here - International Vaccine Institute
Transcription
here - International Vaccine Institute
국제백신연구소 해피빈 012 rt 2 o ep lR a nu An Vaccines, Children, and a Better World Preventing Infectious Diseases through Science Copyright 2013 – International Vaccine Institute. All rights reserved International Vaccine Institute Seoul National University Research Park, San 4-8 Nakseongdae-dong, Gwanak-gu, Seoul, Korea 151-919 Tel: +82 872 2801 Fax: +82 2 872 2803. Contact: iviinfo@ivi.int www.ivi.int te titu s In ine c c l Va na o i at ern Int Annual Report 2012 International Vaccine Institute Vaccine discovery, development, and delivery Capacity-building Improving Health Saving Lives IVI IN BRIEF Vaccines are one of the most cost-effective tools used in public health and have contributed to significantly reducing the spread and burden of infectious diseases. They played a major role in eradicating smallpox and are being used in initiatives to eliminate polio and measles. However in 2011, the World Health Organization (WHO) estimated there were 6.9 million deaths of children under the age of five. Of these deaths, 58% were due to infectious diseases and many occurred in Africa and South Asia. The International Vaccine Institute (IVI) was founded in 1997 on the belief that the health of children in developing countries can be dramatically improved by the development, introduction, and use of new and improved vaccines. Working in collaboration with the international scientific community, public health organizations, governments, and industry, IVI is involved in all areas of the vaccine spectrum - from new vaccine design in the laboratory to vaccine development and evaluation in the field to facilitating vaccine introduction in countries where they are most needed. •Number of IVI staff: 150 •Countries represented by IVI staff: 16 •Number of countries where IVI works: 23 “Lab bench to community” approach IVI’s research platform spans from “bench to community” from designing a new vaccine in the laboratory to developing and testing the vaccine to making sure that the vaccine will be introduced and used in countries. IVI is able to do this through its in-house programs in laboratory and translational research. This broad range allows IVI to develop a new vaccine or improve an existing one; develop assays and conduct clinical trials in humans; transfer the production technology to vaccine manufacturers; and conduct studies to demonstrate the need for the vaccine and make the case for its use to global-and national-level decision makers and donor agencies. IVI’s Approach IVI’s Disease Priorities IVI IN BRIEF 03 LETTER FROM THE DIRECTOR GENERAL We went live with a new electronic financial management system in November, giving IVI a level of transparency and reliability that is comparable to many strong international organizations of its kind. We worked on a new transparent compensation & benefits system that is critical to attracting and retaining talent at IVI. With the support of our Board, Scientific Advisory Group, and major donors, we redesigned our vision, mission, and strategy, which will bring more focus and clarity in how we will make an impact in the world through vaccines. As a part of this exercise, we changed the organizational structure and look forward to the introduction of a new structure as soon as critical positions are filled. This work was made possible thanks to support from the Bill & Melinda Gates Foundation. Christian Loucq, MD Director General It is my pleasure to present IVI’s Annual Report for 2012. There are very few places around the world that are entirely dedicated to vaccines and vaccination for developing countries. There are also very few places with a vaccine portfolio that comprises of a vaccine approved by the World Health Organization (WHO), a vaccine in the clinical development phase, and another vaccine that will cross from the lab to the field for clinical trials. IVI is a place of passion for a concept that has allowed humanity since the time of Louis Pasteur to control and eradicate diseases. IVI is a place of dedication to the concept that vaccines are the most cost-effective tool against infectious diseases. IVI is a place where scientists from all over the world are working hard together against diseases that affect the poorest of the poor. Earlier in my career when I began working on vaccines at the Institut Pasteur Production, I was in Zaire (today’s Democratic Republic of the Congo). A deadly cholera epidemic plagued the southern province of Shaba. Three decades later coming back to the same field, I am saddened to see this disease is in many African countries and has expanded to Haiti and even Cuba. Cholera is unfortunately one of many infectious diseases that are a part of the vicious circle of poverty. It is why a place like IVI has such an important role to play and is worth fighting for. The year 2012 was a difficult year for IVI. It was a year that saw financial challenges but also opportunities for IVI to redefine and enhance itself. After 15 years of existence, it is the right time for IVI to consider its next phase as an organization. In 2012, under a new management team, a lot of time and effort was spent on strengthening our governance. A new governance structure was approved by the IVI Board of Trustees in December. A smaller Board that meets more frequently is already bringing much stronger organizational oversight. Prof. Adel Mahmoud was appointed as Board Chair, replacing Prof. Ragnar Norrby who completed his term as Board Chair. I thank Prof. Norrby for his years of service, and I welcome Prof. Mahmoud who will be instrumental in helping usher in the changes at IVI. We are very pleased to establish more meaningful collaborations in the Republic of Korea, IVI’s host country. We are partnering with SK Chemicals for the co-development of a new typhoid conjugate vaccine and with Korea National Institute for Health for joint research projects. In December, Hyundai-Kia Motors became a donor and is supporting the introduction of the oral cholera vaccine in Malawi. The year 2012 also saw the departure of Dr. Cecil Czerkinsky, Deputy Director General of Laboratory Sciences, after seven years of service. We are grateful for his immense contribution to IVI. Dr. Alejandro Cravioto and Dr. Georges Thiry joined as Chief Scientific Officer and Deputy Director General Portfolio Management, respectively. These new positions will help ensure our focus and alignment on the science and programs. Despite a year of transition, our scientists have kept projects moving forward in approximately 20 countries in Africa, Asia, and Latin America. I would like to thank the Government of the Republic of Korea, the Bill & Melinda Gates Foundation, and the Swedish International Development Cooperation Agency (Sida) for their continued trust and confidence in IVI. I also thank our Korean partners LG Electronics, Hyundai-Kia Motors and the Korea Support Committee for IVI (KSC) for their support, in addition to numerous other donors and supporters. In 2013, we have embarked on an important project to have countries that are party to our Establishment Agreement support IVI in its strategy and financing. With a more diversified funding base, IVI will be well-poised to bring new vaccines to poor populations in this world and to help bridge the gap between vaccines and vaccination. We will make the necessary impact to achieve our vision of developing countries free of suffering from infectious disease. Sincerely, A YEAR OF CHANGE AND NEW BEGINNINGS On October 9, 2012, IVI commemorated its 15th year as an independent nonprofit international organization based in Seoul, Republic of Korea. IVI was originally founded as an initiative by the United Nations Development Program (UNDP) on the belief that the health of children in developing countries can be dramatically improved by the use of vaccines. Since its establishment 15 years ago, IVI has made many contributions to global health and the vaccine sciences with generous support from its host country, the Republic of Korea, and other major supporters such as the Bill & Melinda Gates Foundation and the Swedish International Development Cooperation Agency (Sida). As IVI looks to the next 15 years, it recognized some fundamental changes needed to be made to the organization to maximize its impact in developing countries. It embarked on a series of activities to strengthen and enhance its organizational capacity. The new initiatives will help position IVI so it can better deliver on the mandate that it was charged with at its inception: to improve the health of children in developing countries through the development, introduction, and use of new and improved vaccines. New Vision, Mission, Values, and Strategy The year 2012 saw IVI re-assessing its direction, a year-long undertaking that involved consultations with staff, the Board of Trustees, the Scientific Advisory Group, and major stakeholders. In the process, IVI’s vision and mission were redefined and clarified. The new vision and mission statements clearly communicate IVI’s aspiration and purpose. A YEAR OF CHANGE AND NEW BEGINNINGS 05 A set of values was developed. The values are representative of what IVI staff and stakeholders believe the organization should embody. The values will help drive the organizational culture, priorities, and provide a compass point on how actions and decisions at the organization should be made. Our Values Excellence We strive to be leaders in scientific excellence and innovation. Dedication We are committed to saving lives and improving the health of the world’s poorest people through vaccines. Integrity We value transparency and adhere to the highest ethical standards in our work. Respect We are team players who embrace diversity and treat others with dignity and equality. Accountability We are responsible for our actions to each other, our stakeholders, and the people we serve. A five-year strategic plan (2013-’17) was developed as a road map on how IVI will achieve its mission. The plan was approved by the Board in December 2012. The new strategy is based on four major goals, which aim to: achieve public health impact, fill the vaccine development pipeline, contribute to innovative vaccine discoveries in basic research, and build developing country capacity in vaccinology. For each goal, there are specific indicators to measure progress. Our Goals: 1. Accelerate the development and introduction of safe and effective vaccines; 2. Discover and pursue proof of concept for new vaccine candidates; 3. Advance science driving new achievements in vaccinology; and 4. Contribute to building vaccine technology and systems capacity. IVI’s Strategic Plan (2013-’17) VISION Developing countries free of suffering from infectious disease MISSION Discover, develop, and deliver safe, effective, and affordable vaccines for the world’s developing nations GOAL-LEVEL INDICATORS GOALS 3. Advance science driving new achievements in vaccinology 4. Contribute to building vaccine technology and systems capacity CHOLERA TYPHOID DENGUE / OTHER EDD 2. Discover and pursue proof of concept for new vaccine candidates ShancholTM support studies completed Vi-PS impact demonstrated and scale up introduction Revised Dengue program strategy defined Next-generation cholera vaccine in development Scientific advancements in vaccinology & immunology published DPRK surveillance in place and JE vaccine introduced nationally Sufficient vaccine supply to enable stockpile & multiple country introductions Vi-conjugate development & introduction progress Dengue vaccine development partnerships established Next-generation typhoid vaccine(s) in development Conduct basic research to develop vaccine enhancing technologies Ensure technology transfer of portfolio vaccines to multiple suppliers Hepatitis E vaccine program in place Shigella vaccine program go/no go decision made Tech support relationships with field laboratories maintained & expanded EDD-focused surveillance sites established and generating data Conduct feasibility studies to determine disease go/no go decisions Conduct basic research to better understand immunological responses to vaccines Korean research organization partnerships established. Candidates identified and research programs resourced Respected post-doc program supporting Korean scientists in place 1. Accelerate development and introduction of safe and effective vaccines Published evidence to Published evidence to support introduction support introduction decision-making decision-making Korean vaccine manufacturers leveraged to improve supply security and pricing. Korean technology companies leveraged to improve delivery system Vi-PS: Vi-polysaccharide vaccine DPRK: Democratic People’s Republic of Korea 06 IVI 2012 ANNUAL REPORT EDD: Enteric and diarrheal diseases JE: Japanese encephalitis Improved and expanded vaccinology course available IVI’s strategy continues to prioritize cholera, typhoid, and dengue as the organization’s three main disease pillars but it acknowledges new diseases of strategic research interest at IVI (e.g., hepatitis E, norovirus). The plan also prioritizes collaborations with domestic vaccine manufacturers and research organizations in South Korea in order to capitalize on the country’s expanding vaccine industry, and resources and talent in biomedical research. New Governance IVI revisited its governance in response to recommendations by stakeholders that it needed to be strengthened. An independent assessment of IVI’s governance was made followed by an intense six months of work by a Governance & Nominating Committee to restructure the governance. In December 2012, a new governance structure was approved by the Board of Trustees. The new governance structure consists of a smaller Board that will meet more frequently. This has been implemented and signs of robust oversight and increased commitment by Board members are already being seen. The new governance structure will also comprise of a new body, the Council, where countries that are party to IVI’s Establishment Agreement and entities that are financially supporting the organization will sit. The Council will allow IVI to diversify its funding base by providing access to new avenues of unrestricted funds from IVI’s signatory countries, as well as serve as a platform for more country engagement in IVI’s programs and strategy. At the end of 2012, Prof. Adel Mahmoud was appointed as the new Chair of the IVI Board, succeeding Prof. Ragnar Norrby who completed his term as Board Chair. New Organization To support the new strategy and to increase the organization’s capacity to deliver on its mission, IVI also worked on developing a new organizational structure, which was reviewed and approved by the Board in June 2012. The new structure comprises of a matrix system and has a strong focus on portfolio and project management with the introduction of a Portfolio Management Unit and Portfolio Management Committee. Two new positions were also introduced: a Deputy Director General of Portfolio Management and a Chief Scientific Officer (CSO). These elements will help make IVI a more focused organization that is better aligned with its programs and a better manager of the programs in its portfolio. New Systems Several measures were made in 2012 to improve the effectiveness and efficiency of IVI’s operations. A new Enterprise Resource Planning (ERP) system was implemented that will increase the transparency of all financial transactions at IVI. An internal control system is in the process of being developed. These measures will help increase IVI’s donor funding stewardship, the transparency of its operations, and the reliability of its reporting. In Human Resources, a new staff compensation & benefits structure was developed and implemented for all IVI staff. Job grade definitions are in the process of being developed and analyzed. This will be important in order to limit high turnover and to put IVI in a competitive position to recruit high-quality staff. New Partners IVI brought onboard several important new partners, particularly Korean partners, in 2012. A partnership was formed with SK IVI - New Organizational Structure A YEAR OF CHANGE AND NEW BEGINNINGS 07 Chemicals, a member company of the SK Group, the third largest conglomerate in South Korea. SK Chemicals and IVI entered into an agreement for technology transfer and manufacture of a new typhoid Vi-conjugate vaccine developed at IVI. This agreement marks IVI’s second industrial collaboration in Korea (IVI also has one with Eubiologics, a biotechnology firm, for the manufacturing of the oral cholera vaccine that IVI reformulated). It also indicates a growing interest and investment in vaccines by the Korean industry. In parallel, IVI formed a partnership with Biofarma, a state-owned vaccine manufacturer in Indonesia for the manufacturing of its Viconjugate vaccine. IVI also entered into an agreement with the Korea National Institute of Health (KNIH), one of Korea’s primary research agencies. KNIH and IVI will work together on joint vaccine research projects and initiatives to share scientific information. Work still continued Throughout the transitional changes, IVI continued to make progress in its programs from basic research conducted in laboratory facilities at its headquarters in Seoul; to translational research at field sites in 23 countries in Asia, Africa, and Latin America; to training and capacity-building. The IVI team heading to a hospital at a field site in Kibera, Kenya for the Typhoid Fever Surveillance in Africa Program (TSAP). 08 IVI 2012 ANNUAL REPORT We are and will remain committed toward realizing our vision of a world where the poorest people are free of suffering from infectious disease due to the powerful impact of vaccines and vaccination. 2012 MILESTONES IVI’s New Board Chair - Prof. Adel Mahmoud Prof. Mahmoud is a Professor in Molecular Biology and Public Policy at Princeton University and was President of Merck Vaccines. Prof. Mahmoud brings to IVI a wealth of experience in the vaccine sciences from academia and industry. Launch of a new mission, vision, values, five-year strategic plan (2013’17), organizational structure, systems, and governance - important changes that will help the organization focus on its mandate and increase its ability to deliver on its mission and vision. New appointments on IVI’s Board and management to help the organization deliver. Prof. Adel Mahmoud became Chair of the Board at the end of 2012, succeeding Prof. Ragnar Norrby who served as the Board Chair since 2006. Dr. Alejandro Cravioto was appointed in October as the Chief Scientific Officer (CSO), a newly created position to oversee IVI’s scientific direction; and Dr. Georges Thiry joined at the year’s end as Deputy Director General, Portfolio Management to oversee IVI’s newly established Portfolio Management Unit. Dr. Cravioto was the former Executive Director of icddr,b, and Dr. Thiry was the Director of Portfolio and Project Management and Director of Advancing New Rotavirus Vaccines (ARVAC) at PATH. Strengthening partnerships through the new organizational changes. In October 2012, IVI organized a Donors’ Day that was attended by representatives of current stakeholders such as the Bill & Melinda Gates Foundation (BMGF), the Swedish International Development Cooperation Agency (Sida), the Korean Government (Ministry of Education, Science, and Technology), and the GAVI Alliance. It was an opportunity for IVI to present its new strategic plan and to get input from its donors and partners. More importantly, it helped strengthen relationships with key partners, culminating in renewed support from Sida and BMGF. IVI Director General, Dr. Christian Loucq, and SK Chemicals CEO, Mr. Kim Chang-geun, at the IVI - SK Chemicals MOU signing ceremony in October 2012. Formation of key partnerships in South Korea to advance vaccine research in Korea and beyond. IVI established an agreement with SK Chemicals for the technology transfer, clinical development, and manufacture of a new typhoid conjugate vaccine. IVI will transfer the technology to SK Chemicals who has agreed to supply the vaccine for the public sector, particularly for developing country markets. IVI also forged partnerships with two Korean research organizations, Korea National Institute of Health (KNIH) and Transgovernmental Enterprise for Pandemic Influenza in Korea (TEPIK), to collaborate on vaccine R&D and information-sharing. IVI will be working with KNIH on research projects on norovirus and RSV. Change in public opinion on cholera vaccination, creating momentum for the use of the oral cholera vaccine developed by IVI to control outbreaks. Developed with the public sector in mind, the two-dose killed whole-cell oral vaccine is low-cost, safe, and has a protective efficacy of 66 percent for three years in persons one year old and up. The vaccine was WHO-prequalified in 2011. Despite the availability of the vaccine, doubts prevailed about the feasibility of vaccination to control cholera in outbreaks. However results from mass vaccination demonstration projects with the oral cholera vaccine in Haiti and Guinea have shown that vaccination can work in the midst of an outbreak. There has been heightened urgency to step up cholera prevention and control efforts due to the alarming spread of cholera from Haiti to the Dominican Republic and even Cuba, which hadn’t seen cholera cases since the 1800s. Interest by 2012 MILESTONES 09 WHO, PAHO, and the U.S. Centers for Disease Control (CDC) has emerged in the use of the oral cholera vaccine as a short-term measure to curb illness in outbreaks and as part of a comprehensive disease control program - along with increasing access to clean water and sewage treatment. The WHO has called for the establishment of a global cholera vaccine stockpile to respond to outbreaks like Haiti’s. Launch of a program in the Democratic People’s Republic of Korea (DPRK; North Korea), In late 2012, IVI received funding from South Korea’s Ministry of Unification (MOU) for its North Korea Program, the only organization in South Korea to receive support from MOU for North Korean aid in 2012. The program aims to reduce illness and death from diarrheal disease and acute encephalitis syndrome in North Korean children by building country capacity in vaccine introduction. Capacity-building and training activities will be conducted for North Korean scientists and health professionals in areas such as disease surveillance and laboratory diagnostics. A vaccinology workshop was conducted for North Korean scientists from the Academy of Medical Sciences in Hanoi, Vietnam from December 2-9 in collaboration with Vietnam’s National Institute of Hygiene and Epidemiology (NIHE). North Korean scientists take part in a vaccinology workshop organized by IVI in Hanoi, Vietnam in December 2012. 10 IVI 2012 ANNUAL REPORT 2012 IN BRIEF January: Two U.S. patents granted for novel Shigella common protein antigens discovered by IVI. March: IVI’s estimation of the global burden of cholera published in The Bulletin of the WHO; 1 and official publication of a country investment case study for oral cholera vaccines for Bangladesh (publication can be accessed at: http://www.ivi.org/web/www/04_03). May: Her Majesty Queen Silvia of Sweden visits IVI as part of her official visit to the Republic of Korea. June: The Blue & Green Ribbon Charity Gala held in collaboration with the Korean nonprofit organization Green Tree Foundation in order to raise funds to support the health and wellbeing of children in North Korea. MOU signed with the Transgovernmental Enterprise for Pandemic Influenza in Korea (TEPIK) to collaborate on vaccine research and information-sharing. Her Majesty Queen Silvia of Sweden greeted by IVI Director General, Dr. Christian Loucq, and with flowers in the lobby of IVI’s headquarters. July: MOU signed with the Sabin Vaccine Institute to collaborate on joint advocacy and information-sharing activities. MOU signed with the Korea National Institute of Health to collaborate on vaccine R&D projects. October: IVI celebrates its 15th year anniversary. MOU signed with SK Chemicals for technology transfer and production of a typhoid conjugate vaccine developed by IVI. Donors’ Day at IVI in which donors like the Bill & Melinda Gates Foundation, the Swedish International Development Cooperation Agency (Sida), and the Korean Government were invited to provide feedback on IVI’s new strategy IVI staff celebrates the organization’s 15th anniversary at the IVI headquarters. November: IVI’s Institutional Review Board (IRB) re-recognized by the Forum for Ethical Review Committees in the Asian and Western Pacific Region (FERCAP). December: Funding granted from Hyundai-Kia Motors to IVI for a cholera vaccination project in Malawi. Funding granted from the Bill & Melinda Gates Foundation to IVI to support implementation of organizational changes taking place. 1 Ali M, Lopez AL, You YA et al. The global burden of cholera. Bull World Health Organ 2012/Mar; 90(3): 209-218A. 2012 IN BRIEF 11 GEOGRAPHIC RANGE OF IVI’S WORK IN 2012 12 IVI 2012 ANNUAL REPORT RESEARCH HIGHLIGHTS Cholera IVI’s Cholera Vaccine Program aims to make safe, effective, and affordable oral cholera vaccines available and accessible to developing countries for the control of endemic and epidemic cholera. IVI has been working on the development of two vaccines-a killed whole-cell oral cholera vaccine and a live attenuated oral cholera vaccine. Among the two, IVI has made the most headway on the killed whole-cell oral cholera vaccine. The vaccine, which was reformulated by IVI, was tech-transferred to Shantha Biotechnics in India where it was licensed as ShancholTM‚ in 2009. It received WHO prequalification in 2011. Developed with the public sector in mind, the two-dose vaccine is available on the market at a relatively low cost and can be given without a buffer, simplifying its administration in resource-limited settings. The vaccine has been demonstrated to provide about 66 percent protection for up to three years in people one year old and up. To ensure an adequate supply of oral cholera vaccines for the global market, IVI is working with a second manufacturer, Eubiologics in South Korea, for the technology transfer and production of the vaccine. In 2012, the oral cholera vaccine received a huge boost due to a change in opinion by the global health community about cholera vaccination. Previously, there were doubts and skepticism about the feasibility of vaccination to control cholera, especially in outbreaks. However results from mass cholera vaccination demonstration projects in Haiti and Guinea conducted by Partners in Health and Medecins Sans Frontieres (MSF), respectively, have shown that vaccination can work in the midst of an outbreak. With the alarming spread of cholera from Haiti to the Dominican Republic and Cuba, and epidemics in Central and West Africa, there has been heightened urgency to step up prevention and control efforts. The World Health Assembly (the WHO's governing body) has called for more effective cholera control, including the use of cholera vaccines, and the WHO and PAHO have reconsidered their positions on cholera vaccination. Interest The IVI team (You Young-ae, left; Kim Yang-hee, fifth from left; and Dr. Binod Sah, center) with local collaborators in Orissa, India. has emerged in the use of the oral cholera vaccine as a short-term measure to curb illness in outbreaks and as part of a comprehensive disease control program-along with increasing access to clean water and sewage treatment. The WHO has called for the establishment of a global cholera vaccine stockpile to respond to outbreaks like Haiti’s. Against this backdrop, IVI continued to work on promoting the availability and access of the oral cholera vaccine. In 2011, IVI in collaboration with the local government conducted a vaccination demonstration project in Orissa state (official name: Odisha), India in order to assess the feasibility of mass vaccination with the oral cholera vaccine using the public health system, the first study of its kind in India. The findings showed that mass vaccination targeting a community of about 36,000 with the two-dose vaccine was feasible and cost-effective. Publication of the results is forthcoming. Based on the promising results, a mass vaccination targeting the high-risk tribal communities in Orissa is being planned by the government with support from IVI. IVI, in collaboration with the Ethiopian government and local partners such as the Armauer Hansen Research Institute (AHRI), continued to work on preparations for a pilot mass vaccination campaign with the oral cholera vaccine in Ethiopia supported by LG Electronics. The vaccination is anticipated to occur in 2013. At the end of 2012, IVI received support from Hyundai-Kia Motors to introduce the oral cholera vaccine in Malawi. This project will start in 2013. IVI continued to provide technical assistance to icddr,b as part of ongoing efforts to introduce the oral cholera vaccine in Dhaka, Bangladesh. Approximately 141,000 people were vaccinated through a demonstration project in 2011 to evaluate the feasibility and effective of cholera vaccination and other control interventions. As part of a global investment case for oral cholera vaccines, IVI developed and published a Bangladesh case study in 2012. Intended for policymakers, vaccine manufacturers, and donors, the report provides an estimate of the disease and economic burden, financing needs, likely challenges, and cost, impact and costeffectiveness estimates for several cholera vaccination strategies. The report can be accessed at: http://www.ivi.org/web/www/04_03. Clinical studies continued for the killed whole-cell oral cholera vaccine (OCV). Five years of surveillance was completed for the extended Phase III trial of Shanchol in Kolkata, India to assess the protective efficacy of the vaccine after five years. Publication of the results is expected in 2013. Additional studies to optimize the use of Shanchol such as a single-dose efficacy trial and assessment of immunogenicity after varying intervals between doses are ongoing. Donors: Bill & Melinda Gates Foundation, Swedish International Development Cooperation International Agency (Sida), LG Electronics, Hyundai-Kia Motors, and the Government of the Republic of Korea RESEARCH HIGHLIGHTS 13 Typhoid The goal of IVI’s Typhoid Vaccine Program is to reduce the burden of typhoid fever in the developing world by making vaccines available and accessible to populations at risk in Asia and Africa. The program has two objectives: 1) to accelerate the development and delivery of safe, effective, and low-cost Vi-based vaccines in endemic countries in Asia; and 2) to generate evidence on the burden of typhoid fever and other invasive Salmonella infections in Africa, for which scientifically sound data are limited. IVI’s Vi-based Vaccines for Asia (VIVA) Initiative aims to accelerate the introduction and use of typhoid vaccines in endemic countries in Asia through demonstration projects, and policy and advocacy activities; and the development of a new typhoid Vi-conjugate vaccine. More than 300,000 school children were vaccinated with the Vi-polysaccharide vaccine in Karachi, Pakistan and Kathmandu, Nepal through school-based vaccination campaigns that were conducted in collaboration with the local government. Case-control studies are ongoing in Kathmandu to assess the impact of vaccination. A typhoid consultation meeting was convened by IVI with local media, policymakers, and stakeholders in Kathmandu in July 2012 to share findings from the vaccination campaign and to discuss strategies on typhoid control. The meeting culminated in an endorsement by the Health Secretary on the use of typhoid vaccines and a commitment by the local government to expand the vaccination campaign to high-risk areas and groups in Kathmandu. Nepali school children who were vaccinated against typhoid through a campaign coordinated by IVI displaying their vaccination cards. age-structured, compartmental model of typhoid transmission was developed for urban slum populations in two countries-India and Pakistan-to estimate the population-level impact of vaccination, which was simulated over a 20-year period after a one-time Vipolysaccharide vaccination campaign for children ages 2 to 14.9 years. This model has the potential to help better understand how the disease is transmitted in populations and predict the effect of mass vaccination in controlling the disease. Additionally, the model outputs allow better estimation of cost-effectiveness. The Typhoid Fever Surveillance in Africa Program (TSAP) aims to generate data on the burden of typhoid fever and other invasive Salmonella infections through standardized surveillance and disease burden studies among a network of 10 African countries (Guinea Bissau, Senegal, Burkina Faso, Madagascar, South Africa, Tanzania, Ghana, Kenya, Ethiopia, and North Sudan). In 2012, all 10 sites were active and reporting data. Results so far show that Salmonella Typhi and/or other Salmonella species are present in nine countries, primarily affecting children. IVI continued to provide technical support to these sites while expanding the typhoid surveillance platform to support other disease burden studies for diseases such as cholera and dengue. Two sub-studies were added to TSAP that include a study to identify factors affecting health care facility use by patients with fever in order to discern any patterns of variability in factors across all TSAP sites, and a study to identify carriers of S. Typhi, S. Paratyphi and nontyphoidal Salmonella (NTS)-the bacterial agents of typhoid, paratyphoid and invasive salmonellosis, respectively, in the general population and among household members of confirmed cases in Guinea Bissau and Senegal. Finally, sites were identified for Phase II/III clinical trials to evaluate new conjugate vaccines against typhoid and invasive salmonelloses that are currently under development. Donors: Bill & Melinda Gates Foundation, Swedish International Development Cooperation International Agency (Sida), and the Government of the Republic of Korea. Work continued on clinical development of the Vi-conjugate vaccine that was developed by IVI based on conjugation technology from the U.S. National Institutes of Health. Following the technology transfer to Shantha Biotechnics, clinical trial lots have been produced by Shantha and preparations are being made to begin the first clinical trial in India. In addition, IVI formed partnerships with SK Chemicals (South Korea) and BioFarma (Indonesia) for technology transfer and production of the Viconjugate vaccine. These additional manufacturers will help ensure an adequate and affordable supply of Vi-conjugate vaccines for the global market. Work on a global investment case for typhoid vaccines and disease transmission model are ongoing, which should help make the case to donors and policymakers on the need for typhoid vaccines. An 14 IVI 2012 ANNUAL REPORT Mothers and their infants queuing for vaccination at the Bandim Health Clinic in Bissau, Guinea-Bissau, one of the TSAP enrolment facilities. Dengue IVI is the lead coordinating agency of the Dengue Vaccine Initiative (DVI; http://www.denguevaccines.org), a consortium consisting of IVI, the Sabin Vaccine Institute, WHO’s Initiative for Vaccine Research (IVR), and the International Vaccine Access Center (IVAC) at Johns Hopkins University. DVI’s mission is to encourage the development and use of vaccines to prevent dengue. The consortium works to maintain a pipeline of dengue vaccine candidates and to create an enabling environment for dengue vaccine introduction in four countries that are considered to be early adopters of dengue vaccines: Brazil, Colombia, Thailand, and Vietnam. In 2012, IVI, in collaboration with local research partners, continued to conduct various studies such as disease burden, cost-of-illness, and health care utilization studies, as well as seroprevalence and willingness-to-pay surveys at the field sites in the four countries. DVI’s Asia-Pacific and Americas Dengue Prevention Boards had their annual meetings, which led to the drafting and subsequent publication of “Points for Consideration for First-to-Introduce Countries of Dengue Vaccines.” In addition, IVAC published “Costing Dengue Cases and Outbreaks: A Guide to Current Practices and Procedures,” which aims to ensure robust assessment of the economic burden of dengue infections. Late 2012 also saw the anticipated publication of the Phase IIb trial results from Sanofi Pasteur for its live attenuated tetravalent dengue vaccine, the first study to evaluate the efficacy of a dengue vaccine candidate against clinical disease in a population naturally exposed to dengue. The results were not as encouraging as had been hoped, with the most virulent strain resisting the vaccine. However the vaccine showed promising safety results and some protection against the other three dengue strains. The WHO Advisory Committee on Dengue and other Flavivirus Vaccines met to review the implications of the trial results. The WHO concluded that the data from the Phase IIb study did not prove or disprove vaccine efficacy against disease caused by any of the four dengue virus serotypes and that further studies in larger populations and different epidemiological setting were needed. In the dengue vaccine landscape, it reinforced the need for the development of other dengue vaccines, in addition to the Sanofi Pasteur candidate. Donors: Bill & Melinda Gates Foundation, Inviragen, Sanofi Pasteur. The local study team and field coordinator Diana Carolina Velez (second from right) visiting households for blood collection for the serological survey in Santa Cruz communa in Medellin, Colombia. RESEARCH HIGHLIGHTS 15 Discovery and Preclinical Studies IVI’s basic research focuses on the exploratory and preclinical stages of vaccine development. It involves studying the immune response to vaccines and the genetic makeup of infectious pathogens, with the aim of discovering new vaccine targets, agents and vectors, as well as developing clinical diagnostic assays to assess vaccine performance. Potentially promising vaccine candidates are evaluated for proof-of-concept and efficacy in animal models. In 2012, IVI was granted two U.S. patents for novel Shigella protein antigens, which will contribute to efforts in the development of a Shigella vaccine. The patents, which will expire in 2029, were filed following IVI’s discovery of common protein antigens in several Shigella species that could be used as the basis for a universal vaccine against bacillary dysentery and diagnostic assays. In addition, the lipopolysaccharide (LPS) length of a Shigella strain was genetically modified in efforts to potentially develop a live attenuated vaccine that could protect against the main Shigella serotypes by enhancing the response to other membrane proteins. This work is being done in a mouse pulmonary model. Enrolment of young children and measurement of immunogenicity against oral polio virus and rotavirus vaccines continued in Kolkata, India for the PROVIDE study, a study supported by the Bill & Melinda Gates Foundation that explores the effect of under-nutrition as a possible cause of decreased responsiveness to live oral vaccines, a phenomenon commonly seen in children from poor countries. IVI is part of an international consortium that includes the University of Virginia, India’s National Institute of Cholera and Enteric Diseases (NICED), the University of Vermont, Stanford University, Washington University in St. Louis, and Bangladesh’s icddr,b. Other research highlights included the clarification of the participation of mucosal dendritic cells in the induction of protective immunity by vaccines delivered through sublingual or trans-cutaneous routes, and the development of a novel strategy for sublingual vaccination with a live attenuated vaccine to control influenza outbreaks, including pandemics. IVI scientist Dr. Huan Huu Nguyen conducts vaccine discovery research on influenza. 16 IVI 2012 ANNUAL REPORT Process & Formulation Development and Clinical Development IVI is also involved in the downstream stages of vaccine development such as process and formulation development, clinical development, regulatory review and approval, manufacturing, and quality control. Cost-effective processes for large-scale vaccine production are developed and optimized at IVI, and transferred to qualified vaccine manufacturers in developing countries. IVI works with manufacturers and regulatory agencies by providing training and support. Involvement at these stages will help ensure a sustainable supply of affordable and effective vaccines for developing countries. In addition, IVI scientists develop and standardize qualified assays for measuring human immune responses to vaccines, which are useful during the clinical development phase. IVI trains researchers from developing countries on the use of these assays for field research. Head of Process Development, Mr. Rodney Carbis, gave a tour of the lab facilities to the Korean Minister of Health & Welfare, Dr. Rim Che-min in July 2012. Vaccine Portfolio in 2012 Vaccine Killed whole-cell oral cholera vaccine IVI’s Role Status IVI, in collaboration with partners in Sweden, Vietnam, and India enhanced an existing oral cholera vaccine to meet international standards set by WHO enabling global access of the vaccine. Technology transferred to Shantha Biotechnics (India). Licensed in India as Shanchol TM ‚ in 2009 (also licensed in Vietnam as mORC-VAX). Received WHO prequalification in 2011. Currently deployed in endemic and epidemic areas around the world. Clinical studies to optimize the vaccine (e.g., single-dose trial) are under development. Technology transferred to second manufacturer Eubiologics (Korea). Clinical trials to follow. Vi-polysaccharide typhoid vaccine IVI improved the production technology of Vi polysaccharide, resulting in higheryield Vi. Technology transferred to Shantha in 2009 as part of transfer of Vi-DT conjugate vaccine technology (see below). Vi-diphtheria toxoid (Vi-DT) conjugate typhoid vaccine IVI developed the new vaccine using conjugation technology from the U.S. National Institutes of Health. Technology transferred to Shantha in 2009 and pilot lots were produced. Clinical trials to follow. Agreements formed in 2012 with SK Chemicals (Korea) and BioFarma (Indonesia) for technology transfer and production. Bivalent enteric fever conjugate vaccine (protects against typhoid and paratyphoid) IVI developed the typhoid and paratyphoid conjugates for the vaccine; formulation work is ongoing. Under preclinical development. Donors: Bill & Melinda Gates Foundation, Swedish International Development Cooperation Agency (Sida), Korean Ministry of Education, Science and Technology (MEST), National Research Foundation of Korea, Korea Research Council of Fundamental Science and Technology, Korea Health Industry Development Institute, Korea Exchange Bank, Korea Racing Authority, PATH Vaccine Solutions, Merck & Co., and World Health Organization (WHO). RESEARCH HIGHLIGHTS 17 Other Programs Publications Several studies neared completion in 2012 such as a retrospective disease burden study of pneumonia and influenza hospitalizations in Vietnam that was conducted in collaboration with Vietnam’s National Institute for Hygiene and Epidemiology (NIHE); and a retrospective study to detect and identify strains of meningococcal meningitis in infants and young children in the Asia-Pacific region. The results suggest there is a previously undetected, yet substantial burden of meningococcal meningitis in this age group in the region. In 2012, there were a total of 79 publications in peer-reviewed scientific journals by IVI scientists that included The Lancet, Vaccine, PLoS One, and The American Journal of Tropical Medicine & Hygiene. For a complete list of publications, please visit the IVI website: http://www.ivi.org. Highlights include a publication on the herd effect of the oral cholera vaccine in Zanzibar in The Lancet Infectious Diseases,2 and a publication on the estimation of the global burden of cholera using population-based incidence data and reports in The Bulletin of WHO.3 IVI estimates that globally there are about 3 million cases and 94,000 deaths due to cholera per year annually. Two new projects were launched that include support from the Yanghyun Foundation for the “Landscape analysis of influenza: pilot study in Vietnam and Indonesia,” which involve developing an electronic platform for the collection and analysis of influenza data from Vietnam and Indonesia; and the “Development and utilization of educational programs/tools on tuberculosis to high school students” that will be conducted in Seoul and Incheon City. Funding for this project was received from the Community Chest of Korea through the Korea Support Committee (KSC) for IVI. 18 IVI 2012 ANNUAL REPORT 2 Khatib AM, Ali M, von Seidlein L et al. Effectiveness of an oral cholera vaccine in Zanzibar: findings from a mass vaccination campaign and observational cohort study. Lancet Infect Dis 2012; 12(11): 837-44. 3 Ali M, Lopez AL, You YA et al. The global burden of cholera. Bull World Health Organ 2012/Mar; 90(3): 209-218A. HIGHLIGHTS IN TRAINING AND CAPACITY-BUILDING Vaccinology Course SIVAC Initiative The 12th Annual International Vaccinology Course in the AsiaPacific Region was held on May 14-19, 2012 at IVI headquarters in Seoul. Sponsored by the Swedish International Development Cooperation Agency (Sida), Korea Exchange Bank (KEB) Foundation, GlaxoSmithKline (GSK), Pfizer, and the Bill & Melinda Gates Foundation, the week-long course gives an overview of the vaccine continuum, covering topics such as vaccine discovery and development, issues in production and regulation, methods for safety evaluation, and communications and advocacy. Intended for policymakers, scientists and public health professionals from developing countries, the course attracted over 90 participants from 27 countries, including China, India, Indonesia, Turkey, and Guinea Bissau. The SIVAC (Supporting Independent Immunization and Vaccine Advisory Committees) Initiative is a seven-year project carried out by the Agence de Medecine Preventive (AMP) and IVI with support from the Bill & Melinda Gates Foundation. It aims to support the development of sustainable National Immunization Technical Advisory Groups (NITAGs) in developing countries in Asia and Africa to enhance the use of evidence-based decision-making processes in the development of national immunization programs and policies. With support and technical assistance from IVI, Kyrgyzstan and Kazakhstan launched their first NITAGs in 2012. They follow Mongolia who established its first NITAG with IVI’s support in 2010. IVI continued to provide technical assistance to the Mongolian NITAG - a joint orientation workshop was held in collaboration with the WHO Regional Office for the Western Pacific (WPRO) in Ulaanbaatar, Mongolia. North Korea Program The North Korea Program was launched in late 2012 with support from South Korea’s Ministry of Unification. The program aims to reduce the burden of diarrheal disease and acute encephalitis syndrome in children in North Korea by building country capacity in vaccine introduction. Activities include building the laboratory infrastructure and training North Korean scientists and public health personnel in disease surveillance, laboratory diagnostics, and reporting. This is crucial to generate disease burden data, which are needed by the government to make evidence-based decisions on vaccine introduction. A training workshop on surveillance and laboratory diagnosis was held for eight North Korean scientists from December 3-8, 2012 in Hanoi, Vietnam in collaboration with Vietnam’s National Institute of Hygiene and Epidemiology (NIHE). Additional workshops are planned for 2013. IVI also provided technical support to Nepal’s National Committee on Immunization Practice (NCIP) and formed an agreement with the WHO Nepal country office to support the scientific secretariat of NCIP. In addition, IVI conducted a joint orientation workshop in Naypyitaw, Myanmar in collaboration with the WHO Regional Office for South-East Asia (SEARO) as part of efforts to strengthen Myanmar’s National Committee of Immunization Practice (NCIP). IVI scientist and SIVAC regional coordinator, Dr. Batmunkh Nyambat (third from left, standing) provided support in the establishment of Mongolia’s first National Immunization Technical Advisory Group. HIGHLIGHTS IN TRAINING AND CAPACITY-BUILDING 19 FINANCIAL SUMMARY * Figures are presented in US dollars. 2012 2011 Bill & Melinda Gates Foundation (BMGF) 9,076,267 12,039,652 Government of the Republic of Korea 2,193,155 7,171,608 616,313 413,025 REVENUE Swedish International Development Cooperation Agency (Sida) Corporations / Individuals / Others Investments (Interest Income) Total Income SOURCES OF REVENUE 1% 2% 21% 5,897,021 5,272,607 144,747 524,915 17,927,503 25,421,806 33% 51% 2% 3% 47% 28% 12% EXPENSES 2012 2011 14,933,906 16,978,834 Laboratory Support 2,024,945 2,315,339 Management & General 4,396,482 4,970,789 Communication & Advocacy 1,071,617 1,117,888 22,426,950 25,382,850 78,360 40,360 (4,421,087) 79,316 2012 2011 6,867,107 14,923,451 26,100,742 21,944,704 1,406,568 838,603 971,327 762,556 35,345,744 38,469,314 Program Services Total Expense Foreign Exchange Gain (Loss) Net Surplus (Deficit) ASSETS Cash and Cash Equivalents Bank Deposits Other Current Assets Other assets Total Assets Bill & Melinda Gates Foundation (BMGF) Government of the Republic of Korea Swedish International Development Cooperation Agency (Sida) Corporations / Individuals / Others Investments (Interest Income) EXPENSE ALLOCATION 5% 20% Grant Funds-Deferred support Other Current Liabilities 2012 2011 25,631,138 23,530,256 1,074,057 1,206,875 Other Liabilities Net Assets Total Liabilities and Net Assets 8,640,549 13,732,183 35,345,744 38,469,314 20% 66% 9% LIABILITIES AND NET ASSETS 4% 67% 9% Program Services Laboratory Support Management & General Communication & Advocacy Note: The above financial statement is an excerpt from the IVI’s audited financial statements, which are audited by Samil PricewaterhouseCoopers. The International Vaccine Institute is an international nonprofit organization. Contributions to the IVI are tax-exempt under US IRS code 501(c) (3). 20 IVI 2012 ANNUAL REPORT BOARD OF TRUSTEES (as of December 31, 2012) Prof. Ragnar Norrby (Outgoing Chair) Dr. Suh You-mi (Host Country Representative) Former Director General Swedish Institute for Infectious Disease Control Sweden Director General International Cooperation Bureau Ministry of Education, Science, and Technology Republic of Korea Dr. Nguyen Tran Hien Director National Institute of Hygiene and Epidemiology Faculty of Public Health Hanoi Medical University Vietnam Mr. Romulo Garcia (UNDP Representative) Senior Adviser Regional Bureau for Asia and the Pacific, UNDP New York Dr. Christian Loucq (Ex-officio) Mr. George Bickerstaff Managing Director, M.M. Dillon & Co., U.S.A Director General International Vaccine Institute Representatives from State Par ties Prof. Adel A.F. Mahmoud (Incoming Chair) Professor Princeton University Department of Molecular Biology and the Woodrow Wilson School of Public and International Affairs U.S.A. Dr. Akira Homma Dr. Juhani Eskola Prof. Dr. Claire J.P. Boog Deputy Director General National Institute for Health and Welfare (THL) Finland Scientific Director of Netherlands Vaccine Institute (NVI) Unit Research and Development & Registration and Medical Unit The Netherlands Dr. Shin Young-soo (WHO Representative) Regional Director WHO Western Pacific Regional Office (WPRO) Philippines Chairman of Policy and Strategy Council Institute of Technology for Immunologicals/ Bio-Manguinhos of the Oswaldo Cruz Foundtion (Fiocruz) Brazil Dr. Viveka Persson Uredare / Project Manager Swedish National Agency for Higher Education Sweden Ms. Paik Ji-ah (Host Country Representative) Director General International Organizations Bureau Ministry of Foreign Affairs & Trade Republic of Korea FINANCIAL SUMMARY AND BOARD OF TRUSTEES 21 SCIENTIFIC ADVISORY GROUP (as of December 31, 2012) Prof. Robert E. Black (Chair) Dr. G. Balakrish Nair Professor, International Health Bloomberg School of Public Health Johns Hopkins University, Baltimore, Maryland, U.S.A. Director National Institute of Cholera and Enteric Diseases (NICED) Kolkata, India Dr. Pearay L. Ogra Dr. Duane J. Gubler Professor Program on Emerging Infectious Diseases Duke-NUS Graduate Medical School Singapore John Sealy Distinguished Chair Emeritus Professor and Chairman Department of Pediatrics, State University of New York at Buffalo Children's Hospital Buffalo, New York, U.S.A. Dr. Byoung S. Kwon Dr. David A. Sack Endowed Investigator Division of Cell and Immunobiology R&D Center for Cancer Therapeutics National Cancer Center Goyang, Gyeonggi Province, Republic of Korea Professor, Department of International Health Johns Hopkins University Bloomberg School of Public Health Baltimore, Maryland, U.S.A. Dr. Claudio F. Lanata Senior Researcher, Instituto de Investigacion Nutricional (IIN), Lima, Peru Science Director, U.S. Navy Medical Research Unit 6, Callao, Peru Professor, School of Medicine, Peruvian University of Applied Sciences, Lima, Peru Dr. Jacques Louis Emeritus Professor, Faculty of Medicine, University of Lausanne, Switzerland Emeritus Director, Department of Parasitology and Mycology, Institut Pasteur, Paris (2003-2008) Dr. Moon H. Nahm Professor Department of Pathology University of Alabama at Birmingham Birmingham, Alabama, U.S.A. 22 IVI 2012 ANNUAL REPORT Dr. Peter Smith Professor, Department of Epidemiology and Population Health London School of Hygiene & Tropical Medicine London, U.K. Facilities Commit tee Dr. Gordon Dougan Principal Research Scientist Member of the Board of Management The Wellcome Trust Sanger Institute Cambridge, U.K. Dr. Margaret A. Liu ProTherImmune, Lafayette, California, U.S.A. Visiting Professor, Karolinska Institute, Stockholm, Sweden Major Donors in 2012 Core funding to IVI is provided by the governments of the Republic of Korea and Sweden. Public-and private-sector organizations and individuals also provide support, both monetary and in-kind, for the Institute’s research and programs. Prominent organizations and individuals in Korea provide support due to efforts of the Korea Support Committee for IVI (KSC). While there are too many donors to list here, their generosity is deeply appreciated. To see the full list of IVI donors, please refer to the IVI website, http://www.ivi.int. Amway Korea, Ltd. Bill & Melinda Gates Foundation Celltrion, Inc. Community Chest of Korea Ewha Womans University GlaxoSmithKline Biologicals Government of Republic of Korea Hyundai-Kia Motors Inviragen, Inc. Korea Exchange Bank Korea Health Industry Development Institute Korea Racing Authority Korea Research Council of Fundamental Science and Technology Korea Research Institute of Bioscience and Biotechnology Korea Support Committee for the IVI (KSC) LG Electronics Merck & Co. Ministry of Education, Science and Technology (MEST), Republic of Korea Ministry of Foreign Affairs and Trade (MOFAT), Republic of Korea Ministry of Unification (MOU), Republic of Korea National Research Foundation of Korea PATH Vaccine Solutions Pfizer Sanofi Pasteur Swedish International Development Cooperation Agency (Sida) World Health Organization (WHO) Yanghyun Foundation SCIENTIFIC ADVISORY GROUP AND MAJOR DONORS 23 Major Partners in 2012 •Academy of Medical Sciences, Democratic •Institut Superieur des Sciences de la People’s Republic of Korea •Aga Khan University •Agence de Medecine Preventive (AMP) •Ajou University, Republic of Korea •Applied Strategies, USA •Armauer Hansen Research Institute (AHRI), Ethiopia •AVIR Green Hills Biotechnology AG •Bandim Health Project •Bangladesh Institute of Child Health •Beams Biotechnology Co., Ltd. •Bernhard Nocht Institute for Tropical Medicine, Germany •BioFarma, Indonesia •Bio-Korea, Republic of Korea •Caritas Germany •Celltrion, Republic of Korea •City District Government of Karachi, Pakistan •Christian Medical College, India •Chonbuk National University, Republic of Korea •Chungnam National University, Republic of Korea •Coalition against Typhoid •Directorate of Health Services, Department of Health and Family Welfare, State Government of Orissa, India •District Public Health Offices of Lalitpur and Bakhtapur, Nepal •Duke University Medical Center •Ewha Womans University, Republic of Korea •Emory University •Ethiopian Health and Nutrition Research Institute, Ethiopia •Eubiologics, Republic of Korea •Expanded Program on Immunization of Sindh Province, Pakistan •Fred Hutchinson Cancer Research Center •GAVI Alliance •Green Tree Foundation, Republic of Korea •Hanyang University, Republic of Korea •icddr,b, Bangladesh •Indian Council of Medical Research, India •Instituto Butantan, Brazil •Institut Pasteur Korea •Institut Pasteur Senegal Population (ISSP), Burkina Faso •Johns Hopkins University - International Vaccine Access Center (IVAC) •Kangwon National University, Republic of Korea •Kenya Medical Research Institute, Kenya •Kilimanjaro Christian Medical Centre, Tanzania •Konkuk University, Republic of Korea •Korea National Institute of Health (KNIH) •Korea Research Institute of Bioscience and Biotechnology (KRIBB) •Kumasi Centre for Collaborative Research in Tropical Medicine, Ghana •Mahidol University •Merck & Co. •Metrosalud ESE / Unidad Hospitalaria communa Santa Cruz, Medellin, Colombia •Ministries of Health (Ethiopia, Kazakhstan, Kyrgyzstan, Mongolia, Sudan) •Ministries of Public Health (Brazil, Colombia, Thailand) •Ministry of Health of Sindh Province, Pakistan •Ministry of Health and Population, Nepal •Ministry of Tourism and Civil Aviation, Nepal •MITRA Samaj, Nepal •National Center for Communicable Diseases, Ulaanbaatar, Mongolia •National Institute for Communicable Diseases (NICD), South Africa •National Institute of Cholera & Enteric Diseases (NICED), India •National Institutes of Health (NIH), USA •National Institute of Hygiene and Epidemiology (NIHE), Vietnam •Nihon University, Japan •Oromia Regional Health Bureau, Ethiopia •Oxford Economic Forecasting •Patan Hospital, Nepal •Pan American Health Organization (PAHO) •PATH, USA •Pohang University of Science and Technology (POSTECH), Republic of Korea •Programa de Estudio y Control de Enfermedades Tropicales (PECET), Universidad de Antioquia, Medellin, Colombia 24 IVI 2012 ANNUAL REPORT •Regional Medical Research Centre, Bhubaneswar, Orissa, India •Sabin Vaccine Institute, USA •Scientific Research Center for Epidemiological Expertise and Monitoring, Almaty, Kazakhstan •Secretaria de Salud, Medellin, Colombia •Sejong University, Republic of Korea •Seoul National University, Republic of Korea •Shantha Biotechnics, India •SK Chemicals, Republic of Korea •Stanford University •Transgovernment Enterprise against Pandemic Influenza of Korea (TEPIK) •Trust for Vaccines and Immunization (TVI), Pakistan •UNICEF Nepal •United States Centers for Disease Control and Prevention (CDC) •University of Alabama at Birmingham •University of Antananarivo, Madagascar •University of Florida •University of Gezira, Sudan •University of Gothenburg, Sweden •University of Melbourne, Australia •University of Ouagadougou, Burkina Faso •University of Vermont •University of Virginia •University of Wisconsin •VaBiotech, Vietnam •Vaccine Technologies, Inc. (VTI) •Walter Reed Army Institute of Research (WRAIR) •Washington University •Wellcome Trust Sanger Institute, UK •WHO Initiative for Vaccine Research (IVR) •WHO Programme for Immunization Preventable Diseases (IPD), Nepal •WHO Regional Office for Europe (EURO) •WHO Regional Office for South-East Asia (SEARO) •WHO Regional Office for the Western Pacifi (WPRO) •World Health Organization (WHO) •Yonsei University, Republic of Korea KOREA SUPPORT COMMITTEE FOR THE IVI (KSC) Established in 1998, the KSC is a nonprofit organization that mobilizes support in the Republic of Korea for IVI. The Committee consists of prominent leaders from government, industry, and academia in Korea. For more information, please visit: http://www.ivi.int/ksc. HONORARY PRESIDENT Dr. Chae Young-bog Prof. Lee Ho-wang Madam Kim Yoon-ok Chairman, Gyeong Gi Bio-Center/ Former Minister of Science & Technology Former President, the National Academy of Sciences, Republic of Korea The First Lady of the Republic of Korea Dr. Chung Won-shik Prof. Lee Sang-sup PRESIDENT Former Prime Minister Prof. Cho Dong-sung Dr. Han Seung-soo Professor Emeritus, Seoul National University College of Pharmacy / Advisor, Pacificpharma Co. Professor, Seoul National University College of Business Administration Former Prime Minister Mr. Lee Se-ung Dr. Hong Seok hyun Chairman, Shin Il Co. / Chairman, Seoul Arts Center / Former President, Korea National Red Cross CHAIR OF THE BOARD Chairman, JoongAng Ilbo Prof. Park Sang-dai Mr. Kang Choong-hyun President, The Korean Federation Science and Technology Societies / Professor Emeritus, Seoul National University / Member, the National Academy of Sciences, Republic of Korea President, Samjin Globalnet Co., Ltd. Prof. Park Soo-gil Mr. Kang Shin-ho Chairman, Dong-A Socio Group Chair Professor, Korea University / Former Permanent Representative of the Republic of Korea to the UN Mr. Kim Jai-son Dr. Rhee Shang-hi Publisher, The Samtohsa / Founding President of KSC / Former Speaker of General Assembly Chairman, Greenlife Intellectual Network, Former President, Korea Patent Attorneys Association / Former Minister of Science & Technology VICE PRESIDENT Mr. Seo Jung-jin CEO & Chairman, Celltrion, Inc. Dr. Kim Kee-hyong EXECUTIVE DIRECTOR Prof. Son Bong-ho Prof. Seong Rho-hyun President, Korea Ceramics Culture Promotion Society / Former Minister of Science & Technology Dean for Research Affairs, & Professor, Seoul National University College of Natural Sciences Prof. Kim Nak-doo EXECUTIVE ADVISOR Professor Emeritus, Seoul National University College of Pharmacy Prof. Cho Wan-kyoo Prof. Kim Sang-joo Former President, Bioindustry Association of Korea/Former President, Seoul National University / Former Minister of Education Former President, the National Academy of Sciences, Republic of Korea Dr. Yoon Hong-geun Prof. Kim Si-joong Prof. Yu Jae-cheon Chairman, The Science-Technology Forum / Former Minister of Science & Technology President, Sangji University LEGAL ADVISOR Mr. Choi Sang-yup Chairman, Korea Community Sharing Campaign, Professor Emeritus, Seoul National University Prof. Yoo Chong-ha President, Korea National Red Cross / Former Minister of Foreign Affairs & Trade Chairman & CEO, GENESIS BBQ Group Mr. Won Dae-yunn Prof. Kwon E. Hyock Chairman, Korea Fashion Association BOARD OF TRUSTEES ADVISOR Professor Emeritus & Former President, Seoul National University / Former Minister of Education / Public Health / Environment Mr. Chae Hee-byung Dr. Lee Gil-ya President, Dongjin Chemical Co., Ltd. President, KyungWon University Lawyer, Former Minister of Justice / Vice Prosecutor-General Mr. Auh Jin President, Ahn Gook Pharm. MAJOR PARTNERS AND KOREA SUPPORT COMMITTEE FOR THE IVI 25 Mr. Chang In-whan Mr. Kim Sun-ki Prof. Song Jin-won President & CEO, KTB Asset Management President, Bio-Medical Science Co., Ltd Professor, Korea University College of Medicine Mr. Chi Chang-hoon Mr. Kim Young-je President & CEO, Korean Air President & CEO, Sky 72 Golf Club Dr. Choi Davis Mr. Lee Doung-young President, Korea Vaccine Co., Ltd. CEO, Marketing Production, Seoul Dairy Cooperative Mr. Shin Hyun-il Chairman, Bomoon Corporation Mr. Chun Hong-jae CEO, Chun Loss Prevention Co., Ltd. Chair Professor, Kyungwon University College of BioNano Technology Mr. Lee Jae-hoo Senior Partner, Kim & Chang Prof. Yim Jeong-bin Mr. Lee In-jung Professor, Seoul National University College of Natural Sciences Dr. Chung Chan-bok President & CEO, Bioland Dr. Yang Kyu Hwan President & CEO, Taein Co., Ltd. Prof. Chung Kil-saeng President, The Korean Academy of Science Technology; Emeritus & Former President, Konkuk University Mr. Chung Pal-do Chairman, Seoul Weightlifting Federation / Chairman, Korealand Co. Mr. Yoo Myung-hwan Mr. Lee In-serk Chairman, Global Yoo Myung Co., Ltd. CEO, SK Chemical Life Science Biz Dr.Yoon Eun-key Prof. Lee, Yong-soon President, Central Officials Training Institute Chairman, Bethesda Life Foundation / Professor Emeritus, Seoul National University Dr. Yoon Kang-jun President, St. Peter’s Hospital Dr. Limb Thok-kyu Prof. Huh Kap-bum Chairman, Magazine "Diplomacy" Professor Emeritus & Former Dean, Yonsei University College of Medicine Prof. Paek Do-myung Mr. Jeffrey D. Johns Professor, Seoul National University Graduate School of Public Health Chairman, Partners for the Future Foundation Mr. Kang Shin-jang, President, Ceragem Co., Ltd. CEO, Liftec Co., Ltd. Mr. Kim Yong-won Partner, Samil PriceWaterhouseCoopers Professor, Yonsei University College of Medicine Prof. Hong Seung-hwan Prof. Park Jung-hee Professor, Seoul National University College of Natural Sciences Professor, Seoul National University Ms. Kim Eun-sun Chairman, Boryung Pharm. Prof. Park Man-ki Mr. Kim Kyong-ho Professor Emeritus, Seoul National University College of Pharmacy Chairman, Hankyong Instrument & ENG Co., Ltd Mr. Park Nam-seo CEO, Sanha Engineering & Construction Co. Mr. Kim Young-kee Executive Vice President / CSR Team Leader, LG Mr. Kim Peter Pum-soo Chairman, DALA Holdings Co., Ltd. 26 IVI 2012 ANNUAL REPORT AUDITORS Prof. Park Kyung A Mr. Kim Duck-sang CEO, Sartorius Korea Biotech Co., Ltd. Mr. You Kyung-nam Prof. Park Sang-chul Executive Vice President, Well Aging Research Center, Samsung Advanced Institute of Technology SIGNATORIES TO IVI’S ESTABLISHMENT AGREEMENT
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