Evidence map›Paper›PMID 37643641›Full record

ArticleJournal of the Royal Society, Interface2023

Medium-term scenarios of COVID-19 as a function of immune uncertainties and chronic disease.

Chadi M Saad-Roy, Sinead E Morris, Rachel E Baker, Jeremy Farrar, Andrea L Graham, Simon A Levin, Caroline E Wagner, C Jessica E Metcalf, Bryan T Grenfell

Abstract read
In one paragraph

Article in Journal of the Royal Society, Interface, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. The evolution of post-infection mortality.Proceedings. Biological sciences · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Dynamics in a behavioral-epidemiological model for individual adherence to a nonpharmaceutical intervention.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  9. 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

9 authors.

Chadi M Saad-RoyLewis-Sigler Institute for Integrative Genomics, Princeton University, Princeton, NJ, USA.ORCID 0000-0002-2217-3071
Sinead E MorrisDepartment of Pathology and Cell Biology, Columbia University Medical Center, New York, NY, USA.
Rachel E BakerDepartment of Epidemiology, Brown University, Providence, RI, USA.
Jeremy FarrarThe Wellcome Trust, London, UK.
Andrea L GrahamDepartment of Ecology and Evolutionary Biology, Princeton University, Princeton, NJ, USA.ORCID 0000-0002-6580-2755
Simon A LevinDepartment of Ecology and Evolutionary Biology, Princeton University, Princeton, NJ, USA.ORCID 0000-0002-8216-5639
Caroline E WagnerDepartment of Bioengineering, McGill University, Montreal, Canada.ORCID 0000-0001-5193-2797
C Jessica E MetcalfDepartment of Ecology and Evolutionary Biology, Princeton University, Princeton, NJ, USA.ORCID 0000-0003-3166-7521
Bryan T GrenfellDepartment of Ecology and Evolutionary Biology, Princeton University, Princeton, NJ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As the SARS-CoV-2 trajectory continues, the longer-term immuno-epidemiology of COVID-19, the dynamics of Long COVID, and the impact of escape variants are important outstanding questions. We examine these remaining uncertainties with a simple modelling framework that accounts for multiple (antigenic) exposures via infection or vaccination. If immunity (to infection or Long COVID) accumulates rapidly with the valency of exposure, we find that infection levels and the burden of Long COVID are markedly reduced in the medium term. More pessimistic assumptions on host adaptive immune responses illustrate that the longer-term burden of COVID-19 may be elevated for years to come. However, we also find that these outcomes could be mitigated by the eventual introduction of a vaccine eliciting robust (i.e. durable, transmission-blocking and/or 'evolution-proof') immunity. Overall, our work stresses the wide range of future scenarios that still remain, the importance of collecting real-world epidemiological data to identify likely outcomes, and the crucial need for the development of a highly effective transmission-blocking, durable and broadly protective vaccine.

Indexed as

COVID-19Chronic DiseaseHumansPost-Acute COVID-19 SyndromeSARS-CoV-2Uncertaintyimmuno-epidemiologyLong COVIDmathematical modelmedium-term projections

Identifiers

PMID37643641
PMCPMC10465195

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.