Vaccines to Control Antimicrobial Resistance in Nepal: Projections from mathematical models and evidence from clinical studies

Vaccines reduce the spread of drug-resistant infections and antibiotic use.

Typhoid Conjugate Vaccine (TCV)

Typhoid Conjugate Vaccine (TCV)

  • Typhoid fever is endemic in Nepal. Typhoid vaccination is a cost-effective strategy to substantially decrease its incidence and help combat AMR.
  • Included in the immunization program: 1 dose at 15 months
  • Modeling estimates indicate potential aversion of 68 to 70 percent of drug-resistant typhoid fever cases when implemented along with a 15-year catch-up campaign.

Pneumococcal Conjugate Vaccine (PCV)

Pneumococcal Conjugate Vaccine (PCV)

  • Acute otitis media (AOM) and invasive pneumococcal disease (IPD) are acute respiratory illnesses associated with Streptococcus pneumoniae infections.
  • Vaccine included in the immunization program: 3 doses – 6 weeks, 10 weeks, and 9 months
  • PCV is projected to avert 55.7 percent of AOM and 80.8 percent of IPD antibiotic-treated cases.

Rotavirus Vaccine

Rotavirus Vaccine

  • Rotavirus infections are a leading cause of severe diarrhea in children under five years old, with many requiring hospitalization.
  • Included in the immunization programme: 2 doses at 6 weeks and 10 weeks
  • Rotavirus vaccines are predicted to avert 55.6 percent of the total antibiotic-treated cases of rotavirus-attributable diarrhea in Nepal.

Maternal K. Pneumoniae Vaccine

Maternal K. Pneumoniae Vaccine

  • Klebsiella pneumoniae is a critical-priority pathogen and a leading cause of neonatal sepsis in Nepal.
  • There are no licensed vaccines in the immunization program.
  • A maternal vaccine providing protection to newborns could prevent 2,273 sepsis cases and 456 sepsis deaths in neonates.

Read the brief here.