Smallpox Vaccines

There is no cure or treatment for smallpox once infected. The only protection is vaccination. Traditional smallpox vaccines (First and second generation vaccines) are effective but considered unsafe due to high rates of serious adverse events; this includes death and severe disability. The 2003 US vaccination program for health care workers, involving more than 37,000 individuals, confirmed these severe side-effects (1). On top of these severe side effects, 25% of the general population is contraindicated to traditional vaccines due to underlying disease conditions, such as immune suppression and atopic disorders; this includes members of their households (2). Furthermore, the recent experience from the pivotal ACAM2000 (second generation vaccine) trials showed that 1 out of 145 healthy subjects subjects developed heart inflammation (3).

Due to these factors, there is clearly a high need for a new and safer smallpox vaccine.

(1) Casey et al, JAMA, Dec. 2005, vol. 294, no. 21
(2) Kemper et al, Eff Clin Pract. 2002; 5: 84-90
(3) ACAM2000 Prescribing information 08/2007