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Regions of Africa have large, seasonal epidemics of meningococcal meningitis, usually serogroup A. In Chad, epidemics have persisted despite the use of polysaccharide vaccine given in response to outbreaks. Conjugate vaccines offer potential advantages — immunogenicity in young children, induction of immunologic memory, and prevention of pharyngeal carriage. An affordable, monovalent serogroup A polysaccharide–tetanus toxoid conjugate vaccine (PsA-TT) was developed through the Meningitis Vaccine Project, a public–private partnership. Based on safety and immunogenicity data, the vaccine was licensed in India in 2009, and prequalified by the WHO 2010, without a phase III efficacy trial.
Now, investigators have measured the effect of PsA-TT in …