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06【参考資料1】Interim statement on the composition of current COVID19 vaccines World Health Organization 17 June 2022 (2 ページ)

公開元URL https://www.mhlw.go.jp/stf/newpage_26922.html
出典情報 厚生科学審議会 予防接種・ワクチン分科会(第33回 7/22)《厚生労働省》
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performance of COVID-19 vaccines in order to issue timely recommendations on

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potential modifications to vaccine strain composition. Since the designation of the

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Omicron VOC by the World Health Organization (WHO) in November 2021, the

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TAG-CO-VAC has closely followed the impact of Omicron on the performance

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of currently licensed COVID-19 vaccines to consider whether a change in

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COVID-19 vaccine composition may be warranted---. Further to the interim

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statement published on 8 March 2022, this TAG-CO-VAC statement is intended

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to offer Member States, vaccine developers and regulatory authorities

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considerations as to whether a modified vaccine composition may be warranted

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and, if so, how this may be achieved to fulfil the public health objectives of

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COVID-19 vaccination.

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Is a modified COVID-19 vaccine composition warranted?

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Since the classification of Omicron as a VOC, there has been rapid and relatively

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synchronous displacement of other circulating variants by Omicron that has

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caused substantial epidemic waves in all 6 WHO regions. Omicron is

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characterized by a large number of mutations, including many in antigenically

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important regions of the spike (S) protein. Its transmission advantage over other

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variants has largely been driven by immune escape properties, and Omicron has

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infected many who had been previously vaccinated and/or infected. Several

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sublineages within Omicron, notably BA.1, BA.2, BA.3, BA.4 and BA.5, have been

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identified, which share many of the same S protein mutations.

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In this context, the primary goals of COVID-19 vaccination using currently

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licensed vaccines continue to be to reduce hospitalization, severe disease and

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death, and to protect health systems. A primary series of currently licensed

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vaccines based on the virus that was identified from the first cases of COVID-19

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in

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19/Wuhan/WIV04/2019) confers lower levels of protection against severe disease

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outcomes for Omicron, compared to prior VOCs. However, a booster dose of the

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currently licensed COVID-19 vaccines based on the index virus appears to restore

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protection against severe disease and death against currently circulating variants

December

2019

(termed

the

index

2

virus

e.g.

GISAID:

hCoV-