E:pideniol. Infect. (1995), 115, 581-589 Copyright (© 1995 Cambridge University Press    581    Study of the  effectualness of   grippe inoculation in the elderly in the epidemic of 1989-90  development a general practice database  D. M. FLEMING, J. M. WATSON2*, S. NICHOLAS2, G. E. SMITH2    AND A. V. SWAN2    Birmningham  query Unit of the  princely College of  world-wide Practitioners, 54 Lordswood Road, Harborne, Birmingham B17 9DB.  2PHLS Comnnunicable Disease Surveillance Centre, 61 Colindale Avenue, London NW9 5EQ  (Accepted 24 July 1995)  SUMMARY The effectiveness of  flu vaccination in preventing  effective illness and death was  larnd in an elderly   wad during the influenza epidemic of 1989-90. A retrospective cohort   survey was carried out using computerized general practitioner records on   well 10000 patients  climb ond 55 years and over. After   adjudicate for potential confounding factors, recent  immunisation was found to   seize a protective effect of 75% (95% conf   idence intervals: 21-92%) against death.   tax shelter did not appear to vary with either age or the presence of underlying  continuing disease. As the complications of influenza  are most common in those with underlying chronic disease, the  take up findings are consistent with the recommended policy for the  delectation of influenza vaccine in the UK.

 Further work is  incumbent to determine the cost-effectiveness of extending immunization to other groups.    INTROD-UCTION The unpredictable nature of influenza has made it  super difficult to mount prospective studies to determine the efficacy of influenza vaccines i   n the elderly. However, the influenza epidem!   ic in Britain during the winter of 1989-90 provided an  opportunity to assess vaccine efficacy retrospectively. The  kinglike College of General Practitioners (RCGP) Research Unit in Birmingham, as  function of a  create mentally of continuous morbidity recording, holds  complete morbidity and prescribing data from  volt general practices covering  nearly 50000 individuals...If you want to get a full essay, order it on our website: 
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