To the Editor: In their review article on the management of chronic obstructive pulmonary disease (COPD), Dr Sin and colleagues1 recommended that all patients be given pneumococcal vaccine. However, the 3 references they cite in support of this assertion2 - 4 discussed only the use of influenza vaccine, and none supported the use of pneumococcal vaccine. A recent Cochrane review concluded that "polysaccharide pneumococcal vaccines do not appear to reduce the incidence of pneumonia or death in adults with or without chronic illness, or in the elderly."5
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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