Evidence map›Paper›PMID 40467546›Full record

ArticleNature communications2025

Evolution and transmission dynamics of wild poliovirus in Pakistan and Afghanistan (2012-2023).

David Jorgensen, Margarita Pons-Salort, Muhammad Salman, Adnan Khurshid, Yasir Arshad, Nayab Mahmood, Darlan da Silva Candido, Steve Kroiss, Hil Lyons, Nicholas C Grassly and 1 more

Abstract read
In one paragraph

Article in Nature communications, 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. Review
  2. 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

11 authors.

David JorgensenMRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, UK. david.jorgensen13@imperial.ac.uk.ORCID http://orcid.org/0000-0003-4982-3764
Margarita Pons-SalortMRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-5597-9285
Muhammad SalmanNational Institute of Health, Islamabad, Pakistan.
Adnan KhurshidNational Institute of Health, Islamabad, Pakistan.
Yasir ArshadNational Institute of Health, Islamabad, Pakistan.
Nayab MahmoodNational Institute of Health, Islamabad, Pakistan.
Darlan da Silva CandidoMRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, UK.
Steve KroissInstitute for Disease Modeling, Global Health Division, Gates Foundation, Seattle, WA, USA.
Hil LyonsInstitute for Disease Modeling, Global Health Division, Gates Foundation, Seattle, WA, USA.
Nicholas C GrasslyMRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-6067-4507
Muhammad Masroor AlamNational Institute of Health, Islamabad, Pakistan.

Funding

RCUK | Medical Research Council (MRC) MR/R015600/1Royal Society 216427/Z/19/ZWellcome TrustWellcome Trust (Wellcome) 216427/Z/19/Z
6 · The paper itself

Abstract

Despite concerted global vaccination efforts, wild poliovirus remains endemic in two countries in 2024, Pakistan and Afghanistan. This study uses phylogeographic analysis of poliovirus genetic and epidemiological data from clinical and wastewater surveillance to identify the causes of poliovirus persistence and routes of spread over the last decade (2012 to 2023). Poliovirus genetic diversity declined after 2020, with one of two major genetic clusters dying out, and recent detections are now closely related genetically. High-risk and hard-to-access regions have sustained polio transmission over the past decade, even when interrupted elsewhere. Karachi, one of the most densely populated cities globally, has acted as a hub for the amplification and spread of poliovirus to other regions, many of which we show to be dead-end for onwards transmission despite frequent virus detection. Phylogenetic analysis has long been central to the polio surveillance network, and advancing the approaches used can provide critical epidemiological insights to accelerate eradication efforts.

Indexed as

PoliomyelitisPoliovirusAfghanistanGenetic VariationHumansPakistanPhylogenyPhylogeography

Identifiers

PMID40467546
PMCPMC12137544

What OpenQuestion holds

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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.