Evidence map›Paper›PMID 28446173›Full record

ArticleBMC public health2017

Impact of the Ebola outbreak on routine immunization in western area, Sierra Leone - a field survey from an Ebola epidemic area.

Xiaojin Sun, T T Samba, Jianyi Yao, Wenwu Yin, Lin Xiao, Fuqiang Liu, Xiaoqiang Liu, Jikun Zhou, Zengqiang Kou, Hongwei Fan and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 16% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. The Impact of the COVID-19 Pandemic on Immunization Campaigns and Programs: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
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  9. Effects of public health emergencies of international concern on disease control: a systematic review.Revista panamericana de salud publica = Pan American journal of public health · 2023
    Review
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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

14 authors at 7 institutions in 2 countries.

Xiaojin SunNational Immunization Programme, Chinese Center for Disease Control and Prevention, No. 27, Nanwei Road, Beijing, 100050, China.
T T SambaWestern Area District Health Management Team, Freetown, Sierra Leone.
Jianyi YaoEmergency Response Center, Chinese Center for Disease Control and Prevention, Beijing, China.
Wenwu YinDivision of Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China.
Lin XiaoJingzhou Prefecture Center for Disease Control and Prevention, Jingzhou, China.
Fuqiang LiuHunan Provincial Center for Disease Control and Prevention, Changsha, China.
Xiaoqiang LiuYunnan Provincial Center for Disease Control and Prevention, Kunming, China.
Jikun ZhouShijiazhuang Prefecture Center for Disease Control and Prevention, Shijiazhuang, China.
Zengqiang KouShandong Provincial Center for Disease Control and Prevention, Kunming, China.
Hongwei FanPeking Union Medical College Hospital, Beijing, China.
Hao ZhangHealth News, Beijing, China.
Aqnes WilliamsWestern Area District Health Management Team, Freetown, Sierra Leone.
Paul M LansanaWestern Area District Health Management Team, Freetown, Sierra Leone.
Zundong YinNational Immunization Programme, Chinese Center for Disease Control and Prevention, No. 27, Nanwei Road, Beijing, 100050, China. yinzd@chinacdc.cn.
Chinese Center For Disease Control and Prevention · CNSierra Leone Urban Research Centre · SLYunnan Center for Disease Control And Prevention · CNHebei Provincial Center for Disease Control and Prevention · CNHunan Provincial Center for Disease Control and Prevention · CNJingzhou Central Hospital · CNPeking Union Medical College Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince March 2014, the Ebola Virus Disease (EVD) outbreak in West Africa disrupted health care systems - especially in Guinea, Liberia and Sierra Leone - with a consequential stress on the area's routine immunization programs. To address perceived decreased vaccination coverage, Sierra Leone conducted a catch-up vaccination campaign during 24-27 April 2015. We conducted a vaccination coverage survey and report coverage estimates surrounding the time of the EVD outbreak and the catch-up campaign.

methodsWe selected 3 villages from each of 3 communities and obtained dates of birth and dates of vaccination with measles vaccine (MV) and the 3rd dose of Pentavalent vaccine (Pentavalent3) of all children under 4 years of age in the 9 selected villages. Vaccination data were obtained from parent-held health cards. We calculated the children's MV and Pentavalent3 coverage rates at 3 time points, 1 August 2014, 1 April 2015, and 1 May 2015, representing coverage rates before the EVD outbreak, during the EVD outbreak, and after the Maternal and Child Health Week (MCHW) catch-up campaign.

resultsThe final sample size was 168 children. MV coverage among age-eligible children was 71.3% (95% confidence interval [CI]: 62.1% - 80.4%) and 45.7% (95% CI: 29.2% - 62.2%) before and during the outbreak of EVD, respectively, and was 56.8% (95% CI: 40.8% - 72.7%) after the campaign. Pentavalent3 coverage among age-eligible children was 79.8% (95% CI: 72.6% - 87.0%) and 40.0% (95% CI: 22.5% - 57.5%) before and during the outbreak of EVD, and was 56.4% (95% CI: 39.1% - 73.4%) after the campaign.

conclusionsCoverage levels of MV and Pentavalent3 were low before the EVD outbreak and decreased further during the outbreak. Although the MCHW catch-up campaign increased coverage levels, coverage remained below pre-outbreak levels. High-quality supplementary immunization activities should be conducted and routine immunization should be strengthened to address gaps in immunity among children in this EVD-affected area.

Indexed as

Child, PreschoolDisease OutbreaksHemorrhagic Fever, EbolaHumansImmunization ProgramsSierra LeoneViral VaccinesViral VaccinesEbola virus diseaseField surveyVaccination coverage

Identifiers

PMID28446173
PMCPMC5406892
OpenAlexW2608442174

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.