Evidence map›Paper›PMID 24455492›Full record

ArticleInternational journal of circumpolar health2014

Impact of pneumococcal vaccines use on invasive pneumococcal disease in Nunavik (Quebec) from 1997 to 2010.

Jean-Baptiste Le Meur, Brigitte Lefebvre, Jean-François Proulx, Serge Déry, Jacques Pépin, Philippe De Wals

Open access · goldAbstract read
In one paragraph

Article in International journal of circumpolar health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Pneumococcal vaccine and patients with pulmonary diseases.The American journal of medicine · 2014
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Jean-Baptiste Le MeurQuebec Heart and Lung Institute Research Centre, Quebec City, Canada ; Department of Social and Preventive Medicine, Laval University, Quebec City, Canada.
Brigitte LefebvreQuebec Public Health Laboratory (Laboratoire de santé publique du Québec), Quebec National Institute of Public Health (Institut national de santé publique du Québec), Ste-Anne-de-Bellevue, Canada.
Jean-François ProulxPublic Health Directorate, Nunavik Regional Board of Health and Social Services, Kuujjuaq, Canada.
Serge DéryPublic Health Directorate, Nunavik Regional Board of Health and Social Services, Kuujjuaq, Canada.
Jacques PépinDepartment of Microbiology and Infectious Diseases, University of Sherbrooke, Sherbrooke, Canada ; Etienne-Lebel Research Centre, Sherbrooke University Hospital, Sherbrooke, Canada.
Philippe De WalsQuebec Heart and Lung Institute Research Centre, Quebec City, Canada ; Department of Social and Preventive Medicine, Laval University, Quebec City, Canada ; Etienne-Lebel Research Centre, Sherbrooke University Hospital, Sherbrooke, Canada.
Nunavik Regional Board of Health and Social Services · CAUniversité Laval · CAInstitut National de Santé Publique du Québec · CAUniversité de Sherbrooke · CA

Funding

Canadian Institutes of Health Research 2008 04 POL - 193340 - CFBA - 56916
6 · The paper itself

Abstract

backgroundIn 2000, an outbreak of severe pneumonia caused by a virulent clone of serotype 1 Streptococcus pneumoniae was detected in the Nunavik region of Quebec. A mass immunization campaign was implemented in the spring of 2002, targeting persons ≥5 years of age and using the 23-valent pneumococcal polysaccharide vaccine (PPSV23). At the same time, the 7-valent pneumococcal conjugate vaccine (PCV7) was introduced into the routine immunization programme of infants, with catch-up for children up to 4 years of age.

objectivesTo describe the epidemiology of invasive pneumococcal disease (IPD) in relation to PPSV23 and PCV7 use. STUDY DESIGN AND

methodsRetrospective analysis of IPD cases identified by the Quebec public health laboratory during the period 1997-2010.

resultsA total of 82 IPD cases were identified during the study period. In adults, serotype 1 incidence decreased following the 2002 PPSV23 mass campaign but breakthrough cases continued to occur. Following PCV7 use in children, there was a decrease in the incidence of vaccine-type IPD and replacement by other serotypes in adults. In children, a marked decrease in the annual incidence of serotypes included in PCV7 was observed following PCV7 introduction: 162/100,000 in 1997-2001 vs. 10/100,000 in 2004-2010 (p<0.01). Concomitantly, the incidence of IPD caused by serotypes not included in PCV7 increased from 29/100,000 to 109/100,000 (p=0.11).

conclusionThe mass immunization campaign using the PPSV23 in 2002 and the introduction of PCV7 for the routine immunization of infants induced important modifications in the epidemiology of IPD. IPD rates in Nunavik remain much higher than in the southern part of the province both in children and adults. More effective pneumococcal vaccines are needed to eliminate geographic disparities in IPD risk.

Indexed as

Public HealthAge FactorsCohort StudiesDisease OutbreaksFemaleHumansIncidenceInuitMalePneumococcal InfectionsPneumococcal VaccinesPneumonia, PneumococcalQuebecRegistriesRetrospective StudiesRisk Assessment23-valent pneumococcal capsular polysaccharide vaccinePneumococcal VaccinesepidemiologyimmunizationInuitpaediatric vaccineStreptococcus pneumonia

Identifiers

PMID24455492
PMCPMC3896896
OpenAlexW2037662049

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.