Evidence map›Paper›PMID 24829213›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2014

Measles vaccination in the presence or absence of maternal measles antibody: impact on child survival.

Peter Aaby, Cesário L Martins, May-Lill Garly, Andreas Andersen, Ane B Fisker, Mogens H Claesson, Henrik Ravn, Amabelia Rodrigues, Hilton C Whittle, Christine S Benn

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% 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.

NCT00168558 phase4completednot on this map

Measles Vaccination in Guinea-Bissau. Strategies to Reduce Disease Burden and Improve Child Survival

TypeinterventionalSponsorBandim Health ProjectRan2003 to 2008Enrolled5,879ConditionsMeaslesArmsMeasles vaccine
NCT04383925 phase4completednot on this mapstarted 2020, after this paper: background citation

Randomized Trial Evaluating the Non-specific Effects of Different BCG Strains in Guinea-Bissau: Effects on Early-life Mortality and Morbidity

TypeinterventionalSponsorBandim Health ProjectRan2020 to 2022Enrolled16,390ConditionsDeath, Infant, Morbidity, InfantArmsBCG-Japan, BCG-Russia
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 110 citations in OpenAlex.

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  12. Trained Immunity in Childhood Vaccination.Acta paediatrica (Oslo, Norway : 1992) · 2026
    Review
  13. Maternal Influenza Vaccine Reduces the Risk of Respiratory Syncytial Virus and Related Respiratory Hospitalizations in Early Infancy: An Epidemiological Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
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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

10 authors at 4 institutions in 3 countries.

Peter AabyBandim Health Project, Indepth Network, Bissau, Guinea-Bissau Research Centre for Vitamins and Vaccines, Bandim Health Project, Statens Serum Institut, Copenhagen.
Cesário L MartinsBandim Health Project, Indepth Network, Bissau, Guinea-Bissau.
May-Lill GarlyBandim Health Project, Indepth Network, Bissau, Guinea-Bissau.
Andreas AndersenBandim Health Project, Indepth Network, Bissau, Guinea-Bissau Research Centre for Vitamins and Vaccines, Bandim Health Project, Statens Serum Institut, Copenhagen.
Ane B FiskerBandim Health Project, Indepth Network, Bissau, Guinea-Bissau.
Mogens H ClaessonInstitute of International Health, Immunology and Microbiology, Faculty of Health Sciences, University of Copenhagen, Denmark.
Henrik RavnResearch Centre for Vitamins and Vaccines, Bandim Health Project, Statens Serum Institut, Copenhagen.
Amabelia RodriguesBandim Health Project, Indepth Network, Bissau, Guinea-Bissau.
Hilton C WhittleLondon School of Hygiene and Tropical Medicine, United Kingdom.
Christine S BennBandim Health Project, Indepth Network, Bissau, Guinea-Bissau Research Centre for Vitamins and Vaccines, Bandim Health Project, Statens Serum Institut, Copenhagen.
Bandim Health Project · GWStatens Serum Institut · DKLondon School of Hygiene & Tropical Medicine · GBUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMeasles vaccine (MV) has a greater effect on child survival when administered in early infancy, when maternal antibody may still be present.

methodsTo test whether MV has a greater effect on overall survival if given in the presence of maternal measles antibody, we reanalyzed data from 2 previously published randomized trials of a 2-dose schedule with MV given at 4-6 months and at 9 months of age. In both trials antibody levels had been measured before early measles vaccination.

resultsIn trial I (1993-1995), the mortality rate was 0.0 per 1000 person-years among children vaccinated with MV in the presence of maternal antibody and 32.3 per 1000 person-years without maternal antibody (mortality rate ratio [MRR], 0.0; 95% confidence interval [CI], 0-.52). In trial II (2003-2007), the mortality rate was 4.2 per 1000 person-years among children vaccinated in presence of maternal measles antibody and 14.5 per 1000 person-years without measles antibody (MRR, 0.29; 95% CI, .09-.91). Possible confounding factors did not explain the difference. In a combined analysis, children who had measles antibody detected when they received their first dose of MV at 4-6 months of age had lower mortality than children with no maternal antibody, the MRR being 0.22 (95% CI, .07-.64) between 4-6 months and 5 years.

conclusionsChild mortality in low-income countries may be reduced by vaccinating against measles in the presence of maternal antibody, using a 2-dose schedule with the first dose at 4-6 months (earlier than currently recommended) and a booster dose at 9-12 months of age. CLINICAL TRIALS REGISTRATION: NCT00168558.

Indexed as

Immunity, Maternally-AcquiredAntibodies, ViralChild, PreschoolDeveloping CountriesFemaleHumansInfantMaleMeaslesMeasles VaccineSurvival AnalysisVaccinationAntibodies, ViralMeasles Vaccine2-dose measles vaccinationage of measles vaccinationmaternal measles antibodiesnonspecific beneficial effects of measles vaccine

Identifiers

PMID24829213
PMCPMC4111916
OpenAlexW2127522752

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.