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Global Health Press

March 26, 2026

Dear Reader,

On paper, Clostridioides difficile looked like low-hanging fruit: two exotoxins, a well-defined high-risk population, and a simple premise, to neutralize toxins A and B before antibiotics disrupt the microbiome and prevent disease.

Yet after more than a decade and multiple large programs, there is still no licensed vaccine, only a series of near misses.

The rationale was sound. Toxoid vaccines work for tetanus and diphtheria, and early studies in C. difficile showed reassuring safety and strong antitoxin responses. However, phase 3 trials in older, comorbid populations proved far less predictable. CLOVER missed its primary endpoint, GSK has stepped back, and what seemed straightforward has turned into a lesson in the complexity of real-world efficacy in nosocomial disease.

In this issue, we look at how Elaris is reviving Valneva’s toxoid candidate and Pfizer’s 32,000-participant BEETHOVEN trial, and why this still matters for high-risk patients in the coming decade.

We also cover the extremely high incidence of TBEV infection vs. disease in Austria, myocarditis after mRNA COVID-19 vaccines, global and regional updates on COVID-19 vaccines, global polio eradication and current outbreaks, and this week’s evidence brief, along with fresh insights to support your vaccine counselling. The infographic shows the principles of mRNA vaccine production.

Enjoy the reading!
With all my best wishes – stay healthy and get the vaccine doses you need!

Warm regards,

Signature of Joe Schmitt

Prof. Dr. Joe Schmitt,
Editor-in-Chief, Global Health Press
Highlights of the week
VacciNews Your go-to source for concise updates on the latest developments in the world of vaccines.

This week's VacciNEWS viewpoint:

Health Literacy in Asia

Infographic of the week

VacciTUTOR is our CME-accredited online course dedicated to vaccines and vaccination. Developed by leading international researchers, the course offers over 60 comprehensive chapters covering fundamental topics such as microbiology and immunology, as well as detailed insights into vaccine-preventable diseases and their corresponding vaccines. Concise bullet-point summaries are available free of charge to support quick reference and learning. Feel free to download today’s mRNA vaccines: from sequence to shot infographic. »

VacciNews

The TBE Newsletter – March Edition

This month in the TBE newsletter, reading “High risk of TBE infection among non-vaccinated individuals in a highly vaccinated population”, the article highlights that even in regions with strong overall vaccination coverage, the risk of tick-borne encephalitis (TBE) remains substantially higher among unvaccinated people compared to those vaccinated, reinforcing the importance of personal vaccination for effective protection.

Last month's Snapshot:

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