Evidence map›Paper›PMID 37040383›Full record

ArticlePloS one2023

Macroeconomic impact of Ebola outbreaks in Sub-Saharan Africa and potential mitigation of GDP loss with prophylactic Ebola vaccination programs.

Laura T R Morrison, Benjamin Anderson, Alice Brower, Sandra E Talbird, Naomi Buell, Pia D M MacDonald, Laurent Metz, Maren Gaudig, Valérie Oriol Mathieu, Amanda A Honeycutt

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Laura T R MorrisonRTI International, Research Triangle Park, Triangle Park, North Carolina, United States of America.ORCID 0000-0001-7400-6358
Benjamin AndersonRTI International, Research Triangle Park, Triangle Park, North Carolina, United States of America.ORCID 0000-0001-9690-4095
Alice BrowerThe Fabulous Co., Durham, North Carolina, United States of America.ORCID 0000-0003-4008-829X
Sandra E TalbirdRTI International, Research Triangle Park, Triangle Park, North Carolina, United States of America.ORCID 0000-0003-4719-3703
Naomi BuellRTI International, Research Triangle Park, Triangle Park, North Carolina, United States of America.
Pia D M MacDonaldRTI International, Research Triangle Park, Triangle Park, North Carolina, United States of America.
Laurent MetzJohnson & Johnson Global Public Health, New Brunswick, New Jersey, United States of America.
Maren GaudigJohnson & Johnson Global Public Health, New Brunswick, New Jersey, United States of America.
Valérie Oriol MathieuJanssen Vaccines & Prevention B.V., Leiden, The Netherlands.
Amanda A HoneycuttRTI International, Research Triangle Park, Triangle Park, North Carolina, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDecisions about prevention of and response to Ebola outbreaks require an understanding of the macroeconomic implications of these interventions. Prophylactic vaccines hold promise to mitigate the negative economic impacts of infectious disease outbreaks. The objective of this study was to evaluate the relationship between outbreak size and economic impact among countries with recorded Ebola outbreaks and to quantify the hypothetical benefits of prophylactic Ebola vaccination interventions in these outbreaks.

methodsThe synthetic control method was used to estimate the causal impacts of Ebola outbreaks on per capita gross domestic product (GDP) of five countries in sub-Saharan Africa that have previously experienced Ebola outbreaks between 2000 and 2016, where no vaccines were deployed. Using illustrative assumptions about vaccine coverage, efficacy, and protective immunity, the potential economic benefits of prophylactic Ebola vaccination were estimated using the number of cases in an outbreak as a key indicator.

resultsThe impact of Ebola outbreaks on the macroeconomy of the selected countries led to a decline in GDP of up to 36%, which was greatest in the third year after the onset of each outbreak and increased exponentially with the size of outbreak (i.e., number of reported cases). Over three years, the aggregate loss estimated for Sierra Leone from its 2014-2016 outbreak is estimated at 16.1 billion International$. Prophylactic vaccination could have prevented up to 89% of an outbreak's negative impact on GDP, reducing the outbreak's impact to as little as 1.6% of GDP lost.

conclusionThis study supports the case that macroeconomic returns are associated with prophylactic Ebola vaccination. Our findings support recommendations for prophylactic Ebola vaccination as a core component of prevention and response measures for global health security.

Indexed as

Hemorrhagic Fever, EbolaDisease OutbreaksGross Domestic ProductHumansSierra LeoneVaccination

Identifiers

PMID37040383
PMCPMC10089322

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LicenceCC BY
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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.