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Published on: Apr 04, 2020
3 minute read
By: Dr Rajan Choudhary

Developing A Vaccine For COVID-19? Part 1

It is often stated vaccination has made the greatest contribution to global health of any human discovery, other than clean water and sanitation, and their impact on everyday life is immediately evident. We have managed to completely eradicate two major infections from existence (smallpox and rinderpest) , and the WHO are working towards adding polio to that list.

In these cases the numbers speak for themselves. It is estimated that the eradication of smallpox in 1980 has saved 5 million lives per year, adding up to 150 to 200 million by 2018. Common vaccination programmes for polio, measles, mumps, rubella, rabies and hepatitis A have prevented nearly 200 million cases from occurring in the US alone over the past 50 years, and 4.5 billion instances of the diseases worldwide.

We have achieved a 99% immunisation rate against polio, preventing children from suffering crippling paralysis, and only 3 countries remain. Sadly, around 1.4 million children under 5 still die from preventable diseases each year as they do not have access to these life saving vaccines, but charities and public health organisations around the world are working hard to improve access.

So what are vaccines? And how will they help is in the face of the latest pandemic? Here we will go into the challenges behind making vaccines, and why a vaccine against COVID-19 is unlikely to be ready in the next few months, or even this year.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4024226/ contribution of vaccination

https://www.who.int/features/factfiles/polio/en/ polio eradication

https://www.sciencedaily.com/releases/2017/03/170303163208.htm study article

WHAT IS A VACCINE

The human body’s immune system is incredibly smart. It is able to distinguish between infective organisms, such as bacteria, viruses and parasites, from our own body’s cells, target these invaders for destruction and keep our bodies healthy. Even better, the body remembers any previous infections it has had before, recognise these previous infections even quicker and even eradicate the disease before we know we are infected.

Vaccines target the immune system’s memory by presenting them with pieces of these infective diseases. The small amounts do not cause any infective symptoms, but if the person is infected later in life their body will mount a quicker response and prevent them from falling ill. These vaccines can contain broken up parts of the organisms, “dead” organisms or “live” versions that have been severely weakened so they cannot cause any harm.

In summary, medicines treat us when we get an infection. Vaccines make sure we never suffer from an infection in the first place.

https://www.chop.edu/centers-programs/vaccine-education-center/making-vaccines/how-are-vaccines-made Making Vaccines

THE HURDLES WE FACE IN RESEARCH

Making a vaccine is a difficult process, one that can take 3–5 years and cost hundreds of millions of dollars, sometimes billions of dollars. This is because there are many difficult steps to be taken in the process of creating a vaccine that is effective, but more importantly one that is safe.

To start with the troubling organism has to be identified. For COVID-19 it took a few weeks to recognise the virus responsible, and some time more to understand its genetic code and grow the virus in lab conditions. We then have to understand the virus, how it infects, how it causes symptoms, and how it has mutated compared to the coronaviruses responsible for SARS and MERS.

After this, we have to isolate parts of the virus our immune system will recognise. This is usually the outside coat of the virus. The DNA responsible for making these parts need to be found in the virus’ genetic code, and put inside other “skeleton” viruses. This will force the dummy virus to look like coronavirus, without the ability to infect and kill someone.

These dummy viruses can be injected into animals to see if it causes an immune reaction, whether the immune system recognises it as the coronavirus responsible for COVID-19, and whether it will protect the animal from the real COVID-19. Up to now the research has likely cost a few million dollars. The next step is when the price inflates up to billions.

If the vaccine appears safe in animals, it can be tested in humans. This can be dangerous at first, since we don’t know whether a vaccine that works in an animal will work in a human. And we don’t know if there will be any side effects to the vaccine. Human testing has to be very thorough, very careful, and safe for use. If you give too much of the virus it might make the person sick, too little and it wont immunise the person. These clinical trials can take years, and if the vaccine fails at this point its back to the drawing board, to try another step.

https://www.theatlantic.com/politics/archive/2014/10/how-to-make-an-ebola-vaccine-5-simplified-steps/454443/ ebola vaccine

Now we have a basic understanding of what vaccines are and why it takes so long to make a vaccine. In the next part we will look at why viral vaccines can cause even more problems, and how far we have come with the COVID-19 vaccine,

Dr Rajan Choudhary, London UK

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How Lack of Sleep Weakens Immunity: Why Poor Sleep Makes You Fall Sick More Often

Sleep is one of the most powerful yet overlooked pillars of health. While nutrition and exercise receive significant attention, sleep often takes a back seat in modern lifestyles. Understanding how lack of sleep weakens immunity reveals why people who sleep poorly fall sick more often, take longer to recover and experience chronic inflammation.

In India, late-night work culture, excessive screen time and irregular schedules have made sleep deprivation increasingly common across age groups.

The Link Between Sleep and the Immune System

The immune system relies on sleep for:

repair and regeneration
immune cell production
inflammation control

During deep sleep, the body releases cytokines and antibodies that protect against infections.

What Happens to Immunity During Sleep

While sleeping:

immune cells identify pathogens
inflammatory responses are regulated
memory T-cells strengthen immune memory

This nightly process prepares the body to fight infections effectively.

How Sleep Deprivation Disrupts Immune Function

When sleep is inadequate:

immune cell activity decreases
antibody production drops
inflammation increases

WHO studies confirm that sleep deprivation weakens immune defence mechanisms.

Increased Risk of Infections

People who sleep less than 6 hours regularly:

fall sick more often
catch colds and flu easily
recover slower from illness

Lancet research shows a strong link between sleep duration and infection susceptibility.

Impact on Inflammation

Poor sleep increases inflammatory markers.

Chronic inflammation:

weakens immune response
increases risk of chronic diseases

ICMR reports highlight sleep deprivation as a contributor to low-grade systemic inflammation.

Effect on Vaccine Response

Sleep quality affects how well vaccines work.

Studies show:

poor sleep reduces antibody response
adequate sleep improves vaccine effectiveness

Sleep is essential for immune memory formation.

Hormonal Changes That Affect Immunity

Sleep regulates hormones such as:

cortisol
melatonin

Lack of sleep increases cortisol, which suppresses immune function.

Stress, Sleep and Immunity

Sleep deprivation and stress reinforce each other.

High stress:

disrupts sleep
suppresses immune cells

This cycle weakens overall resistance to illness.

Impact on Gut Immunity

The gut hosts a major part of the immune system.

Poor sleep:

disrupts gut microbiome
weakens gut immunity

Lancet studies link sleep deprivation to gut-related immune dysfunction.

Why Children and Older Adults Are More Vulnerable

Sleep deprivation affects:

children’s developing immune systems
older adults’ already weakened immunity

Adequate sleep is especially important in these age groups.

Signs Your Immunity Is Affected by Poor Sleep

Warning signs include:

frequent infections
slow wound healing
constant fatigue
increased allergies

These symptoms indicate compromised immune defence.

Long-Term Health Risks of Poor Sleep

Chronic sleep deprivation increases risk of:

infections
autoimmune disorders
metabolic diseases
heart disease

Sleep loss affects nearly every body system.

Role of Preventive Health Awareness

Preventive healthcare emphasises:

sleep as a foundation of immunity
early lifestyle correction

NITI Aayog recognises sleep hygiene as essential for population health.

How to Improve Sleep for Better Immunity

Effective strategies include:

fixed sleep and wake times
limiting screen exposure before bed
avoiding caffeine late in the day
creating a dark, quiet sleep environment

Consistency matters more than duration alone.

Myths About Sleep and Immunity

Myth: You can catch up on sleep later
Fact: Chronic sleep debt harms immunity.

Myth: Sleeping pills improve immunity
Fact: Natural sleep is more beneficial.

Why Sleep Is a Preventive Medicine

Sleep:

costs nothing
requires no equipment
delivers powerful immune protection

It is one of the most effective preventive health tools.

Conclusion

Understanding how lack of sleep weakens immunity highlights the critical role of sleep in protecting the body from infections and chronic disease. Poor sleep disrupts immune cell function, increases inflammation and reduces resistance to illness. Prioritising consistent, quality sleep is not optional—it is essential for strong immunity, faster recovery and long-term health. Protecting sleep today strengthens immune defence for tomorrow.

References

Indian Council of Medical Research (ICMR) – Sleep, Immunity and Inflammation Studies
World Health Organization (WHO) – Sleep and Immune Health Guidelines
National Institutes of Health – Sleep Deprivation and Immunity
Lancet – Sleep Duration and Infection Risk
NITI Aayog – Preventive Health and Lifestyle Recommendations

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