Evidence map›Paper›PMID 40994817›Full record

ArticleInfectious Disease Modelling2026

Modeling the transmission dynamics and control strategies during the 2017 diphtheria outbreak in Jakarta, Indonesia.

Bimandra A Djaafara, Verry Adrian, Etrina Eriawati, Iqbal R F Elyazar, Raph L Hamers, J Kevin Baird, Guy E Thwaites, Hannah E Clapham

Abstract read
In one paragraph

Article in Infectious Disease Modelling, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Bimandra A DjaafaraSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.
Verry AdrianJakarta Provincial Health Office, Jakarta, Indonesia.
Etrina EriawatiJakarta Provincial Health Office, Jakarta, Indonesia.
Iqbal R F ElyazarOxford University Clinical Research Unit Indonesia, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Raph L HamersOxford University Clinical Research Unit Indonesia, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
J Kevin BairdOxford University Clinical Research Unit Indonesia, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Guy E ThwaitesCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Hannah E ClaphamSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diphtheria has resurged globally, including in Indonesia, despite widespread vaccination since the 1970s. Knowledge gaps persist in understanding contemporary transmission drivers and effective outbreak control, especially in densely populated areas like Jakarta. We analyzed the 2017 Jakarta outbreak data and developed a compartmental model incorporating estimates of population susceptibility and asymptomatic carriers. Key epidemiological parameters were estimated, and various control measures were simulated. Our study found overall diphtheria susceptibility at 12.9 % (95 % CrI: 8.6 %-19.0 %) and 28.0 % (95 % CrI: 20.5 %-36.0 %) in children under 5 under different modeling scenarios, which were below the 'herd immunity threshold'. We estimated asymptomatic carriers to be highly prevalent, substantially contributing to the reproduction number. The model indicated that contact tracing and treating suspected cases and their contacts were more effective in preventing new cases than catch-up vaccination alone. These findings provide valuable insights for future outbreak management strategies in similar settings.

Indexed as

DiphtheriaMathematical modellingOutbreakSusceptibility

Identifiers

PMID40994817
PMCPMC12454891

What OpenQuestion holds

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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.