Daniel Hungerford
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View article: Evidence needs and community involvement in policy decisions for vaccine-preventable diarrhoeal infections among children under the age of five years: Stakeholder engagement in Ethiopia, Kenya, and Malawi
Evidence needs and community involvement in policy decisions for vaccine-preventable diarrhoeal infections among children under the age of five years: Stakeholder engagement in Ethiopia, Kenya, and Malawi Open
Diarrhoeal diseases are a leading cause of morbidity and mortality among children under five years in low- and middle-income countries (LMICs) with Shigella and Enterotoxigenic Escherichia coli (ETEC), both targets of ongoing vaccine devel…
View article: Effect of influenza vaccination on post-admission outcomes for influenza patients in England: a population-based cohort study
Effect of influenza vaccination on post-admission outcomes for influenza patients in England: a population-based cohort study Open
Influenza vaccination was associated with benefits beyond acute illness, reducing length of hospital stay and mortality among adults hospitalised with laboratory-confirmed influenza. Findings support policy decisions, including greater out…
View article: Contribution of the EuroRotaNet surveillance network to rotavirus strain surveillance in Europe
Contribution of the EuroRotaNet surveillance network to rotavirus strain surveillance in Europe Open
Two rotavirus strain surveillance networks operate in Europe: the World Health Organization Global Rotavirus Surveillance Network and the European Rotavirus Network (EuroRotaNet). We describe and appraise rotavirus strain surveillance, wit…
View article: Systematic literature review and meta-analysis on the prevalence of rotavirus genotypes in Asia from 2015 to 2021
Systematic literature review and meta-analysis on the prevalence of rotavirus genotypes in Asia from 2015 to 2021 Open
Understanding rotavirus prevalence by genotype can inform disease prevention and immunization decision-making. This systematic literature review summarized the genotype-specific prevalence of rotavirus in Asia from 2015 to 2021. We identif…
View article: Evidence needs and community involvement in policy decisions for vaccine-preventable diarrhoeal infections among children under the age of five years: Stakeholder engagement in Ethiopia, Kenya, and Malawi
Evidence needs and community involvement in policy decisions for vaccine-preventable diarrhoeal infections among children under the age of five years: Stakeholder engagement in Ethiopia, Kenya, and Malawi Open
Diarrhoeal diseases are a leading cause of morbidity and mortality among children under five years in low- and middle-income countries (LMICs) with Shigella and Enterotoxigenic Escherichia coli (ETEC), both targets of ongoing vaccine devel…
View article: Cost-effectiveness analysis of alternative infant and neonatal rotavirus vaccination schedules in Malawi
Cost-effectiveness analysis of alternative infant and neonatal rotavirus vaccination schedules in Malawi Open
Rotavirus is the leading cause of severe diarrhea among children under five worldwide, especially in low- and middle-income countries (LMICs). Although vaccination is the best strategy to prevent rotavirus, obstacles leading to poor vaccin…
View article: Age-specific immunity to rotavirus infection and the risk of disease before and after rotavirus vaccine introduction in the United Kingdom: an observational, seroepidemiological study
Age-specific immunity to rotavirus infection and the risk of disease before and after rotavirus vaccine introduction in the United Kingdom: an observational, seroepidemiological study Open
Background Infant rotavirus vaccination was introduced in the UK in July 2013, and was followed by a rapid reduction in rotavirus disease. We compare immunity to rotavirus in sera of age-stratified cohorts to assess the effect of vaccinati…
View article: Understanding the impacts of reductions in local government expenditure on food safety services, England 2009/10 - 2019/20
Understanding the impacts of reductions in local government expenditure on food safety services, England 2009/10 - 2019/20 Open
Background Environmental and Regulatory (ER) services, provided by local authorities, play a key role in public health protection. Food safety teams within ER services carry out regular food hygiene inspections, advice and education visits…
View article: Impact of tiered restrictions in December 2020 on COVID-19 hospitalisations in England: a synthetic control study
Impact of tiered restrictions in December 2020 on COVID-19 hospitalisations in England: a synthetic control study Open
Objectives To evaluate the effectiveness of localised Tier 3 restrictions, implemented in England in December 2020, on reducing COVID-19 hospitalisations compared with less stringent Tier 2 measures and the variations by neighbourhood depr…
View article: Inequalities in uptake of childhood vaccination in England, 2019-23: longitudinal study
Inequalities in uptake of childhood vaccination in England, 2019-23: longitudinal study Open
Objective To quantify changes in inequalities in uptake of childhood vaccination during a period of steadily declining overall childhood vaccination rates in England. Design Longitudinal study. Setting General practice data for five vaccin…
View article: Inequalities in local government expenditure on environmental and regulatory services in England from 2009 to 2020: a longitudinal ecological study
Inequalities in local government expenditure on environmental and regulatory services in England from 2009 to 2020: a longitudinal ecological study Open
Background Gastrointestinal (GI) infections affect one in five people in the UK and local authorities play a crucial role in controlling these infections. However, there have been substantial reductions in funding for environmental and reg…
View article: Cost-effectiveness Analysis of Alternative Infant and Neonatal Rotavirus Vaccination Schedules in Malawi
Cost-effectiveness Analysis of Alternative Infant and Neonatal Rotavirus Vaccination Schedules in Malawi Open
Rotavirus is the leading cause of severe diarrhea among children under five worldwide, especially in low- and middle-income countries (LMICs). Although vaccination is the best strategy for preventing rotavirus infection, obstacles leading …
View article: Impact of rotavirus vaccination in Malawi from 2012 to 2022 compared to model predictions
Impact of rotavirus vaccination in Malawi from 2012 to 2022 compared to model predictions Open
Rotarix® vaccine was introduced into the Malawi national immunization program in October 2012. We analyzed data on children 90% with two doses by July 2014, and declined to a low of ~80% in October 2020 before returning to pre-pandemic lev…
View article: Inequalities in local funding cuts to environmental and regulatory service expenditure in England
Inequalities in local funding cuts to environmental and regulatory service expenditure in England Open
Background The financial crisis in 2008 has led to governments across Europe introducing austerity measures. England has experienced significant financial cuts to local authority (LA) services. Environmental and regulatory (ER) services pr…
View article: Systematic literature review and meta-analysis on the prevalence of rotavirus genotypes in Europe and the Middle East in the post-licensure period
Systematic literature review and meta-analysis on the prevalence of rotavirus genotypes in Europe and the Middle East in the post-licensure period Open
Previous systematic literature reviews of rotavirus genotype circulation in Europe and the Middle East are limited because they do not include country-specific prevalence data. This study documents country-specific evidence on the prevalen…
View article: Linking epidemiological and genomic data in cases of enteric fever in England to inform clinical management and public health action
Linking epidemiological and genomic data in cases of enteric fever in England to inform clinical management and public health action Open
Objectives To explore the feasibility of linking data from enhanced surveillance patient questionnaires from each enteric fever case in England with genome sequencing data, including antimicrobial resistance (AMR) profiles, from the corres…
View article: Impact of rotavirus vaccination in Malawi from 2012 to 2022 compared to model predictions before, during, and after the COVID-19 pandemic
Impact of rotavirus vaccination in Malawi from 2012 to 2022 compared to model predictions before, during, and after the COVID-19 pandemic Open
Background Rotarix® rotavirus vaccine was introduced into the Malawi national immunization program in October 2012. We used a previously developed mathematical models to estimate overall vaccine effectiveness over a 10-year period followin…
View article: The effectiveness of revaccination with pneumococcal polysaccharide vaccine for preventing pneumococcal disease in older adults in England: A population-based cohort study
The effectiveness of revaccination with pneumococcal polysaccharide vaccine for preventing pneumococcal disease in older adults in England: A population-based cohort study Open
No clear benefit of PPV23 revaccination was measured in older adults in this observational study. The small proportion of revaccinated subjects limits the strength of the conclusions. Further research evaluating the clinical effectiveness …
View article: Evaluating the impacts of tiered restrictions introduced in England in December 2020 on covid-19 hospitalisations: a synthetic control study
Evaluating the impacts of tiered restrictions introduced in England in December 2020 on covid-19 hospitalisations: a synthetic control study Open
Objectives To assess the impact of Tier 3 covid-19 restrictions implemented in December 2020 in England on covid-19 hospital admissions compared to Tier 2 restrictions, and its potential variations by neighbourhood deprivation levels and t…
View article: Inequalities in childhood vaccine uptake: a longitudinal analysis of national coverage in England 2019-23
Inequalities in childhood vaccine uptake: a longitudinal analysis of national coverage in England 2019-23 Open
Objective This study aims to quantify changes in inequalities in childhood vaccination uptake in the context of steadily declining overall childhood vaccination rates in England. Design Cross-sectional longitudinal study. Setting We analys…
View article: Inequalities in local funding cuts to environmental and regulatory service expenditure in England from 2009 to 2020
Inequalities in local funding cuts to environmental and regulatory service expenditure in England from 2009 to 2020 Open
Background Local authorities have been subject to substantial reductions in funding, placing strain on local services. Environmental and Regulatory (ER) services provide essential functions including infectious disease prevention and contr…
View article: Understanding the impact funding cuts on Environmental and regulatory services and gastrointestinal infections: a longitudinal ecological study
Understanding the impact funding cuts on Environmental and regulatory services and gastrointestinal infections: a longitudinal ecological study Open
Background Gastrointestinal (GI) infections result in 17 million cases annually, with foodborne illness costing the National Health Service (NHS) £60m per year. The burden of GI infection is unequally distributed, with greater impact in mo…
View article: Draft genomes of <i>Aeromonas caviae</i> from patients with cholera-like illness during the 2022–2023 cholera outbreak in Malawi
Draft genomes of <i>Aeromonas caviae</i> from patients with cholera-like illness during the 2022–2023 cholera outbreak in Malawi Open
Aeromonas caviae is an increasingly recognized etiological agent of acute gastroenteritis. Here, we report five draft genomes of A. caviae isolated from suspected cholera cases during the 2022–2023 cholera outbreak in Malawi.
View article: Pregnant women’s attitudes and behaviours towards antenatal vaccination against Influenza and COVID-19 in the Liverpool City Region, United Kingdom: Cross-sectional survey
Pregnant women’s attitudes and behaviours towards antenatal vaccination against Influenza and COVID-19 in the Liverpool City Region, United Kingdom: Cross-sectional survey Open
Acceptance of the influenza and COVID-19 vaccines during pregnancy seems to be more related to the safety of the baby rather than the mother. Women perceived their child to be more at risk than themselves. Information about influenza and C…
View article: Understanding the impact of local funding cuts on environmental health and regulatory services and gastrointestinal infection outcomes: a longitudinal ecological study protocol
Understanding the impact of local funding cuts on environmental health and regulatory services and gastrointestinal infection outcomes: a longitudinal ecological study protocol Open
Background: Gastrointestinal (GI) infections result in 17 million cases annually, with foodborne illness costing the National Health Service (NHS) £60m per year. The burden of GI infection is unequally distributed, with greater impact in m…
View article: A Systematic Review of the Prevalence of Persistent Gastrointestinal Symptoms and Incidence of New Gastrointestinal Illness after Acute SARS-CoV-2 Infection
A Systematic Review of the Prevalence of Persistent Gastrointestinal Symptoms and Incidence of New Gastrointestinal Illness after Acute SARS-CoV-2 Infection Open
It is known that SARS-CoV-2 infection can result in gastrointestinal symptoms. For some, these symptoms may persist beyond acute infection, in what is known as ‘post-COVID syndrome’. We conducted a systematic review to examine the prevalen…