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The very long road to a Malaria
vaccine compared to the short path
to several COVID-19 vaccines
Greg Fegan, PhD
Head of Clinical Trials Support Group,
Mahidol – Oxford Research Unit
&
Honorary Professor Swansea University Medical School
It is health that is the real
wealth, and not pieces of
gold and silver.
Overview
• A wee bit about me
• Going to compare the rapid response to SARS-Covid-2
and the long march towards a malaria vaccine
• Questions to ponder
1) who’s at risk of death or serious illness from COVID-19
2) who’s similarly at risk from malaria
3) Why compare COVID-19 & malaria?
• Is change possible?
• Reasons to be cheerful 
My background - Education
Degrees in 3 different subject areas
1. BA Social Sciences and Administration Goldsmiths’ College, University
of London, Degree awarded 1985
2. MSc Information Systems Engineering, South Bank Polytechnic (now
University) Degree awarded 1987
3. PhD Epidemiology, Tulane University School of Public Health &
Tropical Medicine, New Orleans, USA Degree awarded 2003
My background – Previous key jobs
• London School of Hygiene & Tropical Medicine, 1988-1990
• Demographic & Health Surveys, 1990-1991
• MRC Laboratories, The Gambia, 1992-1994
• KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya 2003-2015
• Swansea University Medical School. Professor of Clinical Trials and Director of
the UKCRC Registered Swansea Trials Unit. Dec 2015-May 2022
Most significant contributions
I was interviewed for a Lancet podcast available here
The scale of the scientific response
The scale of the scientific response
A new malaria vaccine
https://www.who.int/news/item/06-10-2021-who-recommends-groundbreaking-malaria-vaccine-for-children-at-risk
Malaria Vaccine
https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(87)90540-X.pdf
The “leading” Malaria vaccine
COVID-19 Vaccines
The near future
Thanks much for listening
Asante sana kwa kusikiliza
ขอบคุณมากสาหรับการ
ฟัง

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UWC TedX Event.pptx

  • 1. The very long road to a Malaria vaccine compared to the short path to several COVID-19 vaccines Greg Fegan, PhD Head of Clinical Trials Support Group, Mahidol – Oxford Research Unit & Honorary Professor Swansea University Medical School
  • 2. It is health that is the real wealth, and not pieces of gold and silver.
  • 3. Overview • A wee bit about me • Going to compare the rapid response to SARS-Covid-2 and the long march towards a malaria vaccine • Questions to ponder 1) who’s at risk of death or serious illness from COVID-19 2) who’s similarly at risk from malaria 3) Why compare COVID-19 & malaria? • Is change possible? • Reasons to be cheerful 
  • 4. My background - Education Degrees in 3 different subject areas 1. BA Social Sciences and Administration Goldsmiths’ College, University of London, Degree awarded 1985 2. MSc Information Systems Engineering, South Bank Polytechnic (now University) Degree awarded 1987 3. PhD Epidemiology, Tulane University School of Public Health & Tropical Medicine, New Orleans, USA Degree awarded 2003
  • 5. My background – Previous key jobs • London School of Hygiene & Tropical Medicine, 1988-1990 • Demographic & Health Surveys, 1990-1991 • MRC Laboratories, The Gambia, 1992-1994 • KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya 2003-2015 • Swansea University Medical School. Professor of Clinical Trials and Director of the UKCRC Registered Swansea Trials Unit. Dec 2015-May 2022
  • 6. Most significant contributions I was interviewed for a Lancet podcast available here
  • 7.
  • 8.
  • 9. The scale of the scientific response
  • 10. The scale of the scientific response
  • 11. A new malaria vaccine https://www.who.int/news/item/06-10-2021-who-recommends-groundbreaking-malaria-vaccine-for-children-at-risk
  • 16.
  • 17. Thanks much for listening Asante sana kwa kusikiliza ขอบคุณมากสาหรับการ ฟัง

Editor's Notes

  1. Noted proponent of peace through and as non-violence – Gandhi.
  2. Am I a jack of all trades or a master of none. Or am I some sort of renaissance character?
  3. The paper on the left established that the use of ITNs had a marked benefit against childhood deaths but it only took WHO 26 years to recommend that ministries of health should consider providing bednets freely and the paper on the right helped to convince them.
  4. As of 27th November 2020 – As of this morning 11152 Articles (8736 medRxiv, 2416 bioRxiv)
  5. And as of 20th November 2021 almost doubled in a year
  6. WHO Announcement of 6th of October 2021
  7. https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(87)90540-X.pdf Note the date and the fact that this was from the Walter Reed Army Institute of Research
  8. Note Hill’s use of MVA and Chimp Adenovirus has been over 30 years in the making. BioNTech only started their company in 2008. the Pfizer/BiNtEch announcement to have vaccine was made on 17th March 2020 . Husband and wife team of Sahin and Tureci are both decsendants of Turkish immigrants to Germany. Sahin’s father worked as a gasbeiter in a Ford factory
  9. Biontech employ people from over sixty countries
  10. Most marked changes to malaria treatments came about as a consequence of war. It would be nice to solve the problem of malria through peaceful cooperation
  11. K̄hxbkhuṇ māk s̄ảh̄rạb kār fạng