A meta-analysis of serological response associated with yellow fever vaccination
File(s)Jean+Garske2016_AJTMH_YFvaccineEfficacy_meta-analysis.pdf (1.27 MB)
Published version
Author(s)
Jean, K
Donnelly, C
Ferguson, N
Garske, T
Type
Journal Article
Abstract
Despite previous evidence of high level of efficacy, no synthetic metric of yellow fever (YF) vaccine efficacy is currently available. Based on the studies identified in a recent systematic review, we conducted a random-effects meta-analysis of the serological response associated with YF vaccination. Eleven studies conducted between 1965 and 2011 representing 4,868 individual observations were included in the meta-analysis. The pooled estimate of serological response was 97.5% (95% confidence interval [CI] = 82.9–99.7%). There was evidence of between-study heterogeneity (I2 = 89.1%), but this heterogeneity did not appear to be related to study size, study design, seroconversion measurement, or definition. Pooled estimates were significantly higher (P & 0.0001) among studies conducted in nonendemic settings (98.9%, 95% CI = 98.2–99.4%) than among those conducted in endemic settings (94.2%, 95% CI = 83.8–98.1%). These results provide background information against which to evaluate the efficacy of fractional doses of YF vaccine that may be used in outbreak situations.
Date Issued
2016-10-10
Date Acceptance
2016-07-29
Citation
American Journal of Tropical Medicine and Hygiene, 2016, 95 (6), pp.1435-1439
ISSN
1476-1645
Publisher
American Society of Tropical Medicine and Hygiene
Start Page
1435
End Page
1439
Journal / Book Title
American Journal of Tropical Medicine and Hygiene
Volume
95
Issue
6
Copyright Statement
© The American Society of Tropical Medicine and Hygiene This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
License URL
Sponsor
Medical Research Council (MRC)
Bill & Melinda Gates Foundation
Grant Number
MR/K010174/1B
OPP1117543
Subjects
Tropical Medicine
11 Medical And Health Sciences
Publication Status
Published