RESUMO
This paper presents, from the perspective of technological development and production, the results of an investigation examining 61 clinical studies with vaccines conducted in Brazil between 1938-2013, with the participation of the Oswaldo Cruz Institute (IOC) and the Oswaldo Cruz Foundation (Fiocruz). These studies have been identified and reviewed according to criteria, such as the kind of vaccine (viral, bacterial, parasitic), their rationale, design and methodological strategies. The results indicate that IOC and Fiocruz have accumulated along this time significant knowledge and experience for the performance of studies in all clinical phases and are prepared for the development of new vaccines products and processes. We recommend national policy strategies to overcome existing regulatory and financing constraints.
Assuntos
Academias e Institutos/história , Vacinas Bacterianas/história , Ensaios Clínicos como Assunto/história , Vacinas Protozoárias/história , Vacinas Virais/história , Vacinas Bacterianas/uso terapêutico , Brasil , História do Século XX , História do Século XXI , Humanos , Vacinas Protozoárias/uso terapêutico , Pesquisa , Tecnologia Farmacêutica/métodos , Tecnologia Farmacêutica/tendências , Vacinas Virais/uso terapêuticoRESUMO
This is a recount about the prevailing ideas in Mexico during the second half of the XIX century for introducing the use of vaccines of animal origin; thus, the thoughts of men like Agustín Andrade, Angel Iglesias y Domínguez, Lino Ramírez, Fernando Malanco and Luis E. Ruiz, who emphasized this work.
Assuntos
Academias e Institutos/história , Varíola/história , Vacinas/história , Animais , Bovinos , Varíola Bovina/história , Varíola Bovina/imunologia , Vírus da Varíola Bovina/imunologia , História do Século XIX , Cavalos , Humanos , México , Varíola/prevenção & controle , Vacinação , Vacinas Virais/históriaRESUMO
The objective of eliminating foot and mouth disease (FMD) in Brazil has been mainly motivated by the constant preoccupation of Brazilian authorities, livestock breeders and the meat industry with avoiding economic losses due to export restrictions. In 1934, the first national sanitary legislation was enacted, and the Pan-American Foot and Mouth Disease Center in Rio de Janeiro was inaugurated in 1951, with international participation. An overview is given of the past campaigns against FMD, the legislation, policies and field activities. The reasons for the failure of the past campaigns are discussed. The structure of the existing campaign and the present epidemiological situation are explained, and the further possibilities of being recognized as an FMD-free country are discussed.
Assuntos
Doenças dos Bovinos/epidemiologia , Doenças dos Bovinos/prevenção & controle , Febre Aftosa/epidemiologia , Febre Aftosa/prevenção & controle , Vacinas Virais/história , Animais , Brasil/epidemiologia , Bovinos , Doenças dos Bovinos/economia , Doenças dos Bovinos/história , Febre Aftosa/economia , Febre Aftosa/história , História do Século XIX , História do Século XX , Legislação Veterinária/históriaRESUMO
New viral vaccines, based on molecular research into genomes and proteins, should come into routine use in the coming decades. At the same time, use of different immunizing antigens within a single dose is also expected to grow more common, with the purpose of reducing the number of vaccinations administered to target populations. Given Brazil's scientific and technological importance, the country should enhance its participation in the development of new vaccines and in the evaluation of their efficacy by involving a larger number of researchers and technologists and boosting investment in these activities.
Assuntos
Vacinas Virais/história , Brasil , História do Século XX , História do Século XXIAssuntos
Infecções por Arenaviridae/prevenção & controle , Vírus Junin/imunologia , Vacinas Virais , Animais , Infecções por Arenaviridae/história , Ensaios Clínicos como Assunto , Avaliação Pré-Clínica de Medicamentos , Feminino , História do Século XX , Humanos , Masculino , Vacinas Atenuadas/administração & dosagem , Vacinas Atenuadas/efeitos adversos , Vacinas Atenuadas/imunologia , Vacinas Virais/administração & dosagem , Vacinas Virais/efeitos adversos , Vacinas Virais/história , Vacinas Virais/imunologiaRESUMO
In 1900 the role of a particular mosquito called Stegomyia fasciata in the transmission of yellow fever was proved by a board of American medical officers. This discovery was the beginning of several scientific missions in South America, mostly in Brazil. As yellow fever was increasing in its West African colonies, the French government decided to send a scientific mission to Rio de Janeiro, to find new ways of prevention against the disease. Under the authority of the Institut Pasteur, Paul-Louis Simond, who had just discovered the role of the flea in the transmission of plague, was designated to carry through this mission together with Emile Marchoux and Alexandre Salimbeni, eminent Pasteurians like him. From November 1901 to May 1905, the three men studied the epidemiological and clinical aspects of the disease in Rio. They worked on the intermediate host's entomology, the Stegomyia female mosquito, improving the knowledge of yellow fever and its means of transmission. They also realized experiments on 25 healthy volunteers, submitting them to the bite of infected mosquitoes. They were among the first to proceed to yellow féver vaccinations by means of virulent serum heated to 55 degrees C or filtered. Their work led to the establishment of new sanitary rules to prevent the spread of the disease. This contributed to the success of the "yellow fever campaign" initiated by Oswaldo Cruz in the town of Rio. One of the most original contribution of their studies was to show that the yellow fever agent (which was still unknown) could be transmitted from an infected female Stegomyia to its eggs and larvaes. After this mission, the French authorities were able to fight yellow fever efficiently in their African colonies as well as in the West Indies and French Guyana.
Assuntos
Febre Amarela/história , Animais , Brasil , Culicidae , Feminino , França , História do Século XX , Humanos , Insetos Vetores , Vacinas Virais/história , Febre Amarela/prevenção & controle , Febre Amarela/transmissão , Vírus da Febre Amarela/imunologiaAssuntos
Neoplasias/história , Vacinas Virais/história , Animais , História do Século XX , Humanos , Imunoterapia Ativa/história , Imunoterapia Ativa/métodos , Neoplasias/imunologia , Neoplasias/prevenção & controle , Vírus Oncogênicos/imunologia , Infecções Tumorais por Vírus/imunologia , Infecções Tumorais por Vírus/terapiaRESUMO
In this review the present state of vaccination as an means to control viral diseases is discussed, and the needs and directions for future investigations are considered. The history of viral vaccines already in use is surveyed for guidance in what steps and background knowledge of the viral agents and the host responsess to infection were necesary to their successful development. The steps requisite for demonstrating efficacy and safety of a viral vaccine also are summarized, and the features of the target populations to be protected are noted as they affect the final requirement for a successful vaccine: that it be administered in proper dosage and potency to those who need. it. General remarks on the proper use of current vaccines are followed by an overiview of various developments toward prospective vaccines, along with the predicated time-frames for their coming into general use. Vaccines considered include vaccines to be administered locally at the portal of entry, subunit vaccines, viruses attenuated by genetic manipulation, use of viral vectors, vaccines developed by means of recombinant DNA, synthetic peptides, and anti-idiotype vaccines, as well as new vaccines being developed by more conventional methods (AU)
Assuntos
Animais , Humanos , Vacinas Virais/imunologia , Vacinas Virais/históriaRESUMO
In this review the present state of vaccination as an means to control viral diseases is discussed, and the needs and directions for future investigations are considered. The history of viral vaccines already in use is surveyed for guidance in what steps and background knowledge of the viral agents and the host responsess to infection were necesary to their successful development. The steps requisite for demonstrating efficacy and safety of a viral vaccine also are summarized, and the features of the target populations to be protected are noted as they affect the final requirement for a successful vaccine: that it be administered in proper dosage and potency to those who need. it. General remarks on the proper use of current vaccines are followed by an overiview of various developments toward prospective vaccines, along with the predicated time-frames for their coming into general use. Vaccines considered include vaccines to be administered locally at the portal of entry, subunit vaccines, viruses attenuated by genetic manipulation, use of viral vectors, vaccines developed by means of recombinant DNA, synthetic peptides, and anti-idiotype vaccines, as well as new vaccines being developed by more conventional methods