Evidence map›Paper›PMID 38502711›Full record

ArticleThe Journal of infectious diseases2024

Estimated Population-Level Impact of Pneumococcal Conjugate Vaccines Against All-Cause Pneumonia Mortality Among Unvaccinated in 5 Latin American Countries.

Ottavia Prunas, Kayoko Shioda, Cristiana M Toscano, Magdalena Bastias, Maria Teresa Valenzuela-Bravo, Janepsy Diaz Tito, Joshua L Warren, Daniel M Weinberger, Lucia H de Oliveira

Open access · hybridAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 22% of its field
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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Change in the distribution ofFrontiers in microbiology · 2026
    Article
  3. 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 at 7 institutions in 4 countries.

Ottavia PrunasDepartment of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.ORCID 0000-0003-4264-3090
Kayoko ShiodaSchool of Public Health, Boston University, Boston, Massachusetts, USA.
Cristiana M ToscanoInstitute of Tropical Pathology and Public Health, Federal University of Goias, Goiania, Goiania, Brazil.
Magdalena BastiasSpecial Program Comprehensive Immunization, Pan-American Health Organization, Santiago, Chile.
Maria Teresa Valenzuela-BravoSpecial Program Comprehensive Immunization, Pan-American Health Organization, Santiago, Chile.
Janepsy Diaz TitoDepartamento Agencia Nacional de Dispositivos Medicos, Innovacion y Desarollo, Public Health Institute of Chile, Santiago, Chile.
Joshua L WarrenDepartment of Epidemiology, Microbial Diseases and Public Health Modeling Unit, Yale School of Public Health, Yale University, New Haven, Connecticut, USA.
Daniel M WeinbergerDepartment of Epidemiology, Microbial Diseases and Public Health Modeling Unit, Yale School of Public Health, Yale University, New Haven, Connecticut, USA.
Lucia H de OliveiraComprehensive Immunization Program, Pan-American Health Organization, Washington, District of Columbia, USA.
Yale University · USBoston University · USInstituto de Salud Pública de Chile · CLSan Sebastián University · CLSwiss Tropical and Public Health Institute · CHUniversidade Federal de Goiás · BRWorld Health Organization Regional Office for the Americas · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Bill and Melinda Gates Foundation 365011NCATS NIH HHS UL1 TR001863World Health Organization 001
6 · The paper itself

Abstract

backgroundPneumococcal conjugate vaccines (PCVs) provide strong direct protection in children, while limited data are available on their indirect effect on mortality among older age groups. This multicountry study aimed to assess the population-level impact of pediatric PCVs on all-cause pneumonia mortality among children ≥5 years of age, and invasive pneumococcal disease (IPD) cases in Chile.

methodsDemographic and mortality data from Argentina, Brazil, Chile, Colombia, and Mexico were collected considering the ≥ 5-year-old population, from 2000 to 2019, with 1 795 789 deaths due to all-cause pneumonia. IPD cases in Chile were also evaluated. Time series models were employed to evaluate changes in all-cause pneumonia deaths during the postvaccination period, with other causes of death used as synthetic controls for unrelated temporal trends.

resultsNo significant change in death rates due to all-cause pneumonia was detected following PCV introduction among most age groups and countries. The proportion of IPD cases caused by vaccine serotypes decreased from 29% (2012) to 6% (2022) among people aged ≥65 years in Chile. DISCUSSION: While an effect of PCV against pneumonia deaths (a broad clinical definition that may not be specific enough to measure indirect effects) was not detected, evidence of indirect PCV impact was observed among vaccine-type-specific IPD cases.

Indexed as

Pneumococcal VaccinesPneumonia, PneumococcalStreptococcus pneumoniaeVaccines, ConjugateAdolescentAgedAged, 80 and overBrazilChildChild, PreschoolChileFemaleHumansLatin AmericaMaleMiddle AgedPneumococcal VaccinesVaccines, Conjugateall-cause pneumoniaindirect effectsinterrupted time seriesLatin American countriesmortalitynational registrypneumococcal conjugate vaccinespneumococcussynthetic control modelvaccine impact

Identifiers

PMID38502711
PMCPMC11481321
OpenAlexW4392938811

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.