Invited commentary: Evaluating vaccination programs using genetic sequence data.

Genomic data will become an increasingly important component of epidemiologic studies in coming years. The authors of the accompanying Journal article, van Ballegooijen et al. (Am J Epidemiol. 2009;170(12):1455-1463), are to be commended for attempting to use the coalescent analysis of viral sequenc...

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Publicado en:American Journal of Epidemiology Vol. 170; no. 12; pp. 1464 - 1467
Autores principales: Halloran ME, Holmes EC
Formato: commentary Journal Article
Publicado: Oxford University Press / USA Dec2009
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        atl: Invited commentary: Evaluating vaccination programs using genetic sequence data.
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          Halloran ME
          Holmes EC
        affil: Statistics and Quantitative Infectious Diseases, Seattle, WA 98109, USA. betz@u.washington.edu
      sug:
        subj:
          Genomics Utilization
          Immunization
          Sequence Analysis Utilization
          Treatment Outcomes
          Confounding Variable
          Database Quality
          Disease Surveillance Methods
          Hepatitis B
          Population Surveillance Methods
          Sampling Methods
          Theory
      ab: Genomic data will become an increasingly important component of epidemiologic studies in coming years. The authors of the accompanying Journal article, van Ballegooijen et al. (Am J Epidemiol. 2009;170(12):1455-1463), are to be commended for attempting to use the coalescent analysis of viral sequence data to evaluate a hepatitis B vaccination program. Coalescent theory attempts to link the phylogenetic history of populations with rates of population growth and decline. In particular, under certain assumptions, a reduction in genetic diversity can be interpreted as a reduction in disease incidence. However, the authors of this commentary contend that van Ballegooijen et al.'s interpretation of changes in viral genetic diversity as a measure of hepatitis B vaccine effectiveness has major limitations. Because of the potential use of these methods in future vaccination studies, the authors discuss the utility of these methods and the data requirements needed for them to be convincing. First, data sets should be large enough to provide sufficient epidemiologic-scale resolution. Second, data need to reflect sufficiently fine-grained temporal sampling. Third, other processes that can potentially influence genetic diversity and confuse demographic inferences should be considered.
      pubtype: Academic Journal
      doctype:
        commentary
        Journal Article
      ougenre: Article
    language: English
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