Article: Increasing pneumococcal vaccination rates among patients of a national health-care alliance - United States, 1993.

Streptococcus pneumoniae is the most common cause of bacterial pneumonia worldwide and a leading cause of sepsis and meningitis (1). In the United States, an estimated 40,000 persons die each year from pneumococcal infections (2). Since 1983, 23-valent pneumococcal polysaccharide vaccines have been licensed in the United States (2) and are 560%-57% effective in preventing invasive pneumococcal disease (3). However, the 1993 National Health Interview Survey documented that [less than or equal to] 28% of. persons in high-risk categories, including all persons aged [less than or equal to] 65 years, reported"over having received the vaccine (4). During 1993-1994, VHA Inc. ...

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