Evidence map›Paper›PMID 31060949›Full record

ReviewVaccine2021

Pregnant women & vaccines against emerging epidemic threats: Ethics guidance for preparedness, research, and response.

Carleigh B Krubiner, Ruth R Faden, Ruth A Karron, Margaret O Little, Anne D Lyerly, Jon S Abramson, Richard H Beigi, Alejandro R Cravioto, Anna P Durbin, Bruce G Gellin and 8 more

Open access · hybridAbstract readReview
In one paragraph

Review in Vaccine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 1 pooled it
13.4field-weighted citation impact, top 1% 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

96 citing papers in PubMed, 1 synthesis or guideline pooled it, 166 citations in OpenAlex.

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36 more citing papers are in PubMed but not listed here.

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 at 13 institutions in 4 countries.

Carleigh B KrubinerJohns Hopkins Berman Institute of Bioethics, 1809 Ashland Avenue, Baltimore, MD, USA. Electronic address: ckrubiner@cgdev.org.
Ruth R FadenJohns Hopkins Berman Institute of Bioethics, 1809 Ashland Avenue, Baltimore, MD, USA; Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Ruth A KarronJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Margaret O LittleKennedy Institute of Ethics, Georgetown University, Washington, D.C., USA.
Anne D LyerlyUniversity of North Carolina Center for Bioethics, Chapel Hill, NC, USA.
Jon S AbramsonWake Forest University School of Medicine, Winston-Salem, NC, USA.
Richard H BeigiMagee-Womens Hospital of University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Alejandro R CraviotoUniversidad Nacional Autónoma de México, Mexico City, Mexico.
Anna P DurbinJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Bruce G GellinSabin Vaccine Institute, Washington, D.C., USA.
Swati B GuptaIAVI, New York, NY, USA.
David C KaslowPATH, Seattle, WA, USA.
Sonali KochharGlobal Healthcare Consulting, Delhi, India.
Florencia LunaFLACSO-Argentina & CONICET, Buenos Aires, Argentina.
Carla SaenzPan American Health Organization, Washington, D.C., USA.
Jeanne S SheffieldJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Paulina O TindanaNavrongo Health Research Centre, Navrongo, Ghana.
PREVENT Working Group
Johns Hopkins University · USConsejo Nacional de Investigaciones Científicas y Técnicas · ARGeorgetown University · USInternational AIDS Vaccine Initiative · USJohns Hopkins Berman Institute of Bioethics · USMagee-Womens Hospital · USNavrongo Health Research Centre · GHProgram for Appropriate Technology in Health · USSabin Vaccine Institute · USUniversidad Nacional Autónoma de México · MXUniversity of North Carolina at Chapel Hill · USWake Forest University · USWorld Health Organization Regional Office for the Americas · US

Funding

Training Program in Research Ethics in the AmericasR25TW001605 · FIC · YESHIVA UNIVERSITY · PI LUNA, FLORENCIA · 2000 to 2025
$6.7M
FIC NIH HHS R25 TW001605Medical Research Council MC_PC_17221Medical Research Council MC_UU_00026/2Medical Research Council MR/R005990/1Medical Research Council MR/R005990/2Wellcome Trust 203160/Z/16/Z
6 · The paper itself

Abstract

Zika virus, influenza, and Ebola have called attention to the ways in which infectious disease outbreaks can severely - and at times uniquely - affect the health interests of pregnant women and their offspring. These examples also highlight the critical need to proactively consider pregnant women and their offspring in vaccine research and response efforts to combat emerging and re-emerging infectious diseases. Historically, pregnant women and their offspring have been largely excluded from research agendas and investment strategies for vaccines against epidemic threats, which in turn can lead to exclusion from future vaccine campaigns amidst outbreaks. This state of affairs is profoundly unjust to pregnant women and their offspring, and deeply problematic from the standpoint of public health. To ensure that the needs of pregnant women and their offspring are fairly addressed, new approaches to public health preparedness, vaccine research and development, and vaccine delivery are required. This Guidance offers 22 concrete recommendations that provide a roadmap for the ethically responsible, socially just, and respectful inclusion of the interests of pregnant women in the development and deployment of vaccines against emerging pathogens. The Guidance was developed by the Pregnancy Research Ethics for Vaccines, Epidemics, and New Technologies (PREVENT) Working Group - a multidisciplinary, international team of 17 experts specializing in bioethics, maternal immunization, maternal-fetal medicine, obstetrics, pediatrics, philosophy, public health, and vaccine research and policy - in consultation with a variety of external experts and stakeholders.

Indexed as

EpidemicsHemorrhagic Fever, EbolaInfluenza VaccinesVaccinesZika VirusZika Virus InfectionChildFemaleHumansPregnancyPregnant PeopleVaccinationInfluenza VaccinesVaccinesEmerging infectious diseasesEpidemicsMaternal immunizationPregnancyPublic health ethicsResearch & developmentResearch ethicsVaccines

Identifiers

PMID31060949
PMCPMC7735377
OpenAlexW2943161765

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.