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ZENODO
Report . 2024
License: CC BY
Data sources: ZENODO
ZENODO
Report . 2024
License: CC BY
Data sources: Datacite
ZENODO
Report . 2024
License: CC BY
Data sources: Datacite
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Evaluation of the 2016 switch from tOPV to bOPV: Lessons learned and implications for an anticipated bOPV cessation

Authors: Molodecky, Natalia A; Sutter, Roland W; Switch Evaluation Sounding Board (SESB);

Evaluation of the 2016 switch from tOPV to bOPV: Lessons learned and implications for an anticipated bOPV cessation

Abstract

In 2016, Sabin poliovirus type 2 was withdrawn from trivalent oral poliovirus vaccine (OPV) (i.e., the switch), as a step toward global polio eradication. While the goal of the switch was to eliminate type-2 circulating vaccine-derived poliovirus (cVDPV2), in the eight years since there have been >3,300 children paralyzed (across 43 countries) (a 10-fold increase compared to pre-switch era). With plans underway for cessation of bivalent types 1 and 3 OPV (bOPV), it is critical to learn lessons from the failure of the switch. We conducted a formal evaluation of the switch, including quantitative and qualitative components (with stakeholder interviews) and an extensive peer-review process. The overarching reason for the switch failure was the inability to close out cVDPV2 outbreaks (due to suboptimal quality, inadequate scope and long delays of outbreak response vaccination), facilitated by leadership shortcomings (especially the inability to recognize the rapidly expanding outbreaks), and 10 key exacerbating factors. We propose criteria and recommendations for the anticipated bOPV withdrawal. The evaluation has influenced the planning for bOPV cessation, with more stringent requirements and adjusted timelines.

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green