Evidence map›Paper›PMID 36442881›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2022

Maximizing the impact of limited vaccine supply under different early epidemic conditions: a 2-city modelling analysis of monkeypox virus transmission among men who have sex with men.

Jesse Knight, Darrell H S Tan, Sharmistha Mishra

Open access · goldAbstract read
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 22% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

3 authors at 2 institutions in 1 country.

Jesse KnightMAP Centre for Urban Health Solutions (Knight, Tan, Mishra), Unity Health Toronto; Institute of Medical Science (Knight, Tan, Mishra), Institute of Health Policy, Management, and Evaluation (Tan, Mishra), and Division of Infectious Diseases (Tan, Mishra), Department of Medicine, University of Toronto, Toronto, Ont. jesse.knight@mail.utoronto.ca.
Darrell H S TanMAP Centre for Urban Health Solutions (Knight, Tan, Mishra), Unity Health Toronto; Institute of Medical Science (Knight, Tan, Mishra), Institute of Health Policy, Management, and Evaluation (Tan, Mishra), and Division of Infectious Diseases (Tan, Mishra), Department of Medicine, University of Toronto, Toronto, Ont.
Sharmistha MishraMAP Centre for Urban Health Solutions (Knight, Tan, Mishra), Unity Health Toronto; Institute of Medical Science (Knight, Tan, Mishra), Institute of Health Policy, Management, and Evaluation (Tan, Mishra), and Division of Infectious Diseases (Tan, Mishra), Department of Medicine, University of Toronto, Toronto, Ont.
Unity Health TorontoHealth Solutions (Sweden) · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe current global monkeypox virus (MPXV) outbreak has disproportionately affected gay, bisexual and other men who have sex with men (GBMSM). Given that many jurisdictions have been faced with limited supplies of MPXV vaccine, we aimed to explore optimal vaccine allocation between 2 linked GBMSM transmission networks over a short-term time horizon, across several epidemic conditions.

methodsWe constructed a deterministic compartmental MPXV transmission model. We parameterized the model to reflect 2 representative, partially connected GBMSM sexual networks ( cities), using 2022 data from Ontario. We simulated a roll-out of 5000 vaccine doses over 30 days that started 45 days after epidemic seeding with 10 imported cases. Within this model, we varied the relative city (network) sizes, epidemic potentials (

resultsUnder our modelling assumptions, we found that a limited MPXV vaccine supply could generally avert more early infections when prioritized to networks that were larger, had more initial infections or had greater

interpretationIn the context of the current global MPXV outbreak, we showed that prioritization of a limited supply of vaccines based on network-level factors can help maximize infections averted during an emerging epidemic. Such prioritization should be grounded in an understanding of context-specific risk drivers and should acknowledge potential connectedness of multiple transmission networks.

Indexed as

Sexual and Gender MinoritiesVaccinesCitiesHomosexuality, MaleHumansMaleMonkeypox virusMpox, MonkeypoxVaccines

Identifiers

PMID36442881
PMCPMC9828961
OpenAlexW4310462232

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.