A systematised review and evidence synthesis on the broader societal impact of vaccines against Salmonella

Abstract Vaccines against Salmonella Typhi are available, while vaccines against invasive non-typhoidal Salmonella are in development. Investments in vaccine development and introduction need to be informed by a full value of vaccines assessment, including consideration of broader societal impacts o...

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Main Authors: Ezgi Dilek Demirtas, Rosanna Barnard, Jungseok Lee, Mark Jit
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:npj Vaccines
Online Access:https://doi.org/10.1038/s41541-024-01034-4
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author Ezgi Dilek Demirtas
Rosanna Barnard
Jungseok Lee
Mark Jit
author_facet Ezgi Dilek Demirtas
Rosanna Barnard
Jungseok Lee
Mark Jit
author_sort Ezgi Dilek Demirtas
collection DOAJ
description Abstract Vaccines against Salmonella Typhi are available, while vaccines against invasive non-typhoidal Salmonella are in development. Investments in vaccine development and introduction need to be informed by a full value of vaccines assessment, including consideration of broader societal impacts of salmonellae disease. We reviewed literature on these broader impacts in low- and middle-income countries to inform a conceptual framework. We found 16 studies relevant to Salmonella, but only one study on non-typhoidal Salmonella. Despite variations in study design, methodology, and study quality, salmonellae infections were largely associated with negative broader societal impacts, including detriments in childhood physical development (very weak association), childhood educational development (strong to very strong association), household security (moderate association), public health spending (moderate association), and national income (moderate to strong association). Study quality was low for all impacts except childhood physical development. There were no studies measuring economic impact of antimicrobial resistance, changes in household behaviour or health inequalities.
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spelling doaj-art-aeb3bd8c4a0d4adf8ca67f1a8e4f14f42025-02-02T12:07:36ZengNature Portfolionpj Vaccines2059-01052025-02-011011810.1038/s41541-024-01034-4A systematised review and evidence synthesis on the broader societal impact of vaccines against SalmonellaEzgi Dilek Demirtas0Rosanna Barnard1Jungseok Lee2Mark Jit3Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical MedicineDepartment of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical MedicineInternational Vaccine InstituteDepartment of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical MedicineAbstract Vaccines against Salmonella Typhi are available, while vaccines against invasive non-typhoidal Salmonella are in development. Investments in vaccine development and introduction need to be informed by a full value of vaccines assessment, including consideration of broader societal impacts of salmonellae disease. We reviewed literature on these broader impacts in low- and middle-income countries to inform a conceptual framework. We found 16 studies relevant to Salmonella, but only one study on non-typhoidal Salmonella. Despite variations in study design, methodology, and study quality, salmonellae infections were largely associated with negative broader societal impacts, including detriments in childhood physical development (very weak association), childhood educational development (strong to very strong association), household security (moderate association), public health spending (moderate association), and national income (moderate to strong association). Study quality was low for all impacts except childhood physical development. There were no studies measuring economic impact of antimicrobial resistance, changes in household behaviour or health inequalities.https://doi.org/10.1038/s41541-024-01034-4
spellingShingle Ezgi Dilek Demirtas
Rosanna Barnard
Jungseok Lee
Mark Jit
A systematised review and evidence synthesis on the broader societal impact of vaccines against Salmonella
npj Vaccines
title A systematised review and evidence synthesis on the broader societal impact of vaccines against Salmonella
title_full A systematised review and evidence synthesis on the broader societal impact of vaccines against Salmonella
title_fullStr A systematised review and evidence synthesis on the broader societal impact of vaccines against Salmonella
title_full_unstemmed A systematised review and evidence synthesis on the broader societal impact of vaccines against Salmonella
title_short A systematised review and evidence synthesis on the broader societal impact of vaccines against Salmonella
title_sort systematised review and evidence synthesis on the broader societal impact of vaccines against salmonella
url https://doi.org/10.1038/s41541-024-01034-4
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