Evidence map›Paper›PMID 32193361›Full record

ArticleScience (New York, N.Y.)2020

Evolving epidemiology of poliovirus serotype 2 following withdrawal of the serotype 2 oral poliovirus vaccine.

G R Macklin, K M O'Reilly, N C Grassly, W J Edmunds, O Mach, R Santhana Gopala Krishnan, A Voorman, J F Vertefeuille, J Abdelwahab, N Gumede and 9 more

Open access · greenAbstract read
In one paragraph

Article in Science (New York, N.Y.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 1 pooled it
14.8field-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

85 citing papers in PubMed, 1 synthesis or guideline pooled it, 144 citations in OpenAlex.

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 9 institutions in 4 countries.

G R MacklinCentre of Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, UK. mackling@who.int.ORCID 0000-0002-3014-7447
K M O'ReillyCentre of Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0002-4892-8022
N C GrasslyDepartment of Infectious Disease Epidemiology, Imperial College London, London, UK.ORCID 0000-0001-6067-4507
W J EdmundsCentre of Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, UK.
O MachPolio Eradication, World Health Organization, Geneva, Switzerland.
R Santhana Gopala KrishnanPolio Eradication, World Health Organization, Geneva, Switzerland.
A VoormanBill and Melinda Gates Foundation, Seattle, WA, USA.ORCID 0000-0001-6242-7796
J F VertefeuilleCenters for Disease Control and Prevention (CDC), Atlanta, GA, USA.ORCID 0000-0003-2322-2004
J AbdelwahabUnited Nations Children's Fund (UNICEF), New York, NY, USA.ORCID 0000-0002-2889-251X
N GumedeRegional Office for Africa, World Health Organization, Brazzaville, Congo.
A GoelPolio Eradication, World Health Organization, Geneva, Switzerland.
S SoslerGavi (the Vaccine Alliance), Geneva, Switzerland.ORCID 0000-0001-7893-0716
J SeverRotary International, Evanston, IL, USA.
A S BandyopadhyayBill and Melinda Gates Foundation, Seattle, WA, USA.ORCID 0000-0002-8395-2001
M A PallanschCenters for Disease Control and Prevention (CDC), Atlanta, GA, USA.ORCID 0000-0002-1015-4818
R NandyUnited Nations Children's Fund (UNICEF), New York, NY, USA.ORCID 0000-0002-1794-3414
P MkandaRegional Office for Africa, World Health Organization, Brazzaville, Congo.
O M DiopPolio Eradication, World Health Organization, Geneva, Switzerland.ORCID 0000-0002-0828-9676
R W SutterPolio Eradication, World Health Organization, Geneva, Switzerland.ORCID 0000-0003-2630-1699
World Health Organization · CHCenters for Disease Control and Prevention · USLondon School of Hygiene & Tropical Medicine · GBGates Foundation · USUnited Nations Children's Fund · USWorld Health Organization Regional Office for Africa · CGGavi · CHImperial College London · GBRotary International · US

Funding

Intramural CDC HHS CC999999Medical Research Council MR/R015600/1World Health Organization 001
6 · The paper itself

Abstract

Although there have been no cases of serotype 2 wild poliovirus for more than 20 years, transmission of serotype 2 vaccine-derived poliovirus (VDPV2) and associated paralytic cases in several continents represent a threat to eradication. The withdrawal of the serotype 2 component of oral poliovirus vaccine (OPV2) was implemented in April 2016 to stop VDPV2 emergence and secure eradication of all serotype 2 poliovirus. Globally, children born after this date have limited immunity to prevent transmission. Using a statistical model, we estimated the emergence date and source of VDPV2s detected between May 2016 and November 2019. Outbreak response campaigns with monovalent OPV2 are the only available method to induce immunity to prevent transmission. Yet our analysis shows that using monovalent OPV2 is generating more paralytic VDPV2 outbreaks with the potential for establishing endemic transmission. A novel OPV2, for which two candidates are currently in clinical trials, is urgently required, together with a contingency strategy if this vaccine does not materialize or perform as anticipated.

Indexed as

Global HealthDisease EradicationDisease OutbreaksHumansPoliomyelitisPoliovirusPoliovirus Vaccine, OralWithholding TreatmentPoliovirus Vaccine, Oral

Identifiers

PMID32193361
PMCPMC10805349
OpenAlexW3012245583

What OpenQuestion holds

Textmetadata
LicenceTDM
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.