More on Varicella Immunization

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Abstract
The letter by Spingarn and Benjamin and the reply by Meissner (March 5 issue)1,2 highlight problems with the discussion about the merits of universal varicella immunization. All parties agree that the vaccine is safe and effective and that nonimmune adults and high-risk children require immunization. Beyond that, both sides expend considerable energy talking past one another. For example, with regard to the morbidity and mortality associated with varicella, the authors cite the same statistics to support opposite claims: that childhood varicella infection does or does not merit a universal immunization program. This “yes, it is” “no, it isn't” debate is unproductive and should be dropped, because in this case, severity is in the eyes of the beholder.

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