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rotavirus & RSV

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Dr. Leshin wrote:
"Just out of curiosity, how do you feel about the upcoming rotavirus and
RSV vaccines?"
	In selected populations, excellent ideas both.  Rotavirus is a major
cause of morbidity and mortality in the Third World, and a cheap, easily
deployed vaccine would do wonders there.  In the US, with better
nutrition and better access to hydration interventions if needed, I
don't see a big need.
	RSV vaccine for premies and kids with a track record of wheezing, bring
it on.  For the bigger kids, and the vast majority of kids who have
minor illness, it isn't necessary (IMHO).
	Robert Wack MD