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UK Trials Set for Initial Tests of First-Ever Gonorrhea Vaccine

Vaccine for gonorrhoea ready for NHS distribution, making England and Wales the worldwide pioneers in this field.

Vaccination for Gonorrhea Set for NHS Distribution, Making England and Wales the Pioneers Worldwide...
Vaccination for Gonorrhea Set for NHS Distribution, Making England and Wales the Pioneers Worldwide in Such Offerings

UK Trials Set for Initial Tests of First-Ever Gonorrhea Vaccine

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The National Health Service (NHS) in England and Wales is set to break new ground by introducing the world's first vaccine program targeting gonorrhoea. Starting a global trend, these countries will become the first to offer such a program.

With gonorrhoea cases on the rise, concerns about antibiotic resistance are mounting. In 2023 alone, over 85,000 cases of gonorrhoea were reported in England, a staggering 234% increase compared to 2012, when only 25,525 cases were documented. This makes gonorrhoea the second most common sexually transmitted infection in the UK.

Intriguingly, around 10% of men and almost half of women with a gonorrhoea diagnosis exhibit no symptoms, making it highly transmissible as people without symptoms often don't seek testing or treatment. Symptoms in those who do experience them usually include discharge of an unusual colour (yellow or green) and pain during urination, along with pain and discomfort in the lower abdomen. In severe cases, the infection can spread throughout the body, and, in rare instances, lead to sepsis and other complications, such as infertility and pelvic inflammatory disease in women and epididymitis in men.

Traditionally, the only treatment for gonorrhoea has been antibiotics, but antibiotic resistance is making it increasingly difficult to treat infections. To counter this, a new vaccine program, using the existing 4CMenB vaccine (also known as Bexsero), designed to protect against meningococcal group B disease, has been proposed.

The 4CMenB vaccine, remarkably, has shown cross-protective effects against gonorrhea due to its genetic similarity with the bacterium that causes gonorrhoea, Neisseria gonorrhoeae, and Neisseria meningitidis, the bacterium responsible for meningococcal disease.

While the 4CMenB vaccine may not provide absolute protection, it does lower the risk of contracting gonorrhoea and experiencing complications. The vaccine's effectiveness against gonorrhoea is estimated to range between 32% and 42%. Notable benefit? It makes those vaccinated less likely to spread the infection to others.

The new vaccine program, set to start in August 2025, will primarily target gay and bisexual men who have multiple partners or have had an STI recently. It's estimated that this program could prevent up to 100,000 cases of gonorrhoea and save the NHS over £7.9 million over the next decade if there is a high uptake.

In conclusion, although the 4CMenB vaccine is primarily designed for meningococcal group B disease, its cross-protective effects offer great promise in reducing the number of gonorrhoea cases. So buckle up, folks, as the NHS gears up to take on gonorrhoea with this groundbreaking vaccine program!

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