Evidence map›Paper›PMID 24845800›Full record

Trial reportBiometrics2014

Assessing effects of cholera vaccination in the presence of interference.

Carolina Perez-Heydrich, Michael G Hudgens, M Elizabeth Halloran, John D Clemens, Mohammad Ali, Michael E Emch

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Biometrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Designs for Vaccine Studies.Annual review of statistics and its application · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Estimating Population-Level Effects of the Acellular Pertussis Vaccine Using Routinely Collected Immunization Data.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  17. A Review of Spatial Causal Inference Methods for Environmental and Epidemiological Applications.International statistical review = Revue internationale de statistique · 2021
    Article
  18. Article
  19. Article
  20. Bipartite Causal Inference with Interference.Statistical science : a review journal of the Institute of Mathematical Statistics · 2021
    Article
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 5 institutions in 1 country.

Carolina Perez-HeydrichDepartment of Biological Sciences, Meredith College, Raleigh, North Carolina, U.S.A.
Michael G HudgensDepartment of Biostatistics, University of North Carolina, Chapel Hill, North Carolina, U.S.A.
M Elizabeth HalloranDepartment of Biostatistics, University of Washington, Seattle, Washington, U.S.A.
John D ClemensDepartment of Epidemiology, University of California, Los Angeles, California, U.S.A.
Mohammad AliDepartment of International Health, Johns Hopkins University, Baltimore, Maryland, U.S.A.
Michael E EmchDepartment of Geography, University of North Carolina, Chapel Hill, North Carolina, U.S.A.
University of North Carolina at Chapel Hill · USJohns Hopkins University · USMeredith College · USUniversity of California, Los Angeles · USUniversity of Washington · US

Funding

Biostatstics for Research in Environmental HealthT32ES007018 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel, Rebecca Fry · 1985 to 2026
$31.3M
Causal Inference in Infectious Disease Prevention StudiesR01AI085073 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HUDGENS, MICHAEL G · 2010 to 2024
$4.5M
Causal Inference in Infectious Disease Prevention StudiesR37AI085073 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Michael G Hudgens · 2026 to 2026
$394k
NIAID NIH HHS R01 AI085073NIAID NIH HHS R37 AI085073NIEHS NIH HHS T32 ES007018NIEHS NIH HHS T32ES007018
6 · The paper itself

Abstract

Interference occurs when the treatment of one person affects the outcome of another. For example, in infectious diseases, whether one individual is vaccinated may affect whether another individual becomes infected or develops disease. Quantifying such indirect (or spillover) effects of vaccination could have important public health or policy implications. In this article we use recently developed inverse-probability weighted (IPW) estimators of treatment effects in the presence of interference to analyze an individually-randomized, placebo-controlled trial of cholera vaccination that targeted 121,982 individuals in Matlab, Bangladesh. Because these IPW estimators have not been employed previously, a simulation study was also conducted to assess the empirical behavior of the estimators in settings similar to the cholera vaccine trial. Simulation study results demonstrate the IPW estimators can yield unbiased estimates of the direct, indirect, total, and overall effects of vaccination when there is interference provided the untestable no unmeasured confounders assumption holds and the group-level propensity score model is correctly specified. Application of the IPW estimators to the cholera vaccine trial indicates the presence of interference. For example, the IPW estimates suggest on average 5.29 fewer cases of cholera per 1000 person-years (95% confidence interval 2.61, 7.96) will occur among unvaccinated individuals within neighborhoods with 60% vaccine coverage compared to neighborhoods with 32% coverage. Our analysis also demonstrates how not accounting for interference can render misleading conclusions about the public health utility of vaccination.

Indexed as

ArtifactsConfounding Factors, EpidemiologicBangladeshBiasCholeraCholera VaccinesData Interpretation, StatisticalFemaleHumansMaleMass VaccinationOutcome Assessment, Health CarePrevalencePropensity ScoreTreatment OutcomeCholera VaccinesCausal inferenceInterferenceInverse‐probability weighted estimatorsSpillover effectTwo‐stage randomizationVaccine

Identifiers

PMID24845800
PMCPMC4239215
OpenAlexW1486151009

What OpenQuestion holds

Textmetadata
LicenceTDM
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.