Despite the universal importance of vaccines, approaches to human and veterinary
vaccine evaluation differ markedly. For human vaccines, vaccine
efficacy is the proportion of vaccinated individuals protected by the
vaccine against a defined outcome under ideal conditions, whereas for veterinary
vaccines the term is used for a range of measures of vaccine protection. The
evaluation of vaccine effectiveness, vaccine protection assessed
under routine programme conditions, is largely limited to human vaccines. Challenge
studies under controlled conditions and sero-conversion studies are widely used when
evaluating veterinary vaccines, whereas human vaccines are generally evaluated in
terms of protection against natural challenge assessed in trials or post-marketing
observational studies. Although challenge studies provide a standardized platform on
which to compare different vaccines, they do not capture the variation that occurs
under field conditions. Field studies of vaccine effectiveness are needed to assess
the performance of a vaccination programme. However, if vaccination is performed
without central co-ordination, as is often the case for veterinary vaccines,
evaluation will be limited. This paper reviews approaches to veterinary vaccine
evaluation in comparison to evaluation methods used for human vaccines.
Foot-and-mouth disease has been used to illustrate the veterinary approach.
Recommendations are made for standardization of terminology and for rigorous
evaluation of veterinary vaccines.