The drastically decreased supply of inactivated influenza vaccine for
the 2004-2005 US influenza season presents a unique challenge for health care
institutions. At the core of this challenge is the dual responsibility that
health care institutions have to protect patients as well as the health professionals
who are integral to the functioning of the institution. Many major hospitals
and long-term care facilities have reduced or no supplies of inactivated influenza
vaccine and have limited guidance about how to obtain additional vaccine or
whether to expect redistribution from the remaining supply. Consequently,
issues have arisen ranging from the appropriate allocation of vaccine to the
role of the intranasal live, attenuated influenza vaccine (LAIV) within a
health care institution. These issues pose an interesting juxtaposition of
science, public policy, politics, law, and ethics. This article will briefly
review available literature that may assist institutions in making the difficult
decisions associated with an influenza vaccine shortage.
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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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Table 11.1-5 Influence of Age on Effect Size Estimates of Trials Evaluating the Efficacy of Vaccination in Preventing Influenza in Healthy Adults
The Rational Clinical Examination
Ten percent to 20% of US residents contract influenza annually, accounting for an average of...
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