Michael Benninger, MD, Chairman, Head and Neck Institute, Cleveland Clinic, discusses the effects of herd immunization with pneumococcal vaccination.

Summary:
Community vaccination against pneumococcal disease has showed a shift to infection with haemophilus influenzae, a reduction in complex pneumococcal infections and colonization of nasal mucosa with staphylococcus.

References and Resources
Johnstone, J. Review: pneumococcal vaccination is not effective for preventing pneumonia, bacteraemia, bronchitis, or mortality. Evid Based Med. 2009 Aug;14(4):109.
Verghese VP, Friberg IK, Cherian T, Raghupathy P, Balaji V, Lalitha MK, Thomas K, John TJ, Steinhoff MC. Community effect of Haemophilus influenzae type b vaccination in India. Pediatr Infect Dis J. 2009 Aug;28(8):738-40.

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Dr. Benninger has disclosed the following:
Consulting Fees: GSK, Alcon, Sanofi-Aventis, Schein
Contracted Research: GSK

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