Pneumococcal immunization program--California, 1986-1988.
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Preventive technologies have had major impacts on disease incidence, mortality and costs. New preventive technologies are likely to further improve the public health in a cost-effective manner and require careful assessment to ensure their appropriate use. As in the appraisal of curative and diagnostic health technologies, a full evaluation of preventive technologies requires study of the epidemiologic, economic, ethical, social and legal issues related to their use. The appraisal of three new vaccines--for Hemophilus influenzae Type B, hepatitis B virus and varicella zoster--provides an illustration of the assessment of new preventive technologies.
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