Evidence map›Paper›PMID 29325149›Full record

ArticleThe Journal of infectious diseases2018

Anatomy of a Hotspot: Chain and Seroepidemiology of Ebola Virus Transmission, Sukudu, Sierra Leone, 2015-16.

J Daniel Kelly, Mohamed Bailor Barrie, Annelies W Mesman, Sahr Karku, Komba Quiwa, Michael Drasher, Gabriel Warren Schlough, Kerry Dierberg, Songor Koedoyoma, Christina P Lindan and 8 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  15. On the coloniality of global public heath.Medicine anthropology theory · 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

18 authors.

J Daniel KellyDepartment of Medicine, UCSF, San Francisco, California.
Mohamed Bailor BarriePartners in Health, Freetown, Sierra Leone.
Annelies W MesmanPartners in Health, Freetown, Sierra Leone.
Sahr KarkuPartners in Health, Freetown, Sierra Leone.
Komba QuiwaPartners in Health, Freetown, Sierra Leone.
Michael DrasherPartners in Health, Freetown, Sierra Leone.
Gabriel Warren SchloughPartners in Health, Freetown, Sierra Leone.
Kerry DierbergPartners in Health, Freetown, Sierra Leone.
Songor KoedoyomaKono District Ebola Response, Koidu Town, Sierra Leone.
Christina P LindanDepartment of Epidemiology and Biostatistics, UCSF, San Francisco, California.
James Holland JonesDepartment of Earth Systems Science, Stanford University, San Francisco.
Gabriel ChamieDepartment of HIV, ID, and Global Medicine, UCSF, San Francisco, California.
Lee WordenF.I. Proctor Foundation, UCSF, San Francisco.
Bryan GreenhouseDepartment of HIV, ID, and Global Medicine, UCSF, San Francisco, California.
Sheri D WeiserDepartment of HIV, ID, and Global Medicine, UCSF, San Francisco, California.
Travis C PorcoDepartment of Epidemiology and Biostatistics, UCSF, San Francisco, California.
George W RutherfordDepartment of Epidemiology and Biostatistics, UCSF, San Francisco, California.
Eugene T RichardsonPartners in Health, Freetown, Sierra Leone.

Funding

TRAINEESHIPS IN AIDS PREVENTION STUDIEST32MH019105 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Carol Suzanne Camlin, Glenn-Milo Santos · 1989 to 2026
$15.3M
Harvard Clinical and Translational Science CenterKL2TR001100 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$8.5M
NCATS NIH HHS KL2 TR001100NIMH NIH HHS T32 MH019105
6 · The paper itself

Abstract

Studies have yet to include minimally symptomatic Ebola virus (EBOV) infections and unrecognized Ebola virus disease (EVD) in Ebola-related transmission chains and epidemiologic risk estimates. We conducted a cross-sectional, sero-epidemiological survey from October 2015 to January 2016 among 221 individuals living in quarantined households from November 2014 to February 2015 during the Ebola outbreak in the village of Sukudu, Sierra Leone. Of 48 EBOV-infected persons, 25% (95% confidence interval [CI], 14%-40%) had minimally symptomatic EBOV infections and 4% (95% CI, 1%-14%) were unrecognized EVD cases. The pattern of minimally symptomatic EBOV infections in the transmission chain was nonrandom (P < .001, permutation test). Not having lived in the same house as an EVD case was significantly associated with minimally symptomatic infection. This is the first study to investigate a chain of EBOV transmission inclusive of minimally symptomatic EBOV infections and unrecognized EVD. Our findings provide new insights into Ebola transmission dynamics and quarantine practices.

Indexed as

Seroepidemiologic StudiesAdolescentAdultDisease OutbreaksEbolavirusFemaleHemorrhagic Fever, EbolaHumansMaleMiddle AgedSierra LeoneYoung Adult

Identifiers

PMID29325149
PMCPMC6018898

What OpenQuestion holds

Textmetadata
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Registered trials

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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.