Evidence map›Paper›PMID 32047360›Full record

ArticleTropical medicine and health2020

Reported measles cases, measles-related deaths and measles vaccination coverage in Myanmar from 2014 to 2018.

Aye Mya Chan Thar, Khin Thet Wai, Anthony D Harries, Kyaw Lwin Show, Lei Lei Mon, Htar Htar Lin

Abstract read
In one paragraph

Article in Tropical medicine and health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

6 authors.

Aye Mya Chan Thar1The Expanded Programme on Immunization, Department of Public Health, Ministry of Health and Sports, Naypyitaw, Myanmar.ORCID 0000-0003-0332-5014
Khin Thet Wai2Department of Medical Research, Ministry of Health and Sports, Yangon, Myanmar.
Anthony D Harries3International Union Against Tuberculosis and Lung Disease, Paris, France.
Kyaw Lwin Show2Department of Medical Research, Ministry of Health and Sports, Yangon, Myanmar.
Lei Lei MonWorld Health Organization, Yangon, Myanmar.
Htar Htar Lin1The Expanded Programme on Immunization, Department of Public Health, Ministry of Health and Sports, Naypyitaw, Myanmar.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundThere is a global resurgence of measles, consequent upon worldwide stagnating measles vaccination coverage. The study aim was to document trends and characteristics of reported cases of measles, measles-related deaths, and measles vaccination coverage (MCV1-first dose of measles-containing vaccine and MCV2-second dose of measles-containing vaccine) at national and sub-national level in Myanmar over a five year period between 2014 and 2018.

methodsThis was a descriptive study using routine data collected and submitted to the Expanded Programme on Immunization.

resultsBetween 2014 and 2018, there were 2673 measles cases of which 2272 (85%) occurred in 2017 and 2018. Five adjacent regions in lower Myanmar were the most affected: in 2017 and 2018, these regions reported 1647 (73%) of the 2272 measles cases in the country. Overall, 73% of measles cases were laboratory confirmed, 21% were epidemiologically linked, and 6% were clinically compatible (clinical diagnosis only), with more laboratory confirmed cases in recent years. Annual measles-related deaths were either zero or one except in 2016 when there were 21 deaths, all occurring in one remote village. In the recent years, the most commonly affected age groups were 0-8 months, 9 months to 4 years, and ≥ 15 years. Among 1907 measles cases with known vaccination status, only 22% had been vaccinated and 70% of those had only received one dose of vaccine. Annual MCV1 coverage nationally varied from 83 to 93% while annual MCV2 coverage nationally varied from 78 to 87%, with no clear trends over the years. Between 2014 and 2018, a high proportion of the 330 townships had MCV coverage < 95%. Over 80% of measles cases were reported from townships that had MCV coverage < 95%.

conclusionThere have been a large number of measles cases in recent years associated with sub-optimal measles vaccine coverage. Myanmar has already conducted supplemental immunization activities in October and November, 2019. Myanmar also needs to improve routine immunization services and targeted responses to measles outbreaks.

Indexed as

Measles casesMeasles containing vaccine 1—MCV1Measles containing vaccine 2—MCV2Measles deathsMeasles vaccination coverageMyanmarSORT IT

Identifiers

PMID32047360
PMCPMC7006084

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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.