emerged in late 2020 and has caused unprecedented
numbers of deaths among wild birds and domestic poultry and has
begun infecting many mammal species.
In March, U.S. officials reported the first outbreak of the
virus in dairy cattle, which has infected dozens of herds in
nine states and two dairy workers. The U.S. Food and Drug
Administration has estimated that 20% of the U.S. milk supply
shows signs of the virus, indicating a wider spread is likely.
Human exposures to the virus in poultry and dairy operations
could increase the risk that the virus will mutate and gain the
ability to spread easily in people.
"All of our efforts need to be focused on preventing those
events from happening," said Matthew Miller, co-director of the
Canadian Pandemic Preparedness Hub at McMaster University. "Once
we have widespread infections of humans, we're in big trouble."
Dr. Angela Rasmussen, a virologist at the University of
Saskatchewan, said she has been in discussions with U.S. and
Canadian officials about using vaccines to protect workers
following the virus' spread into new mammal species.
Dawn O'Connell of the U.S. Administration for Strategic
Preparedness and Response said the government is "looking
closely" at the possibility of vaccinating farm workers and
others in close contact with the virus.
The U.S. has contracts with CSL and GSK to test prepandemic
vaccines that more closely match the circulating virus than
older H5N1 vaccines in the stockpile. The U.S. is moving forward
with the CSL vaccine, a Department of Health and Human Services
official confirmed.
Discussions about prepandemic vaccine use are going on at
government levels and among scientists in a number of places,
including in the UK, said Wendy Barclay, chair in influenza
virology at University College London, who also researches avian
flu for the UK Health Security Agency.
If deployed strategically to dairy farmers, healthcare
workers and those in close contact with infected animals, "it
would put a pin in the virus," she said, although she said it
was not clear if this step was necessary yet.
The UK government did not comment but said it is monitoring
the situation in the U.S.
In Europe, the European Commission's Health Emergency
Preparedness and Response Authority is working on a joint
procurement of CSL Seqirus's vaccine to "potentially prevent a
pandemic" sparked by individuals exposed to infected birds and
animals, spokesman Stefan De Keersmaecker told Reuters.
A spokeswoman for CSL, which has contracts for pandemic
influenza vaccines with 30 governments, said the company has
been in talks with several governments about procuring vaccines
since 2022. Those requests have accelerated with the U.S.
outbreak, she said.
PREPANDEMIC STOCKPILE
The U.S. maintains a stockpile of prepandemic vaccine
candidates and bulk vaccine against an array of influenza
strains and conducts clinical trials to support an Emergency Use
Authorization or FDA license in the event of pandemic.
Seasonal flu vaccine makers, including Sanofi,
could also be asked to shift to producing pandemic flu vaccines.
The U.S. is in talks with mRNA vaccine makers Pfizer ( PFE )
and Moderna ( MRNA ) about potential pandemic vaccines.
Dr. Richard Webby, a St. Jude Children's Research Hospital
virologist who studies flu in animals and birds for the World
Health Organization, said the situation in dairy cattle merits
vaccine use.
"If we look at the exposure levels that some of these
farmers are getting, it's high," Webby said.
The decision on how and when to use the vaccine will hinge
on evidence of increased transmission, severity of disease,
cases in people with no link to a dairy farm and mutations in
the virus, U.S. Centers for Disease Control and Prevention
Principal Deputy Director Nirav Shah said.
Dutch flu virologist Ron Fouchier of the Erasmus MC in
Rotterdam, who has conducted experiments mapping the changes
necessary for bird flu to spark a pandemic, said Europe's plan
is to procure the CSL vaccine for people occupationally exposed
to the virus.
His lab could well be eligible if a vaccine becomes
available, he said, adding, "I would certainly take it."