Evidence mapPaperPMID 42347640Full record

ArticleVaccines2026

From Global Insights to Local Action: Bridging Vaccine Design and Manufacturing Gaps in H5N1 Pandemic Readiness.

María Alicia Delfino, Jimena Borgo, Luciano Chaneton, Natacha Cerny, Augusto Ernesto Bivona, Pierre Gsell, Fernando Lobos, Ike James, Martin Friede, German Sánchez Alberti and 1 more

Abstract read
In one paragraph

Article in Vaccines, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

María Alicia DelfinoFacultad de Medicina, IMPAM (UBA-CONICET), Universidad de Buenos Aires, Buenos Aires 1121, Argentina.
Jimena BorgoFacultad de Medicina, IMPAM (UBA-CONICET), Universidad de Buenos Aires, Buenos Aires 1121, Argentina.
Luciano ChanetonSinergium Biotech, Buenos Aires 1619, Argentina.
Natacha CernyFacultad de Medicina, IMPAM (UBA-CONICET), Universidad de Buenos Aires, Buenos Aires 1121, Argentina.ORCID 0000-0002-8217-3903
Augusto Ernesto BivonaFacultad de Medicina, IMPAM (UBA-CONICET), Universidad de Buenos Aires, Buenos Aires 1121, Argentina.ORCID 0000-0002-0520-0226
Pierre GsellWorld Health Organization, 1211 Geneva, Switzerland.
Fernando LobosSinergium Biotech, Buenos Aires 1619, Argentina.
Ike JamesMedicines Patent Pool, 1202 Geneva, Switzerland.
Martin FriedeMedicines Patent Pool, 1202 Geneva, Switzerland.
German Sánchez AlbertiSinergium Biotech, Buenos Aires 1619, Argentina.
Andrés Sánchez AlbertiFacultad de Medicina, IMPAM (UBA-CONICET), Universidad de Buenos Aires, Buenos Aires 1121, Argentina.ORCID 0000-0001-5369-2889

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The global expansion of highly pathogenic avian influenza A (H5N1), particularly the clade 2.3.4.4b lineage, has renewed urgent concerns about its pandemic potential in the context of its ongoing panzootic expansion and increasing cross-species transmission. Despite decades of preparedness initiatives, critical technological and structural gaps persist, especially in low- and middle-income countries (LMICs), where both vaccine access and sustainable manufacturing capacity remain limited. In this perspective, we examine key lessons from past influenza pandemics and global preparedness strategies, including the Global Action Plan for Influenza Vaccines, highlighting persistent challenges related to sustainable manufacturing capacity and equitable vaccine access. Additionally, we examine the potential of messenger RNA (mRNA) vaccine platforms to address these limitations, given their rapid design, scalable manufacturing, and adaptability to emerging pathogens. Moreover, we examine the role of neuraminidase (NA) as a complementary antigen capable of broadening immune protection and reducing viral transmission. Finally, we describe recent advances in Latin America, focusing on Argentina's participation in the mRNA Technology Transfer Programme co-led by the World Health Organization (WHO) and the Medicines Patent Pool (MPP), as a model for strengthening regional manufacturing capacity and contributing to global pandemic preparedness. Together, these elements indicate that effective H5N1 pandemic preparedness will require the integration of improved antigen design, flexible mRNA platforms, and sustainable regional manufacturing systems aligned with global procurement strategies.

Indexed as

bivalent influenza vaccinemRNA vaccineneuraminidase antigenpandemic influenza vaccinepandemic preparednesstechnology transfer

Identifiers

PMID42347640
PMCPMC13308311

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.