Montana Public Health : Prevention Opportunities Under the Big Sky 2007 Oct
Montana Public Health : Prevention Opportunities Under the Big Sky 2007 Oct
Montana. Dept. of Public Health And Human Services
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This vaccine is recommended for persons 65 and older, and for persons 2 to 64 with certain high risk conditions. (2) This vaccine should be offered to persons in these categories at any time during the year, including influenza season. Does influenza vaccine protect elderly persons? Investigators, including the authors of a recent study in Lancet Infectious Diseases {4 \ have questioned the efficacy of influenza vaccine in elderly persons. These investigators raise important issues regarding bi...ases in study designs and interpretation of published results. Another recent publication in the NEJIVf 5) addresses several of these issues and documents substantial reduction in hospitalizations from pneumonia and deaths from any cause during influenza season. The latter publication assessed the effect of influenza vaccination during ten influenza seasons in three geographically distinct health maintenance organizations. The ACIP recommends influenza vaccination for persons 65 or more in age. Interestingly, high pneumococcal immunization rates in children may provide secondary protection among persons not directly vaccinated (6) , and high influenza vaccination rates in Japanese children were associated with reduced rates of influenza in elderly Japanese.
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