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Correspondence
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Volume 344:1946-1948 June 21, 2001 Number 25
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Vaccinating Japanese Schoolchildren against Influenza

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To the Editor: Reichert et al. (March 22 issue)1 compare excess mortality in Japan and the United States from 1949 through 1998. They conclude that vaccination of schoolchildren against influenza, the only independent variable assessed, reduced mortality from influenza among older persons in Japan from about 1970 through 1990. However, the authors compare populations with completely different economic and demographic characteristics. This approach most likely confounded the results. In addition, older persons living in multigenerational families also have contact with unvaccinated adults.

In the United States, the proportion of persons 65 years of age or older rose slowly from 8 . . . [Full Text of this Article]

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