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Why might inactivated vaccines require larger doses than attenuated vaccines?
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Vaccines and the estimates of lives saved over the period 1974ā2024.
Inactivated vaccines often require larger doses than attenuated vaccines because they are generally less effective at stimulating a robust immune response.
While attenuated vaccines consist of weakened microorganisms that closely mimic a natural infectionāthereby triggering a strong, long-lasting immune responseāinactivated vaccines contain organisms that have been killed or inactivated using heat or chemicals. Because these inactivated organisms cannot replicate or cause even a mild form of the disease, the resulting immune response is often less complete. Consequently, greater quantities of the vaccine are administered to ensure the body produces a sufficient level of antibodies to provide protection against the infectious agent.12