9 May 2018

Vox: The incredibly frustrating reason there’s no Lyme disease vaccine

LYMErix wasn’t a perfect vaccine, as Gregory Poland, a Mayo Clinic vaccine researcher, explained in a 2011 retrospective in the journal Clinical Infectious Diseases. It required three doses over the course of the year, and was not approved for people under age 15. It was optional, and doctors had a hard time assessing whom to recommend it to (there were few maps of Lyme-carrying ticks’ range at the time). And the vaccine only protected against the North American strain of Lyme. Finally, it was somewhat expensive at $50 a dose, and it was not universally covered by health insurance.

But it was effective, preventing Lyme in up to 90 percent of the people who were vaccinated will all three doses, with few side effects. And at first, the vaccine was pretty popular; about 1.5 million doses were injected before 2000.   [...]

LYMErix had the misfortune of being approved the same year some people were becoming suspicious of vaccines in the United States. In 1998, the journal Lancet published a now-retracted study that (falsely) claimed the measles, mumps, and rubella vaccine (MMR) was linked to autism, and the modern anti-vax movement was born. [...]

As Julia Belluz reported at Vox, Lyme cases tripled between 2004 and 2016, spread by an increased number of infected ticks. It’s now the most common vector-borne (i.e., transmitted by an insect or animal) disease in the United States. And climate change seems to be partly to blame: As temperatures warm, a greater proportion of the US becomes hospitable to the ticks. Overall, vector-spread diseases like chikungunya, Zika, and West Nile are spreading faster than ever.

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