Abstract

Streptococcus pneumoniae, the most common cause of bacterial meningitis in children, is also a leading cause of pneumonia, bacteremia and otitis media. The risk of invasive disease due to pneumococcus is greatest in children between six months and two years of age. Although 90 serotypes exist, only seven account for over 80% of serious disease in young children. These factors create an attractive opportunity for a vaccine program in infants – an effective vaccine could very quickly make an appreciable difference in morbidity and mortality. The current epidemiology of pneumococcal disease in Canadian children is described.

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