Publications by authors named "D Akech"

Increased immune evasion by emerging and highly mutated SARS-CoV-2 variants is a key challenge to the control of COVID-19. The majority of these mutations mainly target the spike protein, allowing the new variants to escape the immunity previously raised by vaccination and/or infection by earlier variants of SARS-CoV-2. In this study, we investigated the neutralizing capacity of antibodies against emerging variants of interest circulating between May 2023 and October 2024 using sera from representative samples of the Kenyan population.

View Article and Find Full Text PDF

Background: We sought to estimate SARS-CoV-2 antibody seroprevalence within representative samples of the Kenyan population during the third year of the COVID-19 pandemic and the second year of COVID-19 vaccine use.

Methods: We conducted cross-sectional serosurveys among randomly selected, age-stratified samples of Health and Demographic Surveillance System (HDSS) residents in Kilifi and Nairobi. Anti-spike (anti-S) immunoglobulin G (IgG) serostatus was measured using a validated in-house ELISA and antibody concentrations estimated with reference to the WHO International Standard for anti-SARS-CoV-2 immunoglobulin.

View Article and Find Full Text PDF

Bacteriocins are antimicrobial peptides produced by bacteria to inhibit other bacteria in the surrounding environment. is a leading cause of disease worldwide and colonises the healthy human nasopharynx, where it competes for space and nutrients. Pneumococcal conjugate vaccines have reduced the incidence of disease, but they also restructure the bacterial population, and this restructuring likely alters the nasopharyngeal competition dynamics.

View Article and Find Full Text PDF
Article Synopsis
  • In Kilifi, Kenya, the introduction of the pneumococcal conjugate vaccine (PCV10) in 2011 led to increased levels of protective antibodies in infants, as shown by serological surveys between 2009 and 2017.
  • The study observed a significant rise in the proportion of infants with protective antibody levels right after the vaccine was introduced, with rates jumping from 0-33% in 2009 to 60-94% in 2011.
  • While IgG levels generally waned quickly after infancy, children aged 10-14 years maintained high antibody concentrations, suggesting ongoing immunity likely due to previous exposure or memory responses to related antigens.
View Article and Find Full Text PDF

Pneumococcal conjugate vaccines (PCVs) protect against invasive pneumococcal disease (IPD) among vaccinees. However, at population level, this protection is driven by indirect effects. PCVs prevent nasopharyngeal acquisition of vaccine-serotype (VT) pneumococci, reducing onward transmission.

View Article and Find Full Text PDF