Evidence map›Paper›PMID 39873524›Full record

ArticleThe Journal of infectious diseases2025

Global Impact of Mass Vaccination Campaigns on Circulating Type 2 Vaccine-Derived Poliovirus Outbreaks: An Interrupted Time-Series Analysis.

Laura V Cooper, Ananda S Bandyopadhyay, Nicholas C Grassly, Elizabeth J Gray, Arie Voorman, Simona Zipursky, Isobel M Blake

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Laura V CooperSchool of Public Health, Medical Research Council Centre for Global Infectious Disease Analysis, Imperial College London, London, United Kingdom.ORCID 0000-0002-2942-3627
Ananda S BandyopadhyayBill and Melinda Gates Foundation, Polio Team, Seattle, Washington, USA.ORCID 0000-0002-8395-2001
Nicholas C GrasslySchool of Public Health, Medical Research Council Centre for Global Infectious Disease Analysis, Imperial College London, London, United Kingdom.ORCID 0000-0001-6067-4507
Elizabeth J GraySchool of Public Health, Medical Research Council Centre for Global Infectious Disease Analysis, Imperial College London, London, United Kingdom.ORCID 0000-0001-6812-5334
Arie VoormanBill and Melinda Gates Foundation, Polio Team, Seattle, Washington, USA.ORCID 0000-0001-6242-7796
Simona ZipurskyBill and Melinda Gates Foundation, Polio Team, Seattle, Washington, USA.
Isobel M BlakeSchool of Public Health, Medical Research Council Centre for Global Infectious Disease Analysis, Imperial College London, London, United Kingdom.ORCID 0000-0002-3977-1318

Funding

Gates Foundation INV-031605Medical Research CouncilPolio Research Council 2022/1217583-0
6 · The paper itself

Abstract

backgroundBetween 2016 and 2023, 3248 cases of circulating vaccine-derived type 2 poliomyelitis (cVDPV2) were reported globally and supplementary immunization activities (SIAs) with monovalent type 2 oral poliovirus vaccine (mOPV2) and novel type 2 oral poliovirus vaccine (nOPV2) targeted an estimated 356 and 525 million children, respectively. This analysis estimates the community-level impact of nOPV2 relative to mOPV2 SIAs.

methodsWe fitted interrupted time-series regressions to surveillance data between January 2016 and November 2023 to estimate the impact of nOPV2 and mOPV2 SIAs on cVDPV2 poliomyelitis incidence and prevalence in environmental surveillance across 37 countries, directly comparing the impact of SIAs in 13 countries where both vaccines were used.

resultsWe did not find any statistically significant differences between nOPV2 and mOPV2 SIA impact except for in the Democratic Republic of Congo (DRC), where nOPV2 SIAs had lower impact (adjusted relative risk [aRR] for cVDPV2 poliomyelitis incidence per nOPV2 SIA, 0.505; 95% confidence interval [CI], .409-.623) compared to mOPV2 (aRR, 0.193; 95% CI, .137-.272); P value for difference in RRs = 3e-6.

conclusionsWe find variation in OPV2 SIA impacts globally, with greater certainty about Nigeria and DRC, where large outbreaks provided an opportunity to assess impact at scale. In most countries, we find no significant difference between nOPV2 and mOPV2 SIA impact. We are unable to identify the reason for the significant difference in DRC, which could include differential SIA coverage, timing, vaccine effectiveness, or outbreak dynamics.

Indexed as

Disease OutbreaksMass VaccinationPoliomyelitisPoliovirusPoliovirus Vaccine, OralChild, PreschoolGlobal HealthHumansIncidenceInfantInterrupted Time Series AnalysisPrevalencePoliovirus Vaccine, Oralmass vaccination campaignspoliovirussurveillancetime-series analysisvaccine

Identifiers

PMID39873524
PMCPMC11841638

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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.