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Archives of Disease in Childhood 2005;90:667-669; doi:10.1136/adc.2005.072173
Copyright © 2005 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Archives of Disease in Childhood 2005;90:667-669
© 2005 BMJ Publishing Group & Royal College of Paediatrics and Child Health

LEADING ARTICLE

Immunology

Conjugate vaccines

A Finn1, P Heath2

1 Institute of Child Life and Health, Clinical Sciences at South Bristol, University of Bristol, UK
2 Dept of Child Health, and Vaccine Institute, St George’s Hospital Medical School London, UK

Correspondence to:
Correspondence to:
Prof. A Finn
David Baum Professor of Paediatrics, University of Bristol, Institute of Child Life & Health, Dept Clinical Sciences at South Bristol, Level 6, UBHT Education Centre, Upper Maudlin St, Bristol BS2 8AE, UK; Adam.Finn@bristol.ac.uk


Time for more of them or less of them?

Keywords: conjugate vaccine

The first 150 words of the full text of this article appear below.

It all used to seem so simple with conjugate vaccines. You added them to your infant schedule and, faster than anyone had dared to hope, the disease more or less vanished.1,2 Not only did immunisation protect against invasive disease but it reduced upper respiratory carriage rates too,3 so there was herd immunity. Even when odd, unexpected mixing problems cropped up out of the blue—like acellular pertussis and Haemophilus influenzae type b (Hib) combinations4,5—it didn’t really seem to matter.6 In 1999 we watched as meningococcus group C (MenC) set off down the path to oblivion7,8 previously trod by Hib in 1992.9

Then, suddenly, with the arrival of the new millennium, it began to get more complicated. With the MMR vaccine scare still buzzing in people’s heads and the schedule busier with the addition of MenC, the 7-valent pneumococcal conjugate vaccine turned up in 2001 with a central European licence . . . [Full text of this article]


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