Vaccines and the Diseases They Prevent
Each vaccine is designed to protect against specific diseases by stimulating the immune system to recognize and fight particular pathogens. Understanding what each vaccine targets is essential for proper immunization planning and disease prevention.
Common Vaccines and Their Target Diseases
Bacterial Vaccines
- Pneumococcal vaccines (PCV13, PPSV23): Protect against Streptococcus pneumoniae, which causes pneumonia, meningitis, and bloodstream infections 1
- Tetanus, Diphtheria, and Pertussis (Tdap/DTaP):
- Tetanus: Prevents lockjaw caused by Clostridium tetani
- Diphtheria: Prevents respiratory illness caused by Corynebacterium diphtheriae
- Pertussis: Prevents whooping cough caused by Bordetella pertussis 1
- Haemophilus influenzae type b (Hib): Prevents meningitis, pneumonia, and other serious infections caused by H. influenzae type b 2
- Meningococcal vaccines: Protect against Neisseria meningitidis, which causes meningitis and septicemia 1
- Tuberculosis (BCG): Protects against tuberculosis caused by Mycobacterium tuberculosis 1
- Anthrax vaccine: Protects against infection by Bacillus anthracis 1
- Typhoid vaccine: Protects against Salmonella Typhi infection 1
Viral Vaccines
- Influenza (flu) vaccine: Protects against seasonal influenza viruses 1
- Measles, Mumps, and Rubella (MMR):
- Measles: Prevents highly contagious respiratory disease
- Mumps: Prevents salivary gland infection and potential complications
- Rubella: Prevents "German measles" which can cause birth defects if contracted during pregnancy 1
- Hepatitis B vaccine: Protects against hepatitis B virus infection which can lead to liver disease 1
- Hepatitis A vaccine: Protects against hepatitis A virus infection 1
- Varicella (chickenpox) vaccine: Protects against varicella-zoster virus 1
- Human Papillomavirus (HPV) vaccine: Protects against several HPV types that cause cervical cancer and genital warts 1
- Polio vaccine: Protects against poliovirus which can cause paralysis 1
- Rotavirus vaccine: Protects against severe diarrheal disease in infants and young children 1
- Smallpox/Vaccinia vaccine: Historically used to eradicate smallpox; now primarily used for laboratory workers exposed to orthopoxviruses 1
Vaccine Types and Mechanisms
Vaccines work through different mechanisms depending on their design:
Live-attenuated vaccines: Contain weakened forms of the living pathogen that can replicate but not cause disease
Inactivated vaccines: Contain killed pathogens that cannot replicate
Subunit/recombinant vaccines: Contain specific parts of the pathogen
- Examples: Hepatitis B, HPV, acellular pertussis 3
Toxoid vaccines: Contain inactivated toxins produced by bacteria
- Examples: Tetanus, diphtheria 4
Conjugate vaccines: Link bacterial polysaccharides to proteins to improve immune response
- Examples: Pneumococcal conjugate vaccine (PCV13), Hib, meningococcal conjugate vaccines 1
Special Considerations
Immunocompromised Patients
- Live vaccines are generally contraindicated in severely immunocompromised patients 1
- Inactivated vaccines are usually safe but may have reduced effectiveness 1
- Patients with rheumatic and musculoskeletal diseases may need modified vaccination schedules 1
Healthcare Workers
- Healthcare workers should receive hepatitis B, influenza, MMR, Tdap, and varicella vaccines due to their increased risk of exposure and potential to transmit to patients 1
Emerging Vaccine Technologies
Modern vaccine development has expanded beyond traditional approaches:
- Structure-based vaccines: Designed based on specific protective epitopes rather than whole pathogens 4
- mRNA vaccines: Deliver genetic instructions for cells to produce antigenic proteins
- Viral vector vaccines: Use modified viruses to deliver genetic material from the target pathogen
Public Health Impact
Vaccines have dramatically reduced the burden of infectious diseases worldwide. They work through two key mechanisms:
- Inducing long-lasting immunity in individuals
- Creating herd immunity that protects populations 5
The development of new vaccines against antibiotic-resistant bacteria is becoming increasingly important in the fight against antimicrobial resistance 2.