smallpox vaccine and vaccination in the intensified ... - libdoc.who.int
smallpox vaccine and vaccination in the intensified ... - libdoc.who.int
smallpox vaccine and vaccination in the intensified ... - libdoc.who.int
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11. VACCINATION IN THE INTENSIFIED PROGRAMME 557<br />
The Seed Lot System for Vacc<strong>in</strong>e Production I<br />
"The seed virus system is one of <strong>the</strong> procedures necessary to ensure that each production<br />
lot of <strong>vacc<strong>in</strong>e</strong> has <strong>the</strong> same desirable biological characteristics as <strong>the</strong> parent stra<strong>in</strong>.. . [It]<br />
requires that primary <strong>and</strong> several secondary seed lots be produced <strong>and</strong> dispensed <strong>in</strong><br />
sufficient numbers of conta<strong>in</strong>ers to ensure an adequate supply of virus for <strong>in</strong>oculation for<br />
long periods of time. The secondary seed virus used for production is not to exceed <strong>the</strong> fifth<br />
serial passage of <strong>the</strong> primary seed virus; thus, each production lot of <strong>vacc<strong>in</strong>e</strong> will not be<br />
more than six passages removed from <strong>the</strong> primary seed virus.<br />
"The size of a seed virus lot is dependent upon <strong>the</strong> requirements of <strong>the</strong> production<br />
laboratory. Units requir<strong>in</strong>g large volumes of seed virus dur<strong>in</strong>g a short <strong>in</strong>terval of time may<br />
f<strong>in</strong>d it necessary to prepare several passages of secondary seed lots <strong>in</strong> order to obta<strong>in</strong> <strong>the</strong><br />
required volume of <strong>in</strong>oculum for production lots of pulp. Smaller production units may be<br />
able to utilize <strong>the</strong> second passage of <strong>the</strong> primary seed as <strong>the</strong> <strong>in</strong>oculum <strong>in</strong> <strong>the</strong> production of<br />
<strong>vacc<strong>in</strong>e</strong> pulp.<br />
"The primary <strong>and</strong> secondary seed virus lots should pass <strong>the</strong> st<strong>and</strong>ard tests for identity,<br />
safety <strong>and</strong> bacterial content. . . The potency of <strong>the</strong> primary <strong>and</strong> secondary seed virus should<br />
be as high as is practicable <strong>and</strong> assayed periodically (every three months) to ensure adequate<br />
potency follow<strong>in</strong>g long-term storage. Seed virus with a potency less than 5 X 108 p.f.u. per<br />
m1 should not be used.<br />
"Ideally, <strong>the</strong> primary <strong>and</strong> secondary seed lots should be freeze-dried <strong>in</strong> ampoules <strong>and</strong><br />
stored at 4 "C or lower. However, an adequate supply of potent seed virus can also be<br />
ma<strong>in</strong>ta<strong>in</strong>ed by <strong>the</strong> use of freeze-dried primary seed virus <strong>and</strong> <strong>the</strong> preparation of secondary<br />
seed virus as glycerolated suspensions (50% glycerol <strong>in</strong> 0.004 M McIlva<strong>in</strong>eYs buffer) which<br />
will reta<strong>in</strong> adequate potency for one year when stored at - 20 "C." (From Methodology of<br />
Freeze-dried Smallpox Vacc<strong>in</strong>e Production; SEl68.3 Rev. 2.)<br />
tion, <strong>and</strong> had been passed twice on calf sk<strong>in</strong>.<br />
Second-passage material was lyophilized <strong>in</strong><br />
10-m1 amounts as seed virus for <strong>the</strong> produc-<br />
tion of <strong>smallpox</strong> <strong>vacc<strong>in</strong>e</strong>. Thus, <strong>the</strong> <strong>vacc<strong>in</strong>e</strong> <strong>in</strong><br />
<strong>the</strong> seed lots prepared for <strong>in</strong>ternational distri-<br />
bution was <strong>the</strong> second passage on calf sk<strong>in</strong>,<br />
<strong>and</strong> had a high viral content. These seed lots<br />
were distributed on request to producers <strong>and</strong><br />
often used immediately for <strong>the</strong> <strong>in</strong>oculation of<br />
vacc<strong>in</strong>ifers, so that <strong>the</strong> production process<br />
was accelerated. The availability of this mate-<br />
rial was partly responsible for <strong>the</strong> widespread<br />
use of <strong>the</strong> Lister stra<strong>in</strong> of vacc<strong>in</strong>ia virus from<br />
1969 onwards (see Table 11.21).<br />
These two products, <strong>the</strong> work<strong>in</strong>g reference<br />
<strong>vacc<strong>in</strong>e</strong> <strong>and</strong> <strong>the</strong> secondary seed lot ampoules,<br />
greatly simplified procedures <strong>and</strong> assisted<br />
producers <strong>who</strong> were encounter<strong>in</strong>g difficul-<br />
ties. When supplied, <strong>the</strong>y were always ac-<br />
companied by special <strong>in</strong>structions on <strong>the</strong><br />
potency test<strong>in</strong>g of <strong>smallpox</strong> <strong>vacc<strong>in</strong>e</strong>, as out-<br />
l<strong>in</strong>ed below <strong>in</strong> <strong>the</strong> section on assay technique.<br />
Evaluation of Test<strong>in</strong>g Methods<br />
Rapid heat-stabilig test<br />
Dur<strong>in</strong>g <strong>the</strong> first 3 years of <strong>the</strong> Intensified<br />
Smallpox Eradication Programme, substan-<br />
tial efforts were made to ensure <strong>the</strong> flow<br />
of adequate supplies of <strong>vacc<strong>in</strong>e</strong> to nation-<br />
al <strong>smallpox</strong> eradication programmes. All vac-<br />
c<strong>in</strong>e, however, was tested <strong>in</strong> order to ensure<br />
that its quality was satisfactory. The bottle-<br />
neck <strong>in</strong> <strong>the</strong> st<strong>and</strong>ard test<strong>in</strong>g procedures was<br />
<strong>the</strong> heat-stability test, which took not less<br />
than a month, because of <strong>the</strong> need to assay <strong>the</strong><br />
<strong>vacc<strong>in</strong>e</strong> after 28 days at 37" C. Cross et al.<br />
(1957), however, had demonstrated <strong>the</strong> feasi-<br />
bility of determ<strong>in</strong><strong>in</strong>g stability by assay<strong>in</strong>g<br />
potency before <strong>and</strong> after heat<strong>in</strong>g at 100 "C for<br />
1 hour.<br />
In 1969, Arita, <strong>in</strong> collaboration with <strong>the</strong><br />
WHO International Reference Centre for<br />
Smallpox Vacc<strong>in</strong>e, compared <strong>the</strong> results of