Evidence map›Paper›PMID 37833540›Full record

ArticleCommunications medicine2023

Modeling of malaria vaccine effectiveness on disease burden and drug resistance in 42 African countries.

Alisa Hamilton, Fardad Haghpanah, Mateusz Hasso-Agopsowicz, Isabel Frost, Gary Lin, Emily Schueller, Eili Klein, Ramanan Laxminarayan

Abstract read
In one paragraph

Article in Communications medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

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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

8 authors.

Alisa HamiltonOne Health Trust, Washington, D.C., USA.ORCID http://orcid.org/0000-0001-8783-9383
Fardad HaghpanahOne Health Trust, Washington, D.C., USA.ORCID http://orcid.org/0000-0002-2158-8486
Mateusz Hasso-AgopsowiczWorld Health Organization, Geneva, Switzerland.ORCID http://orcid.org/0000-0003-4137-4685
Isabel FrostWorld Health Organization, Geneva, Switzerland.ORCID http://orcid.org/0000-0002-0095-0845
Gary LinOne Health Trust, Washington, D.C., USA.ORCID http://orcid.org/0000-0002-2269-1135
Emily SchuellerOne Health Trust, Washington, D.C., USA.ORCID http://orcid.org/0000-0002-6877-0920
Eili KleinOne Health Trust, Washington, D.C., USA.ORCID http://orcid.org/0000-0002-1304-5289
Ramanan LaxminarayanOne Health Trust, Washington, D.C., USA. ramanan@onehealthtrust.org.ORCID http://orcid.org/0000-0002-1390-9016

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundThe emergence of antimalarial drug resistance poses a major threat to effective malaria treatment and control. This study aims to inform policymakers and vaccine developers on the potential of an effective malaria vaccine in reducing drug-resistant infections.

methodsA compartmental model estimating cases, drug-resistant cases, and deaths averted from 2021 to 2030 with a vaccine against Plasmodium falciparum infection administered yearly to 1-year-olds in 42 African countries. Three vaccine efficacy (VE) scenarios and one scenario of rapidly increasing drug resistance are modeled.

resultsWhen VE is constant at 40% for 4 years and then drops to 0%, 235.7 (Uncertainty Interval [UI] 187.8-305.9) cases per 1000 children, 0.6 (UI 0.4-1.0) resistant cases per 1000, and 0.6 (UI 0.5-0.9) deaths per 1000 are averted. When VE begins at 80% and drops 20 percentage points each year, 313.9 (UI 249.8-406.6) cases per 1000, 0.9 (UI 0.6-1.3) resistant cases per 1000, and 0.9 (UI 0.6-1.2) deaths per 1000 are averted. When VE remains 40% for 10 years, 384.7 (UI 311.7-496.5) cases per 1000, 1.0 (0.7-1.6) resistant cases per 1000, and 1.1 (UI 0.8-1.5) deaths per 1000 are averted. Assuming an effective vaccine and an increase in current levels of drug resistance to 80% by 2030, 10.4 (UI 7.3-15.8) resistant cases per 1000 children are averted.

conclusionsWidespread deployment of a malaria vaccine could substantially reduce health burden in Africa. Maintaining VE longer may be more impactful than a higher initial VE that falls rapidly.

Identifiers

PMID37833540
PMCPMC10576074

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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.