Understanding Reduced Rotavirus Vaccine Efficacy in Low Socio-Economic Settings
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{"title"=>"Understanding reduced rotavirus vaccine efficacy in low socio-economic settings", "type"=>"journal", "authors"=>[{"first_name"=>"Benjamin A.", "last_name"=>"Lopman", "scopus_author_id"=>"6701349763"}, {"first_name"=>"Virginia E.", "last_name"=>"Pitzer", "scopus_author_id"=>"34572310000"}, {"first_name"=>"Rajiv", "last_name"=>"Sarkar", "scopus_author_id"=>"15849568600"}, {"first_name"=>"Beryl", "last_name"=>"Gladstone", "scopus_author_id"=>"15848352800"}, {"first_name"=>"Manish", "last_name"=>"Patel", "scopus_author_id"=>"55503142000"}, {"first_name"=>"John", "last_name"=>"Glasser", "scopus_author_id"=>"7005338112"}, {"first_name"=>"Manoj", "last_name"=>"Gambhir", "scopus_author_id"=>"35279721500"}, {"first_name"=>"Christina", "last_name"=>"Atchison", "scopus_author_id"=>"27367637700"}, {"first_name"=>"Bryan T.", "last_name"=>"Grenfell", "scopus_author_id"=>"7004421686"}, {"first_name"=>"W. John", "last_name"=>"Edmunds", "scopus_author_id"=>"7006629172"}, {"first_name"=>"Gagandeep", "last_name"=>"Kang", "scopus_author_id"=>"7202457874"}, {"first_name"=>"Umesh D.", "last_name"=>"Parashar", "scopus_author_id"=>"7006315208"}], "year"=>2012, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"84864721137", "doi"=>"10.1371/journal.pone.0041720", "pui"=>"365398385", "pmid"=>"22879893", "scopus"=>"2-s2.0-84864721137", "issn"=>"19326203", "isbn"=>"1932-6203 (Electronic)\\n1932-6203 (Linking)"}, "id"=>"d5964ce1-606a-308e-92d4-8668751d1257", "abstract"=>"INTRODUCTION Rotavirus vaccine efficacy ranges from >90% in high socio-economic settings (SES) to 50% in low SES. With the imminent introduction of rotavirus vaccine in low SES countries, understanding reasons for reduced efficacy in these settings could identify strategies to improve vaccine performance. METHODS We developed a mathematical model to predict rotavirus vaccine efficacy in high, middle and low SES based on data specific for each setting on incidence, protection conferred by natural infection and immune response to vaccination. We then examined factors affecting efficacy. RESULTS Vaccination was predicted to prevent 93%, 86% and 51% of severe rotavirus gastroenteritis in high, middle and low SES, respectively. Also predicted was that vaccines are most effective against severe disease and efficacy declines with age in low but not high SES. Reduced immunogenicity of vaccination and reduced protection conferred by natural infection are the main factors that compromise efficacy in low SES. DISCUSSION The continued risk of severe disease in non-primary natural infections in low SES is a key factor underpinning reduced efficacy of rotavirus vaccines. Predicted efficacy was remarkably consistent with observed clinical trial results from different SES, validating the model. The phenomenon of reduced vaccine efficacy can be predicted by intrinsic immunological and epidemiological factors of low SES populations. Modifying aspects of the vaccine (e.g. improving immunogenicity in low SES) and vaccination program (e.g. additional doses) may bring improvements.", "link"=>"http://www.mendeley.com/research/understanding-reduced-rotavirus-vaccine-efficacy-low-socioeconomic-settings", "reader_count"=>96, "reader_count_by_academic_status"=>{"Unspecified"=>5, "Professor > Associate Professor"=>2, "Librarian"=>1, "Student > Doctoral Student"=>7, "Researcher"=>19, "Student > Ph. D. Student"=>22, "Student > Postgraduate"=>5, "Other"=>3, "Student > Master"=>15, "Student > Bachelor"=>15, "Lecturer"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>5, "Professor > Associate Professor"=>2, "Librarian"=>1, "Student > Doctoral Student"=>7, "Researcher"=>19, "Student > Ph. D. Student"=>22, "Student > Postgraduate"=>5, "Other"=>3, "Student > Master"=>15, "Student > Bachelor"=>15, "Lecturer"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>10, "Agricultural and Biological Sciences"=>19, "Veterinary Science and Veterinary Medicine"=>1, "Computer Science"=>1, "Economics, Econometrics and Finance"=>1, "Environmental Science"=>2, "Nursing and Health Professions"=>3, "Biochemistry, Genetics and Molecular Biology"=>6, "Mathematics"=>1, "Medicine and Dentistry"=>41, "Psychology"=>1, "Social Sciences"=>2, "Immunology and Microbiology"=>7, "Linguistics"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>41}, "Social Sciences"=>{"Social Sciences"=>2}, "Psychology"=>{"Psychology"=>1}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>10}, "Environmental Science"=>{"Environmental Science"=>2}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>7}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>19}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}, "Linguistics"=>{"Linguistics"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>6}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>1}}, "reader_count_by_country"=>{"United States"=>2, "Brazil"=>1, "United Kingdom"=>1}, "group_count"=>10}

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Figshare

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  • {"files"=>["https://ndownloader.figshare.com/files/595374"], "description"=>"<p>Step-wise influence of improving the underlying natural history of protection, immunogenicity of vaccines, and baseline disease incidence. The gray shaded area on the baseline bar indicates the potential incremental increase in VE from a third dose given at 6 months of age.</p>", "links"=>[], "tags"=>["efficacy", "rotavirus", "gastroenteritis", "incidence", "23"], "article_id"=>265854, "categories"=>["Biotechnology", "Infectious Diseases", "Immunology"], "users"=>["Benjamin A. Lopman", "Virginia E. Pitzer", "Rajiv Sarkar", "Beryl Gladstone", "Manish Patel", "John Glasser", "Manoj Gambhir", "Christina Atchison", "Bryan T. Grenfell", "W. John Edmunds", "Gagandeep Kang", "Umesh D. Parashar"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0041720.g002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Predicted_vaccine_efficacy_on_severe_rotavirus_gastroenteritis_incidence_in_6_to_23_month_olds_/265854", "title"=>"Predicted vaccine efficacy on severe rotavirus gastroenteritis incidence in 6 to 23 month-olds.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-08-06 01:37:34"}
  • {"files"=>["https://ndownloader.figshare.com/files/595452"], "description"=>"<p>In high (black points) and middle (green points) SES VE remains stable across age groups, despite the fact that the proportions of infections decrease with age, because in these settings all severe disease is confined to the first two infections. In low SES, VE falls as the proportion of infections that are primary or secondary decreases because severe disease continues to occur in subsequent infections.</p>", "links"=>[], "tags"=>["efficacy", "rv-ge", "infections"], "article_id"=>265931, "categories"=>["Biotechnology", "Infectious Diseases", "Immunology"], "users"=>["Benjamin A. Lopman", "Virginia E. Pitzer", "Rajiv Sarkar", "Beryl Gladstone", "Manish Patel", "John Glasser", "Manoj Gambhir", "Christina Atchison", "Bryan T. Grenfell", "W. John Edmunds", "Gagandeep Kang", "Umesh D. Parashar"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0041720.g003"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Relationship_between_vaccine_efficacy_against_severe_RV_GE_and_the_proportion_of_infections_that_are_primary_or_secondary_by_age_group_/265931", "title"=>"Relationship between vaccine efficacy against severe RV-GE and the proportion of infections that are primary or secondary, by age group.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-08-06 01:38:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/595523"], "description"=>"*<p>Results are presented in these two age groups to facilitate comparison with clinical trials (6–23 m) and population impact assessments (0 to 4 yrs).</p>", "links"=>[], "tags"=>["efficacy", "cases", "prevented", "1000", "vaccinated", "children", "middle-", "low-socio"], "article_id"=>265988, "categories"=>["Biotechnology", "Infectious Diseases", "Immunology"], "users"=>["Benjamin A. Lopman", "Virginia E. Pitzer", "Rajiv Sarkar", "Beryl Gladstone", "Manish Patel", "John Glasser", "Manoj Gambhir", "Christina Atchison", "Bryan T. Grenfell", "W. John Edmunds", "Gagandeep Kang", "Umesh D. Parashar"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0041720.t002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Predicted_vaccine_efficacy_and_severe_cases_prevented_per_1000_vaccinated_children_in_high_middle_and_low_socio_economic_settings_/265988", "title"=>"Predicted vaccine efficacy and severe cases prevented per 1000 vaccinated children in high-, middle- and low-socio economic settings.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-08-06 01:39:48"}
  • {"files"=>["https://ndownloader.figshare.com/files/595570"], "description"=>"*<p>The infectivity parameter <i>q</i> represents the proportion of infectious contacts (i.e. when a susceptible and infectious individual come into contact) that result in transmission, multiplied by a constant factor by which the contact rate is assumed to scale across settings.</p>", "links"=>[], "tags"=>["immunology", "public health and epidemiology", "Infectious diseases"], "article_id"=>266051, "categories"=>["Biotechnology", "Infectious Diseases", "Immunology"], "users"=>["Benjamin A. Lopman", "Virginia E. Pitzer", "Rajiv Sarkar", "Beryl Gladstone", "Manish Patel", "John Glasser", "Manoj Gambhir", "Christina Atchison", "Bryan T. Grenfell", "W. John Edmunds", "Gagandeep Kang", "Umesh D. Parashar"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0041720.t001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Model_parameters_/266051", "title"=>"Model parameters.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-08-06 01:40:51"}

PMC Usage Stats | Further Information

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Relative Metric

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