Evidence map›Paper›PMID 31068173›Full record

SynthesisBMC public health2019

Burden of varicella in Latin America and the Caribbean: findings from a systematic literature review.

Luiza Helena Falleiros Arlant, Maria Catalina Pirez Garcia, Maria L Avila Aguero, Miguel Cashat, Cintia Irene Parellada, Lara J Wolfson

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Varicella zoster virus infection.Nature reviews. Disease primers · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Varicella Outbreak Among Recent Arrivals to New York City, 2022-2024.MMWR. Morbidity and mortality weekly report · 2024
    Article
  10. Article
  11. Article
  12. Review
  13. Global varicella vaccination programs.Clinical and experimental pediatrics · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Acceptance of varicella vaccination.Human vaccines & immunotherapeutics · 2021
    Article
  20. Article
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

6 authors at 5 institutions in 5 countries.

Luiza Helena Falleiros ArlantUniversidade Metropolitana de Santos - UNIMES - Santos, São Paulo, Brazil.
Maria Catalina Pirez GarciaUniversidad De La Republica, Montevideo, Uruguay.
Maria L Avila AgueroNational Children's Hospital Costa Rica, San Jose, Costa Rica.
Miguel CashatGlobal Medical Affairs, MSD México, México City, México.
Cintia Irene ParelladaCenter for Observational and Real-World Evidence, MSD Brazil, São Paulo, Brazil.
Lara J WolfsonCenter for Observational and Real-World Evidence (CORE), Merck & Co., Inc., Kenilworth, NJ, 07033, USA. lara.wolfson@merck.com.
Hospital Nacional de Niños · CRMerck & Co., Inc., Rahway, NJ, USA (United States) · USMSD (Mexico) · MXUniversidad de la República · UYUniversidade Metropolitana de Santos · BR

Funding

Merck N/A
6 · The paper itself

Abstract

backgroundVaricella is typically mild and self-limiting, but can be associated with complications and even death. The limited data available on varicella in Latin America and the Caribbean (LAC) indicate substantial burden in countries where varicella vaccine is not part of publicly funded childhood national immunization programs.

methodsA systematic literature review of published studies was complemented by "gray" literature on varicella incidence, complications, mortality, and economic consequences, in the absence and presence of universal varicella vaccination (UVV) in LAC.

resultsSeroprevalence data indicate that varicella is usually a disease of childhood in LAC. Varicella incidence rates, while unreliable in the absence of mandatory reporting, show a trend to increased incidence due to greater urbanization and population density. The introduction of UVV in national immunization programs has led to significant reductions in varicella incidence in these areas.

conclusionsVaricella continues to pose a substantial healthcare burden in LAC. The future introduction of UVV in additional countries is predicted to provide substantial reductions in cases, with important economic benefits. For countries that have already implemented UVV, the challenge is to maintain high rates of coverage and, where relevant, consider inclusion of a second dose to reduce breakthrough cases. Given the significant proportion of the region now implementing UVV, a regional recommendation in order to prevent any potential for age-shifts in varicella infection might be considered.

Indexed as

Cost of IllnessCaribbean RegionChickenpoxChickenpox VaccineChildChild, PreschoolEthnicityFemaleHumansImmunization ProgramsIncidenceLatin AmericaMandatory ReportingSeroepidemiologic StudiesTreatment OutcomeVaccinationChickenpox VaccineCaribbeanLatin AmericaSystematic literature reviewVaccinationVaricella

Identifiers

PMID31068173
PMCPMC6507223
OpenAlexW2947899315

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.