The adverse impact of the COVID-19 pandemic on tuberculosis (TB) services has brought the urgency of vaccine development efforts into sharp focus. Speaking earlier today at a high-level panel on TB at the World Economic Forum, Dr Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization, announced plans to establish a new TB Vaccine Accelerator Council.
The Council will facilitate the licensing and use of effective novel TB vaccines catalyzing high-level alignment between funders, global agencies, governments and end users in identifying and overcoming barriers to TB vaccine development.
BCG is currently the only licensed TB vaccine. While it provides moderate efficacy in preventing severe forms of TB in infants and young children, it does not adequately protect adolescents and adults, who account for close to 90% of TB transmissions globally.
A recent WHO commissioned study, An investment case for new tuberculosis (TB) vaccines estimates that, over 25 years, a vaccine that is 50% effective in preventing disease among adolescents and adults could avert up to 76 million new TB cases, 8.5 million deaths, 42 million courses of antibiotic treatment and US$ 6.5 billion in costs faced by TB affected households, especially for the poorest and most vulnerable.
A vaccine that is 75% effective could avert up to 110 million new TB cases and 12.3 million deaths. The study further suggests that every US$ 1 invested in a 50% effective vaccine could generate an economic return of US$ 7 in terms of averted health costs and increased productivity.
Later this year, heads of states and governments will meet for a second United Nations high-level meeting on TB to review progress against commitments made in the 2018 political declaration.