Population-level effect of potential HSV2 prophylactic vaccines on HIV incidence in sub-Saharan Africa

Vaccine. 2009 Feb 5;27(6):940-6. doi: 10.1016/j.vaccine.2008.11.074. Epub 2008 Dec 9.

Abstract

Herpes simplex virus type-2 (HSV2) infection increases HIV transmission. We explore the impact of a potential prophylactic HSV2 vaccination on HIV incidence in Africa using STDSIM an individual-based model. A campaign that achieved 70% coverage over 5 years with a vaccine that reduced susceptibility to HSV2 acquisition and HSV2 reactivation by 75% for 10 years, reduced HIV incidence by 30-40% after 20 years (range 4-66%). Over 20 years, in most scenarios fewer than 100 vaccinations were required to avert one HIV infection. HSV2 vaccines could have a substantial impact on HIV incidence. Intensified efforts are needed to develop an effective HSV2 vaccine.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Africa South of the Sahara / epidemiology
  • Female
  • HIV Infections / epidemiology*
  • Herpes Genitalis / prevention & control*
  • Herpes Simplex Virus Vaccines / immunology*
  • Herpesvirus 2, Human / immunology*
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Time Factors
  • Young Adult

Substances

  • Herpes Simplex Virus Vaccines