Evidence map›Paper›PMID 37863311›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2023

Estimating the global impact of rotavirus vaccines on child mortality.

Andrew Clark, Sarwat Mahmud, Frederic Debellut, Clint Pecenka, Mark Jit, Jamie Perin, Jacqueline Tate, Heidi M Soeters, Robert E Black, Mathuram Santosham and 1 more

Abstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  13. Vaccines, equity and sovereignty: Science for the world from ColombiaBiomedica : revista del Instituto Nacional de Salud · 2025
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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

11 authors.

Andrew ClarkDepartment of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK. Electronic address: andrew.clark@lshtm.ac.uk.
Sarwat MahmudDepartment of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Frederic DebellutPATH, Geneva, Switzerland.
Clint PecenkaPATH, Seattle, WA, USA.
Mark JitDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK; Modelling and Economics Unit, Public Health England, London, UK.
Jamie PerinDepartment of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA.
Jacqueline TateCenters for Disease Control and Prevention, Atlanta, USA.
Heidi M SoetersWorld Health Organization, Geneva, Switzerland.
Robert E BlackDepartment of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA.
Mathuram SantoshamDepartment of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA.
Colin SandersonDepartment of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectivesWe estimated the global impact of rotavirus vaccines on deaths among children under five years old by year.

methodsWe used a proportionate outcomes model with a finely disaggregated age structure to estimate rotavirus deaths prevented by vaccination over the period 2006-2019 in 186 countries. We ran deterministic and probabilistic uncertainty analyses and compared our estimates to surveillance-based estimates in 20 countries.

resultsWe estimate that rotavirus vaccines prevented 139,000 under-five rotavirus deaths (95% uncertainty interval 98,000-201,000) in the period 2006-2019. In 2019 alone, rotavirus vaccines prevented 15% (95% uncertainty interval 11-21%) of under-five rotavirus deaths (0.5% of child mortality). Assuming global use of rotavirus vaccines and coverage equivalent to other co-administered vaccines could prevent 37% of under-five rotavirus deaths (1.2% of child mortality). Our estimates were sensitive to the choice of rotavirus mortality burden data and several vaccine impact modeling assumptions. The World Health Organization's recommendation to remove age restrictions in 2012 could have prevented up to 17,000 rotavirus deaths in the period 2013-2019. Our modeled estimates of rotavirus vaccine impact were broadly consistent with estimates from post-vaccination surveillance sites.

conclusionRotavirus vaccines have made a valuable contribution to global public health. Enhanced rotavirus mortality prevention strategies are needed in countries with high mortality in under-5-year-old children.

Indexed as

RotavirusRotavirus InfectionsRotavirus VaccinesChild MortalityChild, PreschoolDiarrheaHumansInfantVaccinationRotavirus VaccinesChildhood diarrheaDiarrhea mortalityRotavirusRotavirus vaccination

Identifiers

PMID37863311
PMCPMC10689250

What OpenQuestion holds

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LicenceCC BY
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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.