Evidence map›Paper›PMID 24619563›Full record

ArticlePLoS currents2014

Distinguishing Between Reservoir Exposure and Human-to-Human Transmission for Emerging Pathogens Using Case Onset Data.

Adam Kucharski, Harriet Mills, Amy Pinsent, Christophe Fraser, Maria Van Kerkhove, Christl A Donnelly, Steven Riley

Abstract read
In one paragraph

Article in PLoS currents, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Integrative modelling for One Health: pattern, process and participation.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2017
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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

7 authors.

Adam KucharskiDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.
Harriet MillsDepartment of Infectious Disease Epidemiology, Imperial College London, London, UK.
Amy PinsentDepartment of Infectious Disease Epidemiology, Imperial College London, London, UK.
Christophe FraserIImperial College London, London, UK.
Maria Van KerkhoveMRC Centre for Outbreak Analysis and Modelling, Imperial College London, London, UK.
Christl A Donnelly
Steven RileySchool of Public Health, Imperial College London, London, UK.

Funding

Ecology of Infectious Diseases (EID)-Immune Landscapes of Human Influenza in HousR01TW008246 · FIC · JOHNS HOPKINS UNIVERSITY · PI CUMMINGS, DEREK A · 2008 to 2011
$1.9M
FIC NIH HHS R01 TW008246Medical Research Council G0800596Medical Research Council MR/J008761/1Medical Research Council MR/K010174/1Medical Research Council MR/K021524/1Wellcome Trust
6 · The paper itself

Abstract

Pathogens such as MERS-CoV, influenza A/H5N1 and influenza A/H7N9 are currently generating sporadic clusters of spillover human cases from animal reservoirs. The lack of a clear human epidemic suggests that the basic reproductive number R0 is below or very close to one for all three infections. However, robust cluster-based estimates for low R0 values are still desirable so as to help prioritise scarce resources between different emerging infections and to detect significant changes between clusters and over time. We developed an inferential transmission model capable of distinguishing the signal of human-to-human transmission from the background noise of direct spillover transmission (e.g. from markets or farms). By simulation, we showed that our approach could obtain unbiased estimates of R0, even when the temporal trend in spillover exposure was not fully known, so long as the serial interval of the infection and the timing of a sudden drop in spillover exposure were known (e.g. day of market closure). Applying our method to data from the three largest outbreaks of influenza A/H7N9 outbreak in China in 2013, we found evidence that human-to-human transmission accounted for 13% (95% credible interval 1%-32%) of cases overall. We estimated R0 for the three clusters to be: 0.19 in Shanghai (0.01-0.49), 0.29 in Jiangsu (0.03-0.73); and 0.03 in Zhejiang (0.00-0.22). If a reliable temporal trend for the spillover hazard could be estimated, for example by implementing widespread routine sampling in sentinel markets, it should be possible to estimate sub-critical values of R0 even more accurately. Should a similar strain emerge with R0>1, these methods could give a real-time indication that sustained transmission is occurring with well-characterised uncertainty.

Indexed as

H7N9infectious diseasesInfluenzastatistical inferencezoonoses

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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.