Evidence map›Paper›PMID 32725232›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

Tenacious Endemic Typhoid Fever in Samoa.

Michael J Sikorski, Sachin N Desai, Siaosi Tupua, Robert E Thomsen, Jane Han, Savitra Rambocus, Susana Nimarota-Brown, Linatupu Punimata, Salesa Tusitala, Michelle Sialeipata and 14 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.6field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 29 citations in OpenAlex.

  1. Observational
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  10. Genomic epidemiology ofThe Lancet regional health. Western Pacific · 2022
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  15. Assessing the Feasibility of Typhoid Elimination.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    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

24 authors at 8 institutions in 6 countries.

Michael J SikorskiCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Sachin N DesaiCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Siaosi TupuaMinistry of Health, Government of Samoa, Apia, Samoa.
Robert E ThomsenMinistry of Health, Government of Samoa, Apia, Samoa.
Jane HanCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Savitra RambocusMinistry of Health, Government of Samoa, Apia, Samoa.
Susana Nimarota-BrownMinistry of Health, Government of Samoa, Apia, Samoa.
Linatupu PunimataMinistry of Health, Government of Samoa, Apia, Samoa.
Salesa TusitalaMinistry of Health, Government of Samoa, Apia, Samoa.
Michelle SialeipataMinistry of Health, Government of Samoa, Apia, Samoa.
Seth A HoffmanCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, USA.
J Kathleen TracyClinical Translational Research and Informatics Center, Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Ellen E HigginsonCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Sharon M TennantCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Jillian S GauldInstitute for Disease Modeling, Bellevue, Washington, USA.
Daniel J KleinInstitute for Disease Modeling, Bellevue, Washington, USA.
Susan A BallardMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology and Immunology, The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia.
Roy M Robins-BrowneMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology and Immunology, The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia.
Gordon DouganDepartment of Medicine, University of Cambridge, Cambridge, United Kingdom.
Eric J NillesWorld Health Organization, Division of Pacific Technical Support, Suva, Fiji.
Benjamin P HowdenMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology and Immunology, The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia.
John A CrumpCentre for International Health, University of Otago, Dunedin, New Zealand.
Take K NaseriMinistry of Health, Government of Samoa, Apia, Samoa.
Myron M LevineCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, USA.
National University of Samoa · WSUniversity of Maryland, Baltimore · USInstitute for Disease Modeling · USPeter Doherty Institute · AUUniversity of Cambridge · GBUniversity of Melbourne · AUUniversity of Otago · NZWorld Health Organization - Pakistan · PK

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundTyphoid fever has been endemic on the island nation of Samoa (2016 population, 195 979) since the 1960s and has persisted through 2019, despite economic development and improvements in water supply and sanitation.

methodsSalmonella enterica serovar Typhi isolates from the 2 hospitals with blood culture capability and matched patient demographic and clinical data from January 2008 through December 2019 were analyzed. Denominators to calculate incidence by island, region, and district came from 2011 and 2016 censuses and from 2017-2019 projections from Samoa's Bureau of Statistics. Data were analyzed to describe typhoid case burden and incidence from 2008 to 2019 by time, place, and person.

resultsIn sum, 53-193 blood culture-confirmed typhoid cases occurred annually from 2008 to 2019, without apparent seasonality. Typhoid incidence was low among children age < 48 months (17.6-27.8/105), rose progressively in ages 5-9 years (54.0/105), 10-19 years (60.7-63.4/105), and 20-34 years (61.0-79.3/105), and then tapered off; 93.6% of cases occurred among Samoans < 50 years of age. Most typhoid cases and the highest incidence occurred in Northwest Upolu, but Apia Urban Area (served by treated water supplies) also exhibited moderate incidence. The proportion of cases from short-cycle versus long-cycle transmission is unknown. Samoan S. Typhi are pansusceptible to traditional first-line antibiotics. Nevertheless, enhanced surveillance in 2019 detected 4 (2.9%) deaths among 140 cases.

conclusionsTyphoid has been endemic in Samoa in the period 2008-2019. Interventions, including mass vaccination with a Vi-conjugate vaccine coadministered with measles vaccine are planned.

Indexed as

Typhoid FeverTyphoid-Paratyphoid VaccinesChildChild, PreschoolHumansInfantSalmonella typhiSamoaVaccines, ConjugateTyphoid-Paratyphoid VaccinesVaccines, ConjugateepidemiologyOceaniaSalmonella TyphiSamoatyphoid fever

Identifiers

PMID32725232
PMCPMC7388710
OpenAlexW3046587168

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.