Evidence map›Paper›PMID 26390032›Full record

ArticlePloS one2015

Vaccine Induced Herd Immunity for Control of Respiratory Syncytial Virus Disease in a Low-Income Country Setting.

Timothy M Kinyanjui, Thomas A House, Moses C Kiti, Patricia A Cane, David J Nokes, Graham F Medley

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
4.6field-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.

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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Implications of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Pandemic on the Epidemiology of Pediatric Respiratory Syncytial Virus Infection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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 4 institutions in 2 countries.

Timothy M KinyanjuiSchool of Mathematics, University of Manchester, Manchester, M13 9PL, United Kingdom.
Thomas A HouseSchool of Mathematics, University of Manchester, Manchester, M13 9PL, United Kingdom; Department of Mathematics and WIDER, University of Warwick, Coventry, CV4 7AL, United Kingdom.
Moses C KitiKenya Medical Research Institute (KEMRI) - Wellcome Trust Research Programme, KEMRI Centre for Geographic Medicine Research - Coast, Kilifi, Kenya.
Patricia A CanePublic Health England, Salisbury, United Kingdom.
David J NokesKenya Medical Research Institute (KEMRI) - Wellcome Trust Research Programme, KEMRI Centre for Geographic Medicine Research - Coast, Kilifi, Kenya; School of Life Sciences and WIDER, University of Warwick, Coventry, CV4 7AL, United Kingdom.
Graham F MedleyDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, United Kingdom.
Kenya Medical Research Institute · KEUniversity of Manchester · GBPublic Health England · GBUniversity of London · GB

Funding

Wellcome Trust 077092Wellcome Trust 084633Wellcome Trust 092654Wellcome Trust 098556Wellcome Trust 102975
6 · The paper itself

Abstract

backgroundRespiratory syncytial virus (RSV) is globally ubiquitous, and infection during the first six months of life is a major risk for severe disease and hospital admission; consequently RSV is the most important viral cause of respiratory morbidity and mortality in young children. Development of vaccines for young infants is complicated by the presence of maternal antibodies and immunological immaturity, but vaccines targeted at older children avoid these problems. Vaccine development for young infants has been unsuccessful, but this is not the case for older children (> 6 m). Would vaccinating older children have a significant public health impact? We developed a mathematical model to explore the benefits of a vaccine against RSV. METHODS AND

findingsWe have used a deterministic age structured model capturing the key epidemiological characteristics of RSV and performed a statistical maximum-likelihood fit to age-specific hospitalization data from a developing country setting. To explore the effects of vaccination under different mixing assumptions, we included two versions of contact matrices: one from a social contact diary study, and the second a synthesised construction based on demographic data. Vaccination is assumed to elicit an immune response equivalent to primary infection. Our results show that immunisation of young children (5-10 m) is likely to be a highly effective method of protection of infants (<6 m) against hospitalisation. The majority benefit is derived from indirect protection (herd immunity). A full sensitivity and uncertainty analysis using Latin Hypercube Sampling of the parameter space shows that our results are robust to model structure and model parameters.

conclusionsThis result suggests that vaccinating older infants and children against RSV can have a major public health benefit.

Indexed as

Immunity, HerdAdolescentAdultAgedAge FactorsChildChild, PreschoolComputer SimulationHospitalizationHumansInfantKenyaMiddle AgedModels, BiologicalModels, StatisticalPovertyRespiratory Syncytial Virus Vaccines

Identifiers

PMID26390032
PMCPMC4577090
OpenAlexW2163798090

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.