Evidence map›Paper›PMID 37990165›Full record

ArticleBMC infectious diseases2023

A circulating vaccine-derived poliovirus type 2 outbreak in a chronic conflict setting: a descriptive epidemiological study in South Sudan - 2020 to 2021.

Ayesheshem Ademe Tegegne, Atem Nathan Anyuon, George Awzenio Legge, Melisachew Adane Ferede, Zingbondo Isaac, Kirbak Anthony Laku, Sibhatu Biadgilign, Ochan Taban David Kilo, Fabian Ndenzako, Ndoutabe Modjirom and 2 more

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

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Ayesheshem Ademe TegegneWorld Health Organization Country Office, Juba, Republic of South Sudan. aysheshema@who.int.
Atem Nathan AnyuonMinistry of Health, Juba, Republic of South Sudan.
George Awzenio LeggeMinistry of Health, Juba, Republic of South Sudan.
Melisachew Adane FeredeWorld Health Organization Country Office, Juba, Republic of South Sudan.
Zingbondo IsaacMinistry of Health, Juba, Republic of South Sudan.
Kirbak Anthony LakuWorld Health Organization Country Office, Juba, Republic of South Sudan.
Sibhatu BiadgilignWorld Health Organization Country Office, Juba, Republic of South Sudan.
Ochan Taban David KiloWorld Health Organization Country Office, Juba, Republic of South Sudan.
Fabian NdenzakoWorld Health Organization Country Office, Juba, Republic of South Sudan.
Ndoutabe ModjiromWorld Health Organization Regional Office for Africa, Brazzaville, Congo.
Olushayo Oluseun OluWorld Health Organization Country Office, Juba, Republic of South Sudan.
Sylvester MaleghemiWorld Health Organization Country Office, Juba, Republic of South Sudan.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundIn this study, we describe the epidemiological profile of an outbreak of the circulating Vaccine Derived Polio Virus type 2 in South Sudan from 2020 to 2021.

methodWe conducted a retrospective descriptive epidemiological study using data from the national polio/AFP surveillance database, the outbreak investigation reports, and the vaccination coverage survey databases stored at the national level.

resultsBetween September 2020 and April 2021, 59 cases of the circulating virus were confirmed in the country, with 50 cases in 2020 and 9 cases in 2021. More cases were males (56%) under five (93%). The median age of the cases was 23.4 ± 11.9 months, ranging from 1 to 84 months. All states, with 28 out of the 80 counties, reported at least one case. Most of the cases (44, 75%) were reported from five states, namely Warrap (31%), Western Bahr el Ghazal (12%), Unity (12%), Central Equatoria (10%), and Jonglei (10%). Four counties accounted for 45.8% of the cases; these are Gogrial West with 12 (20%), Jur River with 5 (8.5%), Tonj North with 5 (8.5%), and Juba with 5 (8.5%) cases. The immunization history of the confirmed cases indicated that 14 (24%) of the affected children had never received any doses of oral polio or injectable vaccines either from routine or during supplemental immunization before the onset of paralysis, 17 (28.8%) had received 1 to 2 doses, while 28 (47.5%) had received 3 or more doses (Fig. 4). Two immunization campaigns and a mop-up were conducted with monovalent Oral Polio Vaccine type 2 in response to the outbreak, with administrative coverage of 91.1%, 99.1%, and 97% for the first, second, and mop-up rounds, respectively.

conclusionThe emergence of the circulating vaccine-derived poliovirus outbreak in South Sudan was due to low population immunity, highlighting the need to improve the country's routine and polio immunization campaign coverage.

Indexed as

PoliomyelitisPoliovirusPoliovirus Vaccine, OralChild, PreschoolDisease OutbreaksFemaleHumansInfantMaleRetrospective StudiesSouth SudanPoliovirus Vaccine, OralAnd conflict settingsChronic humanitarianCirculating Vaccine Derived Polio Virus type 2cVDPV2 outbreakDescriptive epidemiologymOPV2Outbreak responseSouth Sudan

Identifiers

PMID37990165
PMCPMC10664300

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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.