Evidence map›Paper›PMID 40257978›Full record

ArticlePLOS global public health2025

Use of the Chainchecker application: Uganda's experience during the 2022 Sudan Virus Disease outbreak.

Rebecca Akunzirwe, Shannon Whitmer, Miles Stewart, Julie R Harris, Mercy W Wanyana, Sherry R Ahirirwe, Alex R Ario, Daniel Kadobera, Benon Kwesiga, Richard Migisha and 7 more

Abstract read
In one paragraph

Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

17 authors.

Rebecca AkunzirweUganda Public Health Fellowship Program, Uganda National Institute of Public Health, Kampala, Uganda.ORCID https://orcid.org/0000-0001-7191-4318
Shannon WhitmerCenters for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Miles StewartApplied Physic Laboratory, Johns Hopkins University, Baltimore, Maryland, United States of America.ORCID https://orcid.org/0009-0000-9408-6893
Julie R HarrisCenters for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Mercy W WanyanaUganda Public Health Fellowship Program, Uganda National Institute of Public Health, Kampala, Uganda.
Sherry R AhirirweUganda Public Health Fellowship Program, Uganda National Institute of Public Health, Kampala, Uganda.ORCID https://orcid.org/0000-0001-5858-1512
Alex R ArioUganda Public Health Fellowship Program, Uganda National Institute of Public Health, Kampala, Uganda.
Daniel KadoberaUganda Public Health Fellowship Program, Uganda National Institute of Public Health, Kampala, Uganda.
Benon KwesigaUganda Public Health Fellowship Program, Uganda National Institute of Public Health, Kampala, Uganda.
Richard MigishaUganda Public Health Fellowship Program, Uganda National Institute of Public Health, Kampala, Uganda.ORCID https://orcid.org/0000-0003-1709-9521
Abraham RajanApplied Physic Laboratory, Johns Hopkins University, Baltimore, Maryland, United States of America.
Nicole StockApplied Physic Laboratory, Johns Hopkins University, Baltimore, Maryland, United States of America.ORCID https://orcid.org/0009-0001-7154-5257
Julia EngApplied Physic Laboratory, Johns Hopkins University, Baltimore, Maryland, United States of America.
John D KlenaCenters for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Trevor ShoemakerCenters for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Joel MontgomeryCenters for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Mary ChoiCenters for Disease Control and Prevention, Atlanta, Georgia, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

On September 20, 2022, the Uganda Ministry of Health declared an outbreak of Sudan Virus Disease (SVD). As the outbreak grew, it became imperative to quickly visualize and analyze chains of disease transmission. Determining epidemiological links between cases is critical for outbreak control as incorrect linkages may result in missed case detection and undetected disease transmission. We describe the Uganda Ministry of Health's experience using Chainchecker, a computer application designed to visualize and verify transmission chain data. To use Chainchecker, a line list documenting the epidemiological details associated with individual cases is uploaded to the application. To verify epidemiologic linkages, the application calculates the exposure windows for each case based on user-defined incubation periods and dates of symptom onset. If genetic sequencing data is available, Chainchecker can overlay genetic distance data on top of the epidemiologic data. Chainchecker can also provide visualizations of hospitalization data, which can highlight potential instances of nosocomial disease transmission. Using the Chainchecker application, the case investigation team was able to connect 11 previously unlinked cases to the larger chain of disease transmission. The use of the application also led to the identification and correction of transmission chain errors for 13 SVD cases and the identification of 5 potential instances of nosocomial transmission. The use of the Chainchecker application in Uganda during the 2022 SVD outbreak allowed the response teams to rectify critical errors in transmission chains. Countries prone to Ebola Disease (EBOD) outbreaks should consider incorporating Chainchecker as an element of EBOD preparedness and response.

Identifiers

PMID40257978
PMCPMC12011214

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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.