compared the incidence rate of bacteremic pneumococcal pneumonia among children <5 in the pre-PCV and the post-PCV era in Israel (Supplement Table S9), and the data indicated a decreasing trend after the introduction of PCV vaccine in the national immunization program (7 vs. 16.7 per 100,000). 52 The incidence of AOM was reported in Türkiye, and in children <18 years old, a trend for a slight increase from 4067 per 100,000 in 2011 to 4711 per 100,000 in 2011 was observed.
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Pneumococcal disease in children in the Middle East and Northern Africa: A systematic literature review of clinical burden, serotype distribution, and vaccination programs.
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