Evidence map›Paper›PMID 30296295›Full record

ArticlePLoS neglected tropical diseases2018

The role of case proximity in transmission of visceral leishmaniasis in a highly endemic village in Bangladesh.

Lloyd A C Chapman, Chris P Jewell, Simon E F Spencer, Lorenzo Pellis, Samik Datta, Rajib Chowdhury, Caryn Bern, Graham F Medley, T Déirdre Hollingsworth

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

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  12. Precision Medicine in Control of Visceral Leishmaniasis Caused byFrontiers in cellular and infection microbiology · 2021
    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

9 authors.

Lloyd A C ChapmanZeeman Institute, University of Warwick, Coventry, UK.ORCID 0000-0001-7727-7102
Chris P JewellCentre for Health Informatics, Computing And Statistics, Lancaster University, Lancaster, UK.ORCID 0000-0002-7902-2178
Simon E F SpencerZeeman Institute, University of Warwick, Coventry, UK.
Lorenzo PellisZeeman Institute, University of Warwick, Coventry, UK.ORCID 0000-0002-3436-6487
Samik DattaZeeman Institute, University of Warwick, Coventry, UK.ORCID 0000-0003-2198-7900
Rajib ChowdhuryNational Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka, Bangladesh.
Caryn BernDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA.
Graham F MedleyCentre for Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.
T Déirdre HollingsworthZeeman Institute, University of Warwick, Coventry, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVisceral leishmaniasis (VL) is characterised by a high degree of spatial clustering at all scales, and this feature remains even with successful control measures. VL is targeted for elimination as a public health problem in the Indian subcontinent by 2020, and incidence has been falling rapidly since 2011. Current control is based on early diagnosis and treatment of clinical cases, and blanket indoor residual spraying of insecticide (IRS) in endemic villages to kill the sandfly vectors. Spatially targeting active case detection and/or IRS to higher risk areas would greatly reduce costs of control, but its effectiveness as a control strategy is unknown. The effectiveness depends on two key unknowns: how quickly transmission risk decreases with distance from a VL case and how much asymptomatically infected individuals contribute to transmission. METHODOLOGY/PRINCIPAL

findingsTo estimate these key parameters, a spatiotemporal transmission model for VL was developed and fitted to geo-located epidemiological data on 2494 individuals from a highly endemic village in Mymensingh, Bangladesh. A Bayesian inference framework that could account for the unknown infection times of the VL cases, and missing symptom onset and recovery times, was developed to perform the parameter estimation. The parameter estimates obtained suggest that, in a highly endemic setting, VL risk decreases relatively quickly with distance from a case-halving within 90m-and that VL cases contribute significantly more to transmission than asymptomatic individuals. CONCLUSIONS/SIGNIFICANCE: These results suggest that spatially-targeted interventions may be effective for limiting transmission. However, the extent to which spatial transmission patterns and the asymptomatic contribution vary with VL endemicity and over time is uncertain. In any event, interventions would need to be performed promptly and in a large radius (≥300m) around a new case to reduce transmission risk.

Indexed as

Disease Transmission, InfectiousAdolescentAdultAgedAged, 80 and overBangladeshChildChild, PreschoolEndemic DiseasesEpidemiologic StudiesFemaleGeographyHumansInfantInfant, NewbornLeishmaniasis, Visceral

Identifiers

PMID30296295
PMCPMC6175508

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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.