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Preventing rotavirus in Africa
  1. Robert Scott-Jupp
  1. Salisbury District Hospital, Salisbury, UK
  1. Correspondence to Dr. Robert Scott-Jupp; scottjupp{at}virginmedia.com

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In the West, rotavirus immunisation became routine several years ago, and we are now enjoying the benefits of fewer admissions for infectious diarrhoea. In low-income countries, rotavirus gastroenteritis is not just an inconvenience, but a common and frequently fatal illness. This is particularly true of sub-Saharan Africa. Uptake of mass immunisation has been slow, because of cost and difficulty in getting refrigerated vaccine to remote communities: the ‘cold-chain’ problem. Unlike bacterial …

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