Sanofi Pasteur: A partner in eradicating vaccine preventable diseases and improving access to vaccines

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Sanofi Pasteur: A partner in eradicating vaccine preventable diseases and improving access to vaccines 1

Vaccines: the single most effective medical intervention 2 Vaccines save lives Millions of cases of disease prevented Smallpox has been eradicated Before eradication in 1980, smallpox threatened 60% of the world s population and killed 1 out of 4 people infected (1) Polio infections have fallen globally by 99% since 1988 (2) An estimated 5 million people have escaped paralysis Measles mortality has decreased by 74% worldwide between 2000 and 2007 (3) Vaccines save money Vaccination is undoubtedly one of the most cost-effective public health care investments available In the United States, cost-benefit analysis indicate that every dollar invested in a vaccine dose saves US $2 to US $27 in health-care expenses (1) A study of 11 western European countries reported that the cost of measles treatment was 209-480 per case, while the cost of measles vaccination and control was 0.17-0.97 per person (2 ) (1) WHO Factsheet n 288 March 2005 (2) Global Polio Eradication Initiative (GPEI). Global Situation - Jan 2009 (3) WHO 10 Facts on Immunization Oct 2009 http://www.who.int/features/factfiles/immunization/en/index.html (1) WHO. Immunization against diseases of public health importance fact sheet n 288. March 2005 (2) Carabin 2003 - WHO European Region Seven Key Reasons Why immunization must remain a priority in the WHO European Region http://www.euro.who.int/ data/assets/pdf_file/0017/84302/seven_ Key_Reasons.pdf 2

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The Broadest Range of Vaccines Worldwide 4 Vaccines against 20 diseases Viral diseases Yellow fever Mumps Poliomyelitis Measles Rubella Influenza Hepatitis A Hepatitis B Rabies Chickenpox Japanese encephalitis Bacterial diseases Pertussis Diphtheria Haemophilus influenzae type b infections Meningococcal meningitis Pneumococcal infections Tetanus Tuberculosis Typhoid fever Cholera and against one eradicated disease Smallpox (*) (*) This vaccine is produced in response to the threat of bioterrorism using strains of the smallpox virus. 4

Dengue is a major public health and economic burden in the Philippines $309M for hospitalized cases $36M for ambulatory cases Direct medical $345M 842,867 cases annually between 2008 and 2012 considering an adjustment factor of 7.2 $218M in the private sector $127M in the public sector References:. 1. Department of Health, FSHIS, Morbidity 1991-2013 2. Dengue Laboratory-based Surveillance Update 3. Edillo F., et al, Cost Burden of Dengue in the Philippines 5

SANOFI PASTEUR HAS A UNIQUE, LONG-STANDING COMMITMENT TO DEVELOPING A DENGUE VACCINE SPGLB.DENG.14.12.0102 sanofi pasteur, data on file, 2013,Dengue Factsheet. 6

IN 2014, RESULTS FROM TWO PHASE III EFFICACY STUDIES OF THE CANDIDATE DENGUE VACCINE WERE PUBLISHED http://linkinghub.elsevier.com/retrieve/pii/s0140673614610606 http://www.nejm.org/doi/full/10.1056/nejmoa1411037 7

Summary Vaccination is the single most effective medical intervention Vaccines saves lives Vaccines save money But there are challenges remain particularly there is poor access to life saving vaccinations Sanofi Pasteur is a global leader in the fight to eradicate infectious diseases and improve global health. Sanofi Pasteur will be launching the a Dengue Vaccine, which has been shown in clinical trials to be effective and safe, in the near future. This vaccine will provide the DOH and LGU an additional tool in the fight against Dengue Sanofi Pasteur is committed in supporting the government s drive to fight infectious disease through advocacy, disease surveillance, and improving access to vaccination. 8

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Thank you for listening Contact Persons: Dr. Dennis Quiambao, Vaccine Policy and Advocacy Director Dennis.Quiambao@sanofipasteur.com / 0998 959 3241 Dr. Joseph Anthony Lachica, Vaccine Policy and Advocacy Manager Joseph.Lachica@sanofipasteur.com / 0998 962 6078 10