Table 1.
Country and period | Age interval | Comparison (vaccines) | Administration of DTP | Deaths/person-years (pyrs) [N] | MRR two MV vs one MV |
---|---|---|---|---|---|
RCTs of two doses of MV | |||||
Guinea-Bissau 1992–1994 (Benn et al., 1997) | 9–18 months | 2 MV vs 1 MV | DTP not given with MV; only children with DTP3 before 9-months | 0/72.1 pyrs [113] vs 2/70.3 pyrs [107] | 0 (0–3.95)a |
Guinea-Bissau 2003–2009 (Aaby et al., 2010) |
9–18 months | 2 MV vs 1 MV | DTP not given with MV; all had DTP3 one month before enrolment | 8/713.9 pyrs [1014] vs 39/1370.5 pyrs [1946] | 0.39 (0.18–0.83)b |
Combined MRR | 0.37 (0.17–0.78) | ||||
Natural experiment | |||||
Guinea-Bissau 1980–1982 (Aaby et al., 1993) | 9–60 months | 2 MV vs 1 MV | DTP not given in Guinea-Bissau in this period | Not reported in paper | 0.41 (0.19–0.75) |
General MV campaign | |||||
Guinea-Bissau, 2006–2007 (Fisker et al., 2015) | 1–4 years, follow-up for 12 months | Had received routine MV and campaign MV vs only routine MV | Effect analysed for those who had received DTP3 before follow-up | 16/1372 pyrs [2067] vs 60/2445 pyrs [3074] |
0.50 (0.28–0.88)c |
The study was restricted to children who had received DTP3 before 9 months. If all children were included the MRR was 0.33 (0.03–3.14).
Study restricted to children who had not received NVAS. If all children were included in the analysis the MRR was 0.61 (0.37–1.01).
Adjusted for age, maternal age, maternal education and stratified by village cluster.