Evidence map›Paper›PMID 36547726›Full record

ArticleBMJ open2022

Pre-emptive oral cholera vaccine (OCV) mass vaccination campaign in Cuamba District, Niassa Province, Mozambique: feasibility, vaccination coverage and delivery costs using CholTool.

Jucunú J Elias Chitio, Cynthia S Baltazar, José Paulo Langa, Liliana Dengo Baloi, Ramos B J Mboane, José Alberto Manuel, Sadate Assane, Alide Omar, Mariana Manso, Igor Capitine and 6 more

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Comprehensive Review on the Use of Oral Cholera Vaccine (OCV) in Ethiopia: 2019 to 2023.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Review
  2. Article
  3. 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

16 authors.

Jucunú J Elias ChitioNational Department for Surveillance and Surveys in Health, National Institute of Health, Maputo, Mozambique.
Cynthia S BaltazarNational Department for Surveillance and Surveys in Health, National Institute of Health, Maputo, Mozambique.
José Paulo LangaNational Department for Surveillance and Surveys in Health, National Institute of Health, Maputo, Mozambique.
Liliana Dengo BaloiNational Department for Surveillance and Surveys in Health, National Institute of Health, Maputo, Mozambique.
Ramos B J MboaneProvincial Directorate of Health, Lichinga City, Mozambique.
José Alberto ManuelProvincial Directorate of Health, Lichinga City, Mozambique.
Sadate AssaneProvincial Directorate of Health, Lichinga City, Mozambique.
Alide OmarDistrict Health Directorate, Cuamba District, Mozambique.
Mariana MansoDistrict Health Directorate, Cuamba District, Mozambique.
Igor CapitineNational Department for Surveillance and Surveys in Health, National Institute of Health, Maputo, Mozambique.
Craig Van RensburgPolicy and Economic Research Department, International Vaccine Institute, Seoul, Republic of Korea.
Naira LuizNational Department for Surveillance and Surveys in Health, National Institute of Health, Maputo, Mozambique.
Vittal MogasalePolicy and Economic Research Department, International Vaccine Institute, Seoul, Republic of Korea.ORCID 0000-0003-0596-8072
Florian MarksEpidemology, Public Health, Impact (EPIC) Unit, International Vaccine Institute, Seoul, Republic of Korea.ORCID 0000-0002-6043-7170
Se Eun ParkClinical, Assessment, Regulatory, Evaluation (CARE) Unit, International Vaccine Institute, Seoul, Republic of Korea SeEun.Park@ivi.int.ORCID 0000-0002-1632-3045
Namseon S BeckClinical, Assessment, Regulatory, Evaluation (CARE) Unit, International Vaccine Institute, Seoul, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMozambique suffers from regular floods along its principal river basins and periodic cyclones that resulted in several cholera epidemics during the last decades. Cholera outbreaks in the recent 5 years affected particularly the northern provinces of the country including Nampula and Niassa provinces. A pre-emptive oral cholera vaccine (OCV) mass vaccination campaign was conducted in Cuamba District, Niassa Province, and the feasibility, costs, and vaccination coverage assessed.

methodsWHO prequalified OCV (Euvichol-Plus), a killed whole-cell bivalent vaccine containing

resultsThe administrative coverage of the first and second rounds of the campaign were 98.9% (194 581) and 98.8% (194 325), respectively, based on the available population data that estimated total 196 652 inhabitants in the target area. The vaccination coverage survey exhibited 75.9% (±2.2%) and 68.5% (±3.3%) coverage for the first and second rounds, respectively. Overall, 60.4% (±3.4%) of the target population received full two doses of OCV. Barriers to vaccination included incompatibility between working hours and campaign time. No severe adverse events were notified. The total financial cost per dose delivered was US$0.60 without vaccine cost and US$1.98 including vaccine costs.

conclusionThe pre-emptive OCV mass vaccination campaign in remote setting in Mozambique was feasible with reasonable full-dose vaccination coverage to confer sufficient herd immunity for at least the next 3 to 5 years. The delivery cost estimate indicates that the OCV campaign is affordable as it is comparable with Gavi's operational support for vaccination campaigns.

Indexed as

CholeraCholera VaccinesAdministration, OralAgedFeasibility StudiesHumansImmunization ProgramsMozambiqueVaccinationVaccination CoverageCholera Vaccineshealth economicsinfection controlinfectious diseasespreventive medicinepublic health

Identifiers

PMID36547726
PMCPMC9454037

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Registered trials

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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.