C. Miller - Understanding vaccine demand in the endemic setting
Open Session of the EuFMD – 2018 – Increasing Global Security in the supply of effective vaccines – 29-31 October 2018 -Borgo Egnazia, Italy
Introduction
Vaccination is an essential tool for reducing the incidence of FMD in endemic settings. As global FMD control progresses and export markets between endemic countries emerge, a major challenge is securing access to adequate quantities of effective vaccines to meet routine and emergency demand. A theoretical market exists for FMD control at the herd level, but numerous supply and demand barriers prevent this market from functioning. Understanding the scale of this unmet demand in the endemic setting is an essential step towards addressing these barriers and achieving global vaccine security.
Materials and Methods
A review of the drivers for vaccine demand and uptake at the household level was undertaken, and the scale of demand for FMD vaccines was estimated through a semiquantitative analysis incorporating national livestock data, expert elicitation and the forecast progress of countries through the Progressive Control Pathway for FMD (PCP-FMD).
Results In many settings, individual livestock owners have the economic means to afford vaccination, but private access to FMD vaccines is very limited. The demand for FMD vaccine is projected to rise sharply in the coming years if countries are to meet their forecast progression through stages of the PCP-FMD. The current quantity of effective vaccines available on the global market is unlikely to meet this demand.
Discussion
Lack of global FMD vaccine security affects everyone, and addressing this issue requires innovating thinking and a restructuring of public sector and private industry roles. A shift in the vaccine stewardship paradigm is required, from the traditional top-down public sector oversight of vaccine stocks to one of public-private collaboration for enhanced end-user access to vaccines.
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