Evidence map›Paper›PMID 41622838›Full record

ArticleThe Journal of infectious diseases2026

Modeling the Impact of Case Finding for Tuberculosis: The Role of Infection Dynamics.

Theresa S Ryckman, Sourya Shrestha, Anthony T Fojo, Parastu Kasaie, David W Dowdy, Emily A Kendall

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2026. 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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0citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Theresa S RyckmanDepartment of Medicine, Division of Infectious Diseases, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0003-3214-3228
Sourya ShresthaDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0002-6106-6834
Anthony T FojoDepartment of Medicine, Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0002-9101-7910
Parastu KasaieDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0002-3744-9501
David W DowdyDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0003-0481-7475
Emily A KendallDepartment of Medicine, Division of Infectious Diseases, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0002-0083-422X

Funding

Who are the Ultra-positive, culture-negative? Understanding the trajectories of individuals in Uganda with trace M. tuberculosis nucleic acid in sputumR01HL153611 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI KENDALL, EMILY A · 2020 to 2024
$3.2M
Integrating genomic and spatial insights on Mtb transmission into policy-relevant modelsK01AI182503 · NIAID · JOHNS HOPKINS UNIVERSITY · PI RYCKMAN, THERESA · 2024 to 2025
$249k
Johns Hopkins University Tuberculosis Research Advancement Center NIH P30AI168436National Heart Lung and Blood Institute NIH R01HL153611NHLBI NIH HHS R01 HL153611NIAID NIH HHS K01 AI182503NIH HHSUS National Institutes of Health, National Institute of Allergy and Infectious Diseases NIH K01AI182503
6 · The paper itself

Abstract

backgroundMany individuals previously infected with Mycobacterium tuberculosis (Mtb) may clear their infections or experience substantially reduced progression risks over time. Such dynamics suggest that recent transmission is more important in driving TB incidence in high-burden settings than previously estimated; thus, the impact of interventions to reduce transmission (eg, community-based active case finding) may also be greater than previously thought.

methodsWe constructed 2 models of Mtb transmission that differed only in the inclusion of a clearance mechanism. We calibrated these models independently to the same set of epidemiological data representative of a high-TB-burden setting (India) and used the calibrated models to project the impact of illustrative biennial active case-finding campaigns (75% coverage; 65% sensitivity).

resultsThe estimated annual risk of Mtb infection and prevalence of recent infection were substantially higher in the model with Mtb clearance, despite being fit to the same data. The clearance model projected a greater impact of case finding on the incidence of TB disease: 45% [95% uncertainty interval 28%-57%] reduction compared to no intervention after 10 years versus 11% [6%-18%] in the model without clearance.

conclusionsModels that allow for Mtb clearance are evidence-supported and project greater impact from active case finding than models that do not include these dynamics.

Indexed as

Epidemiological ModelsMycobacterium tuberculosisTuberculosisHumansIncidenceIndiaPrevalenceinfection dynamicsmathematical modelingscreeningtransmissiontuberculosis

Identifiers

PMID41622838
PMCPMC13127768

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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.