Dr Khor SK Profile picture
🇲🇾 Specialist in health policies & global health. Fellowships @ChathamHouse, @ISIS_MY and @UNU_IIGH. Alumni UKM, RCP, Berkeley and Oxford. Former doctor.

Sep 23, 2020, 7 tweets

This week, I'll share some fun vaccine facts because 🇲🇾 joined COVAX.

Fact 2: there are ~10,000 diseases but only ~1500 treatments & ~30 vaccines.

How many diseases have been 100% eradicated by vaccines? Only one: smallpox, declared in 1980. (1/6)

~10,000 diseases? It's a rough number because “disease” could mean different things.

One resource is the International Classification of Disease 10th edition (ICD-10), managed by @WHO. It has ~70K codes!

Some are hilarious, like this pic. These are not diseases, of course.

Diseases can be infectious (eg tuberculosis, malaria or HIV/AIDS) or non-infectious (eg diabetes, cancer or asthma). Another term is “communicable”. Vaccines work against communicable diseases.

3 of the top 10 global causes of death are infectious, so it's a big problem.

~1500 cures/treatments? (Cure = 100% health. Treatment = trying to achieve a cure).

Using the US FDA as a guide, it has approved 1453 “new molecular entities” in its entire existence.

NMEs are completely new drugs, i.e. many companies make paracetamol, but it’s one NME.

There are >300 infectious diseases, but only ~30 vaccines. Why?
1. Vaccines are complex & expensive.
2. Bacteria & viruses mutate.
3. Many infectious diseases are tropical, which lacks capital & research capacity.

The last reason is the most important & controversial.

Despite ~30 vaccines, we’ve only eradicated smallpox. Why?
1. Eradication is possible only if everyone gets a vaccine.
2. Some germs have non-human hosts, like horses, cows or bats, so they can return.
3. No money or political will.

There's lots to do, & science is hard at work!

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