A Phase II, Randomized Study on an Investigational DTPw-HBV/Hib-MenAC Conjugate Vaccine Administered to Infants in Northern Ghana

BACKGROUND: Combining meningococcal vaccination with routine immunization in infancy may reduce the burden of meningococcal meningitis, especially in the meningitis belt of Africa. We have evaluated the immunogenicity, persistence of immune response, immune memory and safety of an investigational DTPw-HBV/Hib-MenAC conjugate vaccine given to infants in Northern Ghana. METHODS AND FINDINGS: In this phase II, double blind, randomized, controlled study, 280 infants were primed with DTPw-HBV/Hib-MenAC or DTPw-HBV/Hib vaccines at 6, 10 and 14 weeks of age. At 12 months of age, children in each group received a challenge dose of serogroup A+C polysaccharides. Antibody responses were assessed pre, and one month-post dose 3 of the priming schedule and pre and 1 month after administration of the challenge dose. One month post-dose 3, 87.8% and 88.2% of subjects in the study group had bactericidal meningococcal serogroup A (SBA-MenA) and meningococcal serogroup C (SBA-MenC) antibody titres > or = 1:8 respectively. Seroprotection/seropositivity rates to the 5 antigens administered in the routine EPI schedule were non-inferior in children in the study group compared to those in the control group. The percentages of subjects in the study group with persisting SBA-MenA titres > or = 1:8 or SBA-MenC titres > or = 1:8 at the age of 12 months prior to challenge were significantly higher than in control group (47.7% vs 25.7% and 56.4% vs 5.1% respectively). The administration of 10 microg of serogroup A polysaccharide increased the SBA-MenA GMT by 14.0-fold in the DTPW-HBV/HibMenAC-group compared to a 3.8 fold increase in the control-group. Corresponding fold-increases in SBA-MenC titres following challenge with 10 microg of group C polysaccharide were 18.8 and 1.9 respectively. Reactogenicity following primary vaccination or the administration of the challenge dose was similar in both groups, except for swelling (Grade 3) after primary vaccination which was more frequent in children in the vaccine than in the control group (23.7%; 95%CI [19.6-28.1] of doses vs 14.1%; 95% CI [10.9-17.8] of doses). Fifty-nine SAEs (including 8 deaths), none of them related to vaccination, were reported during the entire study. CONCLUSIONS: Three dose primary vaccination with DTPw-HBV/Hib-MenAC was non-inferior to DTPw-HBV/Hib for the 5 common antigens used in the routine EPI schedule and induced bactericidal antibodies against Neisseria meningitidis of serogroups A and C in the majority of infants. Serogroup A and C bactericidal antibody levels had fallen below titres associated with protection in nearly half of the infants by the age of 12 months confirming that a booster dose is required at about that age. An enhanced memory response was shown after polysaccharide challenge. This vaccine could provide protection against 7 important childhood diseases (including meningococcal A and C) and be of particular value in countries of the African meningitis belt. TRIAL REGISTRATION: Controlled-Trials.com ISRCTN35754083

Vegetation forcing modulates global land monsoon and water resources in a CO2-enriched climate

The global monsoon is characterised by transitions between pronounced dry and wet seasons, affecting food security for two-thirds of the world’s population. Rising atmospheric CO2 influences the terrestrial hydrological cycle through climate-radiative and vegetation-physiological forcings. How these two forcings affect the seasonal intensity and characteristics of monsoonal precipitation and runoff is poorly understood. Here we use four Earth System Models to show that in a CO2-enriched climate, radiative forcing changes drive annual precipitation increases for most monsoon regions. Further, vegetation feedbacks substantially affect annual precipitation in North and South America and Australia monsoon regions. In the dry season, runoff increases over most monsoon regions, due to stomatal closure-driven evapotranspiration reductions and associated atmospheric circulation change. Our results imply that flood risks may amplify in the wet season. However, the lengthening of the monsoon rainfall season and reduced evapotranspiration will shorten the water resources scarcity period for most monsoon regions

Allowable CO2 emissions based on regional and impact-related climate targets

This paper was accepted for publication in the journal Nature and the definitive published version is available at http://dx.doi.org/10.1038/nature16542© 2016 Macmillan Publishers Limited. All rights reserved. Global temperature targets, such as the widely accepted limit of an increase above pre-industrial temperatures of two degrees Celsius, may fail to communicate the urgency of reducing carbon dioxide (CO2) emissions. The translation of CO2 emissions into regional- and impact-related climate targets could be more powerful because such targets are more directly aligned with individual national interests. We illustrate this approach using regional changes in extreme temperatures and precipitation. These scale robustly with global temperature across scenarios, and thus with cumulative CO2 emissions. This is particularly relevant for changes in regional extreme temperatures on land, which are much greater than changes in the associated global mean

The contribution of China's emissions to global climate forcing

International audienceKnowledge of the contribution that individual countries have made to global radiative forcing is important to the implementation of the agreement on "common but differentiated responsibilities" reached by the United Nations Framework Convention on Climate Change. Over the past three decades, China has experienced rapid economic development(1), accompanied by increased emission of greenhouse gases, ozone precursors and aerosols(2,3), but the magnitude of the associated radiative forcing has remained unclear. Here we use a global coupled biogeochemistry-climate model(4,5) and a chemistry and transport model(6) to quantify China's present-day contribution to global radiative forcing due to well-mixed greenhouse gases, short-lived atmospheric climate forcers and land-use-induced regional surface albedo changes. We find that China contributes 10% +/- 4% of the current global radiative forcing. China's relative contribution to the positive (warming) component of global radiative forcing, mainly induced by well-mixed greenhouse gases and black carbon aerosols, is 12% +/- 2%. Its relative contribution to the negative (cooling) component is 15% +/- 6%, dominated by the effect of sulfate and nitrate aerosols. China's strongest contributions are 0.16 +/- 0.02 watts per square metre for CO2 from fossil fuel burning, 0.13 +/- 0.05 watts per square metre for CH4, -0.11 +/- 0.05 watts per square metre for sulfate aerosols, and 0.09 +/- 0.06 watts per square metre for black carbon aerosols. China's eventual goal of improving air quality will result in changes in radiative forcing in the coming years: a reduction of sulfur dioxide emissions would drive a faster future warming, unless offset by larger reductions of radiative forcing from well-mixed greenhouse gases and black carbon

Observed changes in dry-season water availability attributed to human-induced climate change

International audienceHuman-induced climate change impacts the hydrological cycle and thus the availability of water resources. However, previous assessments of observed warming-induced changes in dryness have not excluded natural climate variability and show conflicting results due to uncertainties in our understanding of the response of evapotranspiration. Here we employ data-driven and land-surface models to produce observation-based global reconstructions of water availability from 1902 to 2014, a period during which our planet experienced a global warming of approximately 1 °C. Our analysis reveals a spatial pattern of changes in average water availability during the driest month of the year over the past three decades compared with the first half of the twentieth century, with some regions experiencing increased and some decreased water availability. The global pattern is consistent with climate model estimates that account for anthropogenic effects, and it is not expected from natural climate variability, supporting human-induced climate change as the cause. There is regional evidence of drier dry seasons predominantly in extratropical latitudes and including Europe, western North America, northern Asia, southern South America, Australia and eastern Africa. We also find that the intensification of the dry season is generally a consequence of increasing evapotranspiration rather than decreasing precipitation