Evidence map›Paper›PMID 30341482›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2019

Limited impact of pneumococcal vaccines on invasive pneumococcal disease in Nunavik (Quebec).

Jean-Baptiste LeMeur, Brigitte Lefebvre, Jean-François Proulx, Philippe De Wals

Open access · bronzeAbstract read
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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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

4 authors at 4 institutions in 1 country.

Jean-Baptiste LeMeurInstitut National de Santé Publique du Québec, Montréal, Canada.
Brigitte LefebvreLaboratoire de Santé Publique du Québec, Institut National de Santé Publique du Québec, Sainte-Anne-de-Bellevue, Canada.
Jean-François ProulxDirection de la Santé Publique du Nunavik, Kuujjuaq, Canada.
Philippe De WalsInstitut National de Santé Publique du Québec, Montréal, Canada. philippe.dewals@criucpq.ulaval.ca.
Institut National de Santé Publique du Québec · CAInstitut Universitaire de Cardiologie et de Pneumologie de Québec · CANunavik Regional Board of Health and Social Services · CAUniversité Laval · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn 2002, a mass immunization campaign using the 23-valent pneumococcal polysaccharide vaccine (PPV23) was carried out in Nunavik to control an outbreak caused by a virulent clone of serotype 1 Streptococcus pneumoniae. At the same time, the 7-valent pneumococcal conjugate vaccine (PCV7) was introduced for routine immunization of infants, replaced by the 10-valent vaccine (PCV10) in 2009, and the 13-valent vaccine (PCV13) in 2011. The objective of this study was to describe the epidemiology of invasive pneumococcal disease (IPD) in relation to pneumococcal vaccine use.

methodRetrospective analysis of IPD cases identified by the Quebec Public Health Laboratory during the period 1997-2016.

resultsOne hundred thirty-two IPD cases were identified during the study period. In adults, serotype 1 incidence decreased following the 2002 PPV23 mass campaign, but breakthrough cases occurred. Following PCV use, the incidence of vaccine-type IPD decreased markedly in children and also in adults but serotypes not covered by conjugate vaccines increased. The overall IPD rate was 43/100,000 person-years in the 1997-1999 pre-vaccine era and 58/100,000 person-years in 2010-2016.

conclusionsThe 2002 PPV23 mass immunization campaign may have contributed to control the serotype 1 outbreaks in Nunavik, but its effect was short-lived as IPDs caused by serotypes included in this vaccine continued to occur after 2005. PCV use in children induced important modifications in the epidemiology of IPD, but most of the benefits were eroded by serotype replacement.

Indexed as

Mass VaccinationAdolescentAdultAgedChildChild, PreschoolDisease OutbreaksFemaleHumansInfantMaleMiddle AgedPneumococcal InfectionsPneumococcal VaccinesProgram EvaluationQuebecPneumococcal VaccinesVaccines, ConjugateEpidemiologyImmunizationInuitPediatric vaccineStreptococcus pneumonia

Identifiers

PMID30341482
PMCPMC6964480
OpenAlexW2896853011

What OpenQuestion holds

Textmetadata
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.