Imperfect vaccines and the evolution of pathogen virulence.

Abstract:

:Vaccines rarely provide full protection from disease. Nevertheless, partially effective (imperfect) vaccines may be used to protect both individuals and whole populations. We studied the potential impact of different types of imperfect vaccines on the evolution of pathogen virulence (induced host mortality) and the consequences for public health. Here we show that vaccines designed to reduce pathogen growth rate and/or toxicity diminish selection against virulent pathogens. The subsequent evolution leads to higher levels of intrinsic virulence and hence to more severe disease in unvaccinated individuals. This evolution can erode any population-wide benefits such that overall mortality rates are unaffected, or even increase, with the level of vaccination coverage. In contrast, infection-blocking vaccines induce no such effects, and can even select for lower virulence. These findings have policy implications for the development and use of vaccines that are not expected to provide full immunity, such as candidate vaccines for malaria.

journal_name

Nature

journal_title

Nature

authors

Gandon S,Mackinnon MJ,Nee S,Read AF

doi

10.1038/414751a

keywords:

subject

Has Abstract

pub_date

2001-12-13 00:00:00

pages

751-6

issue

6865

eissn

0028-0836

issn

1476-4687

pii

414751a

journal_volume

414

pub_type

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