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Jun 20
Scientists develop new approach for cancer vaccine
In a study published in the journal Nature Medicine on Sunday, researchers from Britain and the United States said that in early tests in mice with prostate cancer, their experimental vaccine was able to shrink tumors, suggesting it could be developed in future into a treatment for cancer patients.

"Using the immune system to treat cancer is a very exciting area at the moment," Alan Melcher of Leeds University, who co-led the study, said in an interview. "What we've done is to develop a new approach which builds on a promising foundation."

He said the method could potentially be used against other forms of cancer such as skin or breast cancer, but added that the research was at an early stage and it would be several years before a vaccine could be developed for testing in humans.

Immunotherapy treatments -- medicines that enlist the help of the body's immune system to fight disease -- are a relatively new form of potential cancer treatment.

An immunotherapy drug called ipilimumab, or Yervoy, made by Bristol-Myers Squibb, was approved by the U.S. Food and Drug Administration (FDA) in March as the first drug to help advanced melanoma patients live longer.

And last April, the FDA approved Dendreon Corp's Provenge, a therapeutic vaccine designed to stimulate the immune system to attack prostate cancer.

CELLS

Unlike traditional vaccines, therapeutic vaccines are not designed to prevent disease, but to treat it. They contain genes to stimulate the immune system to produce proteins called antigens, which activate the immune system to kill cancer cells.

Several drugmakers are trying to develop cancer vaccines but the work is proving difficult because each tumor has specific proteins and identifying the right antigens is tricky. There are also concerns that if more genes are used to increase the chances of producing successful antigens, this might trigger an immune response that is too strong for the body to handle.

Working with scientists from the Mayo Clinic in Rochester in the United States, Melcher's team made a vaccine made from a virus which they genetically engineered to contain a "library" of DNA including multiple fragments of genes -- and therefore many possible antigens.

They found that this approach did not send the immune system into overdrive. Instead, the range of DNA meant the vaccine was able to target the tumor through many routes, they said.

Importantly, the DNA library was harvested from the same organ as the tumor, Melcher explained. This meant that the immune system "self-selected" the cancer antigens to respond to and did not react against other healthy parts of the body.

"The biggest challenge in immunology is developing antigens that can target the tumor without causing harm elsewhere," he said. "By using DNA from the same part of the body as the tumor ... we may be able to solve that problem."

Melcher said his team now planned to develop the technique further and have an experimental vaccine ready for testing in humans within a few years.

(Editing by Alison Williams)

Jun 10
German all clear for cucumbers, tomatoes, lettuce
Cucumbers, tomatoes and lettuce were given an official all-clear Friday by German authorities, who said the evidence was strong that sprouts grown from beans or peas caused an E coli outbreak that has killed 30 people.

"It's the sprouts," said Reinhard Burger, head of the Robert Koch Institute, the federal infectious-disease laboratory.

He said the finding was based on a study of coach passengers who ate in a restaurant: every passenger who chose a dish with sprouts on it had fallen sick with bloody diarrhoea, the first sign of an enterohaemorrhagic Escherichia coli (EHEC) infection.

The market garden, the Bienenbuettel Gaertnerhof, has been closed.

The warning against the other three vegetables was issued May 25 and caused a massive slump in Europe's produce trade.

The new strain of E coli which causes kidney and nerve damage has been on the loose in Northern Germany since the start of May. Though found in faecal samples of patients, it has not been traced on any fresh food.

The rate of infections has begun to decline, Mr. Burger said.

Jun 08
GSK to supply rotavirus vaccine, Rotarix to Gavi Alliance at $2.50 per dose
GSK announced that it has made a new offer to supply its rotavirus vaccine, Rotarix, to the Gavi Alliance at $2.50 per dose, a small fraction of developed world prices. This announcement is part of the company's efforts to increase access to its medicines and vaccines in the world's poorest countries. It is estimated that more than half a million children die of rotavirus gastroenteritis each year - the equivalent of a child a minute world wide and it is responsible for the hospitalization of millions more.

GSK's offer has been made in response to a UNICEF request for rotavirus vaccines and will now be reviewed by UNICEF. If accepted, large scale vaccination against rotavirus could begin later this year. The offer made to UNICEF was developed in consultation with the Bill & Melinda Gates Foundation and The Clinton Health Access Initiative with support from the Pan-American Health Organisation (PAHO), and comes ahead of the Gavi Pledging Conference for Immunisation which will be held in London on 13th June 2011.

This new commitment for Rotarix follows the announcement in March 2010 that GSK would supply its pneumococcal vaccine, Synflorix, to Gavi at a heavily discounted price through an innovative financing mechanism known as the Advance Market Commitment (AMC). Rotavirus related diarrhoea, and pneumococcal disease are the two leading childhood killers in developing countries.

Andrew Witty, CEO of GlaxoSmithKline said: "Whilst most babies in the world will get rotavirus at some point, those in developing countries do not have access to the medical care they need which means millions of babies die unnecessarily. GSK is committed to playing its part in addressing the healthcare challenges faced by world's poorest countries. By working in partnership with others including governments, international agencies, NGOs and developing countries, we can find innovative ways to accelerate access to vaccines that are urgently needed by children living in these countries."

Andrew Mitchell,UK Secretary of State for International Development said: "It is unacceptable that in the 21st century a child dies every minute of every day from diarrhoea, a preventable disease. I hugely welcome today's announcement from GSK to reduce their price of the vaccine Rotarix and urge other suppliers to follow suit and cut their prices. We are very clear that more affordable vaccines mean increased vaccination rates benefitting the world's children."

GSK has committed to supply 125 million doses of Rotarix to Gavi over the next 5 years at a 95% reduction of the price to developed Western markets to help meet the demand for rotavirus vaccination forecasted by UNICEF. The discounted Rotarix price is in line with GSK's long-standing tiered pricing policy which enables poorer countries to pay significantly less than higher income countries for the same vaccine, with the lowest prices reserved for agencies such as UNICEF which purchase large volumes of vaccines for the world's poorest children.

Vaccination against rotavirus has so far been successfully introduced in four Gavi eligible countries: Nicaragua, Honduras, Bolivia and Guyana. By securing a guaranteed supply of low priced high quality vaccines, this new offer would enable Gavi to expand rotavirus vaccination further, with the aim to cover over 40 countries by 2015.

In April 2009, the World Health Organization's (WHO) Strategic Advisory Group of Experts (SAGE) recommended that rotavirus vaccination be included in all national immunisation programmes. Based on this decision, the WHO awarded global pre-qualification to Rotarix. These decisions have opened the door to making rotavirus vaccines available to children worldwide.

100 million doses of Rotarix have been delivered since its first launch in 2007 which means that around 50 million children across the world have been vaccinated with Rotarix against rotavirus.

Vaccination against rotavirus has so far been successfully introduced in 14 countries in Latin America and Mexico, including four Gavi eligible countries: Nicaragua, Honduras, Bolivia and Guyana. South Africa is the only country in Africa to currently vaccinate against rotavirus, with North Sudan expected to follow in June 2011.

GlaxoSmithKline - one of the world's leading research-based pharmaceutical and healthcare companies - is committed to improving the quality of human life by enabling people to do more, feel better and live longer.

Jun 07
Indian firms push down global vaccine prices
Bharat Biotech on Monday announced it will price Rotavac, India's first indigenously developed rotavirus vaccine, at US $ 1/dose. Rotavirus causes fatal diarrhoea that kills around 500,000 children under-5 years each year. The vaccine is currently undergoing Phase III clinical trials for safety and
efficacy in 8,000 people and, along with vaccines from Serum Institute and Shantha Biotechnics, is expected to hit the market in 2015.
These vaccines will bring the price of vaccinating a child to $3, down from the current $7.5 per dose.

Cheaper vaccines from India are forcing global giants to slash prices. GSK announced its rotavirus vaccines at $2.50 per dose -- or $5 to fully immunise a child -- in response to a current tender administered by UNICEF.

The offer is a 67% reduction in the current lowest available public price.

Merck has also offered its rotavirus vaccine to UNICEF at discounted prices.

Serum Institute of India and Panacea Biotec have dramatically lowered the prices of their pentavalent vaccine that protects against five potentially fatal infections such as Hib (Haemophilus influenzae type b), diphtheria, pertussis (whopping cough), tetanus, hepatitis B, rotavirus and cervical cancer.

This year, Serum Institute lowered the price of its pentavalent vaccine to US$ 1.75 per dose, the lowest price available globally. Panacea Biotec has committed to lower its prices by up to 15%.

Today, Merck also announced reducing HPV vaccine prices from the current US$15 / dose to US$ 5/dose, a 67% reduction in the current public price. HPV vaccines protect against cervical cancer, which kills 200,000 women each year.

Over 90% of cervical cancer deaths occur in developing countries.

Source : Hinduatan Times

Jun 06
Telcos scurry to conform to norms
Indian telecom companies are scurrying to conform to the government's stipulated health norms in light of growing evidence on the cancerous nature of cellphone radiation.

There has been an amendment in the Access Service Licenses - mandating self-certification radiation levels of cellphone towers - to ensure compliance with WHO-endorsed guidelines of International Commission for Nonionizing Radiation Protection (ICNIRP). The stricture led 5, 88,645 out of 6, 05,859 base stations to get self-certification till March 31, 2011.

Union minister of state for communications and Information Technology Sachin Pilot said non-compliance to the stipulated radiation limits carries a penalty of Rs five lakh for every mobile tower.

Talking on the cellphone could cause a malignant form of brain cancer, said International Agency for Research on Cancer (IARC) recently. It classified radiation emanating from cellphones alongside gasoline engine exhaust, lead and DDT as "possibly carcinogenic to humans".

IARC said, "The WHO/IARC has classified radiofrequency electromagnetic fields as possibly carcinogenic to humans (group 2B), based on an increased risk for glioma, a malignant type of brain cancer, associated with wireless phone use."

Pilot said, "We are not going to compromise with radiation limits since it has health-related concerns. The department of telecommunications set up an Inter Ministerial Group in August, 2010, to evaluate the evidence, revisit radiation guidelines for mobile towers and adopt guidelines for radiation emission by cell phones. This group has recommended radiation limits more stringent than that of the United Nations."

He added, "We had called for self certification of all mobile towers. Almost 90% of the towers have completed doing so. We have extended their time frame for six more months. However, the radiation limits they are complying to are the old ones. Once new compliance levels kick in, finalized by the Department of Telecom (DoT), they will have to conform to them too."

Source : TOI

Jun 04
High mobile use can cause brain cancer - WHO
Talking on the cellphone may possibly lead to a malignant form of brain cancer, the World Health Organization has said. A study done by an arm of the world body has classified radiation coming out of cellphones alongside gasoline engine exhaust, lead and DDT as "possibly carcinogenic to humans".

The International Agency for Research on Cancer, which is under WHO, however, said there wasn't enough evidence yet to conclusively link mobile phone use with cancer.

"The WHO/IARC has classified radiofrequency electromagnetic fields as possibly carcinogenic to humans (group 2B), based on an increased risk for glioma, a malignant type of brain cancer, associated with wireless phone use," it said.

"This does not mean the link has been firmly established," said IARC's chief of the monograph programme, Dr Kurt Straif. "But there is reason for concern."

The group, consisting of 31 scientists from 14 countries, examined "hundreds of epidemiological studies" on cellphone use to see what the long-term health effects might be after exposure to radio frequency electromagnetic fields.

The International Agency for Research on Cancer's monograph programme, which consists of 31 scientists, said that they reviewed the data from hundreds of studies on effects of cellphone radiation, and believe mobile phone usage is limited to a risk of glioma and acoustis neuroma (a benign but life-threatening tumor).

They did not have enough data to conclude that it could cause any other forms of cancer.

"After going through hundreds of studies, we concluded that there is just a possibility of a link between high cellphone use and brain cancer, not a certainty. We also don't know how much radiation exposure can be termed harmful," Straif said. One of the studies the researchers looked at said that those who had spent 1,600 hours of active call time over 10 years - around 30 minutes a day - could be at highest risk.

"But, what was considered a long talk time a few years back is considered low usage now. So there is no clear picture," he added. According to Dr Straif, it is now left to governments and organizations like WHO to come out with recommendations based on evidence provided by IARC.

Jun 04
Saliva Test for Cytomegalovirus Proves Accurate
A new test offers a rapid, inexpensive and highly accurate method for screening newborns for cytomegalovirus, which can cause permanent hearing loss, researchers said on Wednesday.

Though one in 150 babies are born infected with cytomegalovirus - known as CMV and part of the herpes virus family - current tests are not effective for widespread screening, the scientists said.

The new test does not require the culturing of blood samples, it employs saliva, easily obtained by swabbing the inside of a baby's mouth.

Of 17,662 newborns screened, all 85 infants identified as infected with CMV by a blood culture test also were identified by the new test, researchers reported in a paper published in The New England Journal of Medicine. Another 17,327 newborns were screened with a different saliva test. It was slightly less accurate, detecting CMV in 74 of 76 infants identified by culturing.

Infected babies must be monitored and tested frequently for hearing loss so that support services can be provided if necessary, said Dr. Suresh B. Boppana, a professor of pediatrics at University of Alabama at Birmingham and one of the paper's authors.

Jun 03
CCIS: 0206 'WHO mobile findings narrow'
MUMBAI: A day after the World Health Organization (WHO) and the International Agency for Research on Cancer (IARC) said that excessive use of mobile phones could lead to an increased threat of brain tumour amongst humans, the Cellular Operators Association of India (COAI) reacted by saying this was a narrow conclusion and needs further investigation. Individual mobile operators that TOI contacted did not respond to the findings of the WHO-IARC. Mobile handset maker Nokia said the results of many independent scientific reviews conducted around the world had concluded that mobile phones operating within international exposure standards pose no adverse health effects to humans.

Rajan S Mathews, director general, COAI, told TOI, "We recommend that consumers should be cautionary even as we encourage more scientific research to be done on this issue."

The WHO-IARC said on Tuesday that there is an increased risk of glioma-a form of cancer-due to the use of wireless phones as they emit radiofrequency electromagnetic fields as group 2B agents. He added that this finding was basically like raising the flag and if a person is a heavy user they should take precaution.

What is most worrying is that the report by the working group said that the threat was more for young users, who are increasingly becoming a big chunk of mobile users.

"We as an industry body recognize there is public concern about the safety of mobile communications. In India, we have adopted ICNIRP standards which are highly recommend by WHO as they have enough safety margins for all group of people including children," Mathews said.

Despite the health concerns which have been debated for long, the industry does not expect any material impact of this finding said COAI.

"For us, product safety is a key consideration. All our products comply with international exposure guidelines and limits that are set by public health authorities. It is important to note that IARC has not classified RF fields as definitely nor even probably carcinogenic to humans. IARC has only concluded that, based on limited evidence, it may be possible that there could be some increased risk for certain cancers. As a result, IARC has called for additional research. This assessment will now be considered by health authorities who will determine its overall impact and we look forward to their conclusions," the Nokia spokesperson said.

Safety standards adopted by cellphone manufacturers are key especially in a country like India which has a thriving grey market for mobile handsets. "Consumers need to be careful when purchasing mobile handsets as not all companies follow the international standard," Mathews added.

Source : Time Of India

Jun 02
Sonia unveils scheme for mother and child
UPA chairperson Sonia Gandhi unveiled the Janani-Shishu Suraksha Karyakram - an ambitious national healthcare programme aimed at providing free child delivery and neonatal care services across the country.

Inaugurated at Mandikhera village located in the relatively backward and predominantly Muslim Haryana district of Mewat, the scheme is expected to bring safe medical services to more than one crore rural and urban families every year. Mrs Gandhi said, "It is sad that 67,000 women die in child birth every year and nine lakh children die in one month of birth. This scheme will give right to all pregnant women to have free delivery in government health organisations."

Jun 01
Number of vaccine deaths not so high- Govt
NEW DELHI: The Union health ministry on Tuesday reacted to TOI's report, which had stated that 128 children died in 2010 due to adverse effects following immunization (AEFI) and the casualty figures have persistently risen in the past three years. There were 111 and 116 deaths in 2008 and 2009, respectively.

However, the ministry attributed only six fatalities to vaccine side-effects.

Calling vaccination one of the most cost-effective public health interventions to protect children against mortality, morbidity and disability across the world, the ministry listed 48 of the 128 deaths as coincidental, or causes other than vaccination; six were vaccine reactions and eight programmatic errors. In 72 cases, the reason was unknown - the investigation done by experts did not lead to any definite conclusion on the cause of death.

"Around 18.3 lakh children under five years die every year due to various illnesses. These include 13.2 lakh children who die before reaching the age of one year and 9.4 lakh within the first month after birth. However, each AEFI is investigated, and an effort is made to establish the cause. Any disruption in cold chain may affect the potency, and thereby the efficacy of the vaccine, but can hardly cause deaths. In case of any contamination of vaccine to an extent that it would cause fatality, deaths of a greater magnitude would occur as any batch of vaccine is administered to a very large number of children," a health ministry official said.

India has one of the world's largest universal immunization programme, targeting 2.6 crore children who are born every year. Each child is given four vaccinations in addition to vaccinations at birth.

Booster doses are also given at the age of one and a half years and five years. Besides, supplementary immunization activities are carried out periodically.

About 90 lakh vaccination sessions are held every year, where more than 25 crore vaccine doses of seven antigens like diphtheria, pertussis, tetanus, measles, BCG, Hepatitis B and polio are administered.

Vaccination programme is carried out both in health facilities and door-to-door outreach sessions in every village.

Source : Times of India

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