TY - JOUR T1 - INfluenza vaccination of children and infection rates in the community AU - Small PA, Morris J Y1 - 2010/06/16 N1 - 10.1001/jama.2010.779 JO - JAMA SP - 2355 EP - 2356 VL - 303 IS - 23 N2 - To the Editor: The randomized study by Dr Loeb and colleagues1 of communities receiving either inactivated influenza vaccine or hepatitis A vaccine supports school-based influenza immunization and adds credence to a nationwide Japanese study that concluded that 1 life was saved for every 420 children immunized against influenza.2 The study by Loeb et al showed protection of community members against clinical illness, confirmed by real-time reverse transcriptase–polymerase chain reaction assay, but failed to show protection against infection as determined by hemagglutination inhibition titers. The authors speculated that “[o]ne possible explanation for the lack of significant differences in serologic outcomes is that the influenza vaccination may have attenuated infection that . . . rendered it subclinical but without preventing infection.” SN - 0098-7484 M3 - doi: 10.1001/jama.2010.779 UR - http://dx.doi.org/10.1001/jama.2010.779 ER -