Publications

impact of haemophilus influenzae type b conjugate vaccine on bacterial meningitis in the dominican republic.	widespread use of haemophilus influenzae type b (hib) vaccines has dramatically reduced the burden of hib disease throughout the americas. few studies have evaluated the impact of hib vaccination on non-culture-confirmed disease. this study analyzed trends in probable bacterial meningitis before and after the introduction of hib vaccine in the dominican republic and estimated vaccine effectiveness against hib meningitis.	2008	19115543
the epidemiology of haemophilus influenzae type b carriage among infants and young children in santo domingo, dominican republic.	whether herd immunity will occur with widespread haemophilus influenzae type b (hib) vaccination in developing countries is dependent on whether the vaccines are capable of reducing carriage in these settings. however, few population-based studies of hib carriage in developing countries exist.	1998	9779761
[meningitis caused by haemophilus influenzae type b: its immunological prevention. a necessity?].	this work argues that the vaccine used to control haemophilus influenza type b (hib) in the us should become a routine vaccination for infants in the dominican republic as well. hib was the most common cause of meningitis in children under five years old in the us before the vaccine became available. mortality from meningitis caused by hib has declined from 90% before antibiotics became available to between 3 and 5%, but there has been no significant further decline in three decades despite de ...	1994	12290026