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#antivenom-supply-chain

Issues, solutions, and case studies for antivenom-supply-chain

Found 8 nodes with this tag: 1 issue · 3 solutions · 4 case studies

Issues 1

#00132Effective antivenom is unaffordable, unavailable, or reaches rural victims too late

Rural snakebite victims in low- and middle-income countries die from envenoming that existing antivenom could treat, because effective products are priced out of reach, commercially withdrawn, absent from remote clinics, or arrived too late — an access, market, and logistics fail

Solutions 3

#00137Guarantee the market: pooled procurement, subsidy, prequalification and regional manufacturing

Stabilise antivenom supply with guaranteed-volume pooled procurement, donor/government subsidy, WHO prequalification, and regional manufacturing — so effective, region-matched antivenom stays commercially viable and reaches clinics affordably.

#00136Manufacture heat-stable, freeze-dried antivenom for cold-chain-free rural stocking

Produce and distribute lyophilised (freeze-dried) antivenom with a multi-year ambient shelf life so it can be stocked at rural health posts and remote clinics where refrigeration is unreliable or absent.

region

#00135Use antivenomics to map and license cross-neutralization of existing products against orphan species

Systematically test which existing polyvalent antivenoms already neutralize orphan-species venoms via antivenomics and preclinical assays, then pursue label extensions — expanding effective coverage without developing new products.

region

Case studies 4

EchiTAb Study Group; MicroPharm (UK) and Instituto Clodomiro Picado (Costa Rica); Nigerian health services · since 2005 · National

A counter-example to the FAV-Afrique collapse: effective, region-matched African antivenom developed and sustained through public-academic partnership rather than a purely commercial market. EchiTAb-G (ovine, monospecif…

Permanent restoration of blood coagulability 6h after 1 vial EchiTAb-G (Kaltungo pre-trial use, 2005)incoagulable blood on presentation146/182 patients (80%, 95% CI 74-85%)

1 source

Arnaud Gissinger

Sanofi Pasteur (manufacturer) · until 2016 · Region

FAV-Afrique was a polyvalent antivenom covering ~10 snake species across sub-Saharan Africa, considered safe and effective. Sanofi Pasteur halted production in 2010 (last batch made 2014, expired June 2016) after sales…

Price per dose>US$100USD
Annual sales vs. disease burden by 2010fell to under 1% of burden (~3,000 cases treated)

$100 · 3 sources

Arnaud Gissinger

Eswatini

Ongoing

Premium Serums & Vaccines (manufacturer); preclinical evaluation by academic snakebite research groups · Region

PANAF-Premium is a freeze-dried polyvalent antivenom requiring no refrigeration, with a manufacturer-stated ambient shelf life of approximately 4 years. A preclinical study evaluated PANAF and a 'Panafrican' ICP product…

Manufacturer-stated ambient shelf life~4 years (manufacturer claim)
Eswatini species in preclinical neutralisation panel5medically important species

2 sources

Arnaud Gissinger

Liverpool School of Tropical Medicine (Centre for Snakebite Research & Interventions) and collaborators · Region

Rather than develop a new product, researchers tested whether an existing polyvalent antivenom (PANAF-Premium, Premium Serums & Vaccines) already neutralizes the venoms of medically important sub-Saharan African snakes…

Orphan species (no specific product) assessed14species
Sub-Saharan African countries covered13countries

1 source

Arnaud Gissinger

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