Evidence map›Paper›PMID 30689757›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2019

Effectiveness of Seasonal Influenza Vaccination in Children in Senegal During a Year of Vaccine Mismatch: A Cluster-randomized Trial.

Aldiouma Diallo, Ousmane M Diop, Doudou Diop, Mbayame Nd Niang, Jonathan D Sugimoto, Justin R Ortiz, El Hadji Abdourahmane Faye, Bou Diarra, Deborah Goudiaby, Kristen D C Lewis and 8 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00893906 (Assessment of the Effectiveness of Seasonal Trivalent Influenza Vaccine Among Children in Senegal), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.1field-weighted citation impact, top 14% 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.

NCT00893906 phase4completednot on this map

Assessment of the Effectiveness of Seasonal Trivalent Influenza Vaccine Among Children in Senegal

TypeinterventionalSponsorPATHRan2009 to 2013Enrolled10,000ConditionsInfluenzaArmsseasonal trivalent inactivated influenza vaccine, inactivated polio vaccine
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Designs for Vaccine Studies.Annual review of statistics and its application · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Effectiveness of Influenza Vaccines in the HIVE Household Cohort Over 8 Years: Is There Evidence of Indirect Protection?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  10. Review
  11. Article
  12. Evidence in a Cluster Randomized Controlled Trial of Increased 2009 Pandemic Risk Associated With 2008-2009 Seasonal Influenza Vaccine Receipt.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 7 institutions in 2 countries.

Aldiouma DialloUMR VITROME, Institut de Recherche Pour le Développement, Dakar, Senegal.
Ousmane M DiopInstitut Pasteur de Dakar, Senegal.
Doudou DiopUMR VITROME, Institut de Recherche Pour le Développement, Dakar, Senegal.
Mbayame Nd NiangInstitut Pasteur de Dakar, Senegal.
Jonathan D SugimotoVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Justin R OrtizCenter for Vaccine Development, University of Maryland, Baltimore.
El Hadji Abdourahmane FayeInstitut Pasteur de Dakar, Senegal.
Bou DiarraUMR VITROME, Institut de Recherche Pour le Développement, Dakar, Senegal.
Deborah GoudiabyInstitut Pasteur de Dakar, Senegal.
Kristen D C LewisPATH, Seattle, Washington.
Shannon L EmeryInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Sahar Z ZangenehVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Kathryn E LafondInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Cheikh SokhnaUMR VITROME, Institut de Recherche Pour le Développement, Dakar, Senegal.
M Elizabeth HalloranVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Marc-Alain WiddowsonInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Kathleen M NeuzilCenter for Vaccine Development, University of Maryland, Baltimore.
John C VictorPATH, Seattle, Washington.
Institut de Recherche pour le Développement · SNInstitut Pasteur de Dakar · SNCenters for Disease Control and Prevention · USFred Hutch Cancer Center · USProgram for Appropriate Technology in Health · USUniversity of Maryland, Baltimore · USUniversity of Washington · US

Funding

Methods for Evaluating Vaccine EfficacyR37AI032042 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI HALLORAN, M ELIZABETH · 2010 to 2019
$5.1M
NCIRD CDC HHS U01 IP000174NIAID NIH HHS R37 AI032042
6 · The paper itself

Abstract

backgroundThe population effects of influenza vaccination in children have not been extensively studied, especially in tropical, developing countries. In rural Senegal, we assessed the total (primary objective) and indirect effectiveness of a trivalent inactivated influenza vaccine (IIV3).

methodsIn this double-blind, cluster-randomized trial, villages were randomly allocated (1:1) for the high-coverage vaccination of children aged 6 months through 10 years with either the 2008-09 northern hemisphere IIV3 or an inactivated polio vaccine (IPV). Vaccinees were monitored for serious adverse events. All village residents, vaccinated and unvaccinated, were monitored for signs and symptoms of influenza illness using weekly home visits and surveillance in designated clinics. The primary outcome was all laboratory-confirmed symptomatic influenza.

resultsBetween 23 May and 11 July 2009, 20 villages were randomized, and 66.5% of age-eligible children were enrolled (3918 in IIV3 villages and 3848 in IPV villages). Follow-up continued until 28 May 2010. There were 4 unrelated serious adverse events identified. Among vaccinees, the total effectiveness against illness caused by the seasonal influenza virus (presumed to all be drifted A/H3N2, based on antigenic characterization data) circulating at high rates among children was 43.6% (95% confidence interval [CI] 18.6-60.9%). The indirect effectiveness against seasonal A/H3N2 was 15.4% (95% CI -22.0 to 41.3%). The total effectiveness against illness caused by the pandemic influenza virus (A/H1N1pdm09) was -52.1% (95% CI -177.2 to 16.6%).

conclusionsIIV3 provided statistically significant, moderate protection to children in Senegal against circulating, pre-2010 seasonal influenza strains, but not against A/H1N1pdm09, which was not included in the vaccine. No indirect effects were measured. Further study in low-resource populations is warranted. CLINICAL TRIALS REGISTRATION: NCT00893906.

Indexed as

Vaccine PotencyAdolescentAdultAgedChildChild, PreschoolDouble-Blind MethodFemaleHumansInfantInfluenza A virusInfluenza, HumanInfluenza VaccinesMaleMiddle AgedRural PopulationInfluenza VaccinesVaccines, Inactivateddeveloping countriesherd immunityhuman influenzainfluenza vaccinesrandomized controlled trial

Identifiers

PMID30689757
PMCPMC6821165
OpenAlexW2912139686

What OpenQuestion holds

Textmetadata
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Registered trials

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.