[log in to unmask],Net wrote at 18:25 on 08/10/98
about "Re: RE: Flu vaccinations":
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>Why would a young , healthy lass like me need a flu jab?
>Maresah
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1. Title/reference
2. First section of abstract
3. Commentary from Best Evidence disc
Vaccination against influenza had both health and economic benefits
for healthy, working adults
ACP Journal Club. 1996 Mar-April;124:52.
Nichol KL, Lind A, Margolis KL, et al. The effectiveness of
vaccination against influenza in healthy, working adults. N Engl J
Med. 1995 Oct 5;333:889-93.
Objective
To determine the effectiveness of vaccination against influenza in
healthy, working adults.
Design
Analysis of health-related data and costs from a randomized,
double-blind, placebo-controlled trial with follow-up for 1 influenza
season.
Setting
Community-based study in the Minneapolis-St. Paul area of the United
States.
Commentary
Justified by overwhelming evidence showing that immunization can
reduce morbidity and mortality, primary care and public health
influenza immunization programs have historically targeted persons at
high risk for death or complications of influenza. For healthy
persons, the evidence that supports routine influenza immunization to
reduce these outcomes is not compelling. Nichol and colleagues, in
their cost-effectiveness analysis, examined different outcomes:
direct costs associated with medical care and indirect costs
associated with loss of productive labor. The study participants were
young, highly educated, and prosperous and had good or excellent
self-reported health status; most were nonsmokers. Arm soreness was
the only clinically significant side effect of immunization. From the
perspectives of employer and society, indirect cost savings from
immunization greatly exceeded direct cost savings.
--- OffRoad 1.9r registered to Adrian Midgley
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