Document Detail


The logic of causation and the risk of paralytic poliomyelitis for an American child.
MedLine Citation:
PMID:  10722138     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Beginning in January 1997, American immunization policy allowed parents and physicians to elect one of three approved infant vaccination strategies for preventing poliomyelitis. Although the three strategies likely have different outcomes with respect to prevention of paralytic poliomyelitis, the extreme rarity of the disease in the USA prevents any controlled comparison. In this paper, a formal inferential logic, originally described by Donald Rubin, is applied to the vaccination problem. Assumptions and indirect evidence are used to overcome the inability to observe the same subjects under varying conditions to allow the inference of causality from non-randomized observations. Using available epidemiologic information and explicit assumptions, it is possible to project the risk of paralytic polio for infants immunized with oral polio vaccine (1.3 cases per million vaccinees), inactivated polio vaccine (0.54 cases per million vaccinees), or a sequential schedule (0.54-0.92 cases per million vaccinees).
Authors:
D Ridgway
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Epidemiology and infection     Volume:  124     ISSN:  0950-2688     ISO Abbreviation:  Epidemiol. Infect.     Publication Date:  2000 Feb 
Date Detail:
Created Date:  2000-03-29     Completed Date:  2000-03-29     Revised Date:  2010-03-03    
Medline Journal Info:
Nlm Unique ID:  8703737     Medline TA:  Epidemiol Infect     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  113-20     Citation Subset:  IM    
Affiliation:
Lineberry Research Associates, Research Triangle Park, North Carolina, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Causality
Child
Child, Preschool
Humans
Immunization Programs*
Infant
Injections
Models, Theoretical
Poliomyelitis / chemically induced,  epidemiology,  prevention & control*
Poliovirus Vaccine, Inactivated / administration & dosage*,  adverse effects
Poliovirus Vaccine, Oral / administration & dosage,  adverse effects
Risk Assessment / methods
United States / epidemiology
Vaccines, Inactivated / administration & dosage
Chemical
Reg. No./Substance:
0/Poliovirus Vaccine, Inactivated; 0/Poliovirus Vaccine, Oral; 0/Vaccines, Inactivated

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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