Evidence map›Paper›PMID 35308577›Full record

ArticleThe Lancet regional health. Western Pacific2022

National, regional, and provincial disease burden attributed to

Xiaozhen Lai, Brian Wahl, Wenzhou Yu, Tingting Xu, Haijun Zhang, Cristina Garcia, Ying Qin, Yan Guo, Zundong Yin, Maria Deloria Knoll and 1 more

Open access · goldAbstract read
In one paragraph

Article in The Lancet regional health. Western Pacific, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
7.9field-weighted citation impact, top 2% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Prevalence ofHuman vaccines & immunotherapeutics · 2024
    Pooled it
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  5. Article
  6. Article
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  10. Observational
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  13. Article
  14. Adverse Events FollowingVaccines · 2025
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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

11 authors at 4 institutions in 2 countries.

Xiaozhen LaiChina Center for Health Development Studies, Peking University, Beijing, China.
Brian WahlJohns Hopkins India, Lucknow, India.
Wenzhou YuNational Immunization Programme, Chinese Center for Disease Control and Prevention, Beijing, China.
Tingting XuDepartment of Health Policy and Management, School of Public Health, Capital Medical University, Beijing, China.
Haijun ZhangChina Center for Health Development Studies, Peking University, Beijing, China.
Cristina GarciaDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Ying QinDivision of Infectious Diseases, Chinese Center for Disease Control and Prevention, Beijing, China.
Yan GuoDepartment of Health Policy and Management, School of Public Health, Peking University, Beijing, China.
Zundong YinNational Immunization Programme, Chinese Center for Disease Control and Prevention, Beijing, China.
Maria Deloria KnollDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Hai FangChina Center for Health Development Studies, Peking University, Beijing, China.
Peking University · CNChinese Center For Disease Control and Prevention · CNJohns Hopkins University · USCapital Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Vaccination against Methods: We estimated proportions of pneumonia and meningitis deaths and cases attributable to pneumococcus and Hib using evidence from vaccine clinical trials and surveillance studies of bacterial meningitis and pathogen-specific case fatality ratios (CFR). Then we applied the proportions to model provincial-level pneumonia cases and deaths, meningitis deaths and meningitis CFR in children aged 1-59 months, accounting for vaccine coverage. Non-pneumonia, non-meningitis (NPNM) invasive disease cases were derived by applying NPNM meningitis ratios to meningitis estimates. Findings: In 2010-17, annual pneumococcal deaths fell by 49% from 15 600 (uncertainty range: 10 800-17 300) to 8 000 (5 500-8 900), and Hib deaths fell by 56% from 6 500 (4 500-8 800) to 2 900 (2 000-3 900). Severe pneumococcal and Hib cases decreased by 16% to 218 200 (161 500-252 200) in 2017 and 29% to 49 900 (29 000-99 100). Estimated 2017 national three-dose coverage in private market was 1·3% for PCV and 33·4% for Hib vaccine among children aged 1-59 months. Provinces in the west region had the highest disease burden. Interpretation: Childhood mortality and morbidity attributable to pneumococcal and Hib has decreased in China, but still substantially varied by region and province. Higher vaccine coverage could further reduce disease burden. Funding: Bill & Melinda Gates Foundation.

Indexed as

ChinaHaemophilus influenzae type bImmunizationStreptococcus pneumoniae

Identifiers

PMID35308577
PMCPMC8928075
OpenAlexW4220969438

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.