Evidence map›Paper›PMID 28934197›Full record

ArticlePLoS neglected tropical diseases2017

Updated estimation of the impact of a Japanese encephalitis immunization program with live, attenuated SA 14-14-2 vaccine in Nepal.

Shyam Raj Upreti, Nicole P Lindsey, Rajendra Bohara, Ganga Ram Choudhary, Sushil Shakya, Mukunda Gautam, Jagat Narain Giri, Marc Fischer, Susan L Hills

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
5.2field-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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. A need to raise the bar - A systematic review of temporal trends in diagnostics for Japanese encephalitis virus infection, and perspectives for future research.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2020
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  12. Safety of Japanese encephalitis vaccines.Human vaccines & immunotherapeutics · 2021
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  14. Hospital-based surveillance for Japanese encephalitis in Bangladesh, 2007-2016: Implications for introduction of immunization.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2020
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  19. Microneedle-based intradermal delivery of stabilized dengue virus.Bioengineering & translational medicine · 2019
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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

9 authors at 2 institutions in 2 countries.

Shyam Raj UpretiChild Health Division, Ministry of Health and Population, Kathmandu, Nepal.
Nicole P LindseyArboviral Diseases Branch, Centers for Disease Control and Prevention, Fort Collins, CO, United States of America.ORCID http://orcid.org/0000-0002-6824-1877
Rajendra BoharaProgramme for Immunization Preventable Diseases, World Health Organization, Kathmandu, Nepal.
Ganga Ram ChoudharyProgramme for Immunization Preventable Diseases, World Health Organization, Kathmandu, Nepal.
Sushil ShakyaProgramme for Immunization Preventable Diseases, World Health Organization, Kathmandu, Nepal.
Mukunda GautamChild Health Division, Ministry of Health and Population, Kathmandu, Nepal.
Jagat Narain GiriProgramme for Immunization Preventable Diseases, World Health Organization, Kathmandu, Nepal.
Marc FischerArboviral Diseases Branch, Centers for Disease Control and Prevention, Fort Collins, CO, United States of America.
Susan L HillsArboviral Diseases Branch, Centers for Disease Control and Prevention, Fort Collins, CO, United States of America.
Centers for Disease Control and Prevention · USMinistry of Health and Population · NP

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundJapanese encephalitis (JE) is a mosquito-borne disease that is associated with considerable morbidity and mortality in many Asian countries. The objective of this study was to describe the impact of the JE immunization program using SA 14-14-2 JE vaccine implemented in Nepal during 2006 through 2011. A previous assessment after the initial program implementation phase described a significantly lower post-campaign JE incidence compared to expected incidence; however, the previous evaluation had limited post-campaign data for some districts. METHODOLOGY/PRINCIPAL

findingsJE and acute encephalitis syndrome (AES) data gathered through Nepal's routine surveillance system from 2004 through 2014 were analyzed to assess the impact of the JE immunization program implemented in 31 districts. Expected incidence rates were determined by calculating the incidence of cases per 100,000 person-years in each district before the vaccination campaigns. This rate was applied to the relevant population after the vaccination campaigns, which provided the expected number of cases had the campaign not occurred. The observed incidence rate was the number of reported cases per 100,000 person-years post-campaign. Expected and observed JE and AES cases and incidence rates were compared. The post-campaign JE incidence rate of 0.7 cases per 100,000 was 78% (95% CI 76%-79%) lower than expected had no campaign occurred and an estimated 3,011 (95% CI 2,941-3,057) JE cases were prevented. The post-vaccination AES incidence of 5.5 cases per 100,000 was 59% (58%-60%) lower than the expected and an estimated 9,497 (95% CI 9,268-9,584) AES cases were prevented. CONCLUSIONS/SIGNIFICANCE: This analysis strengthens previous findings of the substantial impact of Nepal's JE immunization program using SA 14-14-2 JE vaccine.

Indexed as

Immunization ProgramsAdolescentAnimalsChildChild, PreschoolEncephalitis, JapaneseEpidemiological MonitoringFemaleHumansIncidenceInfantJapanese Encephalitis VaccinesMaleNepalVaccinationVaccines, AttenuatedJapanese Encephalitis VaccinesVaccines, Attenuated

Identifiers

PMID28934197
PMCPMC5608168
OpenAlexW2097135207

What OpenQuestion holds

Textmetadata
LicenceCC0
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.