Evidence map›Paper›PMID 40460588›Full record

ArticleJournal of clinical virology : the official publication of the Pan American Society for Clinical Virology2025

Post-mortem study of endemic human coronaviruses (HCoV-NL63, OC43, 229E and HKU-1) in deaths of children under five in low- and middle-income countries: Findings from the Child Health and Mortality Prevention Surveillance (CHAMPS) study.

Vicky Baillie, Ziyaad Dangor, Dianna M Blau, Sana Mahtab, Jeanie du Toit, Nega Assefa, Joseph Oundo, Zelalem Teklemariam Kidanemariam, J Anthony G Scott, Soter Ameh and 25 more

Abstract read
In one paragraph

Article in Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Early-life carriage and antibiotic resistance ofFrontiers in microbiology · 2026
    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

35 authors.

Vicky BaillieSouth African Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, University of the Witwatersrand, Johannesburg, South Africa. Electronic address: vicky.baillie@wits-vida.org.
Ziyaad DangorSouth African Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, University of the Witwatersrand, Johannesburg, South Africa. Electronic address: Ziyaad.dangor@wits-vida.org.
Dianna M BlauGlobal Health Center, Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: bvv1@cdc.gov.
Sana MahtabSouth African Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, University of the Witwatersrand, Johannesburg, South Africa. Electronic address: smahtab@emory.edu.
Jeanie du ToitSouth African Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, University of the Witwatersrand, Johannesburg, South Africa. Electronic address: jeanie.dutoit@wits-vida.org.
Nega AssefaCollege of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Joseph OundoCollege of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, United Kingdom. Electronic address: Joseph.Oundo@lshtm.ac.uk.
Zelalem Teklemariam KidanemariamCollege of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
J Anthony G ScottDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, United Kingdom. Electronic address: Anthony.Scott@lshtm.ac.uk.
Soter AmehDepartment of Community Medicine, Faculty of Clinical Sciences, University of Calabar, Nigeria; Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, USA. Electronic address: sotersunday.ameh@crownagents.co.uk.
Ikechukwu Udo OgbuanuDepartment of Community Medicine, Faculty of Clinical Sciences, University of Calabar, Nigeria. Electronic address: ikechukwu.ogbuanu@crownagents.co.uk.
Julius OjulongICAP at Columbia University, Makeni, Sierra Leone. Electronic address: julius.ojulong@crownagents.co.uk.
James BunnWorld Health Organization, Sierra Leone. Electronic address: James.Bunn@fcdo.gov.uk.
Karen L KotloffCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, USA. Electronic address: Kkotloff@SOM.UMARYLAND.EDU.
Samba O SowCentre pour le Développement des Vaccins, Ministère de la Santé, Bamako, Mali. Electronic address: ssow@cvd-mali.org.
Milagritos D TapiaCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, USA. Electronic address: mtapia@som.umaryland.edu.
Adama Mamby KeitaCentre pour le Développement des Vaccins, Ministère de la Santé, Bamako, Mali. Electronic address: akeita@cvd-mali.org.
Marcelino GarrineCentro de Investigação em Saúde de Manhiça, Maputo, Mozambique. Electronic address: marcelino.garrine@manhica.net.
Inacio MandomandoCentro de Investigação em Saúde de Manhiça, Maputo, Mozambique; ISGlobal-Hospital Clínic, Unversitat de Barcelona, Barcelona, Spain; Instituto Nacional de Saúde, Ministério de Saúde, Maputo, Mozambique. Electronic address: inacio.mandomando@manhica.net.
Rosauro VaroISGlobal-Hospital Clínic, Unversitat de Barcelona, Barcelona, Spain; Instituto Nacional de Saúde, Ministério de Saúde, Maputo, Mozambique. Electronic address: rosauro.varo@isglobal.org.
Elisio G XerindaCentro de Investigação em Saúde de Manhiça, Maputo, Mozambique. Electronic address: elisio.xerinda@manhica.net.
Natalia RakislovaISGlobal-Hospital Clínic, Unversitat de Barcelona, Barcelona, Spain. Electronic address: natalia.rakislova@isglobal.org.
Muntasir AlamInternational Centre for Diarrhoeal Disease Research Bangladesh (ICDDRB), Dhaka, Bangladesh. Electronic address: muntasir@icddrb.org.
Shams El ArifeenInternational Centre for Diarrhoeal Disease Research Bangladesh (ICDDRB), Dhaka, Bangladesh. Electronic address: shams@icddrb.org.
Emily S GurleyInternational Centre for Diarrhoeal Disease Research Bangladesh (ICDDRB), Dhaka, Bangladesh; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: egurley1@jhu.edu.
Mohammad Zahid HossainInternational Centre for Diarrhoeal Disease Research Bangladesh (ICDDRB), Dhaka, Bangladesh. Electronic address: Zahid.Hossain@icddrb.org.
Afruna RahmanInternational Centre for Diarrhoeal Disease Research Bangladesh (ICDDRB), Dhaka, Bangladesh. Electronic address: afruna@icddrb.org.
Victor AkeloCenter for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya; Kisumu County Department of Health, Kisumu, Kenya; Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United Kingdom. Electronic address: victor.akelo@lstmed.ac.uk.
Clayton OnyangoCenter for Global Health, US Centers for Disease Control and Prevention, Kisumu, Kenya. Electronic address: xwl4@cdc.gov.
Dickens OnyangoKisumu County Department of Health, Kisumu, Kenya.
Portia C MutevedziEmory Global Health Institute, Emory University, Atlanta, GA, USA. Electronic address: pmuteve@emory.edu.
Cynthia G WhitneyEmory Global Health Institute, Emory University, Atlanta, GA, USA. Electronic address: cwhitne@emory.edu.
Quique BassatCentro de Investigação em Saúde de Manhiça, Maputo, Mozambique; ISGlobal-Hospital Clínic, Unversitat de Barcelona, Barcelona, Spain; ICREA, Pg. Lluís Companys 23, 08010 Barcelona, Spain; Pediatrics Department, Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues, Barcelona, Spain; Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública-CIBERESP, Madrid, Spain. Electronic address: quique.bassat@isglobal.org.
Shabir A MadhiSouth African Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, University of the Witwatersrand, Johannesburg, South Africa; Wits Infectious Diseases and Oncology Research Institute, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. Electronic address: shabir.madhi@wits.ac.za.
CHAMPS Consortium

Funding

Intramural CDC HHS CC999999World Health Organization 001
6 · The paper itself

Abstract

backgroundEndemic human coronaviruses (HCoV-229E, HKU1, NL63, and OC43) are common causes of mild or asymptomatic respiratory infections in children but are considered rare causes of death.

methodsWe evaluated pediatric deaths from January 2017 through December 2022. A panel of experts determined the cause of death (CoD) by reviewing available data, including pathological and molecular findings from minimally invasive tissue sampling (lung tissues, blood, CSF, and nasopharyngeal swabs), clinical records, and verbal autopsies.

resultsEndemic HCoV were detected in the respiratory samples of 3 % (n = 86/3357) of enrolled decedents: 1 % (n = 12/2043) of neonates, 5 % (n = 35/681) of infants and 6 % (n = 39/633) of children deaths. However, HCoVs were attributed as the CoD in only two cases - both involving young infants with underlying birth defects and severe wasting, who succumbed to polymicrobial hospital-acquired infections involving HCoV-OC43, Klebsiella pneumoniae, and Acinetobacter baumannii. Amongst the remaining 84 decedents in whom an HCoV was detected, 82 % (n = 69/84; median Ct of 25.34; range: 15.28-36.17) were deaths attributed to other infections, including 54 % (n = 32/69; median Ct of 23.86; range: 15.28-35.2) with lower respiratory infections determined to be the CoD. The bulk of these deaths (96 %, n = 66/69) were attributed to other pathogens - Plasmodium falciparum (27 %, n = 19/69), K. pneumoniae (23 %, n = 16/69), Streptococcus pneumoniae (20 %, n = 14/69), Escherichia coli (16 %, n = 11/69) and Cytomegalovirus (10 %, n = 7/69).

conclusionAlthough endemic HCoV was identified in children who died of respiratory infections, it was rarely attributed to being in the CoD. Nevertheless, further research is warranted to explore the potential role of HCoVs in LRTI pathogenesis and their impact on facilitating more pathogenic infections.

Indexed as

CoronavirusCoronavirus InfectionsRespiratory Tract InfectionsAutopsyCause of DeathChild, PreschoolCoronavirus 229E, HumanCoronavirus NL63, HumanCoronavirus OC43, HumanDeveloping CountriesFemaleHumansInfantInfant, NewbornMaleCause of deathChild mortalityCoronavirusMinimally invasive tissue sampling

Identifiers

PMID40460588
PMCPMC13066964

What OpenQuestion holds

Textmetadata
LicenceTDM
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.