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A Russian-backbone seasonal trivalent live attenuated influenza vaccine (LAIV) is an intranasal vaccine designed to protect against three strains of seasonal influenza. It uses a cold-adapted, temperature-sensitive Russian master donor virus backbone to deliver live but weakened forms of the selected circulating influenza A and B viruses. The primary mechanism is induction of mucosal and systemic immune responses by limited replication in the upper respiratory tract without causing disease. This LAIV has been developed as an affordable and logistically feasible option for mass immunization programs in children and adults in low- and middle-income countries. The main developers are NPO Microgen (Russia) and Serum Institute of India; it is marketed under brand names such as Nasovac-S (India) and Ultravac (Russia). Clinical trials have demonstrated its safety, immunogenicity, and ability to induce both humoral and cellular immunity[1][2][3].
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