> Date: Sun, 7 Jun 1998 19:28:03 +0100
> Subject: Re: flu vaccs
> From: Mary Hawking <[log in to unmask]>
> To: [log in to unmask]
> Reply-to: [log in to unmask]
<snip>
> >The Consultant in Communicable Diseases considers this inappropriate
> >without central guidance. Another 'dinosaur':-(
> Agreed. Either there *is* EBP to support flu and/or pneumovax
> vaccination in the over 65s, or there isn't (which might mean there was
> no "evidence" either way)
> Central guidance on whether EBP should be implemented depends on a
> number of factors - mainly financial.
> Shouldn't your Consultant in Communicable Diseases be considering the
> evidence rather than .. central guidance..?
> Mary
> PS What *is* the evidence?
>
Sorry, papers are at work.
Use medline and search for influenza vaccination, etc
Found seven papers really quickly, but had to wait days for the local
library to send them. Two excellent papers on the efficacy and
cost-effectiveness of influenza and pneumovaccs.
Both American, hence the 'dinosaurs' unwillingness to accept as
evidence???
Interestingly, the early you give pneumovac the better. Probably due
to increasing immunoincompetence with age ie better immunity
developed the earlier you give it.
Dr David J Plews
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