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Veterinary Vaccines Principles and

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Viljoen Ahmed El Idrissi
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Veterinary Vaccines
­Veterinary Vaccines: Principles and Applications

Published by
The Food and Agriculture Organization of the United Nations
and
John Wiley & Sons Limited

Edited by

Samia Metwally
Senior Animal Health Officer
Animal Production and Health Division
Food and Agriculture Organization of the United Nations

Gerrit Viljoen
Section Head, Animal Production and Health
Joint FAO/IAEA Center
International Atomic Energy Agency

Ahmed El Idrissi
Former, Senior Animal Health Officer
Animal Production and Health Division
Food and Agriculture Organization of the United Nations
This edition first published 2021
© 2021 FAO
The Food and Agriculture Organization (FAO) is a specialized agency of the United Nations that leads international efforts to defeat hunger. Our goal
is to achieve food security for all and make sure that people have regular access to enough high-quality food to lead active, healthy lives. With over
194 member states, FAO works in over 130 countries worldwide. We believe that everyone can play a part in ending hunger.
All rights reserved. Reproduction and dissemination of material in this information product for educational or other non-commercial purposes are
authorized without any prior written permission from the copyright holders provided the source is fully acknowledged. Reproduction of material in this
information product for resale or other commercial purposes is prohibited without written permission of the copyright holder.
Applications for such permission should be addressed to the Chief, Publications Branch, Office of Communications, FAO, Viale delle Terme di Caracalla,
00153 Rome, Italy or by e-mail to copyright@fao.org.
The right of Samia Metwally, Gerrit Viljoen and Ahmed El Idrissi to be identified as the authors of the editorial material in this work has been asserted in
accordance with law.
Registered Office
John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, USA
John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK
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9600 Garsington Road, Oxford, OX4 2DQ, UK
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the Food and Agriculture Organization of the United Nations concerning the legal status of any country, territory, city or area or of its authorities, or
concerning the delimitation of its frontiers or boundaries. The mention of specific companies or products of manufacturers, whether or not these have
been patented, does not imply that these have been endorsed or recommended by the Food and Agriculture Organization of the United Nations in
preference to others of a similar nature that are not mentioned. The views expressed herein are those of the authors and do not necessarily represent
those of the Food and Agriculture Organization of the United Nations.
The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not
be relied upon as recommending or promoting vaccine development or application for animal diseases. While the publisher and authors have used
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work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose.
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Library of Congress Cataloging‐in‐Publication Data


Names: Metwally, Samia, editor. | Viljoen, Gerrit J., editor. | El Idrissi,
Ahmed, editor.
Title: Veterinary vaccines : principles and applications / edited by Samia
Metwally, Gerrit Viljoen, Ahmed El Idrissi.
Other titles: Veterinary vaccines (Metwally)
Description: Hoboken, NJ : Wiley-Blackwell, 2021. | Includes bibliographical
references and index. | Description based on print version record and CIP
data provided by publisher; resource not viewed.
Identifiers: LCCN 2020029897 (print) | LCCN 2020029898 (ebook) |
ISBN 9781119506270 (epub) | ISBN 9781119506263 (adobe pdf) |
ISBN 9781119505952 (hardback) | ISBN 9781119505952q(hardback) |
ISBN 9781119506263q(adobe pdf) | ISBN 9781119506270q(epub)
Subjects: | MESH: Vaccines | Vaccination–veterinary | Livestock | Poultry |
Animal Diseases–prevention & control
Classification: LCC SF918.V32 (ebook) | LCC SF918.V32 (print) | NLM SF
918.V32 | DDC 636.089/5372–dc23
LC record available at https://lccn.loc.gov/2020029897
LC record available at https://lccn.loc.gov/2020029898

Cover Design: Wiley


Cover Images: United States Department of Agriculture, public domain

Set in 9.5/12.5pt STIXTwoText by SPi Global, Chennai, India

10 9 8 7 6 5 4 3 2 1
v

Contents

List of Contributors ix
Foreword xv
Acknowledgments xvii
Introduction xix

Section I Importance of Veterinary Vaccines 1

1 The Role of Veterinary Vaccines in Livestock Production, Animal Health, and Public Health 3
James Roth and Matthew Sandbulte

2 Principles of Vaccinology and Vaccine Immune Response 11


Maria Montoya and Elma Tchilian

3 Role of Regional and International Organizations


in Vaccine International Standards 25
Karim Tounkara, Nick Nwankpa, Lawrence Elsken, and Monique Eloit

4 Vaccination Strategies, Implementation, and Monitoring 37


Amanda Gibson, David Paton, and Dirk Werling

Section II Current and Future Veterinary Vaccines 49

5 Viral Vaccines 51
Baptiste Dungu and Meritxell Donadeu

6 Bacterial and Mycoplasma Vaccines 63


Abdelali Benkirane, Ahmed El Idrissi, and April Johnson

7 Protozoal and Rickettsial Vaccines 77


Isabel Marcelino, Adela Chavez, Mohamed Gharbi, Marisa Farber, Philippe Holzmuller, Dominique Martinez,
and Nathalie Vachiéry

8 Parasite Vaccines 101


Anton Pernthaner, Heather Simpson, and Saleh Umair

9 Fish Vaccines 113


Alexandra Adams and Rohana Subasinghe

10 Novel Developments and Next-Generation Vaccines 119


Gerrit Viljoen, Hermann Unger, Viskam Wijewardana, and Ivancho Naletoski
vi Contents

Section III Aspects of Vaccine Production, Quality Control, and Distribution 135

11 The Manufacture of Veterinary Vaccines: Manufacturing Facilities 137


Teresa Yeary, Renee Schnurr, Richard Hill, Jr., Mark Pagala, and Douglas Murtle

12 The Manufacture of Veterinary Vaccines: Quality Control of the Manufacturing Process 147
Mehdi El Harrak, Imane Belkourati, Zineb Boumart, Fatima Fakri, and Jihane Hamdi

13 The Manufacture of Veterinary Vaccines: Control of Final Product 161


Carol Gibbs, Patricia Foley, Monica Reising, Amy Gill, David Siev, and Melisse Schilling

14 Registration of Veterinary Vaccines with Respect to Consistency, Safety, and Efficacy 167
Esther Werner, Babett Kobe, and Veronika von Messling

15 Aspects of Vaccine Accessibility and Commercialization 179


Alasdair King and John Atkinson

16 Vaccine Strategic Reserves 189


Paul Barnett and Alf-Eckbert Füssel

Section IV Veterinary Vaccines for Selected Animal Diseases 205

17 Foot and Mouth Disease 207


Samia Metwally, Bryan Charleston, and Nicholas Lyons

18 Avian Influenza 229


David Swayne and Leslie Sims

19 Rift Valley Fever 253


Baptiste Dungu and Michèle Bouloy

20 Bluetongue 263
Giovanni Savini, Piet van Rijn, Karin Darpel, Alessio Lorusso, Carrie Batten, Pascal Hudelet, Stéphan Zientara, and
James MacLachlan

21 Peste des Petits Ruminants 283


Adama Diallo and Rabindra Prasad Singh

22 Brucellosis 295
José Maria Blasco, Edgardo Moreno, and Ignacio Moriyón

23 Contagious Bovine Pleuropneumonia 317


François Thiaucourt, Nick Nwankpa, and William Amanfu

24 Classic Swine Fever 327


Klaus Depner, Marie-Frédérique Le Potier, and Klaas Dietze

25 Newcastle Disease 335


Ian Brown, Peter Cargill, Ralph Woodland, and Thierry van den Berg
Contents vii

26 Porcine Reproductive and Respiratory Syndrome 355


Antonio Garmendia, Waithaka Mwangi, and Gourapura Renukaradhya

27 Anthrax 371
Antonio Fasanella, Giuliano Garofolo, Adelia Donatiello, and Emanuele Campese

28 Capripox (Lumpy Skin Disease, Sheep Pox, and Goat Pox) 383
Eeva Tuppurainen, Charles Lamien, and Adama Diallo

29 Rabies 399
Charles Rupprecht and Donna Gatewood

Index 415
ix

List of Contributors

Alexandra Adams BSc, PhD José Maria Blasco PhD


Professor of Aquatic Immunology and Diagnostics Ad Honorem Researcher
Institute of Aquaculture, School of Natural Sciences Animal Health Department IA2 CITA
University of Stirling Universidad de Zaragoza
Stirling, Scotland, UK Zaragoza, Spain

William Amanfu DCM, MS Michèle Bouloy


International Veterinary Consultant Head of Research Unit “Molecular Genetics of Bunyavirus”
Formerly Animal Health Officer Department of Virology
FAO/UN Institut Pasteur
Rome, Italy Paris, France

John Atkinson BSc Hons Zineb Boumart PhD


Technical Manager, Ruminants Research and Development Coordinator
MSD Animal Health MCI Santé Animale
Milton Keynes Mohammedia, Morocco
Buckinghamshire, UK
Ian Brown MIBiol PhD
Paul Barnett CBiol MRSB PhD Head of Virology Department
Biologicals Assessor Director of OIE/FAO International Reference
Veterinary Medicines Directorate Laboratory for Avian Influenza and Newcastle Disease
Addlestone, Surrey, UK Animal and Plant Health Agency
Addlestone, Surrey, UK
Carrie Batten Dr PhD
Head of Vascular Research Laboratory Emanuele Campese MSc
The Pirbright Institute Researcher
Woking, Surrey, UK Italian Reference Centre for Anthrax
Istituto Zooprofilattico Sperimentale
Imane Belkourati DVM della Puglia e della Basilicata
Head of Quality Assurance Foggia, Italy
MCI Santé Animale
Mohammedia, Morocco Peter Cargill BVM, CertPMP, MRCVS
Director
Abdelali Benkirane DVM, PhD Wyatt Poultry Veterinary Services
Full Professor Hereford, UK
Microbiology, Immunology and Contagious
Diseases Unit, Department of Pathology Bryan Charleston BVM, MSc, PhD, MRCVS
and Veterinary Public Health Director
Institut Agronomique et Vétérinaire Hassan II The Pirbright Institute
Rabat, Morocco Pirbright, Surrey, UK
x List of Contributors

Adela Chavez PhD Mehdi El Harrak DVM, PhD


Postdoctoral Researcher R&D Director
CIRAD, UMR ASTRE MCI Santé Animale
Petit‐Bourg Mohammedia, Morocco
Guadeloupe, French West Indies
CIRAD INRA, ASTRE Monique Eloit DVM
University of Montpellier Director General
Montpellier, France World Organization of Animal Health (OIE)
Paris, France
Karin Darpel VetMed, MRCVS, PhD
Head of Orbivirus Research Lawrence Elsken BS, DVM
The Pirbright Institute Vice President of Global Development
Woking, Surrey, UK EDGE Veterinary Vaccines Consulting
Group, LLC
Klaus Depner DVM Ames, Iowa, USA
Senior Scientific Officer
FAO Reference Centre for Classical Swine Fever Fatima Fakri DVM, PhD
Friedrich‐Loeffler‐Institut Head of In Vitro Quality Control
Greifswald, Germany MCI Santé Animale
Mohammedia, Morocco
Adama Diallo DVM, PhD
Adviser to the Director Marisa Farber PhD
ISRA/LNERV Researcher
Dakar Hann, Senegal INTA, CONICET, Instituto de Biotecnología
UMR CIRAD‐INRA ASTRE Buenos Aires, Argentina
Montpellier
France Antonio Fasanella DVM, PhD
Director of the National Reference
Klaas Dietze DVM Center for Anthrax and General Director
Senior Scientific Officer Italian Reference Centre for Anthrax
FAO Reference Centre for Classical Swine Fever Istituto Zooprofilattico Sperimentale
Friedrich‐Loeffler‐Institut della Puglia e della Basilicata
Greifswald, Germany Foggia, Italy

Meritxell Donadeu DVM, MSc Patricia Foley DVM, PhD


Visiting Research Fellow Risk Manager
Faculty of Veterinary and Agricultural Sciences Policy, Evaluation, and Licensing
Veterinary Clinical Centre Center for Veterinary Biologics
The University of Melbourne USDA APHIS
Werribee, Australia Ames, Iowa, USA

Adelia Donatiello MSc Alf-Eckbert Füssel DVM


Researcher Deputy Head
Italian Reference Centre for Anthrax Animal Health and Welfare Unit
Istituto Zooprofilattico Sperimentale della Puglia e della European Commission
Basilicata Brussels, Belgium
Foggia, Italy
Antonio Garmendia MSc, PhD
Baptiste Dungu DVM, PhD Professor of the Department of Pathobiology
CEO and Veterinary Science
Onderstepoort Biological Products SOC Ltd University of Connecticut
Onderstepoort, South Africa Storrs, Connecticut, USA
List of Contributors xi

Giuliano Garofolo DVM Richard Hill Jr DVM, MS


Researcher USDA – Retired
Reference Laboratory for Brucellosis
Istituto Zooprofilattico Sperimentale Philippe Holzmuller Eng. PhD, HDR
dell’Abruzzo e del Molise CIRAD INRA, ASTRE
Teramo, Italy University of Montpellier
Montpellier, France
Donna Gatewood DVM, MS
President and Chief Operating Officer Pascal Hudelet DVM
EDGE Veterinary Vaccines Consulting Group, LLC Head
Ames, Iowa, USA Veterinary Public Health Technical Services
Merial, France
Mohamed Gharbi DVM, MSc, PhD
Professor April Johnson DVM, MPH, PhD
Laboratoire de Parasitologie, Ecole Veterinary Medical Officer, USDA APHIS
Nationale de Médecine Vétérinaire de Sidi Thabet Veterinary Services, Field Operations
University of Manouba Alabama, USA
Sidi Thabet, Tunisia
Alasdair King BVMS
Carol Gibbs PhD Director of Intergovernmental Veterinary Health
Senior Staff Microbiologist Merck Animal Health
Policy, Evaluation, and Licensing Madison, New Jersey, USA
Center for Veterinary Biologics
USDA APHIS Babett Kobe
Ames, Iowa, USA Scientific Assistant and Assessor
Veterinary Division
Amanda Gibson BSc(Hons), PhD Paul Ehrlich Institut
Immunologist Langen, Germany
Department of Pathology and Pathogen Biology
The Royal Veterinary College Charles Lamien MSc, PhD
Hatfield, Hertfordshire, UK Technical Officer
Animal Health, Animal Production and
Amy Gill DVM, PhD Health Laboratory, Joint FAO/IAEA
Senior Staff Veterinarian Division of Nuclear Techniques
Policy, Evaluation, and Licensing in Food and Agriculture, Department of
Center for Veterinary Biologics Nuclear Sciences and Applications
USDA APHIS International Atomic Energy Agency
Ames, Iowa, USA Vienna, Austria

Jihane Hamdi DVM, PhD Student Marie-Frédérique Le Potier PhD


Vaccine Production Team Head of the Swine Virology and Immunology Unit
MCI Santé Animale ANSES – Laboratoire de Ploufragan/Plouzané
Mohammedia, Morocco National Reference Laboratory
for Classical Swine Fever
Ahmed El Idrissi DVM, PhD Ploufragan, France
Formerly Senior Animal Health Officer
Animal Production and Health Division
Food and Agriculture Organization of the United Nations
Rome, Italy
xii List of Contributors

Alessio Lorusso DVM, PhD Ignacio Moriyón PhD


Veterinary Medical Officer Professor
Virology Unit Instituto de Saludad Tropical y Departamento de
Istituto Zooprofilattico Sperimentale Microbiología y Parasitología
Dell’Abruzzo E Molise Universidad de Navarra
Teramo, Italy Pamplona, Spain

Nicholas Lyons MA, VetMB, MSc, PhD, DipECBHM, MRCVS Douglas Murtle BS
Research Fellow Senior Biologics Specialist
The Pirbright Institute USDA‐APHIS‐VS‐DB‐Center for Veterinary Biologics
Pirbright, Surrey, UK Ames, Iowa, USA

James MacLachlan BVSc, PhD Waithaka Mwangi PhD


Distinguished Professor Associate Professor
School of Veterinary Medicine Vaccine and Adjuvant Development Program
University of California, Davis Department of Diagnostic Medicine/Pathobiology
Davis, California, USA (DMP)
College of Veterinary Medicine
Isabel Marcelino PhD Kansas State University
CIRAD, UMR ASTRE Manhattan, Kansas, USA
Petit‐Bourg
Guadeloupe, French West Indies Ivancho Naletoski DVM, PhD
CIRAD INRA, ASTRE Animal Production and Health Section
University of Montpellier Joint FAO/IAEA Division of Nuclear
Montpellier, France Techniques in Food and Agriculture Department of
Nuclear Sciences and Applications
Dominique Martinez PhD International Atomic Energy Agency
CIRAD, UMR ASTRE Vienna, Austria
Petit‐Bourg
Guadeloupe, French West Indies Nick Nwankpa DVM, MSC, PhD
Director
African Union Pan African Veterinary Vaccine Centre
Samia Metwally DVM, PhD
Debre‐Zeit, Ethiopia
Senior Animal Health Officer
Animal Production and Health Division
Mark Pagala BS
Food and Agriculture Organization of the United Nations
Assistant Director
Rome, Italy
Microbiology
USDA‐APHIS‐VS‐DB‐Center for
Maria Montoya PhD
Veterinary Biologics
Centro de Investigaciones Biológicas (CIB‐CSIC)
Ames, Iowa, USA
Madrid, Spain
David Paton MA, VetMB, PhD
Edgardo Moreno PhD
Veterinary Adviser
Research Leader – Immunology Laboratory
The Pirbright Institute
Programa de Investigación en Enfermedades Tropicales
Woking, Surrey, UK
Escuela de Medicina Veterinaria
Universidad Nacional
Anton Pernthaner DVM, Habil
Heredia
Senior Scientist
Instituto Clodomiro Picado
Hopkirk Research Institute
Universidad de Costa Rica
Palmerston North, New Zealand
San José, Costa Rica
List of Contributors xiii

Rabindra Prasad Singh PhD Renee Schnurr BSc


Head of the Division of Biological Products Section Leader
ICAR – Indian Veterinary Research Institute Inspection and Compliance
Bareilly USDA‐APHIS‐VS‐DB‐Center for Veterinary Biologics
Uttar Pradesh, India Ames, Iowa, USA

Monica Reising PhD David Siev DVM, MS


Senior Staff Statistician Policy, Evaluation, and Licensing
USDA APHIS Center for Veterinary Biologics
Ames, Iowa, USA USDA APHIS
Ames, Iowa, USA
Gourapura Renukaradhya DVM, MS, PhD
Associate Professor Heather Simpson PhD
Food Animal Health Research Program, OARDC Professor Emeritus
Veterinary Preventive Medicine Institute of Veterinary, Animal and Biological Sciences
The Ohio State University Massey University
Wooster, Ohio, USA Palmerston North, New Zealand

James Roth DVM, PhD Leslie Sims BVSc(Hons), MANZCVS


Distinguished Professor Director
Director of the Center for Food Security and Public Health Asia Pacific Veterinary Information Services
Department of Veterinary Microbiology and Montmorency, Australia
Preventive Medicine
College of Veterinary Medicine, Iowa State University Rohana Subasinghe BSc, MSc, PhD
Ames, Iowa, USA Managing Director
FUTUREFISH Pvt. Ltd.
Charles Rupprecht VMD, MS, PhD Rajagiriya, Sri Lanka
CEO
LYSSA LLC David Swayne DVM, MSc, PhD
Atlanta, Georgia, USA Center Director
Southeast Poultry Research Laboratory
Matthew Sandbulte PhD Agricultural Research Service
Scientist US Department of Agriculture
Center for Food Security and Public Health Athens, Georgia, USA
Department of Veterinary Microbiology and
Preventive Medicine Elma Tchilian PhD
Iowa State University Group Leader
Ames, Iowa, USA Swine Influenza Immunology, Livestock Viral Diseases
The Pirbright Institute
Giovanni Savini DVM, PhD Pirbright, Surrey, UK
Scientific Director
Istituto Zooprofilattico Sperimentale François Thiaucourt PhD
Dell’Abruzzo E Molise Head of Bacteriology Team
Teramo, Italy UMR, CIRAD‐INRA, ASTRE
Montpellier, France
Melisse Schilling DVM
Senior Staff Veterinarian Karim Tounkara DVM, PhD
Policy, Evaluation, and Licensing OIE Regional Representation for Africa
Center for Veterinary Biologics Bamako, Mali
USDA APHIS
Ames, Iowa, USA
xiv List of Contributors

Eeva Tuppurainen DVM, MSc, PhD, MRCVS Veronika von Messling DVM
Senior Scientist Director
Friedrich‐Loeffler‐Institut Veterinary Medicine Division
Greifswald, Germany Paul Ehrlich Institut
Langen, Germany
Saleh Umair DVM, M.Phil, PhD
Scientist Dirk Werling Dr, VetMed, PhD
Hopkirk Research Institute Professor and Chair of Molecular Immunology
Palmerston North, New Zealand Department of Pathology and Pathogen Biology
The Royal Veterinary College
Hermann Unger DVM Hatfield, Hertfordshire, UK
Animal Production and Health Section
Joint FAO/IAEA Division of Nuclear Esther Werner
Techniques in Food and Agriculture, Deputy Head of Veterinary Division and Head
Department of Nuclear Sciences of Section “Assessment of Immunological
and Applications Veterinary Medicinal Products”
International Atomic Energy Agency Paul Ehrlich Institut
Vienna, Austria Langen, Germany

Nathalie Vachiéry PhD Viskam Wijewardana BVSc, PhD


Unit Director Animal Health Officer
CIRAD, UMR ASTRE Animal Production and Health Section
Petit‐Bourg Joint FAO/IAEA Division of Nuclear Techniques
Guadeloupe, French West Indies in Food and Agriculture Department of Nuclear
CIRAD INRA, ASTRE Sciences and Applications
University of Montpellier International Atomic Energy Agency
Montpellier, France Vienna, Austria

Thierry van den Berg Ralph Woodland BSc, PhD


Operational Director Viral Diseases Retired (Previously Senior Biologicals Assessor)
Veterinary and Agrochemical Research Centre Veterinary Medicines Directorate
Brussels, Belgium Addlestone, Surrey, UK

Piet van Rijn PhD Teresa Yeary PhD


Professor Biologics Specialist
Department of Virology Inspection and Compliance
Central Veterinary of Wageningen University USDA‐APHIS‐VS‐DB‐Center for Veterinary Biologics
Research Center (CVI) Ames, Iowa, USA
Lelystad, The Netherlands
Stéphan Zientara DVM PhD HDR
Gerrit Viljoen DSc Director
Section Head ANSES Laboratoire de Santé Animale
Animal Production and Health Section Maisons‐Alfort, France
Joint FAO/IAEA Division of Nuclear Techniques
in Food and Agriculture Department of Nuclear
Sciences and Applications
International Atomic Energy Agency
Vienna, Austria
xv

Foreword

For centuries, vaccinating animals has been the most cost‐ and more importantly a comprehensive review of vaccines
effective and sustainable measure to prevent and control for 13 high impact transboundary and zoonotic diseases.
infectious emerging and reemerging diseases. A prominent The book encompasses 29 chapters written by 97 leading
example of the merit of vaccination practices in eliminat- experts, spanning 51 academic institutions, private and pub-
ing major infectious animal epizootics is that of rinderpest, lic sectors and regional and international organizations.
which was declared to have been eradicated in 2011. What I found impressive about this book is the high level
Veterinary vaccines can also help protect the health of peo- of technical and practical information and guidelines it
ple from zoonotic diseases. contains. I am confident that it will be valuable to a wide
The proper use of a quality and effective vaccine provides audience, including government authorities, decision
significant benefits to stakeholders and food security, from makers, field veterinarians, livestock keepers, scientific
the reduction in livestock mortality, increased milk pro- community, vaccine producers and veterinary students.
duction, savings by reducing antibiotic and acaricide treat- I wish to thank the editors, authors, and their institu-
ments, and alleviating the impact of antimicrobial tions for bringing together the first edition of this Veterinary
resistance. The effects of livestock vaccination provide a Vaccines book in celebration of the 75th anniversary of the
positive impact on rural, livestock‐dependent families, Food and Agriculture Organization of United Nations
contributing to reducing poverty at the household level (FAO). A highly relevant publication that enhances the
and in turn help us achieve the core mandate of the Food knowledge on vaccine principles and its applications to
and Agriculture Organization of the United Nations and protect animal and public health and secure safe animal
many of the Sustainable Development Goals. food for future generations.
The increase in global investment in livestock and its
products signifies the demand for the development of new Dr QU Dongyu
vaccines and vaccine production in accordance with inter-
national standards, effective vaccination strategies and
their application. The need for advanced knowledge among
vaccine producers, users and decision makers led to the
publication of this comprehensive book addressing the
principles and applications of veterinary vaccines for
livestock.
This is the first book that provides a thorough review on a
wide variety of topics regarding the role of veterinary vac- Director‐General
cines, vaccine international standards, immune response, Food and Agriculture Organization of
current and novel vaccines, production and quality control the United Nations (FAO)
xvii

A
­ cknowledgments

There are many people, institutions, public and private sec- ­ ublisher. Special appreciations to Dr Shija Jacob (FAO) in
p
tors, and organizations that we would like to thank for taking the key role in coordinating the submission of the
their invaluable contributions. The contributions of all the final chapters to the publisher. Special thanks to Mr Paul
authors and co‐authors are greatly appreciated in order to Howard (FAO), Claudia Ciarlantini (FAO), Ms Cecilia
produce their chapters. Murguia (FAO) for their invaluable support throughout the
We acknowledge the key role played by Drs Paul Barnett production of the book.
(The Pirbright Institute) and Akiko Kamata (FAO) in assist- We are particularly grateful for the financial support
ing the Editors in the design of the outline of book, and received from GALVmed that was kindly arranged for us
Dr David Paton (The Pirbright Institute) in the technical by Drs Baptiste Dungu (former Senior R&D Director) and
editing of the chapters. We are especially grateful to Dr Juan Jeremy Salt (Senior R&D Director).
Lubroth, the former Chief Veterinary Officer of FAO, for his Our most heartfelt thanks are due to our families for
inspiration and support in the production of the book. Our their help, forbearance, and understanding.
thanks to Dr Berhe Tekola, Director of Animal Production
and Health Division of FAO, for continued support. The Editors
Our profound appreciation is given to Ms Beate Werner Samia Metwally
for her invaluable assistance in liaising with the authors for Gerrit Viljoen
the completion of the chapters and in selection of the Ahmed El Idrissi
xix

I­ ntroduction

First Edition Section I of this book is devoted to the importance of vet-


erinary vaccines for animal health, animal welfare, and
Over the past 200 years, following Louis Pasteur’s first vac- public health. Authors provide an overview of the benefits
cine experiments, veterinary vaccines have played a central and challenges of vaccines for livestock species in the con-
role in protecting animal and public health enabling effi- text of the growing human population, the global demand
cient production of food animals, which is of significant for meat, eggs, and dairy products, the rising standards of
importance to communities that rely on livestock to meet living in developing countries, and the changes in animal
their nutritional and economic needs. Vaccines are now husbandry. This perspective is completed by a comprehen-
available for a range of important viral, bacterial, and para- sive technical review of the principles of vaccinology and
sitic diseases that have a major economic and public health immune response, vaccination strategies, implementation,
impact. and monitoring.
Current veterinary vaccines based on inactivated and The following section provides an update on the current
conventionally attenuated pathogens have illustrated good and future vaccines available for diseases caused by virus,
outcomes in the control of various types of animal diseases bacteria, protozoans, rickettsia, and parasites in terrestrial
and therefore contribute significantly to animal welfare and aquatic animals. The authors highlight the features of
and safe food. However, vaccines also have their limita- each vaccine category, challenges, research gaps, and tech-
tions, necessitating the application of different technolo- nical options for the development of new generation vac-
gies to overcome the drawbacks and ensure the availability cines and their possible impact on the design and
of safer and more efficacious vaccines. Improved under- modulation of novel vaccines or new approaches for their
standing of the immunogenic and protective antigens of administration.
pathogens coupled with the advent in molecular genetics Section III of the book is dedicated to all aspects of vac-
has opened the way for new generation vaccines. They cine production, quality control, licensing, and accessibil-
afford numerous advantages over conventional vaccines, ity. It provides detailed schemes of in‐process and final
including ease of production, immunogenicity, and safety. product quality control and testing to ensure the consist-
Manufacturing quality assured veterinary vaccines, ency of the vaccine quality. Aspects of external assessment,
whether conventional or new generation, and making registration of veterinary vaccines, vaccine accessibility,
them available on a large scale, requires the use of complex and commercialization are also addressed. This section
production methods, stringent quality control at every covers a comprehensive review of vaccine strategic
stage of the process, licensing regulations, and reliable dis- reserves, or banks, as an adjunct to the control of impor-
tribution channels that ensure the products are potent and tant veterinary diseases.
effective at their point of use. Reliable vaccine production The final section of the book provides a full review on
and commercialization at affordable prices is the corner- vaccines and vaccination against selected high impact ani-
stone of developing appropriate vaccination policies and mal and zoonotic diseases. For each of the 13 diseases or
strategies for prevalent animal diseases. This book primar- group of pathogens addressed in this section, the book
ily addresses the aforementioned aspects and provides vac- examines historical and current trends for immunization
cine users and stakeholders with concise, authoritative, practices, the type of vaccines commercially available and
and readily available information on vaccinology and vac- those under development, practical recommendations and
cine immune response in animal populations. guidance on vaccination strategies, vaccine specifications,
xx ­Introductio

factors affecting vaccine efficacy and safety, and monitor- and daunting task than anticipated, which took seven years
ing vaccine effectiveness after vaccination campaigns. from inception to publication. We sincerely hope that this
We believe that this first edition will be invaluable and book will help promote not only vaccine production and
instrumental to the scientific community, vaccine produc- access to quality assured vaccines but also the control of
ers, stakeholders, field veterinarians, veterinary authori- infectious animal and zoonotic diseases so is the health of
ties, and veterinary students. people and their livestock.
Although every effort was made to complete this book in
as short a time as possible, it proved to be a more ­formidable The Editors
1

Section I

Importance of Veterinary Vaccines


3

The Role of Veterinary Vaccines in Livestock Production, Animal Health,


and Public Health
James Roth and Matthew Sandbulte
Department of Veterinary Microbiology and Preventive Medicine, Center for Food Security and Public Health, College of Veterinary Medicine, Iowa State University,
Ames, Iowa, USA

1.1 ­Introduction: The Need Rinderpest is a powerful example of how livestock vac-
for Veterinary Vaccines cination, combined with other control measures, can dra-
matically improve animal health and human well-being.
The growing human population and rising standards of liv- Rinderpest is an acute, highly contagious, viral disease of
ing in developing countries add to the global demand for cattle, domesticated buffalo, and some species of wildlife.
meat, eggs, and dairy products. Changes in animal agricul- In 1889, cattle shipped from India carried the rinderpest
ture in recent decades include larger and denser popula- virus to Africa, causing an epidemic that established the
tions of livestock species. Infectious diseases that degrade virus on the continent. Initially, approximately 90% of the
the health and productivity of livestock herds can be eco- cattle in sub-Saharan Africa died as well as many sheep
nomically devastating and destabilize food supplies. and goats. The loss of draft animals, domestic livestock,
Zoonotic transmission of infectious organisms from food- and wildlife resulted in mass starvation, killing a third of
producing animals to humans is a significant threat to pub- the human population in Ethiopia and two-thirds of the
lic health. There is an array of strategies used to control Maasai people of Tanzania. The reduced number of graz-
infectious diseases of livestock species, including facility ing animals allowed thickets to form in grasslands. These
sanitation, isolation or culling of infected animals, selec- thickets served as breeding grounds for tsetse flies, the vec-
tion of disease-resistant genetic stock, treatment with anti- tor for trypanosomes, resulting in an outbreak of trypano-
biotics, and vaccination. somiasis (African sleeping sickness) in humans. This
Vaccines are biological products designed to induce rinderpest epidemic is considered by some to have been the
immune responses specific to pathogenic microorganisms, most catastrophic natural disaster ever to affect Africa. The
in order to prevent or reduce infectious diseases. Veterinary Global Rinderpest Eradication Programme was a large-
vaccines are a cost-effective method to prevent animal dis- scale international collaboration involving vaccination,
ease, enhance the efficiency of food production, and reduce local and international trade restrictions, and surveillance.
or prevent transmission of zoonotic and food-borne infec- In 2011, rinderpest infection was declared to be eradicated
tions to people. Safe and effective animal vaccines have from the world’s livestock and wildlife, marking one of vet-
become essential to modern society. The cost of producing erinary medicine’s greatest achievements (OIE 2011).
enough animal protein to feed the 7 billion people on Earth Continuing improvement and increased use of livestock
would be dramatically higher without vaccines to prevent vaccines will promote the health and welfare of animals, pro-
epizootics in food-producing animals. The lack of vaccines mote efficient food production, reduce economic losses to
would leave farmers, communities, and countries more producers, and reduce the dangers of zoonotic diseases. For
vulnerable to economically devastating livestock diseases. animal vaccines to make a significant impact on animal and
Zoonotic diseases such as brucellosis and leptospirosis public health, they must be widely used, which means they
would be much more prevalent in humans without effec- must be affordable. This chapter provides an overview of the
tive vaccines for use in animals. benefits and challenges of vaccines for livestock species.

Veterinary Vaccines: Principles and Applications, First Edition. Edited by Samia Metwally, Gerrit Viljoen, and Ahmed El Idrissi.
© 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd.
4 Veterinary Vaccines: Principles and Applications

1.2 ­Diversity of Veterinary Vaccines vaccine for West Nile virus was conditionally licensed by
the USDA. West Nile virus vaccine is now considered one of
Because a variety of livestock and poultry species are raised the core equine ­vaccines in the USA (American Association
around the world and each species is susceptible to an of Equine Practitioners – Vaccination guidelines). The vac-
array of bacterial, viral, and parasitic infectious agents, it is cine has also been used off label to protect some endangered
not surprising that many diverse vaccines are produced in birds, such as California condors (Chang et al. 2007).
the world. Livestock vaccines are developed and licensed Porcine circovirus 2 vaccines (Chae 2012) and influenza
for a variety of purposes, which are sometimes different pandemic H1N1 vaccines (AVMA 2010) for swine are addi-
from the purposes of human vaccines. Examples would be tional examples of newly emerging diseases for which vet-
food safety vaccines to reduce the shedding of Salmonella erinary vaccines were developed and licensed quickly.
by poultry and Escherichia coli 0157/H7 by cattle. Livestock
vaccines are primarily used to improve the efficiency of
production of food animals. The cost of the vaccine is an 1.3 ­Vaccines and Food Production
important consideration as to whether the vaccine will be
used. It must contribute to profitability for the producer in Veterinary vaccines are used in livestock to maintain animal
the long run to be widely accepted. Vaccination against health and improve overall production. More efficient
zoonotic diseases also can be used to reduce or eliminate animal production and better access to high-quality protein
the risk of human infection (e.g. rabies, brucellosis). are essential to feed the growing population. According to
Wildlife vaccines are generally used for zoonotic diseases the United Nations Department of Economic and Social
(e.g. oral bait vaccines for rabies), or in some cases in con- Affairs Population Division, the world population was
junction with disease control programs in domestic species approximately 7 billion in 2014, and is estimated to increase
(e.g. brucellosis vaccine for bison and elk, oral bait vaccines to just over 8 billion in 2025 and to reach 9.1 billion people
for classic swine fever in feral swine). in 2050 (Figure 1.1). The United Nations Food and
Today, in the USA alone, there are about 1280 active Agriculture Organization (FAO) estimates that 805 million
licenses for nonautogenous veterinary vaccine products, people were undernourished in 2014 (FAO, IFAD, and WFP
including vaccines that consist of viruses, bacterins, bacte- 2014). There were dramatic increases in world meat and egg
rial extracts, toxoids, and many combinations (USDA- production between 1962 and 2006 (Figure 1.2). The FAO
APHIS 2014). Licensed animal vaccines are available for projected that feeding a world population of 9.1 billion
some diseases where vaccines are not available for analo- people will require overall food production to increase by
gous human diseases, such as brucellosis and bovine res- 60% between 2007 and 2050 (FAO 2009; Alexandratos and
piratory syncytial virus in cattle, and Mycoplasma Bruinsma 2012). The global demand for beef, pork, poultry,
hyopneumoniae in swine. Veterinary vaccines have a dis- and other animal protein sources will increase sharply by
tinct advantage in that they can be developed and licensed the year 2050 (Figure 1.2). Vaccines that preserve animal
much more quickly and at much less cost than human vac- health and improve production will be important
cines. The ability to conduct safety and efficacy studies, components in meeting this need.
including vaccination/challenge experiments, in the target The economic structures of livestock husbandry are
species greatly facilitates licensing of veterinary vaccines. unique in the developing world, where many livestock and
Liability issues associated with adverse reactions are much poultry are raised in small household settings. Even when
less restrictive for manufacturers of veterinary vaccines licensed vaccines are commercially available for livestock
than for manufacturers of human vaccines. In addition, pathogens of concern in a region or country, many produc-
veterinary vaccines produced in developing countries may ers cannot afford to use them. Reliable statistics on the use
undergo less rigorous approval processes than in devel- of livestock vaccines across the developing world are very
oped countries. scarce. A survey performed in Tanzania in 2008–2009 pro-
The equine West Nile virus vaccine is an example of how vided useful socioeconomic data on household livestock
an animal vaccine can be developed and licensed quickly to keeping in a sub-Saharan African context. A majority of
meet an emergency situation (Brown et al. 2016). The West rural households in Tanzania reported livestock-related
Nile virus was discovered in the USA in August 1999. The income. Approximately 60% of households reported the
veterinary vaccine industry, working in cooperation with presence of livestock disease in their herd/flock during the
the US Department of Agriculture (USDA) Center for year of the survey. Only about 29% of households reported
Veterinary Biologics, quickly developed an effective vaccine any use of vaccination in their animals. It could be inferred
to prevent the disease in horses. By August 2001, an equine that the small livestock holders in Tanzania have
The Role of Veterinary Vaccines in Livestock Production, Animal Health, and Public Health 5

PEOPLE OF THE WORLD


12.0
11.0 11.2 billion 2100 GROWING POPULATION
POPULATION (BILLIONS)

Between 1950 and 2015, the world population grew from


10.0
9.7 billion 2050 2.4 billion to 7.3 billion people. World population is expected
9.0 to each 9.7 billion people in 2050 and 11.2 billion in 2100.
8.0
7.3 billion 2015 In 2015, 60 percent of the population lived in Asia, 16% in Africa,
7.0 10% in Europe, 9% in Latin America and the Caribbean and
6.0 5% in North America and Oceania; 26% of the
world population was under 15 years of age in 2015.
5.0
4.0
3.0 If the population does grow by 2.4 billion
2.0 people in the next 35 years, the food
1.0 supply will need to expand dramatically.

0 Source: United Nations


1400 1500 1600 1700 1800 1900 2000 2100 Department of Economic and Social Affairs Division
YEAR

Figure 1.1 Global population growth in recent centuries, projected through 2100. Source: Reprinted with permission from
Roth et al. (2016).

GLOBAL PRODUCTION OF MEAT AND EGGS

1962 2006 2050 (Estimated)

200
181
Global Production (million tons)

150 143

106 102
100
100
82
64 62
50
30 26
25
13 9 14
6
0
Beef Mutton Pork Poultry Eggs

Figure 1.2 Global production of meat and eggs. Between 1962 and 2006 the production of major classes of animal-derived food
increased by twofold or greater. Production of these food sources is projected to increase substantially again over the first half of the
twenty-first century. Similar growth is reported for milk production, except on a larger scale: 344M tons in 1962, 664M tons in 2006,
1077M tons projected in 2050. Vaccines and other methods of controlling infectious diseases in livestock and poultry help to
maximize food production. Source: Data from Table 4.18 of Alexandratos and Bruinsma (2012).

insufficient access to effective vaccines either due to cost or a­ nimals are infected. There are also indirect economic
lack of availability, and the same is likely true in many costs, such as restrictions to livestock export. In countries
other countries (Covarrubias et al. 2012). where FMD virus is endemic, vaccination has an impor-
Foot and mouth disease (FMD) virus is a tremendous tant role in protecting cattle, pigs, and buffalo, thus reduc-
burden to meat and dairy production in many parts of the ing the economic impact of the disease. It is estimated that
world, especially developing countries. It is estimated that the world’s livestock are immunized with 2.35 billion doses
2% of cattle in the world are infected with FMD virus in a of FMD vaccine annually (Knight-Jones and Rushton
year (Knight-Jones and Rushton 2013). The direct produc- 2013). The positive impact of FMD vaccination in endemic
tion losses from FMD – the majority of which are borne by countries would be greater if vaccine doses were less
China, India, and Africa – are estimated at roughly US$ 7.6 expensive and induced longer-lasting immunity (Kitching
billion per year (Knight-Jones and Rushton 2013). Losses et al. 2007). Even countries recognized as FMD free, which
include not only diminished animal weight gain and milk often cease vaccination, have an economic burden from the
production, but also loss of traction power when draft virus. They must maintain costly preventive measures and
6 Veterinary Vaccines: Principles and Applications

prepare resources to respond in the event of an outbreak dogs as pets. Recombinant vaccinia-vectored rabies vac-
emergency, such as vaccine banks (discussed in a section cines have also been used successfully in baits for oral vac-
below). cination campaigns to reduce the incidence of rabies in
Antibiotics are widely used to control bacterial patho- wild animals (Pastoret and Brochier 1996). Vaccines for
gens of livestock and to promote efficient food production. brucellosis were instrumental in the Brucella abortus eradi-
However, there are increasing concerns related to ­antibiotic cation program in the USA. Many countries continue to
resistance associated with the extensive use of antibiotics have severe problems with brucellosis in cattle, small rumi-
in veterinary and human medicine (Dibner and Richards nants, and people due to a lack of available Brucella vac-
2005). Producers may choose either vaccines or antibiotics cines for animals (FAO 2010). An additional concern
to control some diseases based on cost, if both options are related to Brucella vaccines is that they are live vaccines
available. For example, swine ileitis caused by Lawsonia which can infect and cause symptoms in people (Ashford
intracellularis can be controlled by either vaccination or et al. 2004). New-generation safer vaccines for brucellosis
antibiotics, along with good management practices. Swine are needed.
producers will use the approved control method that is Similarly, vaccinating livestock against various Leptospira
most cost effective. If regulatory requirements for a biolog- serovars can reduce the incidence of human leptospirosis,
ics company to obtain and maintain a license to produce which in severe cases can cause miscarriage or death. The
the vaccine were to increase beyond what is essential, then tapeworm parasite Taenia solium, which is transmitted
the cost of the vaccine would increase and producers would between pigs and humans, is a major cause of adult-onset
opt to use less vaccine and more antibiotics. Affordable and epilepsy in developing countries (Spickler 2005). In recent
available vaccines reduce reliance on antibiotics for animal field trials, an experimental T. solium vaccine administered
health. to scavenging pigs protected them against transmission of
the parasite (Jayashi et al. 2012). These promising results
suggest that pig vaccination could become an effective way
1.4 ­Vaccines for Control of Zoonotic to break the cycle of T. solium transmission to people in the
Diseases developing world.
Emerging and exotic animal diseases are a growing
Vaccines to control zoonotic diseases in food animals, com- threat to human and animal health and jeopardize food
panion animals, and even wildlife have had a major impact security (Figure 1.3). Increases in human and animal pop-
on reducing the incidence of zoonotic diseases in people. ulations, with accompanying environmental degradation,
Some examples of veterinary vaccines for zoonotic diseases global warming, spread of arthropod vectors, and glo-
that have been, or could be, used to control infections in balized trade and travel, enhance opportunities for transfer
animals, thereby reducing transmission of the infectious of pathogens within and between species. The resulting
agent to people, include rabies, brucellosis, leptospirosis, diseases pose enormous challenges now and for the future.
influenza, Rift Valley fever, nipah, hendra, Japanese In most of the world, increased demand for animal
encephalitis, and Q fever. Without rabies vaccines, it is protein has resulted in intensified commercial food animal
unlikely that families would be willing to keep cats and production and/or expanded “backyard” production.

EMERGING DISEASES AFFECTING VARIOUS ANIMAL SPECIES

AQUACULTURE POULTRY CATS


Viral hemorrhagic septicemia High pathogenicity avian influenza High pathogenicity
Infectious salmon anemia Newcastle disease avian influenza (H5N1)
White spot disease West Nile encephalitis (geese) Plague (Y. pestis)
Rift Valley fever
DOGS SWINE
RUMINANTS
Canine influenza Porcine reproductive and
Nipah virus infection respiratory syndrome virus Foot and mouth disease
Rift Valley fever Porcine circovirus associated disease Rift Valley fever
Leishmaniasis Foot and mouth disease Brucellosis
African swine fever Prion diseases
Classical swine fever BSE, CWD, Scrapie
HORSES Bluetongue
Swine influenza
West Nile encephalitis Nipah virus infection Tuberculosis, bovine
Hendra virus infection Menangle virus infection Schmallenberg virus
Equine herpesvirus Reston Ebolavirus infection
myeloencephalopathy Porcine enteric corona viruses

Figure 1.3 Emerging diseases affecting various animal species. Source: Reprinted with permission from Roth et al. (2016).
The Role of Veterinary Vaccines in Livestock Production, Animal Health, and Public Health 7

Both types of production present unique challenges health of the vaccinated animal, but reduce the intestinal
for disease emergence and control. Large commercial colonization and shedding of pathogens that may contami-
operations with high concentrations of animals produce nate animal products for human consumption (Thomson
high-quality protein for human consumption at reduced et al. 2009; Desin et al. 2013). The severity of the S. enteritidis
costs. These operations typically have some degree of outbreak in people in the USA in 2010 due to consumption
biosecurity, vaccination programs, and veterinary care. of contaminated eggs (Cima 2010) could have been reduced
However, the high concentration of animals may facilitate or prevented if the associated chickens had received an
the emergence of pathogens due to extensive replication in S. enteritidis vaccine. Numerous other microorganisms,
large numbers of animals, enhancing the potential for common in livestock, cause food-borne disease outbreaks
mutation and adaptation to the species. They also present in people, so there may be future opportunities to broaden
concerns regarding animal welfare and environmental the use of livestock vaccines for food safety purposes.
preservation. “Backyard” production of poultry, pigs, and
small ruminants can efficiently use household waste for
feed and can be an important supplement to dietary protein 1.6 ­Vaccine Banks
and income. However, the close interaction with humans,
especially children, presents an increased risk of zoonotic In countries where a particular animal infectious disease
disease transfer (e.g. avian influenza and Brucella does not exist – either due to eradication or because it was
melitensis). “Backyard” animal production rarely has never endemic to the region – vaccination against the agent
biosecurity or adequate vaccination. Emerging zoonotic will usually not be practiced. When there is no market for
diseases of both food and companion animals are a major vaccines, the biologics companies do not have an incentive
threat to public health. It is inevitable that the world will to develop, license, and manufacture them. However, there
continue to experience emerging disease outbreaks in the is often a continuing risk that the agent will be (re)intro-
coming decades. Rapid development of animal vaccines duced. This requires readiness to respond quickly to con-
can play a key role in controlling emerging diseases. trol an outbreak, especially because herd immunity to the
There are several examples of vaccines successfully agent no longer exists.
developed against emerging equine viruses, including In the USA, the Department of Agriculture and the
Venezuelan equine encephalitis, West Nile, and hendra Department of Homeland Security have recognized the
(Broder et al. 2013; Bowen et al. 2014). Vaccination against need to have approved vaccines for important animal dis-
these agents lowers the risk of zoonotic infections. Several eases that are not currently present within the country’s
countries have used vaccines, together with other eradica- borders. US animal agriculture is highly vulnerable to the
tion measures, to control high pathogenicity avian influ- introduction of foreign diseases, most notably FMD.
enza virus (H5N1) in poultry. From 2002 to 2010, it is A Homeland Security Presidential Directive mandated the
reported that many billions of doses were administered to establishment of a National Veterinary Stockpile (NVS), a
poultry, mostly in China (Chapter 18) (Swayne 2012). This national repository that can deploy within 24 hours “suffi-
practice is considered to have reduced disease and mortal- cient amounts of animal vaccine, antiviral, or therapeutic
ity in chicken flocks, while also reducing the number of products to appropriately respond to the most damaging
human infections, which have very high fatality rates. Rift animal diseases affecting human health and the economy”
Valley fever virus, a devastating pathogen of ruminants (Bush 2004). Although the USA is a partner in the North
and a virulent zoonotic agent, is seen as a prime target for American FMD Vaccine Bank, the present supply is not
animal vaccine development (Monath 2013). Continued sufficient to meet the needs of an FMD outbreak. European
development of more cost-efficient, safe, and effective vac- Union states, Japan, Australia, and New Zealand also
cines against zoonotic agents will foster improvement of maintain FMD vaccine banks (Hagerman et al. 2012). The
human health, animal health, and food security. World Organization for Animal Health has established
vaccine banks for avian influenza, FMD, and peste des
petits ruminants (PPR) and has shipped doses to many
1.5 ­Vaccines to Improve Food Safety countries in the developing world.
Vaccine banks or stockpiles are expensive to establish
Recently, vaccines have been developed to reduce the shed- and maintain, so robust funding is required. Also, estab-
ding of organisms that cause food-borne diseases in people. lishing an emergency plan for vaccination against an
Vaccines are available for E. coli O157:H7 in cattle and emerging or foreign animal disease can be complicated
Salmonella enterica, serovars enteritidis and typhimurium, from the regulatory standpoint. In some cases, a disease-
in chickens. These vaccines typically do not improve the free country does not issue a regular vaccine license, but
8 Veterinary Vaccines: Principles and Applications

issues a conditional license for use in the event of an out- adjuvants, vaccine vectors, delivery mechanisms, or ration-
break. Safety and efficacy criteria for conditional licensure ally designed live attenuated viruses might also lead to
may be different from criteria for a vaccine used against more effective vaccines against these viruses.
endemic diseases. A functional program of foreign animal Across the spectrum of livestock infectious diseases,
disease preparedness requires cooperation among veteri- there are many with no proven vaccines and others with
nary and public health agencies, regulators, and vaccine inadequate vaccine options. Live and killed Newcastle dis-
manufacturers. ease virus vaccines are used extensively in some endemic
countries, yet frequent outbreaks continue, possibly
because genetic mutations in the pathogenic strains allow
1.7 ­Successes and Challenges them to evade the immunity induced by the vaccines
(Ashraf and Shah 2014). A live Mycoplasma mycoides
As discussed above, one of the greatest successes in the use subsp. mycoides vaccine against contagious bovine pleuro-
of vaccination to control an animal disease was the global pneumonia has existed in Africa for half a century, but
eradication of rinderpest virus. This was achieved using problems with its efficacy and duration of immunity have
the Plowright vaccine, a conventional live attenuated virus been recognized (Jores et al. 2013). Improvements in vac-
that was generated by serial passages of a virulent cine technologies, such as adjuvants and recombinant vec-
rinderpest strain in primary calf kidney cells (Plowright tors, can potentially aid the development of vaccines
1984). Other striking examples of vaccine successes and against many pathogens. However, one of the disadvan-
challenges can be seen in some important swine viruses. tages faced in veterinary vaccine development is that the
Aujeszky’s disease virus (also called pseudorabies virus) potential financial returns are much less than for human
has been successfully eradicated from swine herds in vaccines. Veterinary vaccines have lower sales prices and
numerous countries, including the USA. An important smaller potential market value. Consequently, there is a
innovation aiding that success was vaccines with lower investment in research and development for animal
glycoprotein gene deletions (Mengeling et al. 1997; vaccines compared to human vaccines, although the range
Pensaert et al. 2004). These deletions allow diagnostic tests of hosts and pathogens is greater.
that differentiate between infected and vaccinated animals
(the DIVA strategy). With these tools, it is possible to
conduct screening and selective culling in the eradication 1.8 ­Policies on Use of Vaccines
campaigns, without forgoing the use of immunization to in Disease Control Programs
protect herds.
After its discovery in the late 1990s, the porcine circovi- In some situations, infectious disease agents pose a threat
rus 2 (PCV2) was found to be widespread in major swine- to animal health, human health, food security, or economic
producing countries. It was etiologically linked to stability, but producers do not have the ability or strong
postweaning multisystemic wasting syndrome and other incentive to pay for vaccination. Such situations may
clinical syndromes with great economic impact. Subunit include endemic diseases in developing countries, zoonotic
and inactivated virus vaccines for PCV2 were developed and food-borne diseases that do not cause serious sickness
commercially, became widely adopted, and led to signifi- in livestock, and emerging or exotic diseases that have a
cant improvements in swine health and productivity small probability of spreading to the given region. For dis-
(Beach and Meng 2012). ease control and eradication programs, it is often necessary
On the other hand, efforts to produce effective vaccines for governments or other entities to provide financial sup-
against porcine reproductive and respiratory syndrome port. An example would be the current interest in eradica-
virus (PRRSV) and influenza A viruses of swine (IAV-S) tion of PPR. Regardless of how the expense is met, a low
have been less successful. These economically important cost per unit of vaccine is critical to achieving widespread
viruses have been identified for many years, but current vaccination of the susceptible livestock.
vaccines do not provide reliable control of infection and
disease. A major hurdle in both cases is the antigenic vari-
ability of the viruses. One concept for improved vaccines 1.9 ­Summary
against antigenically variable viruses like PRRSV and
IAV-S is to identify epitopes that are highly conserved The consequences of livestock and poultry infectious dis-
across the various strains. Vaccines that target the con- eases are felt throughout the world, regardless of wealth or
served epitopes would have the potential to supply broad veterinary medical infrastructure. When livestock diseases
cross-protection (Khanna et al. 2014). Utilizing new are not controlled effectively, global food production is
The Role of Veterinary Vaccines in Livestock Production, Animal Health, and Public Health 9

diminished and public health is often put at risk. This and internationally. Affordable, safe, and effective live-
explains the vital importance of vaccines for food- stock vaccines will continue to be an important tool to pro-
producing animals. The fact that so many people depend tect human health, animal health, food safety, and food
on livestock and poultry for their livelihoods and as a security.
source of food limits policy options, complicates local and
global trade decisions, and raises political sensitivities. It is
inevitable that the world will continue to experience the ­Acknowledgments
emergence of new human and animal diseases in the com-
ing decades. This challenge requires that veterinary, medi- Portions of this chapter were adapted from a 2011 review
cal, and public health communities work together locally article authored by James Roth (Roth 2011).

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11

Principles of Vaccinology and Vaccine Immune Response


Maria Montoya1 and Elma Tchilian2
1
Centro de Investigaciones Biológicas (CIB-CSIC), Madrid, Spain
2
Swine Influenza Immunology, Livestock Viral Diseases, The Pirbright Institute, Woking, Surrey, UK

2.1 ­Introduction of which are organized into separate lymphoid tissues and


organs. Because pathogens can attack at many different
Edward Jenner recognized that dairymaids who frequently sites of the body, molecules and cells of the immune sys-
contracted cowpox were often immune to smallpox, which tem circulate in the blood as well as residing in the tissues
led him to use cowpox to inoculate people against small- so that a rapid response can be made. The innate system is
pox. Jenner named the process vaccination (derived from the first line of defense against infection. It works rapidly,
the Latin word vacca, “cow”) and Pasteur in his honor giving rise to acute inflammatory responses, and has some
extended the term to the stimulation of protection to other specificity for microbes but no memory. Some of the most
infectious agents. Vaccination eventually resulted in the important cells in the innate system are phagocytes that
complete eradication of smallpox in humans and rinder- can ingest microbes and kill them.
pest in cattle, and is one of the most effective medical inter- In contrast, the second line of defense, the adaptive
ventions ever introduced. immune response, takes longer to develop, is highly spe-
The aim of vaccination is to induce a long-lasting protec- cific, and responds more quickly to a microbe that it has
tive immune response to an infectious pathogen or toxic moi- encountered previously (“memory”). The adaptive immune
ety from a pathogen, using a nonvirulent or nontoxic antigen system starts acting even as the innate immune system is
preparation. As a result, in the event of an actual encounter dealing with the invading microbe, and especially if it is
with the infectious agent or toxin, the host is either com- unable to contain it.
pletely protected against harm or is able to mount a very Innate and adaptive immunity work together. For exam-
rapid and potent secondary immune response to reduce the ple, the phagocytic cells produce important cytokines that
harm, rather than a slow and less effective primary response. help induce the adaptive immune response. Cytotoxic T
In this chapter, we will review how the adaptive immune cells kill virus infected cells, but these have to be cleared
response protects against the attack of pathogens, describing from the body by phagocytic cells. Complement compo-
the major types of lymphocytes, B and T cells, and the differ- nents of the innate system can be activated directly by
ent forms of immune protection they provide. We will dis- microbes, but they can also be activated by antibodies, mol-
cuss how best to deliver vaccines using adjuvants and delivery ecules of the adaptive immune system.
platforms, how to differentiate vaccinated from infected ani- The adaptive immune system contains two major types
mals, how to assess protection after vaccination, and the fea- of lymphocytes: thymus-derived (T) and bone marrow-
tures of active, passive, and herd immunity. derived (B) lymphocytes. T cells mature under the influ-
ence of the thymus and on stimulation with antigen, give
rise to cellular immunity. B cells mature mainly in the bone
2.2 ­The Concept of Immune marrow and mediate humoral immunity, which involves
Conversion soluble molecules – antibodies (immunoglobulins, Ig).
Both T and B cells have randomly generated receptors so
The immune system protects the organism from attack by that each cell is specific for a different foreign substance
pathogens. It is composed of many cell types, the majority (antigen). When an antigen is introduced into the body,

Veterinary Vaccines: Principles and Applications, First Edition. Edited by Samia Metwally, Gerrit Viljoen, and Ahmed El Idrissi.
© 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd.
12 Veterinary Vaccines: Principles and Applications

lymphocytes with receptors for this antigen encounter and contact with the pathogen stimulates antigen-specific
bind it, proliferate, and give rise to clones of cells specific to memory B cells, induced by the vaccine, to proliferate and
the antigen. These cells or their products specifically inter- differentiate to short-lived plasmablasts, which rapidly
act with the antigen to neutralize or eliminate it. produce large amounts of antibody. Contact of memory B
Antibodies are key effectors of adaptive immunity. In cells with antigen is also important in boosting long-lived
addition to proliferation after encountering with antigen, B plasma cell numbers and maintaining serum antibody con-
cells undergo somatic mutation, giving rise to high-affinity centrations for the next encounter with the pathogen.
antibodies, as well as Ig class switching to produce antibody Immune responses to infectious agents usually produce
molecules with different effector functions (IgG, IgA, and antibodies directed at multiple epitopes but only some of
IgE). Thus, for both B and T cells, immunological memory these confer protection. The specificity of antibodies is
consists of increased numbers of cells with specificity for influenced not only by the repertoire of B cells but also by
the antigen. T memory cells have a range of different effec- the specificity of T cells. Linked recognition, in which anti-
tor functions while memory B cells produce high-affinity gen-specific B and T cells provide mutually activating sig-
antibodies, also with different effector functions. nals, leads to affinity maturation and Ig isotype switching,
While the immunoglobulin (IgM and IgD) receptors on which is often required for efficient pathogen neutraliza-
B cells can interact directly with antigen in solution, T cells tion. This process requires that B cells present an appropri-
require peptide moieties from processed protein antigens ate peptide epitope for T cells and typically, the T cell
to be presented in the context of major histocompatibility epitope is contained within the region of a protein recog-
complex (MHC) molecules. Antigen processing and pres- nized by the B cell.
entation is typically performed by specialized antigen-pre- Sometimes, however, immunization may have unpre-
senting dendritic cells. It is important for vaccines to dicted, pathological consequences. The formalin-inacti-
induce the type of immunity able to neutralize the patho- vated respiratory syncytial virus (RSV) vaccine provides an
gen: antibody (B cell) and/or cell-mediated (or T cell) example of vaccine-enhanced disease, which is thought to
immunity. be due to production of low-avidity, poorly neutralizing
antibodies that are not protective. In addition, immune
complexes and complement activation contribute to
2.2.1 Antibodies
pathology as well as an inappropriate, Th2-biased immune
Antibodies, either produced as result of immunization or response (Acosta et al. 2015). Another example of the path-
passively administered to the host, are often very effective ological consequences of inappropriate immunization,
in preventing infection. Antibodies can prevent the patho- although with a different mechanism, is vaccine-associated
gen from entering the host’s tissues and cells (neutraliza- enhanced respiratory disease (VAERD). This has been
tion) and can mediate killing of the pathogen (phagocytosis observed in pigs when heterologous influenza A virus
or cytotoxicity) (Figure 2.1a). The ability of the antibody to infection occurs after vaccination with mismatched whole
neutralize and promote cytotoxicity depends on its avidity, inactivated vaccine (Gauger et al. 2011). VAERD is associ-
isotype, subclass, and ability to fix complement and recruit ated with the presence of high-titer cross-reacting antibod-
phagocytic cells. Antibodies may also prevent damaging ies targeting the conserved stem domain of the viral
effects on cells by neutralizing toxins such as those pro- hemagglutinin molecule (Khurana et al. 2013). This phe-
duced by the Giardia parasite and Diphtheria and nomenon is relevant to the current field situation in the
Clostridium species of bacteria. IgG antibodies are primar- USA where inactivated vaccines are used, which are fre-
ily effective in the blood and tissues whereas IgA plays an quently mismatched to the circulating swine viruses.
important role at mucosal surfaces, where it helps prevent
viral or bacterial access to the mucosal lining cells (Loehr
2.2.2 Cell-Mediated Immune Protection
et al. 2001; Sedgmen et al. 2004; Meeusen et al. 2007).
There are two components of antibody memory. First, Cell-mediated immunity is mediated by T lymphocytes,
preexisting antibodies are readily available and able to bind which can recruit and activate other cell populations, includ-
the infectious agent at the time of infection, avoiding the ing macrophages, neutrophils, and natural killer (NK) cells
need for the host’s immune system to respond. Specific by releasing cytokines, as well as directly killing infected
antibody can be maintained at a relatively high level for cells. Two major classes of T cells can be distinguished by
many years, probably produced mainly by long-lived their expression of the surface co-receptor molecules CD4
plasma B cells in the bone marrow. The second component and CD8. CD4 cells recognize peptide epitopes displayed
of antibody memory is memory B cells, which may also be on MHC class II molecules and mainly produce cytokines
crucial for vaccine-mediated protection. In this case, that activate other cells, including B cells (helper function).
Principles of Vaccinology and Vaccine Immune Response 13

(a) Effector functions of antibodies

Neutralization of
B cell pathogen and
toxin
Antibodies
Phagocyte
Opsonization and
phagocytosis of
pathogen
Fc receptor

Antibody-dependent
Pathogen
cellular cytotoxicity
NK cell
Lysis of pathogen

Phagocytosis of pathogen
Complement opsonized with complement
activation
C3b receptor

(b) CD4 and CD8 T cell functions


CD4
Activated TH cell
MHC ll

Antigen T cell receptor Cytokines

CD8
Granzymes
MHC l Activated TC cell

Infected
cell

Perforins
Antigens T cell receptor

Figure 2.1 Effector functions of antibodies and T cells. (a) Effector functions of antibodies and the cells which mediate them. Fc and
complement receptors play a major role in recruiting cells of the innate immune system. (b) Antigen peptides presented on MHC class
II recruits CD4 T cells, which in turn produce cytokines which activate other cells. Peptides presented on MHC class I by infected cells
activate CD8 T cells which lyse the infected cells but also produce cytokines.

CD8 T cells recognize peptides displayed by MHC class I those that have not (naïve cells) by the surface molecules
molecules and, as well as releasing cytokines, can directly they express. Until recently, it was assumed that T cell
kill infected target cells (Figure 2.1b). While antibodies memory existed in two compartments, defined in a pivotal
play a major role in combating extracellular infections and study by Lanzavecchia and colleagues (Sallusto et al. 1999).
may neutralize viruses, cell-mediated immunity is essen- Central memory cells (TCM) are identified by expression of
tial for eradicating many viral infections as well as certain lymph node homing molecules and are found mainly in
bacterial, fungal, and protozoal intracellular infections, for blood and lymph nodes. Like naïve cells, they recirculate
example bovine tuberculosis. through secondary lymphoid organs, are able to synthesize
T cells that have encountered antigen and responded interleukin (IL)-2 and respond to antigen contact in lymph
(memory and activated cells) can be distinguished from nodes by proliferation and differentiation to effector cells.
14 Veterinary Vaccines: Principles and Applications

Effector memory T cells (TEM) are defined in blood by the on mammalian cells. PRRs include toll-like receptors (TLRs),
absence of lymph node homing molecules and are able to lectins and cytoplasmic nucleotide-binding oligomerization
enter inflammatory sites in nonlymphoid tissues, where domain-like receptors (NLRs), and retinoic acid inducible
they can respond immediately to pathogen-infected cells. gene I-like receptors (RLRs). The interaction of PAMPS with
TEM maintain heightened effector-like functions such as PRRs in antigen-presenting cells, particularly dendritic cells
cytolytic activity of CD8 T cells or production of cytokines that are crucial for processing and presenting antigen to T
by CD4 and CD8 T cells. cells in primary immune responses, is critical for initiating
However, more recently, a third memory T cell popula- and amplifying immune responses and many newer adju-
tion has been identified: the tissue resident memory T cells vants target these receptors.
(TRM). TRM are largely sessile and do not circulate. Recent Immunostimulants include TLR agonists such as bacte-
studies have revealed that at least in some circumstances, rial flagellins, lipoplysacccharides (LPS) and CpG oligode-
TRM are more effective at protecting nonlymphoid tissues oxynucleotides (CpGODN). Synthetic oligonucleotides
from pathogens than migratory TCM and TEM (Park and containing unmethylated CpG motifs are powerful immu-
Kupper 2015; Mueller and Mackay 2016) and that their nostimulants, acting through TLR9. Different families of
abundance has been grossly underestimated (Steinert et al. CpGODN can preferentially stimulate different cells – B
2015). These studies suggest that it will be necessary to cells, NK, dendritic cells (DC) or CD8 cells involved in
establish memory T cells in tissues if rapid T cell-mediated immune responses. Cytokines can also amplify immune
control of infection is the goal, as may be the case for dis- responses.
eases such as influenza and tuberculosis. Most studies of Depot effects of adjuvants prevent antigen dispersal and
TRM so far have been performed in mice, but veterinary promote slow release. Depot vehicles can deliver not only
species provide unique opportunities to assess TRM in large antigens but also immunostimulants more effectively.
animals in the context of vaccination and infection. They include mineral salts such as alum, emulsions such
as Freund’s adjuvant, liposomes, virosomes, and immune-
stimulating complexes (ISCOMs). In reality, many adju-
2.3 ­Use of Adjuvants vants combine both immunostimulation and antigen depot
effects to varying degrees (see Table 2.1).
Adjuvants are substances incorporated into or injected Alum was introduced in the 1920s for vaccines against
simultaneously with antigen that stimulate enhanced, diphtheria and tetanus toxoid, and is widely used in veteri-
longer-lived immune responses (derived from the Latin nary vaccine formulations. Antigens are absorbed onto
adiuvare, “to help”). The use of adjuvants in veterinary particles of aluminum salts and the adjuvant activity is
vaccines is less regulated than in human vaccines and a ascribed to both the depot effect of the particles and immu-
large number are currently used in veterinary vaccines, nostimulation due to induction of inflammation. Water-in-
which in many cases are not fully specified in product oil emulsions were first introduced as adjuvants by Jules
descriptions because of commercial sensitivity. Most adju- Freund in the 1930s. Like alum, this adjuvant was designed
vants are used within inactivated or subunit vaccines due to release antigen over an extended period at the injection
to their low immunogenic profile. On the other hand, live- site, acting as an antigen depot. Complete Freund’s adju-
attenuated vaccines rarely require adjuvants because they vant consists of a water-in-paraffin oil emulsion and inacti-
usually elicit strong immune responses. By using adjuvants vated mycobacteria, which provide the immunostimulant;
in the vaccine formulation, the challenges of reduced the incomplete form lacks mycobacteria. Freund’s adju-
immunogenicity of inactivated and subunit vaccines can vant is still used when a strong adjuvant is needed and
be overcome while maintaining the high safety profile of inflammation is not an important drawback (Spickler and
the vaccine. Several adjuvants are under development with Roth 2003).
a view to eliciting similar immune responses to live- The montanides are similar to incomplete Freund’s adju-
attenuated vaccines. vant but are biodegradable and have been used in veteri-
Generally speaking, two types of action have been described nary vaccines (e.g. foot and mouth disease [FMD] virus,
for adjuvants: immunostimulation and depot effects rotavirus, coronavirus, hemorrhagic septicemia). Ribi,
(Table 2.1) (reviewed in Gerdts 2015). Immunostimulation a commonly used formulation for experimental work,
results from the activity of molecules, which directly enhance combines a water-in-oil emulsion incorporating monophos-
immune responses. The majority of immunostimulants target phoryl lipid A (MLA) and mycobacterial trehalose
pattern recognition receptors (PRRs), which are molecules dimycolate (TDM). MLA is a derivative of one of the most
expressed by lymphoid cells that recognize pathogen- potent stimulators of antigen-presenting cells, namely
associated molecular patterns (PAMPS) that are not present lipid A from gram-negative bacterial LPS.
Principles of Vaccinology and Vaccine Immune Response 17

Recently, particle-based adjuvants have been extensively immune complex formation and serum sickness. In veteri-
studied, in the form of both nanoparticles and microparti- nary medicine, antibody administration is primarily used
cles. They offer the advantage of delivering the vaccine for companion animals, but reduction in the cost of recom-
antigens directly to antigen-presenting cells, since antigen- binant (monoclonal) antibodies will make passive immu-
presenting cells preferentially take up particulate antigen. notherapy increasingly feasible.
Also, particulate vaccine formulations offer the advantage During pregnancy, maternal antibodies are transferred
of delivering the vaccine to the mucosal surfaces, including across the placenta to the fetus, providing passive immu-
oral and nasal routes of delivery (Mutwiri et al. 2005). nity that protects the newborn during the first months of
Particulate antigens elicit much better immune responses life. Such passively transferred antibodies can, in some
than soluble proteins. Liposomes, virosomes, and virus- instances, also be a disadvantage as the presence of mater-
like particles (VLP) have been used to present monomeric nal antibody in the newborn may inhibit effective immuni-
antigens in multimeric form to take advantage of this. zation. Thus, immunization against some antigens must be
Similarly, ISCOMs trap antigens in cage-like structures delayed until the titer of the maternal antibodies has
with saponins. Quil-A adjuvant is used in a wide variety of decayed. In contrast, newborn piglets and ruminants for
veterinary vaccines, and contains the water-extractable example do not have maternal antibodies at birth as these
fraction of saponins from the South American tree, Quillaja proteins cannot cross the placenta in these species and
saponiara Molina. Saponins induce strong responses to although newborns are able to mount immune responses,
T cell-dependent and -independent antigens as well as their immune system is underdeveloped at birth, and less
strong CD8 responses. able to respond to pathogens and vaccines for the first few
Most pathogens gain entry into the body via mucosal sur- weeks. Therefore, a common strategy for piglets in the
faces and the induction of immune responses at these sur- USA, for example to control influenza virus infection, is to
faces can be crucial in providing the best protection against vaccinate the sows, which then transfer this protection to
disease (Sedgmen et al. 2004). However, immunizing via their piglets in colostrum. As the maternal antibodies
mucosal surfaces is particularly challenging, as the induc- decay, however, the piglets become susceptible to infection.
tion of excessive inflammation in the intestine or respira- In the offspring of vaccinated sows, the antibodies persist
tory tract can cause serious side effects. Nevertheless, some up to 14–16 weeks, while they often disappear around
of the adjuvants described above can be used as intestinal 6 weeks in piglets born to exposed but unvaccinated sows
mucosal adjuvants, with certain molecules being particu- (Sandbulte et al. 2015).
larly effective, most notably cholera toxin, E. coli heat-
stable enterotoxin and Pertussis toxin, which augments the
2.4.2 Induced Immunity
expression of the co-stimulatory molecules CD86 on B cells
and CD28 on T cells and increases interferon (IFN)-γ pro- Induced immunity refers to any intervention whereby an
duction. However, fewer safe adjuvants for respiratory use immune response is induced in a given organism. Induced
are available. responses are stimulated by administration of vaccines
containing microbial products with or without adjuvants
in order to obtain long-term immunological protection
2.4 ­Passive Immunity, Induced against the pathogen. The nature of the induced response
Immunity, and Individual/Herd is determined by the vaccine formulation, dose, frequency,
and route of administration.
Protection
Vaccine-induced protection is affected by age, nutrition,
physiological state, underlying infections, and other fac-
2.4.1 Passive Immunity
tors. Commensal microbial communities (microbiota) col-
Passive immunity can be acquired by the administration of onize barrier surfaces of the skin, vagina, and upper
antibodies, usually IgG, either intravenously or intramus- respiratory and gastrointestinal tracts of all mammals and
cularly. Immune sera are derived from individuals who consist of bacteria, fungi, and protozoa. Studies using gnoto-
have high antibody titers to particular microbes and can biotic (germ-free), antibiotic-treated or selectively colonized
thus provide rapid protection against infections such as mice have demonstrated that signals from commensal bacte-
rabies or those caused by Clostridium species. The admin- ria can influence immune cell development, susceptibility to
istered antibodies are catabolized and must be adminis- disease and vaccine-induced protection. With aging, T cell
tered frequently to maintain a protective titer. However, function is reduced and the affinity of antibodies and
with the repeated administration of antibodies, antibodies response to vaccination become diminished. Therefore,
to the infused immunoglobulin may be induced, leading to multiple factors affect immune function, and determine
18 Veterinary Vaccines: Principles and Applications

the longevity of the response to immunization and the 2.5 ­Vaccine Delivery Systems
morbidity or mortality should infection supervene.
There are two major routes of administration: systemic and
2.4.3 Herd Immunity mucosal (Table 2.2). The majority of vaccines in veterinary
practice are delivered via needle injection by systemic
Herd immunity results from vaccination of a significant (parenteral) immunization usually carried out by adminis-
proportion of the group, which not only protects those tering the vaccine intradermally, subcutaneously, or intra-
individuals but also reduces pathogen exposure and dis- muscularly. This approach works when a relatively small
ease incidence in those not vaccinated. This indirect vac- number of animals require vaccination and for diseases in
cine effect is due to reduction of pathogen load and which systemic immunity, principally antibody-mediated
transmission within the group as a whole. Thus, herd protective immunity, is important.
immunity refers to a particular threshold proportion of Nonetheless, as most infectious agents gain entry to the
immune individuals that should lead to a decline in inci- body through mucosal surfaces, mucosal immunity is critical
dence of infection. This threshold directly depends on the for protection and recently it has also become clear that the
basic reproduction rate (R0) as the number of secondary most effective means of inducing this form of immunity is by
infections produced by a typical case of an infection in a targeting vaccines to the mucosa, rather than systemically
population that is entirely susceptible. For example, influ- (Beverley et al. 2014). This is because this route is most effec-
enza infection commonly exhibits an R0 of 2–4 and requires tive in generating mucosal TRM. Immunization via the respira-
vaccination of 50–75% of the population to achieve the tory tract is highly protective experimentally against several
herd immunity threshold (White and Vynnycky 2010). pulmonary diseases in livestock, including bovine tuberculo-
Although herd effects may be considered, the outcome sis, respiratory syncytial virus in cattle, African swine fever,
measure for human vaccine evaluation is typically the sta- and porcine reproductive and respiratory syndrome virus. For
tus of the individual. In contrast, in veterinary medicine, example, targeting Bacillus Calmette-Guerin (BCG) or adeno-
herd immunity is more commonly assessed and much viral vectors expressing tuberculosis antigens to the respira-
more important, as disease management is often at group tory tract is a more effective way to induce protection in mice
level and concerns control of spread between herds, rather (Forbes et al. 2008), guinea pigs, cattle (Dean et al. 2015) and
than spread within already infected herds (Knight-Jones nonhuman primates (Jeyanathan et al. 2015) than parenteral
et al. 2014). immunization. Similarly, ­intranasal administration of a

Table 2.2 Vaccine delivery systems.

Type of delivery Administration Advantages/disadvantages

Parenteral Intradermal Systemic immunity (generally Ab mediated)


Subcutaneous Good for a small number of animals
Intramuscular
Mucosal Intranasal Local immunity
Prevent infection at the entry point
Induce potent mucosal immunity
In ovo To eggs Reproducible and reliable
Generates systemic immunity in the adult animal
Can be applied to a large number of eggs
Oral In water Ease of administration
Lack of stress
Ag has to be mass-produced inexpensively Applicable to animals of all sizes
Lack of dose control
Ag need to be protected against degradation
Oral In a bait (for wild animals) The Ag has to be mass-produced inexpensively
Ag has to be robust and stable
Vaccine preparation should be compatible with bait delivery systems

Ab, antibody; Ag, antigen.


Principles of Vaccinology and Vaccine Immune Response 19

recombinant chimpanzee adenovirus expressing respiratory in the environment. For practical reasons, oral delivery is
syncytial virus F, N, and M2-1 proteins is highly protective in the most likely route of choice for wildlife vaccine develop-
calves (Taylor et al. 2015) and intranasal administration of ment and this method has proved successful, for example,
killed porcine reproductive and respiratory syndrome virus against rabies. The first field trials using a recombinant
vaccine antigens entrapped within nanoparticles induces vaccinia virus rabies vaccine targeting foxes and deployed
strong cross-protective immunity against heterologous chal- in bait were initiated in Europe late in the 1980s and con-
lenge in pigs (Binjawadagi et al. 2014). tinued into the early 1990s. Oral rabies vaccination pro-
In cattle and pets, several vaccines are delivered by the grams have also been implemented in the USA and
intranasal route using mucosal atomization devices: southern Canada, principally targeting raccoons and coy-
NOBIVAC KC, a vaccine for Bordetella bronchiseptica and otes in the former and red foxes in the latter, as the major
canine parainfluenza virus in dogs; TRACHERINE, a vac- wildlife reservoirs. As in Europe, wide-scale oral rabies
cine for infectious bovine rhinotracheitis (IBR) virus in cat- vaccination has been successful in reducing the incidence
tle; and Rispoval RS + PI3 against bovine parainfluenza of rabies among target species.
and bovine RSV. The main limitation to oral vaccination efficacy for wild
In poultry, vaccine delivery systems include needle inoc- animals lies within the immunogen itself as it has to be
ulation using wing web vaccination or in ovo injection. In mass-produced inexpensively, while maintaining safety
ovo vaccination has been rapidly adopted as the method of and efficacy. Vaccine immunogens must also be robust, sta-
choice for immunizing chickens against Marek’s disease ble, and compatible with bait delivery systems. In addition,
and other poultry diseases in many countries because it is the vaccine vehicle must deliver sufficient quantities of the
reproducible, reliable, generates systemic immunity in the immunogen to induction sites in order to stimulate a pro-
adult animal and can be rapidly applied to large numbers tective immune response. Technologies used include devel-
of eggs (Ricks et al. 1999). In recent years, the search for opment of biocompatible encapsulation materials for the
alternative methods of vaccine delivery not requiring a immunogen. Alternatively, the form of the immunogen
needle and syringe has been accelerated by the need for itself can be modified to suit the delivery conditions. One
ease and speed of delivery, improved safety and compli- example is the use of lyophilized preparations of attenu-
ance, decreased costs, and reduction of side effects associ- ated or gene-mutated/avirulent variants of the rabies virus
ated with injection. For example, alternatives to injection for vaccination of Arctic foxes in polar environments. This
in poultry include the incorporation of vaccines into avoids the loss of efficacy of the more widely used recombi-
drinking water, eye drops, aerosols, and sprays such as nant vaccinia virus that occurs in sub-zero temperatures
those used in avian influenza control programs (Swayne (reviewed in Cross et al. 2007).
2009). Other delivery methods are also being investigated,
like a gene gun in the case of DNA vaccine delivery, but
these new technologies have not yet advanced to the stage 2.6 ­Assessing Protection Delivered
of routine use in livestock (Huang et al. 2006; Loudon Through Vaccination – Mode
et al. 2010). and Level of Protection
In fish, needle injection has been used with all its associ-
ated problems but needle-free routes, such as dispersing The efficacy of new vaccines is evaluated by potency tests
vaccines in the water or food, are being explored. The oral in which the relevant species of animal is vaccinated and
route is attractive for its ease of administration of antigens, then challenged with the target live pathogen. The percent-
lack of stress, and because it is applicable to fish of all sizes. age of animals that survive or show reduced disease symp-
It may also be used for oral boosting during grow-out toms/pathogen replication following challenge is compared
periods in cages or ponds. However, so far, few commercial with nonvaccinated controls. Effective vaccines should
vaccines are available due to lack of efficacy and challenges protect 80–100% of animals, at least from serious disease.
associated with production of large quantities of antigens. The potential benefits of an effective vaccine (e.g. promo-
Antigens also need to be protected against degradation tion of health and well-being, and protection from illness
before they reach the sites where immune induction and its physical, psychological, and socioeconomic conse-
occurs. Currently, encapsulation techniques are being quences) must be considered against the risk of adverse
explored in the quest to protect antigens against digestive events following immunization. Less effective vaccines
degradation, as well as to target them for appropriate may be acceptable if they are safe and economical and
immune induction in the host (Mutoloki et al. 2015). nothing better is available.
Vaccination of wild animals poses additional problems, Vaccination is a powerful tool for the control of infec-
both in delivery of the vaccine and maintaining its stability tious diseases; however, its efficacy in disease prevention
20 Veterinary Vaccines: Principles and Applications

depends on implementing correct strategies, for example vaccine-induced protection may also vary widely between
targeted vaccination of animals at high risk or mass vacci- different pathogens, in different species, according to the
nation of all animals, as well as the level of vaccination and dose of pathogen to which the individual is exposed, and
herd immunity (as described above). Cost is an important different routes of exposure (Meeusen et al. 2007). These
constraint in farming. problems make it difficult to identify iCOP that can be used
A central target of vaccine research is to identify vaccine- with confidence for diseases other than those in which anti-
induced immune responses that correlate with protection body is the dominant protective mechanism (see Table 2.3).
from infection or disease. According to the Food and Drug Despite the importance of identifying iCOP, there are few
Administration of the USA, a correlate of protection is a methods for predicting protective immunity (Thakur et al.
laboratory parameter that is associated with protection 2012). It is also worth noting that although iCOP correlate
from the occurrence of clinical disease as shown after suf- with protection, they may not measure the key mechanisms
ficient and controlled trials (FDA 1997). Such immune cor- of protection. Protection depends on preexisting neutraliz-
relates of protection (iCOP) can then be used to predict the ing antibodies and/or preactivated T cells at the time of
protective efficacy of a vaccine in a new setting, when vac- infection, as documented by the importance of maternal
cine efficacy is not directly observed, for example across antibodies around birth for survival of the offspring.
vaccine lots, different populations, or in different species. However, detection of activated T cells or neutralizing anti-
If the predictions are reliable, then use of iCOP provides an bodies does not necessarily indicate protection.
efficient way to guide the development, evaluation, and It is important to consider whether vaccination can pre-
utilization of vaccines. However, empirically validating vent infection completely or prevent disease symptoms
iCOP may be challenging and it is still unresolved for many only. In the latter case, the host does not suffer from disease
diseases (Table 2.3). but the pathogen continues to circulate in the herd under
Both cell-mediated and humoral immune parameters immune pressure. This may induce genetic change leading
have been investigated as potential iCOP, reflecting the type to emergence of new strains with higher pathogenic poten-
of immunological response that is required for protective tial. A good example is the use of commercial Marek’s dis-
efficacy against the relevant pathogen (see Figure 2.1) ease vaccines that protect with great efficacy against the
(Thakur et al. 2012). While the majority of vaccines have development of the disease but do not prevent infection or
been developed empirically with little understanding of the transmission. In the years following the introduction of
underlying mechanism of action, their success most often Marek’s disease vaccine, strains of increased virulence
relates to induction of strong humoral immune responses. have been isolated from vaccine breakdowns, suggesting
However, protection against most intracellular infections that the use of increasingly potent vaccine regimens could
requires a cell-mediated immune response (e.g. Salmonella be driving Marek’s disease virus to evolve to increasing
infection, tuberculosis, Chlamydia, or Apicomplexan para- virulence (Davison and Nair 2005).
sites) and others are only resolved if both forms of protec-
tion are present (Tham and Studdert 1987; Scott and
Geissinger 1999; McVey and Shi 2010). The mechanisms of 2.7 ­Benefits of Using DIVA Vaccines

In situations such as that described above for Marek’s disease


Table 2.3 Main gaps in our knowledge.
virus, where virus may continue to circulate in spite of vac-
●● Identifying immune correlates of protection after vaccination cination, better control of disease can be achieved if a test is
for each disease available to differentiate between infected and vaccinated
●● How best to administer vaccines to induce tissue resident animals (DIVA test). DIVA tests detect immunity to one or
memory T cells (TRM) and determine the duration of TRM more proteins in the wild-type microorganism that are not
induced protection present in the vaccine, either serologically or using assays for
●● How best to induce long-term memory in veterinary species cell-mediated immunity. Therefore, naturally infected ani-
and the mechanisms involved mals can be detected in a vaccinated population and meas-
●● New and effective adjuvants and delivery systems, particularly ures taken to prevent further pathogen transmission. During
for mucosal use
the global eradication of rinderpest virus, a safe and effective
●● How to predict adverse effects of vaccines live attenuated vaccine and a suitable companion diagnostic
●● How to induce cross-reactive immunity to different serotypes/ test were implemented. Unfortunately, those diagnostic tests
genotypes of a pathogen
did not follow the DIVA concept. While the vaccine was suc-
●● How to develop vaccines for complex pathogens or chronic cessfully applied across much of the developing world to
infections
protect livestock against rinderpest virus, the serological
Principles of Vaccinology and Vaccine Immune Response 21

response to vaccination did not differ from that seen follow- control a low-pathogenic avian influenza infection (H7N1)
ing natural infection with field isolates of rinderpest virus. in Italy in 1999–2000. The vaccine virus contained the same
Therefore, serosurveillance tests were not able to differenti- hemagglutinin subtype (H7) as the wild-type virus but a dif-
ate between naturally infected and vaccinated animals. This ferent neuraminidase (N3). The companion test, an indirect
delayed recognition of countries as being free from rinder- immunofluorescence assay, detected antibodies against N1
pest virus as serological naivety in cattle populations had to (reviewed in Pasick 2004). A similar strategy is used in other
be demonstrated for several years following the cessation of countries like China and the USA.
vaccination (Buczkowski et al. 2012). Emergency vaccination using DIVA vaccines could be an
DIVA vaccines and their companion tests are now avail- important control tool for disease outbreaks in densely pop-
able for several diseases including IBR, pseudorabies, clas- ulated livestock areas. DIVA vaccination might also limit
sic swine fever (CSF), and FMD. DIVA vaccines were first the number of culled animals in the process of disease erad-
used for the eradication of pseudorabies (Aujeszky’s dis- ication (e.g. in a FMD epidemic), thereby enhancing public
ease) in pigs. The vaccines are based on recombinant dele- acceptance of disease control measures and limiting eco-
tion mutants lacking the gE envelope glycoprotein and nomic damage. Therefore, the DIVA concept is recom-
thymidine kinase genes. The accompanying tests score pigs mended for inclusion in any new vaccine development.
as seropositive for gE antibodies. DIVA vaccines against IBR
of cattle, caused by the bovine herpesvirus 1 (BHV-1), work
on a similar principle. Currently available FMD vaccines 2.8 ­Summary
can be prepared from purified and chemically inactivated
whole virus particles. The nonstructural proteins (NSPs) are One of the greatest triumphs of human and veterinary
separated from the virus particles so that serological assays medicine has been the ability to harness immune mecha-
detecting antibodies against NSP are indicators of infection. nisms through vaccination to protect against a wide range
For CSF, a baculovirus-expressed recombinant E2-subunit of diseases. In recent years, vaccine development has used
vaccine is on the market. The surface glycoprotein E2 is the the tools of modern molecular biology and genomics to
most antigenic protein of CSF virus and elicits a neutraliz- characterize the molecules of the immune system, identify
ing antibody response, which can protect pigs against CSF. target antigens of pathogens, develop recombinant vectors
For DIVA purposes, enzyme-linked immunosorbent assays to deliver antigens, and map the exact specificity of
(ELISAs) were developed which detect antibodies against immune responses. However, despite these significant
the viral envelope glycoprotein Erns. In another example, achievements, we still face many gaps in our knowledge
an inactivated heterologous vaccine was used in order to and challenges (see Table 2.3)

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25

Role of Regional and International Organizations


in Vaccine International Standards
Karim Tounkara1, Nick Nwankpa2, Lawrence Elsken3, and Monique Eloit4
1
OIE Regional Representation for Africa, Bamako, Mali
2
Department of Rural Economy and Agriculture, African Union Commission, African Union Pan African Veterinary Vaccine Centre (AU-PANVAC), Debre-Zeit, Ethiopia
3
EDGE Veterinary Vaccines Consulting Group, LLC, Ames, Iowa, USA
4
World Organization for Animal Health (OIE), Paris, France

3.1 ­Introduction authorities should strive to establish control standards and


procedures that ensure a finished product of the highest
The production of vaccine – a biological product – pro- quality possible. Each country has a range of veterinary
vides a great opportunity for variability, which should be legislation, aimed at regulating the control, sale, and use of
controlled to the greatest extent possible, to ensure the veterinary medicinal products. These legislations stipulate
purity, safety, potency, and efficacy of the vaccine and the the minimum requirements for quality, which usually
batch-to-batch uniformity independently of the place of require testing by a laboratory under state supervision.
its production. In this process, standardization of vaccine In developed countries, quality control and biological
production is vital. Several key international and regional standardization have always been a prerogative of the state,
organizations play major roles in the global standardiza- and quality standards have been developed at a national,
tion and harmonization of vaccine production and use, regional, or international level. Until recently, these were
through the production of standards in the form of guides, relatively new notions in developing countries. Although
manuals, and monographs. Some of these standards most African countries have, in recent years, adopted vet-
include the World Organization for Animal Health (OIE) erinary medicinal products legislation, very few of them
manual of diagnostic tests and vaccines for terrestrial ani- offer an effective regulatory system for licensing and/or
mals; the European Pharmacopoeia (EP) monographs on monitoring the quality of biological products, such as vac-
vaccines and other immunological human medicinal cines, to ensure that only those that are pure, safe, and
products; the International Cooperation on Harmonization potent are used in animal disease control programs. In
of Technical Requirements for Registration of Veterinary many cases, veterinary biological products are licensed
Products (VICH) monographs; and the United States according to the “dossier” submitted by the supplier and
Department of Agriculture Animal, Plant Health not according to laboratory or field data.
Inspection Service (USDA-APHIS), Veterinary Biologics The reality of the globalization of trade and the introduc-
regulations and guidance. tion of technical barriers to trade dictates that harmoniza-
tion and standardization of requirements for veterinary
vaccines must be instituted at regional and international
levels in order to safeguard the economic, environmental,
3.2 ­The Need for International and social welfare of the planet.
Vaccine Standardization Recent scientific and technical developments have led to
a rapid expansion in the number and complexity of biologi-
As a rule, a vaccine should not be used if the national qual- cals, with new products, including vaccines and new bio-
ity control authority does not approve its use. These control technologies, posing new challenges for standardization.

Veterinary Vaccines: Principles and Applications, First Edition. Edited by Samia Metwally, Gerrit Viljoen, and Ahmed El Idrissi.
© 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd.
26 Veterinary Vaccines: Principles and Applications

3.3 ­Key International and Regional Health) (Blancou and Truszczynski 1995) (Figure 3.1). The
Organizations and Their Functions World Health Organization (WHO) is not directly involved
in standardizing or testing vaccines for veterinary use but
3.3.1 International Vaccine Standardization some approaches used for human vaccines may be similar
Organizations and it has an interest in pathogens which are transmissible
to human beings (e.g. zoonoses, toxins in food).
The key international organizations responsible for
addressing the issue of veterinary vaccine standardization 3.3.1.1 World Organization for Animal Health
are the OIE, the Food and Agriculture Organization of the The Office International des Epizooties (OIE) was created
United Nations (FAO), the Global Alliance for Livestock through the international agreement signed on January 25,
Veterinary Medicines (GALVmed) and the Health for 1924, in Paris by 28 countries. In May 2003, the OIE became
Animals (formerly International Federation for Animal the World Organization for Animal Health, but kept its

The World Organization


for Animal Health (OIE)

The World Health


Organization (WHO).
International
vaccine The Food and Agriculture
Organization of the United
standardization Nations (FAO)
organizations
Global Alliance for
Livestock Veterinary
Medicine (GALVmed)

Health for Animals (Former


International Federation
for Animal Health)

The Pan African Veterinary


Africa Vaccine Centre of the African
Union (AU-PANVAC)

European Medicines
Agency (EMA)
Europe

European
Pharmacopoeia

Key Regional vaccine


The Pan American Health
International standardization Organization (PAHO)
and Regional organizations
Organizations Inter-American Institute for
Americas Cooperation on Agriculture
(IICA)

Committee of the Americas for


Veterinary Medical Products
(CAMEVET).

In the past the Animal Production


Asia, the Far East
and Health Commission for
and Oceania Asia and the Pacific (APHCA)

The Organisation for Economic


Cooperation and Development
(OECD)

The International Cooperation on


Harmonisation of Technical
Requirements for Registration of
Veterinary Medicinal Products (VICH)

Non-geographical International Alliance of


Biological Standardization
organizations (IABS)

National Institute for


Biological
Standards and Control

Official Control Authority Batch


Release (OCABR) and
Official Batch Protocol

Figure 3.1 Key international and regional organizations.


Role of Regional and International Organizations in Vaccine International Standards 27

historical acronym OIE. Currently (2020), the OIE has a the Codex Alimentarius is to develop harmonized interna-
total of 182 member countries and maintains permanent tional food standards, which protect consumer health and
relations with 75 other international and regional organi- promote fair practices in food trade. The Joint Division of
zations. It is responsible for setting standards for improving Nuclear Techniques in Food and Agriculture, operated
animal health and welfare worldwide and is recognized as jointly by the FAO and the International Atomic Energy
a reference organization by the Agreement on Application Agency (IAEA), helps veterinary services and research
of Sanitary and Phytosanitary Measures (SPS Agreement) institutes in developing countries to establish various
of the World Trade Organization (WTO). immunoassays including radioimmunoassay (RIA),
The OIE’s financial resources are derived mainly from enzyme-linked immunosorbent assay (ELISA), and molec-
compulsory annual contributions, backed by voluntary ular techniques for monitoring vaccination campaigns, and
contributions from member countries. for diagnosis and surveillance of animal diseases. This joint
The OIE has four specialist commissions: Terrestrial program is implemented by the Animal Production and
Animal Health Standards Commission or Terrestrial Code Health Section and its laboratory respectively in Vienna
Commission; Scientific Commission for Animal Diseases; and in Seibersdorf, Austria.
Biological Standards Commission; and Aquatic Animal
Health Standards Commission or Aquatic Code Commission. 3.3.1.3 Global Alliance for Livestock
Their role is to use current scientific information to study Veterinary Medicine
problems of epidemiology and the prevention and control of The Global Alliance for Livestock Veterinary Medicines,
animal diseases, to develop and revise OIE’s international formerly the Global Alliance for Livestock Vaccines, is a
standards (including those for vaccines), and to address sci- not-for-profit, livestock health product, development and
entific and technical issues raised by members. access partnership. GALVmed’s objectives are:
The OIE is committed to continuously improving the
●● to relieve financial hardship and promote good livestock
transparency of its standards development process in order
health (including improving food security) among live-
to have the best scientific basis for its standards and to gain
stock keepers in developing countries through the pro-
their widest possible support. All reports from OIE special-
motion of affordable, accessible vaccines, pharmaceutical,
ist commissions and accepted reports from relevant OIE
and diagnostic products/services aimed at improving the
working groups and ad hoc groups are published on the
health of their livestock
OIE public website and incorporated as appendices or
●● to promote the effective use of resources to achieve the
chapters in publications.
above charitable purposes through the identification,
management, funding, and coordination of research into
3.3.1.2 Food and Agriculture Organization
livestock products and services
of the United Nations
●● the development and delivery of these products and ser-
The FAO was created in 1945 as an intergovernmental
vices at affordable prices, by working in partnership with
organization. Currently, the FAO has 194 member nations.
others (whether charities, government, private bodies or
The FAO is concerned with livestock development, includ-
institutions).
ing assisting its member countries in the control and eradi-
cation of animal diseases. GALVmed achieves its objectives by facilitating the nec-
Based on its experience in the coordinated Global essary dialogue and regulatory activities for vaccine regis-
Rinderpest Eradication Programme (GREP) and through the tration harmonization arrangements in Africa, i.e. working
European Commission for the Control of Foot and Mouth to facilitate a process where vaccine registration in one
Disease, the FAO has been involved in the standardization of country results in registration in other participating coun-
disease control tools, especially vaccines, and has defined tries and also providing technical support in developing
major guidelines and standards for the use of vaccines which standardized tools and procedures to regulatory agencies.
it insists must be high-quality internationally recognized vac- GALVmed works within the African Regional Economic
cines, independently tested for efficacy and safety before use Communities (RECs) framework to implement the mutual
in coordinated mass vaccination campaigns. recognition framework in East Africa and engage other
Even though the FAO is not directly involved in testing RECs in implementing appropriate activities.
vaccines for veterinary use, it established two auxiliary ser-
vices to assist in matters related to veterinary vaccines. The 3.3.1.4 Health for Animals (Formerly
Codex Alimentarius or “Food Code” was established jointly International Federation for Animal Health)
with the WHO in 1963 to promote standards to facilitate Health for Animals is a nonprofit, nongovernmental
international trade in food commodities. The objective of organization (NGO) based in Brussels representing the
28 Veterinary Vaccines: Principles and Applications

a­ nimal health sector, including manufacturers of veteri- and against certain diseases confined to animals (e.g.
nary pharmaceuticals, vaccines, and other animal health canine distemper, classic swine fever, Newcastle disease).
products throughout the world, as well as the associations
that represent companies at national and regional levels.
3.3.2 Regional Vaccine Standardization
The mandates of Health for Animals are, among others, to:
Organizations
●● act as a unified global industry voice in dialogue with
3.3.2.1 Africa: Pan African Veterinary Vaccine
major international bodies (OIE, FAO, WHO, Codex,
Centre of the African Union
World Trade Organization, etc.), governments, animal
The Pan African Veterinary Vaccine Centre of the African
health stakeholders, food industry partners, and
Union was founded in 1984 in support of the Pan African
consumers
Rinderpest Campaign (PARC), as a result of the implemen-
encourage and assist the development of predictable
tation of the recommendation of the FAO Expert
●●

science-based regulatory processes and standards where


Consultation on Rinderpest held in Rome (Italy) urging all
authorization and approval to market medicines are
vaccine-producing laboratories in Africa to participate in
firmly rooted in a thorough risk–benefit analysis
international and independent vaccine quality control
promote international harmonization of testing require-
schemes. The primary aim of this recommendation was to
●●

ments for animal health products to facilitate the availa-


ensure the use of good-quality vaccines in the rinderpest
bility and delivery of new and innovative products
vaccination campaigns. In 1986, the FAO established,
worldwide
through its Technical Cooperation Programme (TCP/
act as a source of information on the benefits of animal
RAF/6767 and 6766), two regional vaccine quality control
●●

health products for animal health and welfare, food and


and training centers, in Debre Zeit (Ethiopia) for eastern
safety, and public health
and southern Africa, and in Dakar (Senegal) for West and
actively promote the value of research-based medicines
Central Africa, dedicated to improving the quality of the
●●

developed to the highest standards and authorized


rinderpest vaccine produced in Africa. This initiative was
according to the regulatory criteria of quality, safety, and
followed, from 1988 to 1993, by a United Nations
efficacy
Development Programme (UNDP) funding (UNDP/
ensure the availability of all classes of veterinary medi-
RAF/88/050) of the two centers as a single project which
●●

cines to the benefit of animal health and welfare, and


became the Pan African Veterinary Vaccine Centre
promote their responsible use.
(PANVAC) under the responsibility of the then Organization
of African Unity/Inter-African Bureau for Animal
3.3.1.5 World Health Organization Resources (OAU/IBAR), with the FAO as the executing
The WHO is a specialized United Nations agency created agency. In 1993, the two units merged and now perform the
in 1946 with its headquarters in Geneva (Switzerland). Its functions of PANVAC at one site in Debre Zeit. In 1994, the
goal is to build better, healthier futures for people all over Fourth Conference of African Ministers responsible for
the world to ensure the highest attainable level of health. Animal Resources held in Addis Ababa (Ethiopia) recom-
The WHO budget is financed through a mix of assessed mended the institutionalization of PANVAC as a technical
and voluntary contributions. It has more than 700 collabo- center of the OAU, which later became the African Union.
rating centers working on, among others, the standardiza- The Center was officially launched as an African Union
tion of terminology and nomenclature, of technology, of Institution, with its headquarters located at Debre Zeit
diagnostic, therapeutic and prophylactic substances, and (Ethiopia) in 2004.
of methods and procedures. The World Health Assembly is The major objective of the PANVAC is to promote the
the decision-making body of WHO. availability of safe, effective, and affordable veterinary vac-
The WHO Expert Committee on Biological cines. Its mandates are, among others, to provide interna-
Standardization (ECBS) has issued general documents on tional independent quality control of veterinary vaccines
standardization, which could apply to veterinary vaccines. in Africa using the OIE standards, and facilitate the stand-
Even though the major role of the WHO ECBS is not stand- ardization of veterinary vaccines production and harmoni-
ardization of veterinary vaccines, it has issued reports on zation of their quality control techniques in Africa by
veterinary vaccines, most recently in 1992. The WHO cata- establishing and maintaining a repository of well-charac-
logue entitled Biological Substances: International terized reference materials composed of cell, virus, and
Standards and Reference Reagents (latest edition dated bacterial vaccine seed stocks, antisera, and antigens. The
1990) contains a list of some reference reagents for sera and number of vaccines certified by PANVAC has continued to
vaccines against zoonoses (botulism, brucellosis, rabies) rise over the years as the disease priorities of the different
Role of Regional and International Organizations in Vaccine International Standards 29

regions in Africa change. Between 2010 and 2016, about To fulfill its mission, the EMA works closely with
1318 batches of different veterinary vaccines, estimated at national competent authorities in a unique partnership
over 1.5 billion doses, were certified by PANVAC. Through known as the European Medicines Regulatory Network.
its vaccine quality assurance systems, PANVAC was able to The network is composed of thousands of experts from
catalyze the adoption of improved methods for the produc- across Europe grouped into seven EMA scientific commit-
tion and quality control of priority vaccines in Africa. This tees and more than 30 working parties. Working together
is reflected by the fact that pass rates of vaccines from has encouraged the exchange of knowledge, ideas, and best
African laboratories are currently above 90% compared practices, in order to ensure the highest standards in medi-
with about 30% in the 1980s. cines regulation.
Most vaccine production laboratories in Africa con-
tinue to benefit from supplies of reference repository 3.3.2.2.2 European Pharmacopoeia The European
materials in order to harmonize and standardize the qual- Pharmacopoeia was created in 1964 under the aegis of the
ity of vaccines produced across the continent. This, in Council of Europe by a treaty signed by eight nations:
addition to the publishing of major vaccine standard Belgium, France, Germany, Italy, Luxembourg, the
operating procedures, contributes to the adoption of har- Netherlands, Switzerland, and the UK. The objective of
monized procedures for vaccine production and quality this institution is to harmonize national laws on the
control in Africa. Through its training programs, PANVAC manufacture, circulation, and distribution of medicines in
has trained hundreds of veterinarians and technicians Europe. The role of the European Pharmacopoeia has been
from national vaccine production laboratories in Africa. described by Artiges (1992).
These training sessions have been organized as annual The work of the European Pharmacopoeia is undertaken
workshops for vaccine-producing laboratories, fellow- by two bodies: the European Pharmacopoeia Commission,
ships or as in-house (in situ) arrangements. PANVAC also which prepares and adopts the technical decisions relating
continues to provide technical expertise and to transfer to monographs, and the Public Health Committee of the
new vaccine production technologies, when available, to Council of Europe, which exercises administrative author-
vaccine-producing laboratories in order to improve their ity over the Commission’s activities and sets the date of
capacities and productivity. application of the monographs but cannot interfere with
PANVAC became an OIE collaborating center in vaccine their technical content.
quality control of veterinary vaccines in 2013 and an FAO
reference center in 2015. 3.3.2.2.3 Official Control Authority Batch Release and Official
Batch Protocol Review: OCABR/OBPR for Immunological
3.3.2.2 Europe Veterinary Medicinal Products Article 82 of European
3.3.2.2.1 European Medicines Agency The European Directive 2001/82/EC, as amended by Directive 2004/28/
Medicines Agency (EMA) was set up in 1995, in London, to EC, of the European Parliament and the Council came into
harmonize the work of existing national medicine force throughout the EC in 2005. This article allows, for
regulatory bodies. Today, the EMA is a decentralized reasons of human or animal health, a member state to
agency of the European Union (EU) responsible for the request samples of each batch of a given immunological
scientific evaluation, supervision, and safety monitoring of veterinary product (IVMP) to be submitted to a Competent
medicines developed by pharmaceutical companies for use Authority (CA) for official testing by an Official Medicine
in the EU. Control Laboratory (OMCL) before it is placed on the
EMA protects public and animal health in 28 EU mem- market. It also establishes the conditions under which a
ber states, as well as the countries of the European restricted test list can be applied. This is referred to as
Economic Area, by ensuring that all medicines available on Official Control Authority Batch Release (OCABR). OCABR
the EU market are safe, effective, and of high quality. performed by any given member state must be mutually
The mission of the EMA is to foster scientific excellence in recognized by all other member states requiring OCABR for
the evaluation and supervision of medicines, for the benefit that product.
of public and animal health in the EU. Its activities are to: Article 81 of European Directive 2001/82/EC allows a
member state, where appropriate, to ask a Marketing
●● facilitate development and access to medicines Authorization Holder (MAH) to provide documentation to
●● evaluate applications for marketing authorization a control authority or an OMCL proving that control tests
●● monitor the safety of medicines across their lifecycle were carried out in accordance with the methods laid down
●● provide information on human and veterinary medi- in the marketing authorization (MA). This is referred to as
cines to healthcare professionals and patients. an Official Batch Protocol Review (OBPR). A goodwill
30 Veterinary Vaccines: Principles and Applications

agreement has been adopted by the Veterinary Batch Disease Center (PANAFTOSA), involved in the
Release Network (VBRN) to mutually recognize OBPR cer- standardization of foot and mouth disease (FMD) vaccines
tificates between member states, provided the procedure for the Americas.
and rules codified by the network are followed. The PANAFTOSA was opened in 1951 in Rio de Janeiro,
The VBRN is an important forum for the confidential Brazil, and provides training in vaccine production and
exchange of quality and technical information on IVMPs control. It takes a direct and active part in defining quality
and related methods and is a key link in the regulatory control standards for FMD vaccine in every country of the
chain. As mandated by the European Commission, the region. It also advises on vaccine production and testing in
European Directorate for the Quality of Medicines local laboratories.
(EDQMs) acts as its secretariat. The VBRN is a specific
network within the general OMCL network, thus subject to 3.3.2.3.2 Inter-American Institute for Cooperation
its operating rules. It is supervised by an elected advisory on Agriculture The IICA is a specialized agency in the
group consisting of four representatives from different region of the Americas. It was founded in 1942 and is now
member states. A plenary meeting is held annually bringing responsible for encouraging, facilitating, and supporting
together all the representatives to review the year’s cooperation in agricultural development and rural
activities and discuss issues concerning the network. This prosperity among its 34 member states. Its Program V:
meeting also serves as an opportunity to reconsider the Agricultural Health focuses on the development of
need for testing different product types and to adopt equivalent compatible laws and regulations to facilitate
officially the VBRN procedures and guidelines, which trade within the region.
must be approved by all the network’s members. A short The activities of the PAHO, IICA, and the OIE with
list of IVMPs for which Article 82 may be applied using a regard to the regulation and testing of vaccines in the
restricted test list has been agreed upon. This short list is Americas are coordinated by an Inter-American
reviewed on a regular basis to ensure it continues to address Cooperation Group on Animal Health. This body, made up
product quality and safety needs appropriately. The current of the international, regional, and subregional organiza-
list can be found in annex I of the EU Administrative tions and an associate member, the USDA-APHIS, provides
Procedure for Application of Article 82 for Official Control technical cooperation in the field of animal health to the
Authority Batch Release of Immunological Veterinary countries of the Americas. It meets once a year within the
Medicinal Products (www.edqm.eu/en/ocabrobpr- region to discuss action required by smaller regional struc-
immunological-veterinary-medicinal-products-ivmps). tures, such as the International Regional Organization for
Plant and Animal, the Junta del Acuerdo de Cartagena, the
3.3.2.3 Americas Caribbean Animal and Plant Health Information Network
Three major animal health organizations are involved in (CARAPHIN), and the Common Market of the South
the standardization of veterinary vaccines at regional level (MERCOSUR).
for the Americas: Pan American Health Organization
(PAHO), Inter-American Institute for Cooperation on 3.3.2.3.3 Committee of the Americas for Veterinary Medical
Agriculture (IICA), and Latin-American Technical Products The Committee of the Americas for Veterinary
Committee for Harmonization of the Registration and Medical Products (CAMEVET) is a working group for the
Control of Veterinary Medicines. harmonization of registration and control of veterinary
medicines under the framework of the OIE, and has been
3.3.2.3.1 Pan American Health Organization The PAHO, a working uninterruptedly since 1992, when the first
specialized international health agency for the Americas, seminar for the harmonization of rules governing the
was created in 1920 to continue the work of the Pan registration and control of veterinary medicines was held
American Sanitary Bureau established in 1902. It is in the city of Buenos Aires, Argentina. The Committee has
composed of 48 member countries and territories, sets the a unique nature, as it brings together government and
regional health priorities and mobilizes action to address private sector efforts in a framework of open and true
health problems that do not respect borders and that, in discussion.
many cases, jeopardize the sustainability of health systems Its objectives, as indicated in the name of the opening
in the region. It is the specialized health agency of the seminars, have at all times been the harmonization of the
Inter-American System and also serves as the WHO rules governing the registration and control of veterinary
Regional Office for the Americas. The PAHO Headquarters medicines to ensure that products marketed in the region
is in Washington, DC (USA), and has three specialized are manufactured, registered, and controlled using equiva-
centers, including the Pan American Foot and Mouth lent systems in order to facilitate their trade between the
Role of Regional and International Organizations in Vaccine International Standards 31

different countries. The deliverables from the group, in the requirements for veterinary product registration. Its role is
form of rules applicable to the sphere of reference, consti- to establish and implement harmonized regulatory require-
tute a set of documents that adapt the essential technical ments for veterinary medicinal products in the VICH
requirements for achieving effective, safe, and innocuous regions, as well as working toward providing a basis for
veterinary products to the actual circumstances of each wider international harmonization of registration require-
member country, while keeping them equivalent to those ments. This is done through the harmonization of techni-
recommended internationally. cal requirements for data necessary for marketing
authorization (also called “registration”) of a veterinary
3.3.2.4 Asia, the Far East, and Oceania medicinal product and by developing harmonized guide-
Currently no organization in the region is directly involved lines on the studies to be submitted in a marketing authori-
in activities aimed at the standardization of vaccines. In zation application.
the past, the Animal Production and Health Commission The VICH has an Outreach Forum (VICH 2014) com-
for Asia and the Pacific, based since 1975 at the FAO posed of countries and regional organizations that have
Regional Office in Bangkok (Thailand), played an indirect expressed an interest in the work of VICH and are moti-
role in testing vaccines for veterinary use. vated to participate in the activities of the VICH
The Commission, in collaboration with other units in the Outreach Forum. It aims at providing a basis for wider
FAO and international partners OIE and WHO, continues international harmonization of technical requirements,
to carry out a number of initiatives in the region: capacity improving information exchange and raising awareness
building and training in technical measures and controls, of VICH and VICH guidelines with non-VICH countries/
assessments and planning, and regional information regions.
exchange. The OIE provides support to VICH and considers that
the international harmonization of technical requirements
for pre- and postmarketing authorization of veterinary
3.3.3 Nongeographical Organizations
medicines is a necessity for animal health, public health,
A number of organizations cover a group of countries with and facilitation of international trade and that the VICH is
common problems. The major ones are the Organization one of the necessary tools to achieve these aims.
for Economic Co-operation and Development (OECD); the
VICH; the International Alliance of Biological 3.3.3.3 International Alliance of Biological
Standardization (IABS); and the National Institute for Standardization
Biological Standards and Control (NIBSC). The IABS was founded in 1955 to bring together control-
lers, manufacturers, and research workers interested in the
3.3.3.1 Organization for Economic Co-operation control and standardization of biological products. The
and Development IABS is an independent, nonprofit scientific alliance,
The organization was formed in 1960. It is concerned with devoted to the scientific and medical advancement of bio-
the implications of biotechnology for agriculture, livestock, logicals, by facilitating communication among those who
and the environment. develop, produce, and regulate biological products for
Although the OECD has no direct regulatory role in human and animal health. Its major objectives are:
licensing or testing veterinary vaccines produced by bio-
technological methods, it has produced many technical ●● to create an ongoing interface among leaders in clinical
documents on good laboratory practice (GLP), which are and basic research, biological product development,
widely used by vaccine manufacturers to ensure high qual- public health, manufacturing and regulation, by organ-
ity production. izing scientific conferences and publishing reports of
such meetings and to facilitate the establishment of
3.3.3.2 International Cooperation international reference materials
on Harmonization of Technical Requirements ●● the formulation of international guidance documents for
for Registration of Veterinary Medicinal Products biological substances used in human and veterinary
The VICH is an international program providing guidance medicine, through its conferences and publications
on technical requirements for registration of veterinary ●● to promote uniform methods for establishing the inter-
medicinal products. The VICH was established in 1996 as a national quality of biological products
means of collaboration primarily between the regulatory ●● to encourage research in connection with the characteri-
authorities and the animal health industry of the EU, zation, standardization, quality, production, and clinical
Japan, and the USA. It aims at harmonizing technical use of biological products.
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the foot of the hill. You can all squeeze in for that little distance, can’t
you?”
“Oh, thank you,” said Babe, “but we were going to have lunch first
—bread and milk at the farmhouse near the foot of the hill, if they’ll
give it to us. We’ve allowed time for that, and we’re just perishing of
hunger. Thank you just as much about the ride.”
“Bread and milk at a farmhouse,” repeated the old gentleman
briskly. “I—I believe I’m hungry too. Would it be intrusive——”
“Oh, please do come,” said Betty eagerly. “I’ve made you miss
your lunch at the inn, I’m afraid.”
So the old gentleman scrambled down the hill with Betty and
Babe, while Madeline and Babbie ran ahead to make sure of the
luncheon and get the preparations for it under way. The bread and
butter was so good and the milk so creamy, and they all ate and
drank so much, while the old gentleman forgot to be annoyed at his
unhappy plight and told funny stories of his motoring experiences in
France,—neither he nor his chauffeur, it seemed, knew a word of
any language but English,—that the time slipped by, and when Babe
thought to look at her watch it was long past the hour that she had
allotted to lunching.
“There’s Dove Cottage gone!” she announced in tragic tones.
“And when we get back to America and people ask us about it, how
we shall hate to say we were right here and didn’t take enough
interest in Wordsworth to hunt up his house.”
“Never mind,” Madeline reassured her cheerfully. “We’ll just
inquire in a casual way if they saw Easdale Tarn, when they were
here, and that will settle them.”
“The only trouble is we didn’t see it either,” matter-of-fact Betty
reminded her sadly.
The old gentleman was looking at his watch and muttering hasty
calculations. “You shall see your Dove Cottage,” he announced
triumphantly. “You didn’t count on going back in my car. Come
along.”
The next minute they were tearing down the Easdale road at a
rate that the old gentleman smilingly characterized as “about our
usual speed, and we’ve only been arrested once so far.” When they
reached the cottage he sat outside in the car, watch in hand, ready
to give the signal for departure, and at the church he did the same
thing. Then they whirled back to the inn, where Mrs. Hildreth was
getting a little anxious about them, though, as Babbie pointed out,
five minutes before the coach started was a whole lot of time—you
could see all the regular sights of Grasmere in five minutes if you
were a good manager.
Betty and Babe, who had taken a great fancy to the crusty old
gentleman, stayed behind the others to say a more extended good-
bye.
“We’re really very grateful to you,” Babe assured him gaily.
“You’ve saved our reputations. But for you the Grasmere chapter of
‘B. A.’s Abroad’ would have had a disgraceful blank in it.”
“‘B. A.’s Abroad,’”—the old gentleman turned to Betty. “That’s the
journal you told me about. B. A.—Benevolent Adventurers—that’s
what you’ve been this morning. I haven’t had so good a time since I
left New York. Thank you all, and you particularly, Miss——”
“Wales,” supplied Betty.
“Miss Wales, I hope we shall meet again during the summer. I’m
going back to France, where they have respectable roads. Good-
bye.”
“You’ve got to look out for Betty, mummie,” laughed Babbie, when
they were settled again on the coach. “All the high-and-mighty
personages just naturally gravitate to her. First there was the
senator, and now this grand magnate. Who was he, Betty?”
“He didn’t tell me his name, and I didn’t like to ask.”
“He’s certainly a person of importance,” declared Madeline. “He
talks about New York as if he pretty nearly owned it, and did you
notice how frantically the inn servants flew around when he
appeared?”
“I didn’t fly around when he appeared,” said Babe proudly, and
was much amused and elated when Betty repeated what he had
said about her.
“I think benevolent adventures are going to turn out to be Betty’s
dominant interest,” said Babe, after relating the old gentleman’s
interpretation of B. A. “First there were the emigrants and now this
old gentleman. I wonder whom you’ll find next to cheer up.”
Betty laughed. “I think that’s a funny kind of a dominant interest
for traveling. Why, you can be nice to people just as well when you’re
at home.”
“Well, you’re elected to try it a while longer,” declared Babbie,
“and see how it works. It’s certainly been amusing so far. The very
point about a good dominant interest, you know, is that it’s queer.
Anybody can take Gothic architecture or Mary Queen of Scots, but
ghosts, tea-rooms, chimney-pots, and benevolent adventures show
real originality. Girls, aren’t we having a good time?”
CHAPTER IX
BUYING A DUKE

From the lakes the B. A.’s traveled slowly and merrily to London,
where they established themselves at a quiet boarding-house
overlooking a pretty square, and plunged into a mad delirium of
sight-seeing and shopping.
“I never felt pulled in so many directions in my life,” complained
Babe wearily. “The shop-windows are so fascinating, and things are
all so cheap, and it’s such fun paying for them in this comical English
money.”
“And your friends will all be so glad to get whatever you don’t
want for yourself because it came from abroad,” put in Babbie. “I’m
going to do all my Christmas shopping here and in Paris.”
“Yes, I want to, too,” agreed Babe, “but all the time I’m in the
shops I keep thinking how the places I’ve wanted to see for ages and
perhaps never can see again are all within a stone’s throw—well,
within a ’bus-ride, if you like that better, and I decide to go sight-
seeing with Madeline. But when you and Mrs. Hildreth and Betty
come home at night with all your fascinating packages from Liberty’s
and the Irish lace stores, why then I wish I’d shopped.”
“You can’t have everything,” said Madeline sagely. “That’s been
my motto for years, and it’s never so useful as when I’m traveling.
You don’t enjoy anything unless you make up your mind not to worry
about the things you’ve got to miss. I’m going shopping myself to-
morrow.”
“I thought you hated it,” exclaimed all her auditors at once.
“But this isn’t any ordinary shopping tour. I’m going to buy
Eleanor’s duke—that is, if the rest of you will trust me to pick him
out.”
“Of course we will,” said Babbie, “but why can’t we all come, too,
and help?”
“Babbie, you promised me you would stay quietly at home to-
morrow and rest,” Mrs. Hildreth reminded her.
“Well, so I will,” Babbie gave up cheerfully. “And Babe has a
luncheon engagement with the friend from home that she met in the
American express office.”
“Then Betty and I will go duke-hunting,” said Madeline. “That
suits me perfectly. Too many matchmakers would be fatal. The duke
would detect our eagerness and demand an exorbitant settlement.
Dukes come high, you know, at best, so be prepared to be generous
with your shillings.”
“Oh, Madeline, do tell us what you’re going to get,” begged
Babbie. But Madeline only smiled mysteriously and told Mrs. Hildreth
that she and Betty probably shouldn’t be back for luncheon.
Next morning when they were safely out of ear-shot she divulged
her idea. “You know those pretty old Staffordshire china figures? The
spotted dogs are the commonest, but there are men and women,
too. Oh, you must have seen them, Betty, in the windows of the
antique shops—shepherdesses with looped-up skirts, leaning on
their crooks, and cute little men with lace ruffles at their wrists and
pink coats and silver knee-buckles. They look awfully aristocratic;
somehow, I don’t think we could get a better duke.”
Betty hadn’t noticed anything of the sort, so they went a block out
of their way down Oxford Street to see some in a shop that Madeline
remembered. Sure enough, the window was full of the queer little
china figures, and there was one that Betty declared was just the
duke for Eleanor.
“Let’s go right in and get it,” she urged jubilantly. “It’s so quaint
and—oh, so European somehow. Eleanor will be perfectly
delighted.”
Madeline laughed at her innocent enthusiasm. “We can’t afford to
buy it here,” she warned her. “Those figures are dreadfully
expensive. In a fashionable neighborhood like this they’d probably
ask eight or ten dollars for that duke. But the other day when Babe
and I were riding on a ’bus away out toward Hammersmith to see
how far you could go for fourpence, I noticed a whole cluster of
antique shops, and I thought we might find a real bargain out there.”
“But this is such a pretty, graceful little figure,” said Betty
doubtfully. “How much are we going to spend for each of the girls?”
“The gargoyles and the photograph that Helen wanted won’t be
over sixty cents, so I suppose we ought to find something at about
that price for the general present to Eleanor and Bob. Then, of
course, we can any of us take any of them whatever extra things we
like.”
“Let’s just ask about this duke,” urged Betty, who had lost her
heart to the little china figure, and couldn’t believe it cost as much as
Madeline thought.
But “Thirty-five shillings,” said the pompous shop-keeper, and
Betty had to explain blushingly that she couldn’t afford so much that
morning.
“That’s eight dollars and seventy-five cents,” she said dejectedly,
as they went off to find the Hammersmith ’bus. “We can’t ever get
one for sixty cents, Madeline. The neighborhood wouldn’t make eight
dollars difference.”
“Oh, I don’t know,” said Madeline easily. “I’ve bought silver boxes
in Holland for thirty cents and matched them on Fifth Avenue for five
dollars. Anyhow it will be fun hunting.”
It was fun. The Hammersmith shops were crowded with all sorts
of interesting old odds-and-ends, the like of which Betty had never
seen before. She admired the glib way in which Madeline chatted
with the shop-keepers about strange things like black Wedgwood,
Chippendale chairs, and Flemish inlay. But when they inquired for
Staffordshire figures no one seemed to have any, or at least not any
that could pass for a duke. But every one was very obliging about
suggesting more shops to try, and when that particular neighborhood
was quite exhausted some one sent the girls off on what proved to
be a wild goose chase to the shops near Nottinghill Gate, “where
there isn’t any hill nor any gate,” as Betty explained later, in relating
the day’s adventures, “so how can you tell when to get off the ’bus?”
And as they couldn’t tell, they were carried six blocks past and
had to walk back in the noonday heat, only to find that the biggest
shop, which had been so highly recommended, kept nothing but
brasses.
“We’ll go in here,” said Madeline, opening the door of a dusky
little second-hand store with an impatient jerk, “and if they haven’t
what we want we’ll stop. Yes, no matter if they tell us positively that a
shop round the corner is packed tight with Staffordshire figures, we
won’t go to it. Instead we’ll go and get a cool and luscious luncheon,
—though where we can find one in this dingy neighborhood, I’m sure
I don’t know.”
A small girl with wisps of tow-colored hair falling over her eyes
came out from a back room to see what they wanted.
She shook her head doubtfully when Madeline mentioned
Staffordshire. “I’m sure I couldn’t say, ma’am. She’s out—the
madame is—and I couldn’t rightly say what we have. Would you
know it if you saw it? You might look about then.”
So they “looked about,” among the curious agglomeration of
mirrors, candlesticks, lustre jugs, cameos, and time-stained
engravings, all standing in dusty disarray on top of Queen Anne
sideboards, carved centre tables, and beautiful old Sheraton writing-
desks with secret compartments, that set Betty, who was having her
first taste of the delights of antique-hunting, wild with delight. But
though they poked into every nook and corner, no Staffordshire
figures came to light.
“Well, we shall have to give it up,” said Madeline dejectedly. “How
much is that lustre pitcher, please—the fat little one with the roses in
the border?”
“I don’t know, ma’am,” confessed the little maid sadly. “You see
very few comes here in the morning, and it’s so very difficult
remembering the prices, ma’am.”
“Oh, dear!” Madeline wanted the fat little pitcher all the more now
that she couldn’t have it. “When will the owner of the shop be back,
do you think?”
“Oh, I really couldn’t say, ma’am. In an hour perhaps, and maybe
not till time for tea. You see it’s Friday, and she’s gone to market. But
she went early to-day, so she might be back early.”
“But does it ever take her all day to do the family marketing?”
asked Madeline curiously.
“Oh, it’s not for the family, ma’am; it’s for the shop she’s buying.
Everybody goes to the market on Fridays.”
“Whom do you mean by everybody?”
“Why, all the dealers in London, ma’am. The madame buys
almost everything there. Things go very cheap there, you see. It’s a
pity she didn’t know what you were wanting, or she’d have found it
for you this morning. You can find almost anything at the market if
you look sharp.”
“I suppose you couldn’t tell us how to get there?” inquired
Madeline tentatively.
Oh, yes she could; any one in London could do that. It was the
Caledonian market, you understand. First you took the Underground
to King’s Cross, and then you took the ’bus to Market Road, and any
one would tell you where to get down. And after that it was just a
step to the market.
“What a find!” Madeline caught Betty’s arm as soon as they were
outside, and fairly danced her down the street. “We shall get all sorts
of bargains in dukes there, and then it’s such a lovely stunt hunting
them along with all the dealers in London. We’ll buy some fruit and
eat it on the Underground. Where is the Underground, I wonder?
She said everybody went there Friday mornings. Should you think it
would close at twelve or at one?”
Of course Betty hadn’t the least idea. In fact she couldn’t quite
see what there was to be so excited about, but as usual she took
Madeline’s word for it.
“Markets are great,” Madeline explained when they had at last
found the Underground. “I’ve been to the rag-fair in Rome and the
Christmas-sale in Paris, and they were both no end of fun. Some
one told father about a big market in London, but he never could find
it. Won’t he be envious when I bring out my trophies!”
When they got into the ’bus for Market Road nearly every other
passenger was laden with a big basket.
“They’re going to market, too,” Madeline nudged Betty. “So we’re
not hopelessly late after all.”
When they had turned in at the big gates Betty stared about her
in amazement. The vast open space was thronged with a laughing,
chattering crowd of buyers. But above the noise they made rose the
strident cries of the marketmen.
“Penny a mar-r-r-ket bunch!”
“Whatever-you-like at yer own price.”
“Rusty nails! Rusty na-ils!”
It took time to disentangle even those few cries from the
multitude of strange announcements.
“Who would want rusty nails?” demanded Betty.
“I don’t know, but there they are—pounds and pounds of them.
Somebody must want them or they wouldn’t be here. Isn’t it fun
having everything spread out on the ground?”
“Literally everything,” laughed Betty. “Books and china and
second-hand calico wrappers, and—yes, Madeline, second-hand
tooth-brushes, right next to that lovely inlaid furniture.”
“And there’s a Persian kitten,” added Madeline. “Poor little pussy!
She looks frightened half to death.”
“And hats and furs,” put in Betty.
“And jewelry. Betty, I’ll buy you a penny pin as a memento.
Choose.”
Betty chose a brooch consisting of a very realistic red raspberry
and two green leaves. “Thank you,” she said, “and isn’t that a lustre-
ware pitcher?”
It was, and it was in the collection of a man who was crying,
“Whatever-ye-like at yer own price,” at the top of his lungs.
“A shilling,” Madeline offered boldly, pointing to the pitcher.
“Three,” retorted the man decisively.
“But you just said, ‘Whatever you like at your own price,’”
Madeline reminded him.
The man winked cheerfully. “Any of this rubbish, ma’am, I mean.”
He picked up a handful of the rusty nails. “You want only the good
things. The pitcher’s a bargain at three bob.”
“Have you any Staffordshire figures?” asked Madeline.
The man rummaged in a basket and produced two little white
lambs, each standing on a hillock of green grass.
“Oh, how cunning,” murmured Betty. “I simply must have those.”
“Then don’t act too anxious, or he’ll put the price away up,”
Madeline whispered.
“You buy them,” Betty whispered back.
“We wanted a man’s figure,” explained Madeline nonchalantly.
“You haven’t any? Then I guess that’s all. How much are the lambs?”
“Thrippence.”
“I’ll take them,” cried Betty before Madeline could answer.
The man looked amusedly from one to the other. “You mustn’t
quarrel over the baa-lambs, ladies.”
“Oh, we won’t.” Betty held out her money. “Madeline, look!”
A wizened, grizzled little Jew, whose wares were spread out next
to those of the owner of the “baa-lambs,” had overheard their
conversation with his rival and was holding out a figure, the exact
counterpart of the one in the Oxford Street shop. Madeline pinched
Betty to remind her not to appear over-anxious.
“Oh, yes,” she said indifferently, holding out her hand for the little
figure and examining it carefully for cracks or nicks. “But now that
we’ve bought the lambs I don’t know—how much is this?”
“Five bob, and you can’t find another such bargain in London,”
the dealer assured her eagerly.
“What’s a bob?” whispered Betty.
“A shilling,” Madeline explained. Then she turned to the dealer.
“Make it two and six.”

“FOUR AND SIX!”

“Four and six,” he compromised.


Madeline shook her head severely. “If you’d said three and six I
might have considered it. Come on, Betty.”
Betty stared in amazement. Was Madeline—yes, she was
actually walking off. She was going to leave that lovely duke. But just
as Madeline turned the corner, the little dealer jumped up, the figure
in one hand and a scrap of crumpled paper in the other, and with a
bound he was at Madeline’s elbow.
“Have it for three and six,” he whispered confidentially.
“Oh, very well.” Madeline accepted the bundle nonchalantly.
“Hallo, Madeline. What have you done him out of now?” Dick
Blake was standing in front of them, his face wreathed in smiles. “I
thought you’d be here to-day,” he went on. “I had a ‘leading,’ as we
used to say in Paris when we wanted to do a silly thing, that if I came
up here I should lose all the Americans but you. How do you like
marketing with Madeline, Miss Wales?”
“Oh, Dick, it’s jolly fun seeing you. But what on earth are you
doing here?”
“Pursuing you,” explained Dick cheerfully. “Didn’t I just say so?
When I’m not pursuing you, I’m pursuing a magnate. He’s more
elusive,—or at least I don’t know his habits so well, and up to date I
haven’t found him. But I take my success with you to be a good
omen. I’m sure I shall spot my magnate before long.”
“Please talk sense, Dick.”
“I am,” he assured her solemnly. “You see it’s this way. New York
was hot and stupid, with everybody gone who could manage to get
away, and I wanted to go, too. But ‘The Quiver’ hasn’t been exactly
booming lately, and I couldn’t afford a nice trip.”
“Meaning a trip to Europe,” interposed Madeline.
“Exactly,” Dick took her up. “So I was feeling awfully blue, and
then a week ago to-night my old chief down in Newspaper Row
’phoned and said, ‘Dickie, you’re the best hunter we ever had. Go to
Europe and find an elusive magnate, whose mysterious absence is
upsetting Wall Street prices,’ and I said, ‘Done,’ and made up ‘The
Quiver’ for two months ahead, and here I am. I got to Liverpool last
night and to London this morning, and so far I’ve ascertained that the
Elusive Magnate aforesaid isn’t staying at any of the likely hotels.”
“Dick, you are too absurd,” laughed Madeline. “What’s your
magnate’s name?”
“Morton—Jasper Jones Morton. Haven’t seen him, have you?”
“I haven’t the pleasure of his acquaintance. Have you, Betty?”
Betty shook her head smilingly.
“I’ve got his picture here somewhere.” Dick felt in his pocket and
drew out a cabinet photograph. “He’s not exactly handsome and he’s
never gone in for society, but he’s really very well-to-do, and when
he suddenly departs for the first vacation of his long and useful life,
just when his railroads are in a good deal of a muddle and several of
his corporations are being sued by Uncle Sam, why, naturally Wall
Street sits up and takes notice.” He passed the picture to Madeline.
“Why, Betty, it’s our magnate,” she cried laughingly, and Betty,
looking at the picture over her shoulder, gave a little shriek of delight.
“It is,” she cried.
Dick looked in amazement from one to the other. “I say, have you
really met him?” he demanded. “Where was he, and which way was
he headed? He didn’t drop any hints about his reasons for being
over here, did he?”
Madeline looked at Betty. “You talked to him most.”
“Do you mean did he say whether he is over here just on a
vacation for his health?” asked Betty.
Dick nodded, and she repeated Mr. Jasper Jones Morton’s
anathemas against vacations, doctors, and European travel. “I’m
sure he was telling the truth,” she added earnestly. “He said it all as if
he meant it,—he couldn’t have been making up.”
“Having conversed with him about other things he doesn’t like, I
catch your point,” chuckled Dick. “J. J. Morton’s earnest hatred is
very earnest indeed.” Then he grew sober suddenly. “I wonder
where’s the nearest place to cable from. I must get this off at once.
Miss Wales, you’ve done me the best kind of a good turn. You don’t
mind my taking your story, do you, since you haven’t any possible
use for it?”
“Mr. Morton won’t mind, will he?” asked Betty anxiously. “He was
awfully nice to us, and it would be mean to take advantage of him.”
“No,” said Dick, “I honestly don’t think he’ll mind. I don’t believe
he wants the market to go to smash on his account. And to me it
means—well, I haven’t been here a day yet; and the chief gave me a
week to find him and get an interview. So it means the biggest kind
of a big beat, Miss Wales, and that means a juicy fee and a juicy fee
means——” Dick stopped suddenly, bit his lip, and then laughed. “I
didn’t use to be so mercenary, did I, Madeline? Then I have your
consent, Miss Wales? Are you girls coming back with me?”
For the first part of the long ride Dick Blake was silent, his face
puckered into deep wrinkles of thought. All at once he threw back his
head and laughed merrily. “I’ve got it,” he said, “head-lines and all.
Now we can talk. What did you do the little Jew out of, Madeline?”
“Oh, we were buying a duke for Eleanor Watson,” explained
Madeline tantalizingly. “She wants one, you know.”
The worried look came back to Dick’s fine gray eyes. “Go slow,
Madeline. You were buying—— Eleanor wants a duke?”
Madeline took pity on him and unwrapped the dainty figurine,
which Dick duly admired.
“By the way, Miss Wales,” he began suddenly, “you don’t know
where Jasper J. went from Grasmere, I suppose.”
Betty repeated what the old gentleman had said about the
superiority of French roads.
“Then I suppose I’d better cross the channel to-night,” sighed
Dick, “and here’s where I leave this ’bus. Wish I could go home with
you and see the rest of the ‘Merry Hearts’ and have a good talk.
Good-bye, Miss Wales. So long, Madeline. See you again
somewhere over here.” And he was gone.
“Well,” Madeline told the others, when they reached home,
“we’ve got the duke and he’s a darling, and we’ve found out the
name of the Grasmere magnate, and Betty’s been being a B. A.
again—to whom in the world do you guess, but Dick Blake. It will be
in all the New York papers to-morrow morning. How’s that for a
strenuous day of it?”
CHAPTER X
THE GAY GHOSTS OF LONDON

“To-day’s the third, isn’t it?” observed Babe carelessly the next
morning at breakfast. “I believe I’ll stay at home and write some
letters.”
Babbie, who was sitting by the window, happened to glance out
at the street just then. “You needn’t,” she announced calmly. “He’s
arriving this very minute in a hansom.”
“Who is arriving, Babbie?” asked Mrs. Hildreth. Whereupon
Babbie assured her that she was utterly disqualified as a competent
chaperon; she ought to have grasped the connection between John
Morton and Babe’s mad desire to write letters without any help at all.
John was in high spirits. “Hope you’ve noticed that I’m exactly on
time,” he told Babe in a confidential aside. “Old Dwight nearly
passed away with surprise when he saw me settling down to a good
steady grind. It’s queer how people always think that if a fellow
doesn’t work it’s because he hasn’t brains enough. Old Dwight said
he actually envied me my clear and logical mind. I told him to tell that
to dad, and he did—wrote a corking letter all about me and my
industry and my marvelous progress. I can’t wait to get dad’s
answer.”
“He’ll be sure to be awfully pleased,” said Babe sympathetically.
“I’m pleased too. If you hadn’t finished in time I should have given
you back your pin. I wouldn’t take a pin from a shirk.”
“Are you going to escort us out to see the sights of London,
John?” asked Babbie.
“Of course. That’s why I came around so early, before you’d had
a chance to get started off without me on a picnic or a ghost-hunt or
any other interesting festivity. What shall we do first?”
“Oh, let’s have a ghost-hunt!” cried Babbie eagerly. “We haven’t
paid the least speck of attention to ghosts since we left Oban. I can’t
have my dominant interest so neglected.”
“All right,” agreed John. “Only it isn’t moonlight, and we should
probably be ‘taken in charge,’ as the police say over here, if we
made a sheeted ghost walk in London.”
“Then how are we going to have a ghost-party?” asked Betty.
“Madeline, think up a way.”
Madeline considered. “First, we’ve got to choose our ghosts—
there are such quantities in London. Then we must seek out their
haunts and conjure them to appear. If they won’t, we shall have to go
back some evening, and try again by moonlight. Let’s each write the
name of our favorite London ghost on a slip of paper. Babbie can
draw one, because ghosts are her dominant interest, and then we’ll
all start out in pursuit.”
This arrangement suited everybody, and Madeline hunted up
pencils and paper. She wrote the name of her favorite ghost without
an instant’s consideration, but the others had to think hard, and Babe
was caught slyly consulting a London Baedeker. John chewed his
pencil in solemn silence until the rest were through. Then all at once
he banged the table triumphantly with his fist, scribbled a name on
his slip, and handed it to Madeline, who was acting as mistress of
ceremonies.
“You’d better choose my ghost, Babbie,” he announced. “If you
do, I invite you all to have luncheon with me at an appropriate place.”
“It’s not fair offering bribes,” cried Babe. “My ghost did that, and it
got him into a horrible scrape.”
“My ghost is a lady,” said Betty. “I think she deserves some
consideration on that account.”
“The special advantage of mine,” put in Madeline, “is that his
haunts are miles away from here. Think of the lovely long ’bus ride
we could have.”
“Mine is both a lady and a royal personage,” said Babbie
impressively, “so she really ought to come in ahead of any of yours.
But I’m going to be perfectly fair; I’ll draw out a slip with my eyes
shut. Dr. Samuel Johnson wins,” she announced a minute later.
“And he’s mine!” cried John. “Now remember, everybody, the
meal-tickets are to be on me. Did you girls ever hear of the ‘Cheshire
Cheese’?”
No one had but Madeline.
“What ignorance!” laughed John, and then confessed that he
never had heard of it either, until Mr. Dwight mentioned it the night
before. “It seems it was quite a haunt of old Dr. Johnson’s,” he
explained. “It’s a queer little eating-house just off Fleet Street. You
girls may not like it, but if you don’t we needn’t stay.”
Babbie’s ghost was Queen Victoria, Betty’s Becky Sharp,
Madeline’s Carlyle, and Babe’s Lord Bacon.
“What a collection!” laughed Madeline. “Perhaps we can take in
some of the others on our way to the ‘Cheshire Cheese.’ Hand me
the Baedeker please, Babe.”
But John objected. “We’ve got to make perfectly sure of Dr.
Johnson first,” he said firmly. “What’s the use of choosing a ghost if
you don’t keep to him? Besides, remember, I got down here only late
last evening. If we have any extra time, I want to go and register my
address at the American Express office and get my mail. I’m
expecting an important letter.” John looked at Babe impressively.
After much lively discussion it was voted to walk to the “Cheshire
Cheese,” or at least to walk until some one got tired. It would be so
much more convenient for showing John the sights. And, as
Madeline observed, pretty nearly everything in London is a sight in
one way or another, so that it was really lunch-time when John and
Babe, who were ahead, suddenly turned down a dark little alley and
waited at the corner for the rest to come up.
“Is the ‘Cheshire Cheese’ in here?” asked the fastidious Babbie
doubtfully. “Well, this certainly looks like a splendid place for ghosts,”
she added, diving down the alley after the others.
John pointed ahead to the quaint old swinging sign that read “Ye
Old Cheshire Cheese.” It was a tiny little inn, the one small dining-
room opening right on to the street. A waiter came bustling forward
to meet the party.
“Good-morning,” said John gravely, looking inquiringly around the
room. “Which is Dr. Johnson’s chair, please?”
The waiter bowed and pointed to a seat in one corner against the
wall.
“Oh, I see, he’s not here yet,” said John solemnly. “We were
hoping to find him. Well, I suppose we’d better sit down and have
something to eat while we wait.” He led the way to the doctor’s table.
The waiter, wearing a perplexed expression, pulled out the
chairs,—John insisting that Dr. Johnson’s seat should be left vacant,
—and recited the menu for the day.
“Which are the Doctor’s favorite dishes?” John asked him.
“Hi really couldn’t say, sir.” The waiter’s tone was full of mild
reproach. “The lark-pie his our special dish, sir, and the stewed
cheese his hexcellent heatin’ and a general favorite.”
“Then we’ll have those, shan’t we, girls?” asked John. “And bring
enough for Dr. Johnson, in case he should look in,” he added
gravely, and the waiter went off, shaking his head and murmuring
something about “those mad Hamericans.”
“I want to sit in Dr. Johnson’s chair,” complained Babbie, when he
had gone. “There’s no sense in saving a place for a ghost, John.
Don’t you know that they can sit where there is somebody just as
well as where there isn’t?”
“That may be,” admitted John. “But I consider that it’s more
respectful. Speaking of ghosts, is that the ghost of Billy Benson that I
see before me, or is it Billy in person?”
John tumbled his chair over in his eagerness to get to the door
and wring the hand of a tall, broad-shouldered youth, who seemed
just as delighted to see John as John was to see him. He had a
friend with him, whom John evidently did not know, for presently Billy
remembered him and summarily pulled him forward to be introduced.
Then the three came over to the girls’ table.
“May I present Mr. William Benson?” John began. “Best fellow in
the world, Billy is. Rooms in my hall at Harvard. And this is Mr.
Trevelyan, a friend of Billy’s.”
Mr. Trevelyan was several years older than John or Billy. He was
tall, dark, and slender, with a distinguished manner, queer, near-
sighted gray eyes that were slightly out of focus, making it hard to tell
just where he was looking, and a very peculiar way of speaking—it
was difficult to decide whether he had a slight foreign accent or an
impediment in his speech.
“You fellows will join us, won’t you?” asked John hospitably. “Mr.
Trevelyan, you can have Dr. Johnson’s seat, and Billy, you can be
Boswell and squeeze in somewhere, I’m sure.”
But Mr. Trevelyan demurred politely. “You have found friends,” he
told Billy. “I insist that you let me withdraw.”
“Oh, nonsense!” said John decisively, and when Babbie
seconded the invitation, Mr. Trevelyan allowed himself to be
persuaded to stay.
“You see the Doctor did come,” John announced triumphantly to
the waiter, when that functionary reappeared with the lark-pie and
stewed cheese. “And Boswell is with him, so you’d better bring us
something extra.”
“Very well, sir,” said the waiter, smiling condescendingly at the
absurdity of the “Hamericans,” and Babbie overheard a rosy-
cheeked English girl at the next table say she did wish people
wouldn’t persist in treating England as if it were a queer, old-
fashioned toy that it was fun to spend your summers playing with.
“Come, John, you mustn’t tease that poor waiter any more,” she
commanded. “Mr. Trevelyan and Mr. Benson don’t even know why
you’re doing it.”
So John explained to his guests that they had unwittingly joined a
ghost-hunt, and then the girls told about the Dunstaffnage ghost, and

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