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JUST AS QUESTIONS were being raised about the efficacy of the existing vaccine against Haemophilus influenzae disease, the Food and Drug Administration has licensed a new and much more immunogenic vaccine against the disease. It marks the first of a new generation of vaccines that, evidence indicates, provide much broader protection, even in infants, than do the existing vaccines against H influenzae type b. Furthermore, the conjugate vaccine holds out the promise of immunization against a number of other bacterial diseases of infancy. Unlike the current vaccine against H influenzae type b, which uses as the sole immunogen the capsular polysaccharide polyribosyl ribose phosphate, the polysaccharide in the new vaccine is linked to diphtheria toxoid. Such conjugated vaccines, as many studies over the past seven years have shown, effectively stimulate much higher antibody titers than polyribosyl ribose phosphate alone. In addition, also unlike the present vaccine, repeated doses of the
JAMA – American Medical Association
Published: Feb 5, 1988
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