Indonesia: Dengue Vaccine Rollout Marred by Concerns

Image copyright: Reuters [via nature]

The Spin


Narrative A

In 2019, a pediatrician and a medical researcher in the Philippines were indicted over the premature and failed rollout of the dengue vaccine, Dengvaxia. Post rollout, 130 children died, sparking concerns over ADE and outrage from the parents of more than 830K children who received the vaccine. Botched rollouts have consequences — even for combating a disease as dangerous as dengue — and Indonesia should proceed with caution.


Narrative B

There may be a different path to take. Researchers in Indonesia have also discovered a new way to fight dengue by breeding a special mosquito species designed to carry bacteria to prevent viruses like dengue from reproducing inside the insect. Deploying the mosquitos has shown a reduction in dengue cases by as much as 77%. This ecosystem-based solution may greatly reduce the need for unproven vaccines in the future.


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