id sid tid token lemma pos cord-016903-z2vqfq98 1 1 key key NNP cord-016903-z2vqfq98 1 2 : : : cord-016903-z2vqfq98 1 3 cord-016903-z2vqfq98 cord-016903-z2vqfq98 ADD cord-016903-z2vqfq98 2 1 authors author NNS cord-016903-z2vqfq98 2 2 : : : cord-016903-z2vqfq98 2 3 Herndler Herndler NNP cord-016903-z2vqfq98 2 4 - - HYPH cord-016903-z2vqfq98 2 5 Brandstetter Brandstetter NNP cord-016903-z2vqfq98 2 6 , , , cord-016903-z2vqfq98 2 7 Dietmar Dietmar NNP cord-016903-z2vqfq98 2 8 ; ; : cord-016903-z2vqfq98 2 9 Grubeck Grubeck NNP cord-016903-z2vqfq98 2 10 - - HYPH cord-016903-z2vqfq98 2 11 Loebenstein Loebenstein NNP cord-016903-z2vqfq98 2 12 , , , cord-016903-z2vqfq98 2 13 Beatrix Beatrix NNP cord-016903-z2vqfq98 2 14 title title NN cord-016903-z2vqfq98 2 15 : : : cord-016903-z2vqfq98 2 16 The the DT cord-016903-z2vqfq98 2 17 Efficacy Efficacy NNP cord-016903-z2vqfq98 2 18 of of IN cord-016903-z2vqfq98 2 19 Vaccines vaccine NNS cord-016903-z2vqfq98 2 20 to to TO cord-016903-z2vqfq98 2 21 Prevent prevent VB cord-016903-z2vqfq98 2 22 Infectious infectious JJ cord-016903-z2vqfq98 2 23 Diseases Diseases NNPS cord-016903-z2vqfq98 2 24 in in IN cord-016903-z2vqfq98 2 25 the the DT cord-016903-z2vqfq98 2 26 Elderly elderly JJ cord-016903-z2vqfq98 2 27 date date NN cord-016903-z2vqfq98 2 28 : : : cord-016903-z2vqfq98 2 29 2007 2007 CD cord-016903-z2vqfq98 2 30 journal journal NNP cord-016903-z2vqfq98 2 31 : : : cord-016903-z2vqfq98 3 1 Immunosenescence Immunosenescence NNP cord-016903-z2vqfq98 3 2 DOI DOI NNP cord-016903-z2vqfq98 3 3 : : : cord-016903-z2vqfq98 4 1 10.1007/978 10.1007/978 LS cord-016903-z2vqfq98 4 2 - - HYPH cord-016903-z2vqfq98 4 3 0 0 CD cord-016903-z2vqfq98 4 4 - - HYPH cord-016903-z2vqfq98 4 5 387 387 CD cord-016903-z2vqfq98 4 6 - - HYPH cord-016903-z2vqfq98 4 7 76842 76842 CD cord-016903-z2vqfq98 4 8 - - HYPH cord-016903-z2vqfq98 4 9 7_10 7_10 CD cord-016903-z2vqfq98 5 1 sha sha NNP cord-016903-z2vqfq98 5 2 : : : cord-016903-z2vqfq98 6 1 8d068a34263f2e0e6479960107bab9aab48d1024 8d068a34263f2e0e6479960107bab9aab48d1024 CD cord-016903-z2vqfq98 6 2 doc_id doc_id CD cord-016903-z2vqfq98 6 3 : : : cord-016903-z2vqfq98 6 4 16903 16903 CD cord-016903-z2vqfq98 6 5 cord_uid cord_uid FW cord-016903-z2vqfq98 6 6 : : : cord-016903-z2vqfq98 7 1 z2vqfq98 z2vqfq98 NNP cord-016903-z2vqfq98 7 2 Infectious infectious JJ cord-016903-z2vqfq98 7 3 diseases disease NNS cord-016903-z2vqfq98 7 4 still still RB cord-016903-z2vqfq98 7 5 represent represent VBP cord-016903-z2vqfq98 7 6 a a DT cord-016903-z2vqfq98 7 7 major major JJ cord-016903-z2vqfq98 7 8 challenge challenge NN cord-016903-z2vqfq98 7 9 to to IN cord-016903-z2vqfq98 7 10 human human JJ cord-016903-z2vqfq98 7 11 progress progress NN cord-016903-z2vqfq98 7 12 and and CC cord-016903-z2vqfq98 7 13 survival survival NN cord-016903-z2vqfq98 7 14 . . . cord-016903-z2vqfq98 8 1 Especially especially RB cord-016903-z2vqfq98 8 2 elderly elderly JJ cord-016903-z2vqfq98 8 3 persons person NNS cord-016903-z2vqfq98 8 4 are be VBP cord-016903-z2vqfq98 8 5 more more RBR cord-016903-z2vqfq98 8 6 frequently frequently RB cord-016903-z2vqfq98 8 7 and and CC cord-016903-z2vqfq98 8 8 severely severely RB cord-016903-z2vqfq98 8 9 affected affect VBN cord-016903-z2vqfq98 8 10 by by IN cord-016903-z2vqfq98 8 11 infectious infectious JJ cord-016903-z2vqfq98 8 12 diseases disease NNS cord-016903-z2vqfq98 8 13 and and CC cord-016903-z2vqfq98 8 14 they -PRON- PRP cord-016903-z2vqfq98 8 15 display display VBP cord-016903-z2vqfq98 8 16 distinct distinct JJ cord-016903-z2vqfq98 8 17 features feature NNS cord-016903-z2vqfq98 8 18 with with IN cord-016903-z2vqfq98 8 19 respect respect NN cord-016903-z2vqfq98 8 20 to to IN cord-016903-z2vqfq98 8 21 clinical clinical JJ cord-016903-z2vqfq98 8 22 presentation presentation NN cord-016903-z2vqfq98 8 23 and and CC cord-016903-z2vqfq98 8 24 treatment treatment NN cord-016903-z2vqfq98 8 25 . . . cord-016903-z2vqfq98 9 1 Although although IN cord-016903-z2vqfq98 9 2 vaccinations vaccination NNS cord-016903-z2vqfq98 9 3 are be VBP cord-016903-z2vqfq98 9 4 considered consider VBN cord-016903-z2vqfq98 9 5 a a DT cord-016903-z2vqfq98 9 6 vital vital JJ cord-016903-z2vqfq98 9 7 medical medical JJ cord-016903-z2vqfq98 9 8 procedure procedure NN cord-016903-z2vqfq98 9 9 for for IN cord-016903-z2vqfq98 9 10 preventing prevent VBG cord-016903-z2vqfq98 9 11 morbidity morbidity NN cord-016903-z2vqfq98 9 12 and and CC cord-016903-z2vqfq98 9 13 mortality mortality NN cord-016903-z2vqfq98 9 14 caused cause VBN cord-016903-z2vqfq98 9 15 by by IN cord-016903-z2vqfq98 9 16 infectious infectious JJ cord-016903-z2vqfq98 9 17 diseases disease NNS cord-016903-z2vqfq98 9 18 , , , cord-016903-z2vqfq98 9 19 the the DT cord-016903-z2vqfq98 9 20 protective protective JJ cord-016903-z2vqfq98 9 21 effect effect NN cord-016903-z2vqfq98 9 22 of of IN cord-016903-z2vqfq98 9 23 vaccinations vaccination NNS cord-016903-z2vqfq98 9 24 is be VBZ cord-016903-z2vqfq98 9 25 abrogated abrogate VBN cord-016903-z2vqfq98 9 26 in in IN cord-016903-z2vqfq98 9 27 elderly elderly JJ cord-016903-z2vqfq98 9 28 persons person NNS cord-016903-z2vqfq98 9 29 . . . cord-016903-z2vqfq98 10 1 This this DT cord-016903-z2vqfq98 10 2 is be VBZ cord-016903-z2vqfq98 10 3 due due JJ cord-016903-z2vqfq98 10 4 to to IN cord-016903-z2vqfq98 10 5 a a DT cord-016903-z2vqfq98 10 6 decline decline NN cord-016903-z2vqfq98 10 7 in in IN cord-016903-z2vqfq98 10 8 the the DT cord-016903-z2vqfq98 10 9 functions function NNS cord-016903-z2vqfq98 10 10 of of IN cord-016903-z2vqfq98 10 11 the the DT cord-016903-z2vqfq98 10 12 immune immune JJ cord-016903-z2vqfq98 10 13 system system NN cord-016903-z2vqfq98 10 14 referred refer VBD cord-016903-z2vqfq98 10 15 to to IN cord-016903-z2vqfq98 10 16 as as RB cord-016903-z2vqfq98 10 17 immunosenescence immunosenescence NNP cord-016903-z2vqfq98 10 18 . . . cord-016903-z2vqfq98 11 1 The the DT cord-016903-z2vqfq98 11 2 first first JJ cord-016903-z2vqfq98 11 3 part part NN cord-016903-z2vqfq98 11 4 of of IN cord-016903-z2vqfq98 11 5 this this DT cord-016903-z2vqfq98 11 6 chapter chapter NN cord-016903-z2vqfq98 11 7 will will MD cord-016903-z2vqfq98 11 8 therefore therefore RB cord-016903-z2vqfq98 11 9 summarize summarize VB cord-016903-z2vqfq98 11 10 the the DT cord-016903-z2vqfq98 11 11 status status NN cord-016903-z2vqfq98 11 12 quo quo NN cord-016903-z2vqfq98 11 13 of of IN cord-016903-z2vqfq98 11 14 the the DT cord-016903-z2vqfq98 11 15 efficacy efficacy NN cord-016903-z2vqfq98 11 16 of of IN cord-016903-z2vqfq98 11 17 vaccines vaccine NNS cord-016903-z2vqfq98 11 18 in in IN cord-016903-z2vqfq98 11 19 preventing prevent VBG cord-016903-z2vqfq98 11 20 morbidity morbidity NN cord-016903-z2vqfq98 11 21 and and CC cord-016903-z2vqfq98 11 22 mortality mortality NN cord-016903-z2vqfq98 11 23 caused cause VBN cord-016903-z2vqfq98 11 24 by by IN cord-016903-z2vqfq98 11 25 typical typical JJ cord-016903-z2vqfq98 11 26 infectious infectious JJ cord-016903-z2vqfq98 11 27 diseases disease NNS cord-016903-z2vqfq98 11 28 in in IN cord-016903-z2vqfq98 11 29 the the DT cord-016903-z2vqfq98 11 30 elderly elderly JJ cord-016903-z2vqfq98 11 31 , , , cord-016903-z2vqfq98 11 32 such such JJ cord-016903-z2vqfq98 11 33 as as IN cord-016903-z2vqfq98 11 34 influenza influenza NN cord-016903-z2vqfq98 11 35 , , , cord-016903-z2vqfq98 11 36 pneumonia pneumonia NN cord-016903-z2vqfq98 11 37 and and CC cord-016903-z2vqfq98 11 38 tuberculosis tuberculosis NN cord-016903-z2vqfq98 11 39 . . . cord-016903-z2vqfq98 12 1 The the DT cord-016903-z2vqfq98 12 2 second second JJ cord-016903-z2vqfq98 12 3 part part NN cord-016903-z2vqfq98 12 4 will will MD cord-016903-z2vqfq98 12 5 then then RB cord-016903-z2vqfq98 12 6 elucidate elucidate VB cord-016903-z2vqfq98 12 7 the the DT cord-016903-z2vqfq98 12 8 underlying underlie VBG cord-016903-z2vqfq98 12 9 age age NN cord-016903-z2vqfq98 12 10 - - HYPH cord-016903-z2vqfq98 12 11 related relate VBN cord-016903-z2vqfq98 12 12 mechanisms mechanism NNS cord-016903-z2vqfq98 12 13 which which WDT cord-016903-z2vqfq98 12 14 may may MD cord-016903-z2vqfq98 12 15 contribute contribute VB cord-016903-z2vqfq98 12 16 to to IN cord-016903-z2vqfq98 12 17 the the DT cord-016903-z2vqfq98 12 18 decreased decrease VBN cord-016903-z2vqfq98 12 19 efficacy efficacy NN cord-016903-z2vqfq98 12 20 of of IN cord-016903-z2vqfq98 12 21 vaccines vaccine NNS cord-016903-z2vqfq98 12 22 . . . cord-016903-z2vqfq98 13 1 Based base VBN cord-016903-z2vqfq98 13 2 on on IN cord-016903-z2vqfq98 13 3 the the DT cord-016903-z2vqfq98 13 4 complex complex JJ cord-016903-z2vqfq98 13 5 mechanisms mechanism NNS cord-016903-z2vqfq98 13 6 involved involve VBN cord-016903-z2vqfq98 13 7 in in IN cord-016903-z2vqfq98 13 8 immunosenescence immunosenescence NN cord-016903-z2vqfq98 13 9 , , , cord-016903-z2vqfq98 13 10 strategies strategy NNS cord-016903-z2vqfq98 13 11 will will MD cord-016903-z2vqfq98 13 12 be be VB cord-016903-z2vqfq98 13 13 outlined outline VBN cord-016903-z2vqfq98 13 14 which which WDT cord-016903-z2vqfq98 13 15 may may MD cord-016903-z2vqfq98 13 16 be be VB cord-016903-z2vqfq98 13 17 succesfful succesfful JJ cord-016903-z2vqfq98 13 18 in in IN cord-016903-z2vqfq98 13 19 enhancing enhance VBG cord-016903-z2vqfq98 13 20 protective protective JJ cord-016903-z2vqfq98 13 21 immune immune JJ cord-016903-z2vqfq98 13 22 responses response NNS cord-016903-z2vqfq98 13 23 following follow VBG cord-016903-z2vqfq98 13 24 vaccination vaccination NN cord-016903-z2vqfq98 13 25 in in IN cord-016903-z2vqfq98 13 26 elderly elderly JJ cord-016903-z2vqfq98 13 27 persons person NNS cord-016903-z2vqfq98 13 28 . . . cord-016903-z2vqfq98 14 1 With with IN cord-016903-z2vqfq98 14 2 respect respect NN cord-016903-z2vqfq98 14 3 to to IN cord-016903-z2vqfq98 14 4 the the DT cord-016903-z2vqfq98 14 5 current current JJ cord-016903-z2vqfq98 14 6 demographic demographic JJ cord-016903-z2vqfq98 14 7 development development NN cord-016903-z2vqfq98 14 8 in in IN cord-016903-z2vqfq98 14 9 many many JJ cord-016903-z2vqfq98 14 10 countries country NNS cord-016903-z2vqfq98 14 11 , , , cord-016903-z2vqfq98 14 12 including include VBG cord-016903-z2vqfq98 14 13 the the DT cord-016903-z2vqfq98 14 14 European European NNP cord-016903-z2vqfq98 14 15 Union Union NNP cord-016903-z2vqfq98 14 16 and and CC cord-016903-z2vqfq98 14 17 the the DT cord-016903-z2vqfq98 14 18 United United NNP cord-016903-z2vqfq98 14 19 States States NNP cord-016903-z2vqfq98 14 20 of of IN cord-016903-z2vqfq98 14 21 America America NNP cord-016903-z2vqfq98 14 22 , , , cord-016903-z2vqfq98 14 23 infectious infectious JJ cord-016903-z2vqfq98 14 24 diseases disease NNS cord-016903-z2vqfq98 14 25 in in IN cord-016903-z2vqfq98 14 26 geriatric geriatric JJ cord-016903-z2vqfq98 14 27 patients patient NNS cord-016903-z2vqfq98 14 28 are be VBP cord-016903-z2vqfq98 14 29 becoming become VBG cord-016903-z2vqfq98 14 30 an an DT cord-016903-z2vqfq98 14 31 increasingly increasingly RB cord-016903-z2vqfq98 14 32 important important JJ cord-016903-z2vqfq98 14 33 issue issue NN cord-016903-z2vqfq98 14 34 . . . cord-016903-z2vqfq98 15 1 Infections infection NNS cord-016903-z2vqfq98 15 2 in in IN cord-016903-z2vqfq98 15 3 elderly elderly JJ cord-016903-z2vqfq98 15 4 persons person NNS cord-016903-z2vqfq98 15 5 are be VBP cord-016903-z2vqfq98 15 6 not not RB cord-016903-z2vqfq98 15 7 only only RB cord-016903-z2vqfq98 15 8 more more RBR cord-016903-z2vqfq98 15 9 frequent frequent JJ cord-016903-z2vqfq98 15 10 and and CC cord-016903-z2vqfq98 15 11 more more RBR cord-016903-z2vqfq98 15 12 severe severe JJ cord-016903-z2vqfq98 15 13 , , , cord-016903-z2vqfq98 15 14 but but CC cord-016903-z2vqfq98 15 15 they -PRON- PRP cord-016903-z2vqfq98 15 16 also also RB cord-016903-z2vqfq98 15 17 have have VBP cord-016903-z2vqfq98 15 18 distinct distinct JJ cord-016903-z2vqfq98 15 19 features feature NNS cord-016903-z2vqfq98 15 20 regarding regard VBG cord-016903-z2vqfq98 15 21 clinical clinical JJ cord-016903-z2vqfq98 15 22 presentation presentation NN cord-016903-z2vqfq98 15 23 , , , cord-016903-z2vqfq98 15 24 microbial microbial JJ cord-016903-z2vqfq98 15 25 epidemiology epidemiology NN cord-016903-z2vqfq98 15 26 and and CC cord-016903-z2vqfq98 15 27 treatment treatment NN cord-016903-z2vqfq98 15 28 . . . cord-016903-z2vqfq98 16 1 Urinary urinary JJ cord-016903-z2vqfq98 16 2 tract tract NN cord-016903-z2vqfq98 16 3 infections infection NNS cord-016903-z2vqfq98 16 4 , , , cord-016903-z2vqfq98 16 5 lower low JJR cord-016903-z2vqfq98 16 6 respiratory respiratory JJ cord-016903-z2vqfq98 16 7 tract tract NN cord-016903-z2vqfq98 16 8 infections infection NNS cord-016903-z2vqfq98 16 9 , , , cord-016903-z2vqfq98 16 10 skin skin NN cord-016903-z2vqfq98 16 11 and and CC cord-016903-z2vqfq98 16 12 soft soft JJ cord-016903-z2vqfq98 16 13 tissue tissue NN cord-016903-z2vqfq98 16 14 infections infection NNS cord-016903-z2vqfq98 16 15 , , , cord-016903-z2vqfq98 16 16 infective infective JJ cord-016903-z2vqfq98 16 17 endocarditis endocarditis NN cord-016903-z2vqfq98 16 18 , , , cord-016903-z2vqfq98 16 19 bacterial bacterial JJ cord-016903-z2vqfq98 16 20 meningitis meningitis NN cord-016903-z2vqfq98 16 21 , , , cord-016903-z2vqfq98 16 22 tuberculosis tuberculosis NN cord-016903-z2vqfq98 16 23 and and CC cord-016903-z2vqfq98 16 24 herpes herpes NN cord-016903-z2vqfq98 16 25 roster roster NN cord-016903-z2vqfq98 16 26 appear appear VBP cord-016903-z2vqfq98 16 27 to to TO cord-016903-z2vqfq98 16 28 have have VB cord-016903-z2vqfq98 16 29 a a DT cord-016903-z2vqfq98 16 30 higher high JJR cord-016903-z2vqfq98 16 31 prevalence prevalence NN cord-016903-z2vqfq98 16 32 in in IN cord-016903-z2vqfq98 16 33 elderly elderly JJ cord-016903-z2vqfq98 16 34 persons person NNS cord-016903-z2vqfq98 16 35 . . . cord-016903-z2vqfq98 17 1 In in IN cord-016903-z2vqfq98 17 2 developed develop VBN cord-016903-z2vqfq98 17 3 countries country NNS cord-016903-z2vqfq98 17 4 like like IN cord-016903-z2vqfq98 17 5 the the DT cord-016903-z2vqfq98 17 6 United United NNP cord-016903-z2vqfq98 17 7 States States NNP cord-016903-z2vqfq98 17 8 , , , cord-016903-z2vqfq98 17 9 pneumonia pneumonia NN cord-016903-z2vqfq98 17 10 , , , cord-016903-z2vqfq98 17 11 influenza influenza NN cord-016903-z2vqfq98 17 12 and and CC cord-016903-z2vqfq98 17 13 septicemia septicemia NN cord-016903-z2vqfq98 17 14 are be VBP cord-016903-z2vqfq98 17 15 ranked rank VBN cord-016903-z2vqfq98 17 16 among among IN cord-016903-z2vqfq98 17 17 the the DT cord-016903-z2vqfq98 17 18 ten ten CD cord-016903-z2vqfq98 17 19 major major JJ cord-016903-z2vqfq98 17 20 causes cause NNS cord-016903-z2vqfq98 17 21 ofdeaths ofdeath NNS cord-016903-z2vqfq98 17 22 in in IN cord-016903-z2vqfq98 17 23 people people NNS cord-016903-z2vqfq98 17 24 aged age VBN cord-016903-z2vqfq98 17 25 6S 6S NNP cord-016903-z2vqfq98 17 26 years year NNS cord-016903-z2vqfq98 17 27 and and CC cord-016903-z2vqfq98 17 28 older old JJR cord-016903-z2vqfq98 17 29 . . . cord-016903-z2vqfq98 18 1 1 1 LS cord-016903-z2vqfq98 19 1 The the DT cord-016903-z2vqfq98 19 2 reasons reason NNS cord-016903-z2vqfq98 19 3 for for IN cord-016903-z2vqfq98 19 4 the the DT cord-016903-z2vqfq98 19 5 increased increase VBN cord-016903-z2vqfq98 19 6 susceptibility susceptibility NN cord-016903-z2vqfq98 19 7 to to IN cord-016903-z2vqfq98 19 8 infectious infectious JJ cord-016903-z2vqfq98 19 9 diseases disease NNS cord-016903-z2vqfq98 19 10 include include VBP cord-016903-z2vqfq98 19 11 epidemiological epidemiological JJ cord-016903-z2vqfq98 19 12 elements element NNS cord-016903-z2vqfq98 19 13 , , , cord-016903-z2vqfq98 19 14 imrnunosenescence imrnunosenescence NN cord-016903-z2vqfq98 19 15 , , , cord-016903-z2vqfq98 19 16 malnutrition malnutrition NN cord-016903-z2vqfq98 19 17 and and CC cord-016903-z2vqfq98 19 18 age age NN cord-016903-z2vqfq98 19 19 - - HYPH cord-016903-z2vqfq98 19 20 dependent dependent JJ cord-016903-z2vqfq98 19 21 anatomical anatomical JJ cord-016903-z2vqfq98 19 22 alterations alteration NNS cord-016903-z2vqfq98 19 23 . . . cord-016903-z2vqfq98 20 1 Infectious infectious JJ cord-016903-z2vqfq98 20 2 diseases disease NNS cord-016903-z2vqfq98 20 3 still still RB cord-016903-z2vqfq98 20 4 represent represent VBP cord-016903-z2vqfq98 20 5 a a DT cord-016903-z2vqfq98 20 6 major major JJ cord-016903-z2vqfq98 20 7 challenge challenge NN cord-016903-z2vqfq98 20 8 to to IN cord-016903-z2vqfq98 20 9 human human JJ cord-016903-z2vqfq98 20 10 progress progress NN cord-016903-z2vqfq98 20 11 and and CC cord-016903-z2vqfq98 20 12 survival survival NN cord-016903-z2vqfq98 20 13 as as IN cord-016903-z2vqfq98 20 14 they -PRON- PRP cord-016903-z2vqfq98 20 15 are be VBP cord-016903-z2vqfq98 20 16 responsible responsible JJ cord-016903-z2vqfq98 20 17 for for IN cord-016903-z2vqfq98 20 18 about about RB cord-016903-z2vqfq98 20 19 20 20 CD cord-016903-z2vqfq98 20 20 % % NN cord-016903-z2vqfq98 20 21 ofall ofall NN cord-016903-z2vqfq98 20 22 deaths death NNS cord-016903-z2vqfq98 20 23 in in IN cord-016903-z2vqfq98 20 24 the the DT cord-016903-z2vqfq98 20 25 world world NN cord-016903-z2vqfq98 20 26 . . . cord-016903-z2vqfq98 21 1 This this DT cord-016903-z2vqfq98 21 2 is be VBZ cord-016903-z2vqfq98 21 3 not not RB cord-016903-z2vqfq98 21 4 only only RB cord-016903-z2vqfq98 21 5 related relate VBN cord-016903-z2vqfq98 21 6 to to IN cord-016903-z2vqfq98 21 7 microbial microbial JJ cord-016903-z2vqfq98 21 8 and and CC cord-016903-z2vqfq98 21 9 viral viral JJ cord-016903-z2vqfq98 21 10 factors factor NNS cord-016903-z2vqfq98 21 11 but but CC cord-016903-z2vqfq98 21 12 also also RB cord-016903-z2vqfq98 21 13 to to IN cord-016903-z2vqfq98 21 14 social social JJ cord-016903-z2vqfq98 21 15 and and CC cord-016903-z2vqfq98 21 16 environmental environmental JJ cord-016903-z2vqfq98 21 17 determinants determinant NNS cord-016903-z2vqfq98 21 18 , , , cord-016903-z2vqfq98 21 19 such such JJ cord-016903-z2vqfq98 21 20 as as IN cord-016903-z2vqfq98 21 21 social social JJ cord-016903-z2vqfq98 21 22 upheaval upheaval NN cord-016903-z2vqfq98 21 23 , , , cord-016903-z2vqfq98 21 24 urbanization urbanization NN cord-016903-z2vqfq98 21 25 , , , cord-016903-z2vqfq98 21 26 air air NN cord-016903-z2vqfq98 21 27 travel travel NN cord-016903-z2vqfq98 21 28 , , , cord-016903-z2vqfq98 21 29 natural natural JJ cord-016903-z2vqfq98 21 30 disasters disaster NNS cord-016903-z2vqfq98 21 31 and and CC cord-016903-z2vqfq98 21 32 climate climate NN cord-016903-z2vqfq98 21 33 change change NN cord-016903-z2vqfq98 21 34 . . . cord-016903-z2vqfq98 21 35 ' ' '' cord-016903-z2vqfq98 22 1 Newly newly RB cord-016903-z2vqfq98 22 2 emerging emerge VBG cord-016903-z2vqfq98 22 3 infectious infectious JJ cord-016903-z2vqfq98 22 4 diseases disease NNS cord-016903-z2vqfq98 22 5 include include VBP cord-016903-z2vqfq98 22 6 acquired acquire VBN cord-016903-z2vqfq98 22 7 immune immune JJ cord-016903-z2vqfq98 22 8 deficiency deficiency NN cord-016903-z2vqfq98 22 9 syndrome syndrome NN cord-016903-z2vqfq98 22 10 ( ( -LRB- cord-016903-z2vqfq98 22 11 AIDS AIDS NNP cord-016903-z2vqfq98 22 12 ) ) -RRB- cord-016903-z2vqfq98 22 13 , , , cord-016903-z2vqfq98 22 14 hepatitis hepatitis NNP cord-016903-z2vqfq98 22 15 C C NNP cord-016903-z2vqfq98 22 16 , , , cord-016903-z2vqfq98 22 17 several several JJ cord-016903-z2vqfq98 22 18 hemorrhagic hemorrhagic JJ cord-016903-z2vqfq98 22 19 fevers fever NNS cord-016903-z2vqfq98 22 20 , , , cord-016903-z2vqfq98 22 21 severe severe JJ cord-016903-z2vqfq98 22 22 acute acute JJ cord-016903-z2vqfq98 22 23 respiratory respiratory JJ cord-016903-z2vqfq98 22 24 syndrome syndrome NN cord-016903-z2vqfq98 22 25 ( ( -LRB- cord-016903-z2vqfq98 22 26 SARS SARS NNP cord-016903-z2vqfq98 22 27 ) ) -RRB- cord-016903-z2vqfq98 22 28 and and CC cord-016903-z2vqfq98 22 29 avian avian JJ cord-016903-z2vqfq98 22 30 influenza influenza NN cord-016903-z2vqfq98 22 31 . . . cord-016903-z2vqfq98 23 1 The the DT cord-016903-z2vqfq98 23 2 resurgence resurgence NN cord-016903-z2vqfq98 23 3 ofseveral ofseveral JJ cord-016903-z2vqfq98 23 4 other other JJ cord-016903-z2vqfq98 23 5 infectious infectious JJ cord-016903-z2vqfq98 23 6 diseases disease NNS cord-016903-z2vqfq98 23 7 is be VBZ cord-016903-z2vqfq98 23 8 supported support VBN cord-016903-z2vqfq98 23 9 by by IN cord-016903-z2vqfq98 23 10 the the DT cord-016903-z2vqfq98 23 11 increased increase VBN cord-016903-z2vqfq98 23 12 occurrence occurrence NN cord-016903-z2vqfq98 23 13 ofmultiple ofmultiple JJ cord-016903-z2vqfq98 23 14 drug drug NN cord-016903-z2vqfq98 23 15 - - HYPH cord-016903-z2vqfq98 23 16 resistant resistant JJ cord-016903-z2vqfq98 23 17 microorganisms microorganism NNS cord-016903-z2vqfq98 23 18 such such JJ cord-016903-z2vqfq98 23 19 as as IN cord-016903-z2vqfq98 23 20 Staphylococcus Staphylococcus NNP cord-016903-z2vqfq98 23 21 aureus aureus NN cord-016903-z2vqfq98 23 22 , , , cord-016903-z2vqfq98 23 23 Mycobacterium Mycobacterium NNP cord-016903-z2vqfq98 23 24 tuberculosis tuberculosis NN cord-016903-z2vqfq98 23 25 , , , cord-016903-z2vqfq98 23 26 Escherichia escherichia NN cord-016903-z2vqfq98 23 27 coli coli NNS cord-016903-z2vqfq98 23 28 and and CC cord-016903-z2vqfq98 23 29 Streptococcuspneumoniae Streptococcuspneumoniae NNP cord-016903-z2vqfq98 23 30 . . . cord-016903-z2vqfq98 24 1 * * NFP cord-016903-z2vqfq98 24 2 Corresponding correspond VBG cord-016903-z2vqfq98 24 3 Author author NN cord-016903-z2vqfq98 24 4 : : : cord-016903-z2vqfq98 24 5 Beatrix Beatrix NNP cord-016903-z2vqfq98 24 6 Grubeck Grubeck NNP cord-016903-z2vqfq98 24 7 - - HYPH cord-016903-z2vqfq98 24 8 Loebenstein Loebenstein NNP cord-016903-z2vqfq98 24 9 - - HYPH cord-016903-z2vqfq98 24 10 Institute Institute NNP cord-016903-z2vqfq98 24 11 for for IN cord-016903-z2vqfq98 24 12 Biomedical Biomedical NNP cord-016903-z2vqfq98 24 13 Aging Aging NNP cord-016903-z2vqfq98 24 14 Research Research NNP cord-016903-z2vqfq98 24 15 , , , cord-016903-z2vqfq98 24 16 Austrian Austrian NNP cord-016903-z2vqfq98 24 17 Academy Academy NNP cord-016903-z2vqfq98 24 18 of of IN cord-016903-z2vqfq98 24 19 Sciences Sciences NNPS cord-016903-z2vqfq98 24 20 , , , cord-016903-z2vqfq98 24 21 Rennweg Rennweg NNP cord-016903-z2vqfq98 24 22 10 10 CD cord-016903-z2vqfq98 24 23 , , , cord-016903-z2vqfq98 24 24 6020 6020 CD cord-016903-z2vqfq98 24 25 Innsbruck Innsbruck NNP cord-016903-z2vqfq98 24 26 , , , cord-016903-z2vqfq98 24 27 Austria Austria NNP cord-016903-z2vqfq98 24 28 . . . cord-016903-z2vqfq98 25 1 Email email NN cord-016903-z2vqfq98 25 2 : : : cord-016903-z2vqfq98 25 3 beatrix.grubeck-loebenstein@oeaw.ac.at beatrix.grubeck-loebenstein@oeaw.ac.at NN cord-016903-z2vqfq98 25 4 Immunosenescence Immunosenescence NNP cord-016903-z2vqfq98 25 5 , , , cord-016903-z2vqfq98 25 6 edited edit VBN cord-016903-z2vqfq98 25 7 by by IN cord-016903-z2vqfq98 25 8 Graham Graham NNP cord-016903-z2vqfq98 25 9 Pawelec Pawelec NNP cord-016903-z2vqfq98 25 10 . . . cord-016903-z2vqfq98 26 1 © © NN cord-016903-z2vqfq98 26 2 2007 2007 CD cord-016903-z2vqfq98 27 1 Landes Landes NNP cord-016903-z2vqfq98 27 2 Bioscience Bioscience NNP cord-016903-z2vqfq98 27 3 and and CC cord-016903-z2vqfq98 27 4 Springer Springer NNP cord-016903-z2vqfq98 27 5 Science+Business Science+Business NNP cord-016903-z2vqfq98 27 6 Media Media NNP cord-016903-z2vqfq98 27 7 . . . cord-016903-z2vqfq98 28 1 Altogether altogether RB cord-016903-z2vqfq98 28 2 , , , cord-016903-z2vqfq98 28 3 this this DT cord-016903-z2vqfq98 28 4 represents represent VBZ cord-016903-z2vqfq98 28 5 an an DT cord-016903-z2vqfq98 28 6 enormous enormous JJ cord-016903-z2vqfq98 28 7 economic economic JJ cord-016903-z2vqfq98 28 8 burden burden NN cord-016903-z2vqfq98 28 9 on on IN cord-016903-z2vqfq98 28 10 health health NN cord-016903-z2vqfq98 28 11 care care NN cord-016903-z2vqfq98 28 12 systems system NNS cord-016903-z2vqfq98 28 13 all all RB cord-016903-z2vqfq98 28 14 over over IN cord-016903-z2vqfq98 28 15 the the DT cord-016903-z2vqfq98 28 16 world world NN cord-016903-z2vqfq98 28 17 . . . cord-016903-z2vqfq98 29 1 For for IN cord-016903-z2vqfq98 29 2 instance instance NN cord-016903-z2vqfq98 29 3 , , , cord-016903-z2vqfq98 29 4 the the DT cord-016903-z2vqfq98 29 5 annual annual JJ cord-016903-z2vqfq98 29 6 costs cost NNS cord-016903-z2vqfq98 29 7 ofmedical ofmedical JJ cord-016903-z2vqfq98 29 8 care care NN cord-016903-z2vqfq98 29 9 for for IN cord-016903-z2vqfq98 29 10 treating treat VBG cord-016903-z2vqfq98 29 11 infectious infectious JJ cord-016903-z2vqfq98 29 12 diseases disease NNS cord-016903-z2vqfq98 29 13 in in IN cord-016903-z2vqfq98 29 14 the the DT cord-016903-z2vqfq98 29 15 United United NNP cord-016903-z2vqfq98 29 16 States States NNP cord-016903-z2vqfq98 29 17 alone alone RB cord-016903-z2vqfq98 29 18 is be VBZ cord-016903-z2vqfq98 29 19 about about IN cord-016903-z2vqfq98 29 20 $ $ $ cord-016903-z2vqfq98 29 21 120 120 CD cord-016903-z2vqfq98 29 22 billion billion CD cord-016903-z2vqfq98 29 23 and and CC cord-016903-z2vqfq98 29 24 for for IN cord-016903-z2vqfq98 29 25 treating treat VBG cord-016903-z2vqfq98 29 26 antimicrobial antimicrobial JJ cord-016903-z2vqfq98 29 27 - - HYPH cord-016903-z2vqfq98 29 28 resistant resistant JJ cord-016903-z2vqfq98 29 29 infections infection NNS cord-016903-z2vqfq98 29 30 it -PRON- PRP cord-016903-z2vqfq98 29 31 may may MD cord-016903-z2vqfq98 29 32 be be VB cord-016903-z2vqfq98 29 33 as as RB cord-016903-z2vqfq98 29 34 high high JJ cord-016903-z2vqfq98 29 35 as as IN cord-016903-z2vqfq98 29 36 $ $ $ cord-016903-z2vqfq98 29 37 5 5 CD cord-016903-z2vqfq98 29 38 billion billion CD cord-016903-z2vqfq98 29 39 . . . cord-016903-z2vqfq98 29 40 ' ' '' cord-016903-z2vqfq98 30 1 A a DT cord-016903-z2vqfq98 30 2 great great JJ cord-016903-z2vqfq98 30 3 success success NN cord-016903-z2vqfq98 30 4 story story NN cord-016903-z2vqfq98 30 5 was be VBD cord-016903-z2vqfq98 30 6 the the DT cord-016903-z2vqfq98 30 7 implementation implementation NN cord-016903-z2vqfq98 30 8 oflarge oflarge JJ cord-016903-z2vqfq98 30 9 - - HYPH cord-016903-z2vqfq98 30 10 scale scale NN cord-016903-z2vqfq98 30 11 vaccination vaccination NN cord-016903-z2vqfq98 30 12 strategies strategy NNS cord-016903-z2vqfq98 30 13 that that WDT cord-016903-z2vqfq98 30 14 led lead VBD cord-016903-z2vqfq98 30 15 to to IN cord-016903-z2vqfq98 30 16 the the DT cord-016903-z2vqfq98 30 17 eradication eradication NN cord-016903-z2vqfq98 30 18 of of IN cord-016903-z2vqfq98 30 19 smallpox smallpox NN cord-016903-z2vqfq98 30 20 in in IN cord-016903-z2vqfq98 30 21 1980 1980 CD cord-016903-z2vqfq98 30 22 4 4 CD cord-016903-z2vqfq98 30 23 and and CC cord-016903-z2vqfq98 30 24 to to IN cord-016903-z2vqfq98 30 25 a a DT cord-016903-z2vqfq98 30 26 drastic drastic JJ cord-016903-z2vqfq98 30 27 reduction reduction NN cord-016903-z2vqfq98 30 28 ofpoliomyelitis ofpoliomyelitis NN cord-016903-z2vqfq98 30 29 , , , cord-016903-z2vqfq98 30 30 tetanus tetanus NN cord-016903-z2vqfq98 30 31 , , , cord-016903-z2vqfq98 30 32 diphtheria diphtheria NN cord-016903-z2vqfq98 30 33 , , , cord-016903-z2vqfq98 30 34 measles measle NNS cord-016903-z2vqfq98 30 35 , , , cord-016903-z2vqfq98 30 36 pertussis pertussis NN cord-016903-z2vqfq98 30 37 and and CC cord-016903-z2vqfq98 30 38 meningitis meningitis NN cord-016903-z2vqfq98 30 39 . . . cord-016903-z2vqfq98 31 1 Presently presently RB cord-016903-z2vqfq98 31 2 , , , cord-016903-z2vqfq98 31 3 vaccinations vaccination NNS cord-016903-z2vqfq98 31 4 are be VBP cord-016903-z2vqfq98 31 5 still still RB cord-016903-z2vqfq98 31 6 considered consider VBN cord-016903-z2vqfq98 31 7 the the DT cord-016903-z2vqfq98 31 8 most most RBS cord-016903-z2vqfq98 31 9 cost cost NN cord-016903-z2vqfq98 31 10 - - HYPH cord-016903-z2vqfq98 31 11 effective effective JJ cord-016903-z2vqfq98 31 12 medical medical JJ cord-016903-z2vqfq98 31 13 procedure procedure NN cord-016903-z2vqfq98 31 14 for for IN cord-016903-z2vqfq98 31 15 preventingmorbidity preventingmorbidity NN cord-016903-z2vqfq98 31 16 and and CC cord-016903-z2vqfq98 31 17 mortality mortality NN cord-016903-z2vqfq98 31 18 caused cause VBN cord-016903-z2vqfq98 31 19 by by IN cord-016903-z2vqfq98 31 20 infectious infectious JJ cord-016903-z2vqfq98 31 21 diseases disease NNS cord-016903-z2vqfq98 31 22 . . . cord-016903-z2vqfq98 32 1 26 26 CD cord-016903-z2vqfq98 32 2 different different JJ cord-016903-z2vqfq98 32 3 infectious infectious JJ cord-016903-z2vqfq98 32 4 diseases disease NNS cord-016903-z2vqfq98 32 5 can can MD cord-016903-z2vqfq98 32 6 be be VB cord-016903-z2vqfq98 32 7 prevented prevent VBN cord-016903-z2vqfq98 32 8 by by IN cord-016903-z2vqfq98 32 9 vaccinations vaccination NNS cord-016903-z2vqfq98 32 10 and and CC cord-016903-z2vqfq98 32 11 61 61 CD cord-016903-z2vqfq98 32 12 vaccines vaccine NNS cord-016903-z2vqfq98 32 13 are be VBP cord-016903-z2vqfq98 32 14 being be VBG cord-016903-z2vqfq98 32 15 developed develop VBN cord-016903-z2vqfq98 32 16 according accord VBG cord-016903-z2vqfq98 32 17 to to IN cord-016903-z2vqfq98 32 18 a a DT cord-016903-z2vqfq98 32 19 2004 2004 CD cord-016903-z2vqfq98 32 20 survey survey NN cord-016903-z2vqfq98 32 21 by by IN cord-016903-z2vqfq98 32 22 the the DT cord-016903-z2vqfq98 32 23 Pharmaceutical Pharmaceutical NNP cord-016903-z2vqfq98 32 24 Research Research NNP cord-016903-z2vqfq98 32 25 and and CC cord-016903-z2vqfq98 32 26 Manufacturers Manufacturers NNPS cord-016903-z2vqfq98 32 27 ofAmerica ofAmerica NNP cord-016903-z2vqfq98 32 28 , , , cord-016903-z2vqfq98 32 29 " " `` cord-016903-z2vqfq98 32 30 The the DT cord-016903-z2vqfq98 32 31 new new JJ cord-016903-z2vqfq98 32 32 candidate candidate NN cord-016903-z2vqfq98 32 33 vaccines vaccine NNS cord-016903-z2vqfq98 32 34 are be VBP cord-016903-z2vqfq98 32 35 intended intend VBN cord-016903-z2vqfq98 32 36 to to TO cord-016903-z2vqfq98 32 37 provide provide VB cord-016903-z2vqfq98 32 38 protection protection NN cord-016903-z2vqfq98 32 39 against against IN cord-016903-z2vqfq98 32 40 diseases disease NNS cord-016903-z2vqfq98 32 41 caused cause VBN cord-016903-z2vqfq98 32 42 by by IN cord-016903-z2vqfq98 32 43 rotavirus rotavirus NN cord-016903-z2vqfq98 32 44 , , , cord-016903-z2vqfq98 32 45 herpes herpes NN cord-016903-z2vqfq98 32 46 zoster zoster NN cord-016903-z2vqfq98 32 47 and and CC cord-016903-z2vqfq98 32 48 papilloma papilloma NN cord-016903-z2vqfq98 32 49 virus virus NN cord-016903-z2vqfq98 32 50 and and CC cord-016903-z2vqfq98 32 51 will will MD cord-016903-z2vqfq98 32 52 be be VB cord-016903-z2vqfq98 32 53 available available JJ cord-016903-z2vqfq98 32 54 from from IN cord-016903-z2vqfq98 32 55 2007 2007 CD cord-016903-z2vqfq98 32 56 onwards onwards RB cord-016903-z2vqfq98 32 57 ( ( -LRB- cord-016903-z2vqfq98 32 58 Table table NN cord-016903-z2vqfq98 32 59 1 1 CD cord-016903-z2vqfq98 32 60 ) ) -RRB- cord-016903-z2vqfq98 32 61 . . . cord-016903-z2vqfq98 33 1 But but CC cord-016903-z2vqfq98 33 2 also also RB cord-016903-z2vqfq98 33 3 improved improve VBD cord-016903-z2vqfq98 33 4 vaccines vaccine NNS cord-016903-z2vqfq98 33 5 against against IN cord-016903-z2vqfq98 33 6 influenza influenza NN cord-016903-z2vqfq98 33 7 , , , cord-016903-z2vqfq98 33 8 pneumonia pneumonia NN cord-016903-z2vqfq98 33 9 and and CC cord-016903-z2vqfq98 33 10 tuberculosis tuberculosis NN cord-016903-z2vqfq98 33 11 are be VBP cord-016903-z2vqfq98 33 12 currently currently RB cord-016903-z2vqfq98 33 13 being be VBG cord-016903-z2vqfq98 33 14 tested test VBN cord-016903-z2vqfq98 33 15 in in IN cord-016903-z2vqfq98 33 16 clinical clinical JJ cord-016903-z2vqfq98 33 17 trials trial NNS cord-016903-z2vqfq98 33 18 ( ( -LRB- cord-016903-z2vqfq98 33 19 Table table NN cord-016903-z2vqfq98 33 20 1 1 CD cord-016903-z2vqfq98 33 21 ) ) -RRB- cord-016903-z2vqfq98 33 22 . . . cord-016903-z2vqfq98 34 1 This this DT cord-016903-z2vqfq98 34 2 chapter chapter NN cord-016903-z2vqfq98 34 3 now now RB cord-016903-z2vqfq98 34 4 outlines outline VBZ cord-016903-z2vqfq98 34 5 the the DT cord-016903-z2vqfq98 34 6 relevance relevance NN cord-016903-z2vqfq98 34 7 ofvaccines ofvaccines NNP cord-016903-z2vqfq98 34 8 to to TO cord-016903-z2vqfq98 34 9 fight fight VB cord-016903-z2vqfq98 34 10 infectious infectious JJ cord-016903-z2vqfq98 34 11 diseases disease NNS cord-016903-z2vqfq98 34 12 in in IN cord-016903-z2vqfq98 34 13 old old JJ cord-016903-z2vqfq98 34 14 age age NN cord-016903-z2vqfq98 34 15 and and CC cord-016903-z2vqfq98 34 16 how how WRB cord-016903-z2vqfq98 34 17 age age NN cord-016903-z2vqfq98 34 18 - - HYPH cord-016903-z2vqfq98 34 19 related relate VBN cord-016903-z2vqfq98 34 20 changes change NNS cord-016903-z2vqfq98 34 21 within within IN cord-016903-z2vqfq98 34 22 the the DT cord-016903-z2vqfq98 34 23 immune immune JJ cord-016903-z2vqfq98 34 24 system system NN cord-016903-z2vqfq98 34 25 contribute contribute VBP cord-016903-z2vqfq98 34 26 to to IN cord-016903-z2vqfq98 34 27 the the DT cord-016903-z2vqfq98 34 28 decreased decrease VBN cord-016903-z2vqfq98 34 29 efficacy efficacy NN cord-016903-z2vqfq98 34 30 of of IN cord-016903-z2vqfq98 34 31 vaccines vaccine NNS cord-016903-z2vqfq98 34 32 . . . cord-016903-z2vqfq98 35 1 It -PRON- PRP cord-016903-z2vqfq98 35 2 also also RB cord-016903-z2vqfq98 35 3 discusses discuss VBZ cord-016903-z2vqfq98 35 4 the the DT cord-016903-z2vqfq98 35 5 progress progress NN cord-016903-z2vqfq98 35 6 made make VBN cord-016903-z2vqfq98 35 7 in in IN cord-016903-z2vqfq98 35 8 the the DT cord-016903-z2vqfq98 35 9 development development NN cord-016903-z2vqfq98 35 10 of of IN cord-016903-z2vqfq98 35 11 vaccines vaccine NNS cord-016903-z2vqfq98 35 12 with with IN cord-016903-z2vqfq98 35 13 improved improve VBN cord-016903-z2vqfq98 35 14 immunogenicity immunogenicity NN cord-016903-z2vqfq98 35 15 in in IN cord-016903-z2vqfq98 35 16 elderly elderly JJ cord-016903-z2vqfq98 35 17 persons person NNS cord-016903-z2vqfq98 35 18 . . . cord-016903-z2vqfq98 36 1 Outbreaks outbreak NNS cord-016903-z2vqfq98 36 2 of of IN cord-016903-z2vqfq98 36 3 deadly deadly JJ cord-016903-z2vqfq98 36 4 infectious infectious JJ cord-016903-z2vqfq98 36 5 diseases disease NNS cord-016903-z2vqfq98 36 6 such such JJ cord-016903-z2vqfq98 36 7 as as IN cord-016903-z2vqfq98 36 8 Ebola Ebola NNP cord-016903-z2vqfq98 36 9 , , , cord-016903-z2vqfq98 36 10 Marburg Marburg NNP cord-016903-z2vqfq98 36 11 , , , cord-016903-z2vqfq98 36 12 SARS SARS NNP cord-016903-z2vqfq98 36 13 or or CC cord-016903-z2vqfq98 36 14 the the DT cord-016903-z2vqfq98 36 15 H5Nl H5Nl NNP cord-016903-z2vqfq98 36 16 avian avian JJ cord-016903-z2vqfq98 36 17 influenza influenza NN cord-016903-z2vqfq98 36 18 regularly regularly RB cord-016903-z2vqfq98 36 19 alert alert VBP cord-016903-z2vqfq98 36 20 the the DT cord-016903-z2vqfq98 36 21 world world NN cord-016903-z2vqfq98 36 22 , , , cord-016903-z2vqfq98 36 23 whereas whereas IN cord-016903-z2vqfq98 36 24 there there EX cord-016903-z2vqfq98 36 25 is be VBZ cord-016903-z2vqfq98 36 26 not not RB cord-016903-z2vqfq98 36 27 much much JJ cord-016903-z2vqfq98 36 28 public public JJ cord-016903-z2vqfq98 36 29 attention attention NN cord-016903-z2vqfq98 36 30 paid pay VBN cord-016903-z2vqfq98 36 31 to to IN cord-016903-z2vqfq98 36 32 infectious infectious JJ cord-016903-z2vqfq98 36 33 diseases disease NNS cord-016903-z2vqfq98 36 34 that that WDT cord-016903-z2vqfq98 36 35 cause cause VBP cord-016903-z2vqfq98 36 36 substantial substantial JJ cord-016903-z2vqfq98 36 37 morbidity morbidity NN cord-016903-z2vqfq98 36 38 and and CC cord-016903-z2vqfq98 36 39 mortality mortality NN cord-016903-z2vqfq98 36 40 among among IN cord-016903-z2vqfq98 36 41 the the DT cord-016903-z2vqfq98 36 42 elderly elderly JJ cord-016903-z2vqfq98 36 43 population population NN cord-016903-z2vqfq98 36 44 . . . cord-016903-z2vqfq98 37 1 For for IN cord-016903-z2vqfq98 37 2 instance instance NN cord-016903-z2vqfq98 37 3 , , , cord-016903-z2vqfq98 37 4 influenza influenza NN cord-016903-z2vqfq98 37 5 , , , cord-016903-z2vqfq98 37 6 invasive invasive JJ cord-016903-z2vqfq98 37 7 Streptococcus streptococcus NN cord-016903-z2vqfq98 37 8 pneumoniae pneumoniae NN cord-016903-z2vqfq98 37 9 infection infection NN cord-016903-z2vqfq98 37 10 , , , cord-016903-z2vqfq98 37 11 urinary urinary JJ cord-016903-z2vqfq98 37 12 tract tract NN cord-016903-z2vqfq98 37 13 and and CC cord-016903-z2vqfq98 37 14 skin skin NN cord-016903-z2vqfq98 37 15 infections infection NNS cord-016903-z2vqfq98 37 16 have have VBP cord-016903-z2vqfq98 37 17 a a DT cord-016903-z2vqfq98 37 18 higher high JJR cord-016903-z2vqfq98 37 19 prevalence prevalence NN cord-016903-z2vqfq98 37 20 in in IN cord-016903-z2vqfq98 37 21 elderly elderly JJ cord-016903-z2vqfq98 37 22 persons person NNS cord-016903-z2vqfq98 37 23 , , , cord-016903-z2vqfq98 37 24 " " `` cord-016903-z2vqfq98 37 25 Old old JJ cord-016903-z2vqfq98 37 26 individuals individual NNS cord-016903-z2vqfq98 37 27 may may MD cord-016903-z2vqfq98 37 28 also also RB cord-016903-z2vqfq98 37 29 fail fail VB cord-016903-z2vqfq98 37 30 to to TO cord-016903-z2vqfq98 37 31 respond respond VB cord-016903-z2vqfq98 37 32 sufficiently sufficiently RB cord-016903-z2vqfq98 37 33 to to IN cord-016903-z2vqfq98 37 34 therapy therapy NN cord-016903-z2vqfq98 37 35 and and CC cord-016903-z2vqfq98 37 36 frequently frequently RB cord-016903-z2vqfq98 37 37 suffer suffer VB cord-016903-z2vqfq98 37 38 from from IN cord-016903-z2vqfq98 37 39 opportunistic opportunistic JJ cord-016903-z2vqfq98 37 40 infections infection NNS cord-016903-z2vqfq98 37 41 , , , cord-016903-z2vqfq98 37 42 recurrent recurrent JJ cord-016903-z2vqfq98 37 43 infections infection NNS cord-016903-z2vqfq98 37 44 with with IN cord-016903-z2vqfq98 37 45 the the DT cord-016903-z2vqfq98 37 46 same same JJ cord-016903-z2vqfq98 37 47 pathogen pathogen NN cord-016903-z2vqfq98 37 48 or or CC cord-016903-z2vqfq98 37 49 reactivation reactivation NN cord-016903-z2vqfq98 37 50 oflatent oflatent JJ cord-016903-z2vqfq98 37 51 diseases disease NNS cord-016903-z2vqfq98 37 52 , , , cord-016903-z2vqfq98 37 53 such such JJ cord-016903-z2vqfq98 37 54 as as IN cord-016903-z2vqfq98 37 55 those those DT cord-016903-z2vqfq98 37 56 caused cause VBN cord-016903-z2vqfq98 37 57 by by IN cord-016903-z2vqfq98 37 58 Mycobacterium Mycobacterium NNP cord-016903-z2vqfq98 37 59 tuberculosis tuberculosis NN cord-016903-z2vqfq98 37 60 or or CC cord-016903-z2vqfq98 37 61 the the DT cord-016903-z2vqfq98 37 62 Varicella Varicella NNP cord-016903-z2vqfq98 37 63 zoster zoster NNP cord-016903-z2vqfq98 37 64 virus virus NN cord-016903-z2vqfq98 37 65 . . . cord-016903-z2vqfq98 38 1 There there EX cord-016903-z2vqfq98 38 2 are be VBP cord-016903-z2vqfq98 38 3 no no DT cord-016903-z2vqfq98 38 4 vaccines vaccine NNS cord-016903-z2vqfq98 38 5 available available JJ cord-016903-z2vqfq98 38 6 for for IN cord-016903-z2vqfq98 38 7 many many JJ cord-016903-z2vqfq98 38 8 infectious infectious JJ cord-016903-z2vqfq98 38 9 pathogens pathogen NNS cord-016903-z2vqfq98 38 10 that that WDT cord-016903-z2vqfq98 38 11 are be VBP cord-016903-z2vqfq98 38 12 frequent frequent JJ cord-016903-z2vqfq98 38 13 in in IN cord-016903-z2vqfq98 38 14 elderly elderly JJ cord-016903-z2vqfq98 38 15 subjects subject NNS cord-016903-z2vqfq98 38 16 and and CC cord-016903-z2vqfq98 38 17 existing exist VBG cord-016903-z2vqfq98 38 18 vaccines vaccine NNS cord-016903-z2vqfq98 38 19 are be VBP cord-016903-z2vqfq98 38 20 underused underused JJ cord-016903-z2vqfq98 38 21 and and CC cord-016903-z2vqfq98 38 22 often often RB cord-016903-z2vqfq98 38 23 do do VBP cord-016903-z2vqfq98 38 24 not not RB cord-016903-z2vqfq98 38 25 assure assure VB cord-016903-z2vqfq98 38 26 such such PDT cord-016903-z2vqfq98 38 27 an an DT cord-016903-z2vqfq98 38 28 effective effective JJ cord-016903-z2vqfq98 38 29 protection protection NN cord-016903-z2vqfq98 38 30 as as IN cord-016903-z2vqfq98 38 31 in in IN cord-016903-z2vqfq98 38 32 young young JJ cord-016903-z2vqfq98 38 33 subjects subject NNS cord-016903-z2vqfq98 38 34 . . . cord-016903-z2vqfq98 39 1 The the DT cord-016903-z2vqfq98 39 2 following following JJ cord-016903-z2vqfq98 39 3 paragraphs paragraph NNS cord-016903-z2vqfq98 39 4 will will MD cord-016903-z2vqfq98 39 5 highlight highlight VB cord-016903-z2vqfq98 39 6 the the DT cord-016903-z2vqfq98 39 7 most most RBS cord-016903-z2vqfq98 39 8 important important JJ cord-016903-z2vqfq98 39 9 infectious infectious JJ cord-016903-z2vqfq98 39 10 diseases disease NNS cord-016903-z2vqfq98 39 11 which which WDT cord-016903-z2vqfq98 39 12 threaten threaten VBP cord-016903-z2vqfq98 39 13 the the DT cord-016903-z2vqfq98 39 14 elderly elderly JJ cord-016903-z2vqfq98 39 15 population population NN cord-016903-z2vqfq98 39 16 and and CC cord-016903-z2vqfq98 39 17 will will MD cord-016903-z2vqfq98 39 18 provide provide VB cord-016903-z2vqfq98 39 19 information information NN cord-016903-z2vqfq98 39 20 on on IN cord-016903-z2vqfq98 39 21 epidemiology epidemiology NN cord-016903-z2vqfq98 39 22 , , , cord-016903-z2vqfq98 39 23 vaccine vaccine NN cord-016903-z2vqfq98 39 24 availability availability NN cord-016903-z2vqfq98 39 25 and and CC cord-016903-z2vqfq98 39 26 efficacy efficacy NN cord-016903-z2vqfq98 39 27 , , , cord-016903-z2vqfq98 39 28 vaccination vaccination NN cord-016903-z2vqfq98 39 29 coverage coverage NN cord-016903-z2vqfq98 39 30 and and CC cord-016903-z2vqfq98 39 31 general general JJ cord-016903-z2vqfq98 39 32 health health NN cord-016903-z2vqfq98 39 33 authority authority NN cord-016903-z2vqfq98 39 34 recommendations recommendation NNS cord-016903-z2vqfq98 39 35 . . . cord-016903-z2vqfq98 40 1 Influenza influenza NN cord-016903-z2vqfq98 40 2 is be VBZ cord-016903-z2vqfq98 40 3 a a DT cord-016903-z2vqfq98 40 4 highly highly RB cord-016903-z2vqfq98 40 5 contagious contagious JJ cord-016903-z2vqfq98 40 6 , , , cord-016903-z2vqfq98 40 7 acute acute JJ cord-016903-z2vqfq98 40 8 viral viral JJ cord-016903-z2vqfq98 40 9 respiratory respiratory JJ cord-016903-z2vqfq98 40 10 disease disease NN cord-016903-z2vqfq98 40 11 that that WDT cord-016903-z2vqfq98 40 12 causes cause VBZ cord-016903-z2vqfq98 40 13 significant significant JJ cord-016903-z2vqfq98 40 14 morbidity morbidity NN cord-016903-z2vqfq98 40 15 and and CC cord-016903-z2vqfq98 40 16 mortality mortality NN cord-016903-z2vqfq98 40 17 . . . cord-016903-z2vqfq98 41 1 The the DT cord-016903-z2vqfq98 41 2 annual annual JJ cord-016903-z2vqfq98 41 3 outbreaks outbreak NNS cord-016903-z2vqfq98 41 4 affect affect VBP cord-016903-z2vqfq98 41 5 approximately approximately RB cord-016903-z2vqfq98 41 6 5 5 CD cord-016903-z2vqfq98 41 7 - - SYM cord-016903-z2vqfq98 41 8 20 20 CD cord-016903-z2vqfq98 41 9 % % NN cord-016903-z2vqfq98 41 10 ofthe ofthe DT cord-016903-z2vqfq98 41 11 population population NN cord-016903-z2vqfq98 41 12 worldwide worldwide RB cord-016903-z2vqfq98 41 13 with with IN cord-016903-z2vqfq98 41 14 3 3 CD cord-016903-z2vqfq98 41 15 - - SYM cord-016903-z2vqfq98 41 16 5 5 CD cord-016903-z2vqfq98 41 17 million million CD cord-016903-z2vqfq98 41 18 cases case NNS cord-016903-z2vqfq98 41 19 ofsevere ofsevere JJ cord-016903-z2vqfq98 41 20 illness illness NN cord-016903-z2vqfq98 41 21 and and CC cord-016903-z2vqfq98 41 22 up up IN cord-016903-z2vqfq98 41 23 to to IN cord-016903-z2vqfq98 41 24 one one CD cord-016903-z2vqfq98 41 25 million million CD cord-016903-z2vqfq98 41 26 deaths death NNS cord-016903-z2vqfq98 41 27 each each DT cord-016903-z2vqfq98 41 28 year year NN cord-016903-z2vqfq98 41 29 . . . cord-016903-z2vqfq98 42 1 Especially especially RB cord-016903-z2vqfq98 42 2 elderly elderly JJ cord-016903-z2vqfq98 42 3 people people NNS cord-016903-z2vqfq98 42 4 and and CC cord-016903-z2vqfq98 42 5 persons person NNS cord-016903-z2vqfq98 42 6 that that WDT cord-016903-z2vqfq98 42 7 are be VBP cord-016903-z2vqfq98 42 8 chronically chronically RB cord-016903-z2vqfq98 42 9 ill ill JJ cord-016903-z2vqfq98 42 10 or or CC cord-016903-z2vqfq98 42 11 otherwise otherwise RB cord-016903-z2vqfq98 42 12 immunocompromised immunocompromised JJ cord-016903-z2vqfq98 42 13 are be VBP cord-016903-z2vqfq98 42 14 at at IN cord-016903-z2vqfq98 42 15 enhanced enhanced JJ cord-016903-z2vqfq98 42 16 risk risk NN cord-016903-z2vqfq98 42 17 . . . cord-016903-z2vqfq98 43 1 For for IN cord-016903-z2vqfq98 43 2 example example NN cord-016903-z2vqfq98 43 3 , , , cord-016903-z2vqfq98 43 4 during during IN cord-016903-z2vqfq98 43 5 influenza influenza NN cord-016903-z2vqfq98 43 6 epidemics epidemic NNS cord-016903-z2vqfq98 43 7 , , , cord-016903-z2vqfq98 43 8 Barker Barker NNP cord-016903-z2vqfq98 43 9 and and CC cord-016903-z2vqfq98 43 10 Mullooly Mullooly NNP cord-016903-z2vqfq98 43 11 reported report VBD cord-016903-z2vqfq98 43 12 two two CD cord-016903-z2vqfq98 43 13 deaths death NNS cord-016903-z2vqfq98 43 14 per per IN cord-016903-z2vqfq98 43 15 100,000 100,000 CD cord-016903-z2vqfq98 43 16 healthy healthy JJ cord-016903-z2vqfq98 43 17 people people NNS cord-016903-z2vqfq98 43 18 below below IN cord-016903-z2vqfq98 43 19 65 65 CD cord-016903-z2vqfq98 43 20 years year NNS cord-016903-z2vqfq98 43 21 ofage ofage NN cord-016903-z2vqfq98 43 22 compared compare VBN cord-016903-z2vqfq98 43 23 with with IN cord-016903-z2vqfq98 43 24 797 797 CD cord-016903-z2vqfq98 43 25 per per IN cord-016903-z2vqfq98 43 26 100,000 100,000 CD cord-016903-z2vqfq98 43 27 in in IN cord-016903-z2vqfq98 43 28 those those DT cord-016903-z2vqfq98 43 29 over over IN cord-016903-z2vqfq98 43 30 65 65 CD cord-016903-z2vqfq98 43 31 with with IN cord-016903-z2vqfq98 43 32 two two CD cord-016903-z2vqfq98 43 33 or or CC cord-016903-z2vqfq98 43 34 more more JJR cord-016903-z2vqfq98 43 35 high high JJ cord-016903-z2vqfq98 43 36 - - HYPH cord-016903-z2vqfq98 43 37 risk risk NN cord-016903-z2vqfq98 43 38 conditions condition NNS cord-016903-z2vqfq98 43 39 ? ? . cord-016903-z2vqfq98 44 1 In in IN cord-016903-z2vqfq98 44 2 contrast contrast NN cord-016903-z2vqfq98 44 3 to to IN cord-016903-z2vqfq98 44 4 measles measle NNS cord-016903-z2vqfq98 44 5 , , , cord-016903-z2vqfq98 44 6 smallpox smallpox NN cord-016903-z2vqfq98 44 7 and and CC cord-016903-z2vqfq98 44 8 poliomyelitis poliomyelitis NN cord-016903-z2vqfq98 44 9 , , , cord-016903-z2vqfq98 44 10 influenza influenza NN cord-016903-z2vqfq98 44 11 is be VBZ cord-016903-z2vqfq98 44 12 caused cause VBN cord-016903-z2vqfq98 44 13 by by IN cord-016903-z2vqfq98 44 14 viruses virus NNS cord-016903-z2vqfq98 44 15 that that WDT cord-016903-z2vqfq98 44 16 undergo undergo VBP cord-016903-z2vqfq98 44 17 continuous continuous JJ cord-016903-z2vqfq98 44 18 antigenic antigenic JJ cord-016903-z2vqfq98 44 19 variation variation NN cord-016903-z2vqfq98 44 20 and and CC cord-016903-z2vqfq98 44 21 possess possess VBP cord-016903-z2vqfq98 44 22 an an DT cord-016903-z2vqfq98 44 23 animal animal NN cord-016903-z2vqfq98 44 24 reservoir reservoir NN cord-016903-z2vqfq98 44 25 . . . cord-016903-z2vqfq98 45 1 Therefore therefore RB cord-016903-z2vqfq98 45 2 , , , cord-016903-z2vqfq98 45 3 we -PRON- PRP cord-016903-z2vqfq98 45 4 are be VBP cord-016903-z2vqfq98 45 5 recognizingannual recognizingannual JJ cord-016903-z2vqfq98 45 6 epidemics epidemic NNS cord-016903-z2vqfq98 45 7 that that WDT cord-016903-z2vqfq98 45 8 have have VBP cord-016903-z2vqfq98 45 9 been be VBN cord-016903-z2vqfq98 45 10 interruptedby interruptedby NNP cord-016903-z2vqfq98 45 11 three three CD cord-016903-z2vqfq98 45 12 pandemics pandemic NNS cord-016903-z2vqfq98 45 13 ( ( -LRB- cord-016903-z2vqfq98 45 14 Spanish spanish JJ cord-016903-z2vqfq98 45 15 influenza influenza NN cord-016903-z2vqfq98 45 16 , , , cord-016903-z2vqfq98 45 17 HINl HINl NNP cord-016903-z2vqfq98 45 18 , , , cord-016903-z2vqfq98 45 19 1918 1918 CD cord-016903-z2vqfq98 45 20 - - SYM cord-016903-z2vqfq98 45 21 1919 1919 CD cord-016903-z2vqfq98 45 22 ; ; : cord-016903-z2vqfq98 45 23 Asian asian JJ cord-016903-z2vqfq98 45 24 influenza influenza NN cord-016903-z2vqfq98 45 25 , , , cord-016903-z2vqfq98 45 26 H2N2 H2N2 NNP cord-016903-z2vqfq98 45 27 , , , cord-016903-z2vqfq98 45 28 1957 1957 CD cord-016903-z2vqfq98 45 29 - - SYM cord-016903-z2vqfq98 45 30 1958 1958 CD cord-016903-z2vqfq98 45 31 andHongKonginfluenza andHongKonginfluenza NNP cord-016903-z2vqfq98 45 32 , , , cord-016903-z2vqfq98 45 33 H3N2 H3N2 NNP cord-016903-z2vqfq98 45 34 , , , cord-016903-z2vqfq98 45 35 1968 1968 CD cord-016903-z2vqfq98 45 36 ) ) -RRB- cord-016903-z2vqfq98 45 37 , , , cord-016903-z2vqfq98 45 38 caused cause VBN cord-016903-z2vqfq98 45 39 by by IN cord-016903-z2vqfq98 45 40 new new JJ cord-016903-z2vqfq98 45 41 influenza influenza NN cord-016903-z2vqfq98 45 42 virus virus NN cord-016903-z2vqfq98 45 43 strains strain VBZ cord-016903-z2vqfq98 45 44 with with IN cord-016903-z2vqfq98 45 45 increased increase VBN cord-016903-z2vqfq98 45 46 virulence virulence NN cord-016903-z2vqfq98 45 47 . . . cord-016903-z2vqfq98 46 1 Influenza influenza NN cord-016903-z2vqfq98 46 2 viruses virus NNS cord-016903-z2vqfq98 46 3 are be VBP cord-016903-z2vqfq98 46 4 enveloped envelop VBN cord-016903-z2vqfq98 46 5 viruses virus NNS cord-016903-z2vqfq98 46 6 containing contain VBG cord-016903-z2vqfq98 46 7 eight eight CD cord-016903-z2vqfq98 46 8 single single RB cord-016903-z2vqfq98 46 9 - - HYPH cord-016903-z2vqfq98 46 10 stranded strand VBN cord-016903-z2vqfq98 46 11 RNA rna NN cord-016903-z2vqfq98 46 12 segments segment NNS cord-016903-z2vqfq98 46 13 which which WDT cord-016903-z2vqfq98 46 14 encode encode VBP cord-016903-z2vqfq98 46 15 for for IN cord-016903-z2vqfq98 46 16 viral viral JJ cord-016903-z2vqfq98 46 17 proteins protein NNS cord-016903-z2vqfq98 46 18 , , , cord-016903-z2vqfq98 46 19 such such JJ cord-016903-z2vqfq98 46 20 as as IN cord-016903-z2vqfq98 46 21 hemagglutinin hemagglutinin NN cord-016903-z2vqfq98 46 22 ( ( -LRB- cord-016903-z2vqfq98 46 23 HA HA NNP cord-016903-z2vqfq98 46 24 ) ) -RRB- cord-016903-z2vqfq98 46 25 , , , cord-016903-z2vqfq98 46 26 neuraminidase neuraminidase FW cord-016903-z2vqfq98 46 27 ( ( -LRB- cord-016903-z2vqfq98 46 28 NA NA NNP cord-016903-z2vqfq98 46 29 ) ) -RRB- cord-016903-z2vqfq98 46 30 , , , cord-016903-z2vqfq98 46 31 matrix matrix NN cord-016903-z2vqfq98 46 32 protein protein NN cord-016903-z2vqfq98 46 33 ( ( -LRB- cord-016903-z2vqfq98 46 34 Ml Ml NNP cord-016903-z2vqfq98 46 35 ) ) -RRB- cord-016903-z2vqfq98 46 36 and and CC cord-016903-z2vqfq98 46 37 nucleoprotein nucleoprotein NNP cord-016903-z2vqfq98 46 38 ( ( -LRB- cord-016903-z2vqfq98 46 39 NP NP NNP cord-016903-z2vqfq98 46 40 ) ) -RRB- cord-016903-z2vqfq98 47 1 ( ( -LRB- cord-016903-z2vqfq98 47 2 Fig Fig NNP cord-016903-z2vqfq98 47 3 . . NNP cord-016903-z2vqfq98 47 4 1 1 CD cord-016903-z2vqfq98 47 5 ) ) -RRB- cord-016903-z2vqfq98 47 6 . . . cord-016903-z2vqfq98 48 1 Influenza influenza NN cord-016903-z2vqfq98 48 2 viruses virus NNS cord-016903-z2vqfq98 48 3 belong belong VBP cord-016903-z2vqfq98 48 4 to to IN cord-016903-z2vqfq98 48 5 the the DT cord-016903-z2vqfq98 48 6 family family NN cord-016903-z2vqfq98 48 7 Orthomyxoviridae Orthomyxoviridae NNP cord-016903-z2vqfq98 48 8 and and CC cord-016903-z2vqfq98 48 9 are be VBP cord-016903-z2vqfq98 48 10 divided divide VBN cord-016903-z2vqfq98 48 11 into into IN cord-016903-z2vqfq98 48 12 three three CD cord-016903-z2vqfq98 48 13 genera genus NNS cord-016903-z2vqfq98 48 14 , , , cord-016903-z2vqfq98 48 15 influenza influenza NN cord-016903-z2vqfq98 48 16 virus virus NN cord-016903-z2vqfq98 48 17 A A NNP cord-016903-z2vqfq98 48 18 , , , cord-016903-z2vqfq98 48 19 B B NNP cord-016903-z2vqfq98 48 20 and and CC cord-016903-z2vqfq98 48 21 C C NNP cord-016903-z2vqfq98 48 22 , , , cord-016903-z2vqfq98 48 23 based base VBN cord-016903-z2vqfq98 48 24 on on IN cord-016903-z2vqfq98 48 25 antigenic antigenic JJ cord-016903-z2vqfq98 48 26 differences difference NNS cord-016903-z2vqfq98 48 27 in in IN cord-016903-z2vqfq98 48 28 two two CD cord-016903-z2vqfq98 48 29 oftheir oftheir JJ cord-016903-z2vqfq98 48 30 structural structural JJ cord-016903-z2vqfq98 48 31 proteins protein NNS cord-016903-z2vqfq98 48 32 , , , cord-016903-z2vqfq98 48 33 M M NNP cord-016903-z2vqfq98 48 34 and and CC cord-016903-z2vqfq98 48 35 NP NP NNP cord-016903-z2vqfq98 48 36 . . . cord-016903-z2vqfq98 49 1 Disease disease NN cord-016903-z2vqfq98 49 2 symptoms symptom NNS cord-016903-z2vqfq98 49 3 caused cause VBN cord-016903-z2vqfq98 49 4 by by IN cord-016903-z2vqfq98 49 5 Influenza Influenza NNP cord-016903-z2vqfq98 49 6 C C NNP cord-016903-z2vqfq98 49 7 are be VBP cord-016903-z2vqfq98 49 8 rare rare JJ cord-016903-z2vqfq98 49 9 whereas whereas IN cord-016903-z2vqfq98 49 10 Influenza Influenza NNP cord-016903-z2vqfq98 49 11 B B NNP cord-016903-z2vqfq98 49 12 often often RB cord-016903-z2vqfq98 49 13 causes cause VBZ cord-016903-z2vqfq98 49 14 sporadic sporadic JJ cord-016903-z2vqfq98 49 15 outbreaks outbreak NNS cord-016903-z2vqfq98 49 16 , , , cord-016903-z2vqfq98 49 17 especially especially RB cord-016903-z2vqfq98 49 18 in in IN cord-016903-z2vqfq98 49 19 residential residential JJ cord-016903-z2vqfq98 49 20 communities community NNS cord-016903-z2vqfq98 49 21 like like IN cord-016903-z2vqfq98 49 22 nursing nursing NN cord-016903-z2vqfq98 49 23 homes home NNS cord-016903-z2vqfq98 49 24 . . . cord-016903-z2vqfq98 50 1 Influenza Influenza NNP cord-016903-z2vqfq98 50 2 A a DT cord-016903-z2vqfq98 50 3 viruses virus NNS cord-016903-z2vqfq98 50 4 are be VBP cord-016903-z2vqfq98 50 5 further further RB cord-016903-z2vqfq98 50 6 divided divide VBN cord-016903-z2vqfq98 50 7 into into IN cord-016903-z2vqfq98 50 8 subtypes subtype NNS cord-016903-z2vqfq98 50 9 according accord VBG cord-016903-z2vqfq98 50 10 to to IN cord-016903-z2vqfq98 50 11 the the DT cord-016903-z2vqfq98 50 12 antigenicity antigenicity NN cord-016903-z2vqfq98 50 13 oftheir oftheir JJ cord-016903-z2vqfq98 50 14 major major JJ cord-016903-z2vqfq98 50 15 envelope envelope NN cord-016903-z2vqfq98 50 16 glycoproteins glycoprotein NNS cord-016903-z2vqfq98 50 17 , , , cord-016903-z2vqfq98 50 18 HA HA NNP cord-016903-z2vqfq98 50 19 and and CC cord-016903-z2vqfq98 50 20 NA NA NNP cord-016903-z2vqfq98 50 21 . . . cord-016903-z2vqfq98 51 1 With with IN cord-016903-z2vqfq98 51 2 at at IN cord-016903-z2vqfq98 51 3 least least JJS cord-016903-z2vqfq98 51 4 IS be VBZ cord-016903-z2vqfq98 51 5 different different JJ cord-016903-z2vqfq98 51 6 hemagglutinin hemagglutinin NNS cord-016903-z2vqfq98 51 7 and and CC cord-016903-z2vqfq98 51 8 9 9 CD cord-016903-z2vqfq98 51 9 different different JJ cord-016903-z2vqfq98 51 10 neuraminidase neuraminidase NN cord-016903-z2vqfq98 51 11 subtypes subtype NNS cord-016903-z2vqfq98 51 12 , , , cord-016903-z2vqfq98 51 13 there there EX cord-016903-z2vqfq98 51 14 is be VBZ cord-016903-z2vqfq98 51 15 con con FW cord-016903-z2vqfq98 51 16 siderable siderable JJ cord-016903-z2vqfq98 51 17 antigenic antigenic JJ cord-016903-z2vqfq98 51 18 variation variation NN cord-016903-z2vqfq98 51 19 among among IN cord-016903-z2vqfq98 51 20 influenza influenza NN cord-016903-z2vqfq98 51 21 viruses virus NNS cord-016903-z2vqfq98 51 22 . . . cord-016903-z2vqfq98 52 1 The the DT cord-016903-z2vqfq98 52 2 human human JJ cord-016903-z2vqfq98 52 3 influenza influenza NN cord-016903-z2vqfq98 52 4 viruses virus NNS cord-016903-z2vqfq98 52 5 are be VBP cord-016903-z2vqfq98 52 6 currently currently RB cord-016903-z2vqfq98 52 7 limited limit VBN cord-016903-z2vqfq98 52 8 to to IN cord-016903-z2vqfq98 52 9 three three CD cord-016903-z2vqfq98 52 10 hemagglutinin hemagglutinin NNS cord-016903-z2vqfq98 52 11 ( ( -LRB- cord-016903-z2vqfq98 52 12 H h NN cord-016903-z2vqfq98 52 13 I i NN cord-016903-z2vqfq98 52 14 , , , cord-016903-z2vqfq98 52 15 H2 H2 NNP cord-016903-z2vqfq98 52 16 and and CC cord-016903-z2vqfq98 52 17 H3 H3 NNP cord-016903-z2vqfq98 52 18 ) ) -RRB- cord-016903-z2vqfq98 52 19 and and CC cord-016903-z2vqfq98 52 20 two two CD cord-016903-z2vqfq98 52 21 neuraminidase neuraminidase NN cord-016903-z2vqfq98 52 22 subtypes subtype NNS cord-016903-z2vqfq98 52 23 ( ( -LRB- cord-016903-z2vqfq98 52 24 N n CD cord-016903-z2vqfq98 52 25 1 1 CD cord-016903-z2vqfq98 52 26 and and CC cord-016903-z2vqfq98 52 27 N2 N2 NNP cord-016903-z2vqfq98 52 28 ) ) -RRB- cord-016903-z2vqfq98 52 29 , , , cord-016903-z2vqfq98 52 30 whereas whereas IN cord-016903-z2vqfq98 52 31 birds bird NNS cord-016903-z2vqfq98 52 32 are be VBP cord-016903-z2vqfq98 52 33 the the DT cord-016903-z2vqfq98 52 34 predominant predominant JJ cord-016903-z2vqfq98 52 35 hosts host NNS cord-016903-z2vqfq98 52 36 for for IN cord-016903-z2vqfq98 52 37 the the DT cord-016903-z2vqfq98 52 38 other other JJ cord-016903-z2vqfq98 52 39 subtype subtype NN cord-016903-z2vqfq98 52 40 strains strain NNS cord-016903-z2vqfq98 52 41 . . . cord-016903-z2vqfq98 53 1 HA HA NNP cord-016903-z2vqfq98 53 2 initiates initiate VBZ cord-016903-z2vqfq98 53 3 viral viral JJ cord-016903-z2vqfq98 53 4 infection infection NN cord-016903-z2vqfq98 53 5 by by IN cord-016903-z2vqfq98 53 6 binding bind VBG cord-016903-z2vqfq98 53 7 to to IN cord-016903-z2vqfq98 53 8 sialic sialic JJ cord-016903-z2vqfq98 53 9 acid acid NN cord-016903-z2vqfq98 53 10 residues residue NNS cord-016903-z2vqfq98 53 11 on on IN cord-016903-z2vqfq98 53 12 the the DT cord-016903-z2vqfq98 53 13 carbohydrates carbohydrate NNS cord-016903-z2vqfq98 53 14 ofglycoproteins ofglycoprotein NNS cord-016903-z2vqfq98 53 15 present present JJ cord-016903-z2vqfq98 53 16 on on IN cord-016903-z2vqfq98 53 17 epithelial epithelial JJ cord-016903-z2vqfq98 53 18 cells cell NNS cord-016903-z2vqfq98 53 19 ofthe ofthe DT cord-016903-z2vqfq98 53 20 respiratory respiratory JJ cord-016903-z2vqfq98 53 21 trace trace NN cord-016903-z2vqfq98 53 22 . . . cord-016903-z2vqfq98 54 1 Therefore therefore RB cord-016903-z2vqfq98 54 2 , , , cord-016903-z2vqfq98 54 3 high high JJ cord-016903-z2vqfq98 54 4 - - HYPH cord-016903-z2vqfq98 54 5 affinity affinity NN cord-016903-z2vqfq98 54 6 IgA IgA NNP cord-016903-z2vqfq98 54 7 and and CC cord-016903-z2vqfq98 54 8 IgG IgG NNP cord-016903-z2vqfq98 54 9 antibodies antibody NNS cord-016903-z2vqfq98 54 10 against against IN cord-016903-z2vqfq98 54 11 HA HA NNP cord-016903-z2vqfq98 54 12 may may MD cord-016903-z2vqfq98 54 13 preven preven VB cord-016903-z2vqfq98 54 14 t t NN cord-016903-z2vqfq98 54 15 infection infection NN cord-016903-z2vqfq98 54 16 from from IN cord-016903-z2vqfq98 54 17 influenza influenza NN cord-016903-z2vqfq98 54 18 virus virus NN cord-016903-z2vqfq98 54 19 . . . cord-016903-z2vqfq98 55 1 In in IN cord-016903-z2vqfq98 55 2 contrast contrast NN cord-016903-z2vqfq98 55 3 , , , cord-016903-z2vqfq98 55 4 NA NA NNP cord-016903-z2vqfq98 55 5 cleavesthe cleavesthe NNP cord-016903-z2vqfq98 55 6 sialic sialic NN cord-016903-z2vqfq98 55 7 acid acid NN cord-016903-z2vqfq98 55 8 from from IN cord-016903-z2vqfq98 55 9 viral viral JJ cord-016903-z2vqfq98 55 10 and and CC cord-016903-z2vqfq98 55 11 cellular cellular JJ cord-016903-z2vqfq98 55 12 proteins protein NNS cord-016903-z2vqfq98 55 13 to to TO cord-016903-z2vqfq98 55 14 promote promote VB cord-016903-z2vqfq98 55 15 the the DT cord-016903-z2vqfq98 55 16 release release NN cord-016903-z2vqfq98 55 17 of of IN cord-016903-z2vqfq98 55 18 newly newly RB cord-016903-z2vqfq98 55 19 synthesized synthesize VBN cord-016903-z2vqfq98 55 20 influenza influenza NN cord-016903-z2vqfq98 55 21 viruses virus NNS cord-016903-z2vqfq98 55 22 from from IN cord-016903-z2vqfq98 55 23 the the DT cord-016903-z2vqfq98 55 24 infected infected JJ cord-016903-z2vqfq98 55 25 host host NN cord-016903-z2vqfq98 55 26 's 's POS cord-016903-z2vqfq98 55 27 plasma plasma NN cord-016903-z2vqfq98 55 28 membrane membrane NN cord-016903-z2vqfq98 55 29 . . . cord-016903-z2vqfq98 56 1 Although although IN cord-016903-z2vqfq98 56 2 antiviral antiviral JJ cord-016903-z2vqfq98 56 3 drugs drug NNS cord-016903-z2vqfq98 56 4 with with IN cord-016903-z2vqfq98 56 5 moderate moderate JJ cord-016903-z2vqfq98 56 6 efficacy efficacy NN cord-016903-z2vqfq98 56 7 are be VBP cord-016903-z2vqfq98 56 8 available available JJ cord-016903-z2vqfq98 56 9 , , , cord-016903-z2vqfq98 56 10 active active JJ cord-016903-z2vqfq98 56 11 immunization immunization NN cord-016903-z2vqfq98 56 12 represents represent VBZ cord-016903-z2vqfq98 56 13 the the DT cord-016903-z2vqfq98 56 14 most most RBS cord-016903-z2vqfq98 56 15 vital vital JJ cord-016903-z2vqfq98 56 16 element element NN cord-016903-z2vqfq98 56 17 in in IN cord-016903-z2vqfq98 56 18 th th XX cord-016903-z2vqfq98 56 19 e e NN cord-016903-z2vqfq98 56 20 prophylaxis prophylaxis NN cord-016903-z2vqfq98 56 21 ofinfluenza ofinfluenza NN cord-016903-z2vqfq98 56 22 disease disease NNP cord-016903-z2vqfq98 56 23 . . . cord-016903-z2vqfq98 57 1 However however RB cord-016903-z2vqfq98 57 2 , , , cord-016903-z2vqfq98 57 3 the the DT cord-016903-z2vqfq98 57 4 frequently frequently RB cord-016903-z2vqfq98 57 5 occurring occur VBG cord-016903-z2vqfq98 57 6 antigenic antigenic JJ cord-016903-z2vqfq98 57 7 driftrequires driftrequire NNS cord-016903-z2vqfq98 57 8 an an DT cord-016903-z2vqfq98 57 9 annual annual JJ cord-016903-z2vqfq98 57 10 modification modification NN cord-016903-z2vqfq98 58 1 ofthe ofthe DT cord-016903-z2vqfq98 58 2 vaccinecomponents vaccinecomponent NNS cord-016903-z2vqfq98 58 3 according accord VBG cord-016903-z2vqfq98 58 4 to to IN cord-016903-z2vqfq98 58 5 the the DT cord-016903-z2vqfq98 58 6 recommendations recommendation NNS cord-016903-z2vqfq98 58 7 ofthe ofthe DT cord-016903-z2vqfq98 58 8 WHO who WP cord-016903-z2vqfq98 58 9 . . . cord-016903-z2vqfq98 59 1 Therefore therefore RB cord-016903-z2vqfq98 59 2 , , , cord-016903-z2vqfq98 59 3 vaccination vaccination NN cord-016903-z2vqfq98 59 4 has have VBZ cord-016903-z2vqfq98 59 5 to to TO cord-016903-z2vqfq98 59 6 be be VB cord-016903-z2vqfq98 59 7 repeated repeat VBN cord-016903-z2vqfq98 59 8 annually annually RB cord-016903-z2vqfq98 59 9 to to TO cord-016903-z2vqfq98 59 10 ensure ensure VB cord-016903-z2vqfq98 59 11 protection protection NN cord-016903-z2vqfq98 59 12 against against IN cord-016903-z2vqfq98 59 13 the the DT cord-016903-z2vqfq98 59 14 circulating circulate VBG cord-016903-z2vqfq98 59 15 influenza influenza NN cord-016903-z2vqfq98 59 16 strains strain NNS cord-016903-z2vqfq98 59 17 . . . cord-016903-z2vqfq98 60 1 But but CC cord-016903-z2vqfq98 60 2 vaccination vaccination NN cord-016903-z2vqfq98 60 3 coveragediffers coveragediffer NNS cord-016903-z2vqfq98 60 4 largelywithin largelywithin NNP cord-016903-z2vqfq98 60 5 European european JJ cord-016903-z2vqfq98 60 6 countries country NNS cord-016903-z2vqfq98 60 7 . . . cord-016903-z2vqfq98 61 1 In in IN cord-016903-z2vqfq98 61 2 2002 2002 CD cord-016903-z2vqfq98 61 3 , , , cord-016903-z2vqfq98 61 4 the the DT cord-016903-z2vqfq98 61 5 rate rate NN cord-016903-z2vqfq98 61 6 ofvaccinedistribution ofvaccinedistribution NN cord-016903-z2vqfq98 61 7 washighest washighest NN cord-016903-z2vqfq98 61 8 in in IN cord-016903-z2vqfq98 61 9 Spain Spain NNP cord-016903-z2vqfq98 61 10 , , , cord-016903-z2vqfq98 61 11 Belgium Belgium NNP cord-016903-z2vqfq98 61 12 , , , cord-016903-z2vqfq98 61 13 The the DT cord-016903-z2vqfq98 61 14 Netherlands Netherlands NNP cord-016903-z2vqfq98 61 15 , , , cord-016903-z2vqfq98 61 16 United United NNP cord-016903-z2vqfq98 61 17 Kingdom Kingdom NNP cord-016903-z2vqfq98 61 18 and and CC cord-016903-z2vqfq98 61 19 Germany Germany NNP cord-016903-z2vqfq98 61 20 ( ( -LRB- cord-016903-z2vqfq98 61 21 between between IN cord-016903-z2vqfq98 61 22 18.1 18.1 CD cord-016903-z2vqfq98 61 23 and and CC cord-016903-z2vqfq98 61 24 20.3 20.3 CD cord-016903-z2vqfq98 61 25 % % NN cord-016903-z2vqfq98 61 26 ) ) -RRB- cord-016903-z2vqfq98 61 27 and and CC cord-016903-z2vqfq98 61 28 lowest low JJS cord-016903-z2vqfq98 61 29 in in IN cord-016903-z2vqfq98 61 30 Poland Poland NNP cord-016903-z2vqfq98 61 31 , , , cord-016903-z2vqfq98 61 32 Czech Czech NNP cord-016903-z2vqfq98 61 33 Republic Republic NNP cord-016903-z2vqfq98 61 34 , , , cord-016903-z2vqfq98 61 35 Lithuania Lithuania NNP cord-016903-z2vqfq98 61 36 and and CC cord-016903-z2vqfq98 61 37 Latvia Latvia NNP cord-016903-z2vqfq98 61 38 ( ( -LRB- cord-016903-z2vqfq98 61 39 between between IN cord-016903-z2vqfq98 61 40 1.9 1.9 CD cord-016903-z2vqfq98 61 41 and and CC cord-016903-z2vqfq98 61 42 7.1 7.1 CD cord-016903-z2vqfq98 61 43 % % NN cord-016903-z2vqfq98 61 44 ) ) -RRB- cord-016903-z2vqfq98 61 45 . . . cord-016903-z2vqfq98 62 1 Canada Canada NNP cord-016903-z2vqfq98 62 2 and and CC cord-016903-z2vqfq98 62 3 the the DT cord-016903-z2vqfq98 62 4 United United NNP cord-016903-z2vqfq98 62 5 States States NNP cord-016903-z2vqfq98 62 6 had have VBD cord-016903-z2vqfq98 62 7 the the DT cord-016903-z2vqfq98 62 8 highest high JJS cord-016903-z2vqfq98 62 9 rate rate NN cord-016903-z2vqfq98 62 10 ofvaccine ofvaccine NN cord-016903-z2vqfq98 62 11 distribution distribution NN cord-016903-z2vqfq98 62 12 , , , cord-016903-z2vqfq98 62 13 being be VBG cord-016903-z2vqfq98 62 14 32.8 32.8 CD cord-016903-z2vqfq98 62 15 and and CC cord-016903-z2vqfq98 62 16 28.9 28.9 CD cord-016903-z2vqfq98 62 17 % % NN cord-016903-z2vqfq98 62 18 , , , cord-016903-z2vqfq98 62 19 respectively respectively RB cord-016903-z2vqfq98 62 20 . . . cord-016903-z2vqfq98 63 1 Remarkably,70 remarkably,70 NN cord-016903-z2vqfq98 63 2 % % NN cord-016903-z2vqfq98 63 3 ofUS ofus JJ cord-016903-z2vqfq98 63 4 citizens citizen NNS cord-016903-z2vqfq98 63 5 aged age VBN cord-016903-z2vqfq98 63 6 65 65 CD cord-016903-z2vqfq98 63 7 and and CC cord-016903-z2vqfq98 63 8 abovehave abovehave NNP cord-016903-z2vqfq98 63 9 been be VBN cord-016903-z2vqfq98 63 10 vaccinated vaccinate VBN cord-016903-z2vqfq98 63 11 against against IN cord-016903-z2vqfq98 63 12 Influenza Influenza NNP cord-016903-z2vqfq98 63 13 . . . cord-016903-z2vqfq98 64 1 " " `` cord-016903-z2vqfq98 64 2 Although although IN cord-016903-z2vqfq98 64 3 there there EX cord-016903-z2vqfq98 64 4 are be VBP cord-016903-z2vqfq98 64 5 severalvaccinesavailable severalvaccinesavailable JJ cord-016903-z2vqfq98 64 6 , , , cord-016903-z2vqfq98 64 7 the the DT cord-016903-z2vqfq98 64 8 efficacyofmanyvaccinesin efficacyofmanyvaccinesin NNP cord-016903-z2vqfq98 64 9 preventing prevent VBG cord-016903-z2vqfq98 64 10 influenza influenza NN cord-016903-z2vqfq98 64 11 diseasein diseasein NNP cord-016903-z2vqfq98 64 12 elderlypersons elderlypersons NNP cord-016903-z2vqfq98 64 13 isonly isonly RB cord-016903-z2vqfq98 64 14 around around IN cord-016903-z2vqfq98 64 15 56%.9 56%.9 CD cord-016903-z2vqfq98 64 16 Especiallyveryold Especiallyveryold NNP cord-016903-z2vqfq98 64 17 and and CC cord-016903-z2vqfq98 64 18 frail frail JJ cord-016903-z2vqfq98 64 19 persons person NNS cord-016903-z2vqfq98 64 20 show show VBP cord-016903-z2vqfq98 64 21 a a DT cord-016903-z2vqfq98 64 22 decreased decrease VBN cord-016903-z2vqfq98 64 23 response response NN cord-016903-z2vqfq98 64 24 to to IN cord-016903-z2vqfq98 64 25 influenza influenza NN cord-016903-z2vqfq98 64 26 vaccines vaccine NNS cord-016903-z2vqfq98 64 27 . . . cord-016903-z2vqfq98 65 1 P'Ihe P'Ihe NNP cord-016903-z2vqfq98 65 2 reduced reduce VBN cord-016903-z2vqfq98 65 3 vaccine vaccine NN cord-016903-z2vqfq98 65 4 efficacyis efficacyis NN cord-016903-z2vqfq98 65 5 due due JJ cord-016903-z2vqfq98 65 6 to to IN cord-016903-z2vqfq98 65 7 low low JJ cord-016903-z2vqfq98 65 8 levelsofIgA levelsofIgA NNS cord-016903-z2vqfq98 65 9 and and CC cord-016903-z2vqfq98 65 10 IgGantibodies IgGantibodies NNP cord-016903-z2vqfq98 65 11 , , , cord-016903-z2vqfq98 65 12 delayed delay VBN cord-016903-z2vqfq98 65 13 peak peak NN cord-016903-z2vqfq98 65 14 antibody antibody NN cord-016903-z2vqfq98 65 15 titers titer NNS cord-016903-z2vqfq98 65 16 and and CC cord-016903-z2vqfq98 65 17 shortened shorten VBN cord-016903-z2vqfq98 65 18 maintenance maintenance NN cord-016903-z2vqfq98 65 19 of of IN cord-016903-z2vqfq98 65 20 titers titer NNS cord-016903-z2vqfq98 65 21 after after IN cord-016903-z2vqfq98 65 22 vaccination vaccination NN cord-016903-z2vqfq98 65 23 . . . cord-016903-z2vqfq98 66 1 Nevertheless nevertheless RB cord-016903-z2vqfq98 66 2 , , , cord-016903-z2vqfq98 66 3 immunization immunization NN cord-016903-z2vqfq98 66 4 in in IN cord-016903-z2vqfq98 66 5 elderly elderly JJ cord-016903-z2vqfq98 66 6 people people NNS cord-016903-z2vqfq98 66 7 has have VBZ cord-016903-z2vqfq98 66 8 been be VBN cord-016903-z2vqfq98 66 9 shown show VBN cord-016903-z2vqfq98 66 10 to to TO cord-016903-z2vqfq98 66 11 be be VB cord-016903-z2vqfq98 66 12 safe safe JJ cord-016903-z2vqfq98 66 13 , , , cord-016903-z2vqfq98 66 14 cost cost NN cord-016903-z2vqfq98 66 15 - - HYPH cord-016903-z2vqfq98 66 16 effective effective JJ cord-016903-z2vqfq98 66 17 and and CC cord-016903-z2vqfq98 66 18 associated associate VBN cord-016903-z2vqfq98 66 19 with with IN cord-016903-z2vqfq98 66 20 reduced reduced JJ cord-016903-z2vqfq98 66 21 rates rate NNS cord-016903-z2vqfq98 66 22 ofhospitalization ofhospitalization NN cord-016903-z2vqfq98 66 23 and and CC cord-016903-z2vqfq98 66 24 influenza influenza NN cord-016903-z2vqfq98 66 25 - - HYPH cord-016903-z2vqfq98 66 26 relateddeaths relateddeath NNS cord-016903-z2vqfq98 66 27 . . . cord-016903-z2vqfq98 67 1 I1,12In I1,12In NNP cord-016903-z2vqfq98 67 2 particular particular JJ cord-016903-z2vqfq98 67 3 , , , cord-016903-z2vqfq98 67 4 the the DT cord-016903-z2vqfq98 67 5 efficacyofinfluenzavaccination efficacyofinfluenzavaccination NN cord-016903-z2vqfq98 67 6 to to TO cord-016903-z2vqfq98 67 7 reduce reduce VB cord-016903-z2vqfq98 67 8 mortality mortality NN cord-016903-z2vqfq98 67 9 in in IN cord-016903-z2vqfq98 67 10 elderlypeople elderlypeople NN cord-016903-z2vqfq98 67 11 is be VBZ cord-016903-z2vqfq98 67 12 greater great JJR cord-016903-z2vqfq98 67 13 after after IN cord-016903-z2vqfq98 67 14 repeated repeat VBN cord-016903-z2vqfq98 67 15 annual annual JJ cord-016903-z2vqfq98 67 16 vaccination vaccination NN cord-016903-z2vqfq98 67 17 than than IN cord-016903-z2vqfq98 67 18 after after IN cord-016903-z2vqfq98 67 19 first first JJ cord-016903-z2vqfq98 67 20 administration administration NN cord-016903-z2vqfq98 67 21 . . . cord-016903-z2vqfq98 68 1 13Presently 13presently RB cord-016903-z2vqfq98 68 2 , , , cord-016903-z2vqfq98 68 3 Influenza influenza NN cord-016903-z2vqfq98 68 4 vaccines vaccine NNS cord-016903-z2vqfq98 68 5 can can MD cord-016903-z2vqfq98 68 6 be be VB cord-016903-z2vqfq98 68 7 classifiedin classifiedin JJ cord-016903-z2vqfq98 68 8 split split VBN cord-016903-z2vqfq98 68 9 - - HYPH cord-016903-z2vqfq98 68 10 virus virus NN cord-016903-z2vqfq98 68 11 , , , cord-016903-z2vqfq98 68 12 subunit subunit NN cord-016903-z2vqfq98 68 13 , , , cord-016903-z2vqfq98 68 14 virosomal virosomal JJ cord-016903-z2vqfq98 68 15 and and CC cord-016903-z2vqfq98 68 16 live live RB cord-016903-z2vqfq98 68 17 - - HYPH cord-016903-z2vqfq98 68 18 attenuated attenuate VBN cord-016903-z2vqfq98 68 19 vaccines vaccine NNS cord-016903-z2vqfq98 68 20 ( ( -LRB- cord-016903-z2vqfq98 68 21 Table table NN cord-016903-z2vqfq98 68 22 2 2 CD cord-016903-z2vqfq98 68 23 ) ) -RRB- cord-016903-z2vqfq98 68 24 . . . cord-016903-z2vqfq98 69 1 Split split NN cord-016903-z2vqfq98 69 2 - - HYPH cord-016903-z2vqfq98 69 3 virus virus NN cord-016903-z2vqfq98 69 4 vaccines vaccine NNS cord-016903-z2vqfq98 69 5 are be VBP cord-016903-z2vqfq98 69 6 used use VBN cord-016903-z2vqfq98 69 7 since since IN cord-016903-z2vqfq98 69 8 the the DT cord-016903-z2vqfq98 69 9 1980s 1980 NNS cord-016903-z2vqfq98 69 10 , , , cord-016903-z2vqfq98 69 11 are be VBP cord-016903-z2vqfq98 69 12 cheap cheap JJ cord-016903-z2vqfq98 69 13 and and CC cord-016903-z2vqfq98 69 14 offer offer VBP cord-016903-z2vqfq98 69 15 a a DT cord-016903-z2vqfq98 69 16 good good JJ cord-016903-z2vqfq98 69 17 protection protection NN cord-016903-z2vqfq98 69 18 for for IN cord-016903-z2vqfq98 69 19 children child NNS cord-016903-z2vqfq98 69 20 above above IN cord-016903-z2vqfq98 69 21 6 6 CD cord-016903-z2vqfq98 69 22 months month NNS cord-016903-z2vqfq98 69 23 of of IN cord-016903-z2vqfq98 69 24 age age NN cord-016903-z2vqfq98 69 25 and and CC cord-016903-z2vqfq98 69 26 adults adult NNS cord-016903-z2vqfq98 69 27 . . . cord-016903-z2vqfq98 70 1 Recently recently RB cord-016903-z2vqfq98 70 2 , , , cord-016903-z2vqfq98 70 3 subunit subunit NN cord-016903-z2vqfq98 70 4 vaccines vaccine NNS cord-016903-z2vqfq98 70 5 with with IN cord-016903-z2vqfq98 70 6 new new JJ cord-016903-z2vqfq98 70 7 adjuvants adjuvant NNS cord-016903-z2vqfq98 70 8 have have VBP cord-016903-z2vqfq98 70 9 been be VBN cord-016903-z2vqfq98 70 10 developed develop VBN cord-016903-z2vqfq98 70 11 ( ( -LRB- cord-016903-z2vqfq98 70 12 FluadO FluadO NNP cord-016903-z2vqfq98 70 13 , , , cord-016903-z2vqfq98 70 14 Addigrip Addigrip NNP cord-016903-z2vqfq98 70 15 ' ' '' cord-016903-z2vqfq98 70 16 ) ) -RRB- cord-016903-z2vqfq98 70 17 that that WDT cord-016903-z2vqfq98 70 18 show show VBP cord-016903-z2vqfq98 70 19 an an DT cord-016903-z2vqfq98 70 20 increased increase VBN cord-016903-z2vqfq98 70 21 immunogcnicity immunogcnicity NN cord-016903-z2vqfq98 70 22 , , , cord-016903-z2vqfq98 70 23 a a DT cord-016903-z2vqfq98 70 24 favorable favorable JJ cord-016903-z2vqfq98 70 25 safety safety NN cord-016903-z2vqfq98 70 26 profile profile NN cord-016903-z2vqfq98 70 27 and and CC cord-016903-z2vqfq98 70 28 may may MD cord-016903-z2vqfq98 70 29 be be VB cord-016903-z2vqfq98 70 30 more more RBR cord-016903-z2vqfq98 70 31 suitable suitable JJ cord-016903-z2vqfq98 70 32 for for IN cord-016903-z2vqfq98 70 33 the the DT cord-016903-z2vqfq98 70 34 vaccination vaccination NN cord-016903-z2vqfq98 70 35 of of IN cord-016903-z2vqfq98 70 36 elderly elderly JJ cord-016903-z2vqfq98 70 37 persons person NNS cord-016903-z2vqfq98 70 38 . . . cord-016903-z2vqfq98 70 39 ' ' '' cord-016903-z2vqfq98 70 40 ! ! . cord-016903-z2vqfq98 71 1 Additionally additionally RB cord-016903-z2vqfq98 71 2 , , , cord-016903-z2vqfq98 71 3 invariant invariant JJ cord-016903-z2vqfq98 71 4 antigens antigen NNS cord-016903-z2vqfq98 71 5 , , , cord-016903-z2vqfq98 71 6 such such JJ cord-016903-z2vqfq98 71 7 as as IN cord-016903-z2vqfq98 71 8 M M NNP cord-016903-z2vqfq98 71 9 1 1 CD cord-016903-z2vqfq98 71 10 and and CC cord-016903-z2vqfq98 71 11 NP NP NNP cord-016903-z2vqfq98 71 12 , , , cord-016903-z2vqfq98 71 13 may may MD cord-016903-z2vqfq98 71 14 also also RB cord-016903-z2vqfq98 71 15 play play VB cord-016903-z2vqfq98 71 16 an an DT cord-016903-z2vqfq98 71 17 important important JJ cord-016903-z2vqfq98 71 18 role role NN cord-016903-z2vqfq98 71 19 in in IN cord-016903-z2vqfq98 71 20 protection protection NN cord-016903-z2vqfq98 71 21 and and CC cord-016903-z2vqfq98 71 22 could could MD cord-016903-z2vqfq98 71 23 be be VB cord-016903-z2vqfq98 71 24 used use VBN cord-016903-z2vqfq98 71 25 in in IN cord-016903-z2vqfq98 71 26 vaccines vaccine NNS cord-016903-z2vqfq98 71 27 to to TO cord-016903-z2vqfq98 71 28 induce induce VB cord-016903-z2vqfq98 71 29 long long RB cord-016903-z2vqfq98 71 30 - - HYPH cord-016903-z2vqfq98 71 31 lasting last VBG cord-016903-z2vqfq98 71 32 immunity immunity NN cord-016903-z2vqfq98 71 33 to to IN cord-016903-z2vqfq98 71 34 a a DT cord-016903-z2vqfq98 71 35 variety variety NN cord-016903-z2vqfq98 71 36 of of IN cord-016903-z2vqfq98 71 37 different different JJ cord-016903-z2vqfq98 71 38 influenza influenza NN cord-016903-z2vqfq98 71 39 strains strain NNS cord-016903-z2vqfq98 71 40 . . . cord-016903-z2vqfq98 72 1 Another another DT cord-016903-z2vqfq98 72 2 strategy strategy NN cord-016903-z2vqfq98 72 3 to to TO cord-016903-z2vqfq98 72 4 enhance enhance VB cord-016903-z2vqfq98 72 5 immunogenicity immunogenicity NN cord-016903-z2vqfq98 72 6 may may MD cord-016903-z2vqfq98 72 7 the the DT cord-016903-z2vqfq98 72 8 use use NN cord-016903-z2vqfq98 72 9 ofvirosomes ofvirosome NNS cord-016903-z2vqfq98 72 10 that that WDT cord-016903-z2vqfq98 72 11 are be VBP cord-016903-z2vqfq98 72 12 nontoxic nontoxic JJ cord-016903-z2vqfq98 72 13 , , , cord-016903-z2vqfq98 72 14 biodegradable biodegradable JJ cord-016903-z2vqfq98 72 15 lipid lipid NN cord-016903-z2vqfq98 72 16 - - HYPH cord-016903-z2vqfq98 72 17 basedantigen basedantigen NN cord-016903-z2vqfq98 72 18 - - HYPH cord-016903-z2vqfq98 72 19 presentation presentation NN cord-016903-z2vqfq98 72 20 systems system NNS cord-016903-z2vqfq98 72 21 . . . cord-016903-z2vqfq98 72 22 " " '' cord-016903-z2vqfq98 73 1 Virosomal Virosomal NNP cord-016903-z2vqfq98 73 2 influenzavaccines influenzavaccine NNS cord-016903-z2vqfq98 73 3 , , , cord-016903-z2vqfq98 73 4 such such JJ cord-016903-z2vqfq98 73 5 asInflexalV asInflexalV NNP cord-016903-z2vqfq98 73 6 ' ' '' cord-016903-z2vqfq98 73 7 , , . cord-016903-z2vqfq98 74 1 InfIuvac InfIuvac NNP cord-016903-z2vqfq98 74 2 Plus'and Plus'and NNP cord-016903-z2vqfq98 74 3 Invivac'have Invivac'have NNP cord-016903-z2vqfq98 74 4 been be VBN cord-016903-z2vqfq98 74 5 on on IN cord-016903-z2vqfq98 74 6 the the DT cord-016903-z2vqfq98 74 7 market market NN cord-016903-z2vqfq98 74 8 in in IN cord-016903-z2vqfq98 74 9 several several JJ cord-016903-z2vqfq98 74 10 European european JJ cord-016903-z2vqfq98 74 11 countries country NNS cord-016903-z2vqfq98 74 12 for for IN cord-016903-z2vqfq98 74 13 a a DT cord-016903-z2vqfq98 74 14 number number NN cord-016903-z2vqfq98 74 15 of of IN cord-016903-z2vqfq98 74 16 years year NNS cord-016903-z2vqfq98 74 17 . . . cord-016903-z2vqfq98 75 1 They -PRON- PRP cord-016903-z2vqfq98 75 2 display display VBP cord-016903-z2vqfq98 75 3 a a DT cord-016903-z2vqfq98 75 4 high high JJ cord-016903-z2vqfq98 75 5 immunogenicity immunogenicity NN cord-016903-z2vqfq98 75 6 and and CC cord-016903-z2vqfq98 75 7 a a DT cord-016903-z2vqfq98 75 8 similar similar JJ cord-016903-z2vqfq98 75 9 safety safety NN cord-016903-z2vqfq98 75 10 profile profile NN cord-016903-z2vqfq98 75 11 in in IN cord-016903-z2vqfq98 75 12 elderly elderly JJ cord-016903-z2vqfq98 75 13 persons person NNS cord-016903-z2vqfq98 75 14 compared compare VBN cord-016903-z2vqfq98 75 15 with with IN cord-016903-z2vqfq98 75 16 inactivated inactivate VBN cord-016903-z2vqfq98 75 17 influenza influenza NN cord-016903-z2vqfq98 75 18 vaccines vaccine NNS cord-016903-z2vqfq98 75 19 . . . cord-016903-z2vqfq98 76 1 F F NNP cord-016903-z2vqfq98 76 2 " " `` cord-016903-z2vqfq98 76 3 Furthermore furthermore RB cord-016903-z2vqfq98 76 4 , , , cord-016903-z2vqfq98 76 5 new new JJ cord-016903-z2vqfq98 76 6 live live RB cord-016903-z2vqfq98 76 7 - - HYPH cord-016903-z2vqfq98 76 8 attenuated attenuate VBN cord-016903-z2vqfq98 76 9 and and CC cord-016903-z2vqfq98 76 10 subunit subunit NN cord-016903-z2vqfq98 76 11 influenza influenza NN cord-016903-z2vqfq98 76 12 vaccines vaccine NNS cord-016903-z2vqfq98 76 13 ate eat VBD cord-016903-z2vqfq98 76 14 currently currently RB cord-016903-z2vqfq98 76 15 in in IN cord-016903-z2vqfq98 76 16 clinical clinical JJ cord-016903-z2vqfq98 76 17 trials trial NNS cord-016903-z2vqfq98 76 18 that that WDT cord-016903-z2vqfq98 76 19 promise promise VBP cord-016903-z2vqfq98 76 20 to to TO cord-016903-z2vqfq98 76 21 have have VB cord-016903-z2vqfq98 76 22 an an DT cord-016903-z2vqfq98 76 23 increased increase VBN cord-016903-z2vqfq98 76 24 efficacy efficacy NN cord-016903-z2vqfq98 76 25 ofprotection ofprotection NN cord-016903-z2vqfq98 76 26 ( ( -LRB- cord-016903-z2vqfq98 76 27 Table table NN cord-016903-z2vqfq98 76 28 _SP cord-016903-z2vqfq98 76 29 1 1 CD cord-016903-z2vqfq98 76 30 ) ) -RRB- cord-016903-z2vqfq98 76 31 . . . cord-016903-z2vqfq98 77 1 Especially especially RB cord-016903-z2vqfq98 77 2 live live RB cord-016903-z2vqfq98 77 3 - - HYPH cord-016903-z2vqfq98 77 4 attenuated attenuate VBN cord-016903-z2vqfq98 77 5 influenza influenza NN cord-016903-z2vqfq98 77 6 vaccines vaccine NNS cord-016903-z2vqfq98 77 7 ate eat VBD cord-016903-z2vqfq98 77 8 believed believe VBN cord-016903-z2vqfq98 77 9 to to TO cord-016903-z2vqfq98 77 10 elicit elicit VB cord-016903-z2vqfq98 77 11 strong strong JJ cord-016903-z2vqfq98 77 12 Tcel Tcel NNP cord-016903-z2vqfq98 77 13 ! ! . cord-016903-z2vqfq98 78 1 responses response NNS cord-016903-z2vqfq98 78 2 and and CC cord-016903-z2vqfq98 78 3 should should MD cord-016903-z2vqfq98 78 4 be be VB cord-016903-z2vqfq98 78 5 able able JJ cord-016903-z2vqfq98 78 6 to to TO cord-016903-z2vqfq98 78 7 enhance enhance VB cord-016903-z2vqfq98 78 8 antibody antibody NN cord-016903-z2vqfq98 78 9 levels level NNS cord-016903-z2vqfq98 78 10 after after IN cord-016903-z2vqfq98 78 11 vaccination vaccination NN cord-016903-z2vqfq98 78 12 . . . cord-016903-z2vqfq98 79 1 Importantly importantly RB cord-016903-z2vqfq98 79 2 , , , cord-016903-z2vqfq98 79 3 before before IN cord-016903-z2vqfq98 79 4 administration administration NN cord-016903-z2vqfq98 79 5 of of IN cord-016903-z2vqfq98 79 6 live live RB cord-016903-z2vqfq98 79 7 - - HYPH cord-016903-z2vqfq98 79 8 attenuated attenuate VBN cord-016903-z2vqfq98 79 9 vaccines vaccine NNS cord-016903-z2vqfq98 79 10 to to IN cord-016903-z2vqfq98 79 11 elderly elderly JJ cord-016903-z2vqfq98 79 12 or or CC cord-016903-z2vqfq98 79 13 immunocompromised immunocompromised JJ cord-016903-z2vqfq98 79 14 persons person NNS cord-016903-z2vqfq98 79 15 , , , cord-016903-z2vqfq98 79 16 an an DT cord-016903-z2vqfq98 79 17 acceptable acceptable JJ cord-016903-z2vqfq98 79 18 safety safety NN cord-016903-z2vqfq98 79 19 profile profile NN cord-016903-z2vqfq98 79 20 has have VBZ cord-016903-z2vqfq98 79 21 to to TO cord-016903-z2vqfq98 79 22 be be VB cord-016903-z2vqfq98 79 23 demonstrated demonstrate VBN cord-016903-z2vqfq98 79 24 . . . cord-016903-z2vqfq98 80 1 Irrespective irrespective RB cord-016903-z2vqfq98 80 2 ofthe ofthe DT cord-016903-z2vqfq98 80 3 improvement improvement NN cord-016903-z2vqfq98 80 4 ofinfluenza ofinfluenza IN cord-016903-z2vqfq98 80 5 vaccines vaccine NNS cord-016903-z2vqfq98 80 6 for for IN cord-016903-z2vqfq98 80 7 elderly elderly JJ cord-016903-z2vqfq98 80 8 persons person NNS cord-016903-z2vqfq98 80 9 , , , cord-016903-z2vqfq98 80 10 vaccination vaccination NN cord-016903-z2vqfq98 80 11 of of IN cord-016903-z2vqfq98 80 12 children child NNS cord-016903-z2vqfq98 80 13 is be VBZ cord-016903-z2vqfq98 80 14 clinically clinically RB cord-016903-z2vqfq98 80 15 effective effective JJ cord-016903-z2vqfq98 80 16 ' ' '' cord-016903-z2vqfq98 80 17 " " '' cord-016903-z2vqfq98 80 18 and and CC cord-016903-z2vqfq98 80 19 high high JJ cord-016903-z2vqfq98 80 20 vaccination vaccination NN cord-016903-z2vqfq98 80 21 coverage coverage NN cord-016903-z2vqfq98 80 22 among among IN cord-016903-z2vqfq98 80 23 pupils pupil NNS cord-016903-z2vqfq98 80 24 has have VBZ cord-016903-z2vqfq98 80 25 demonstrated demonstrate VBN cord-016903-z2vqfq98 80 26 to to TO cord-016903-z2vqfq98 80 27 induce induce VB cord-016903-z2vqfq98 80 28 herd herd NN cord-016903-z2vqfq98 80 29 immunity immunity NN cord-016903-z2vqfq98 80 30 and and CC cord-016903-z2vqfq98 80 31 to to TO cord-016903-z2vqfq98 80 32 reduce reduce VB cord-016903-z2vqfq98 80 33 mortality mortality NN cord-016903-z2vqfq98 80 34 in in IN cord-016903-z2vqfq98 80 35 older old JJR cord-016903-z2vqfq98 80 36 adults adult NNS cord-016903-z2vqfq98 80 37 . . . cord-016903-z2vqfq98 81 1 Streptococcus streptococcus NN cord-016903-z2vqfq98 81 2 pneumoniae pneumoniae NN cord-016903-z2vqfq98 81 3 is be VBZ cord-016903-z2vqfq98 81 4 an an DT cord-016903-z2vqfq98 81 5 important important JJ cord-016903-z2vqfq98 81 6 cause cause NN cord-016903-z2vqfq98 81 7 of of IN cord-016903-z2vqfq98 81 8 invasive invasive JJ cord-016903-z2vqfq98 81 9 clinical clinical JJ cord-016903-z2vqfq98 81 10 manifestations manifestation NNS cord-016903-z2vqfq98 81 11 such such JJ cord-016903-z2vqfq98 81 12 as as IN cord-016903-z2vqfq98 81 13 bacterial bacterial JJ cord-016903-z2vqfq98 81 14 pneumonia pneumonia NN cord-016903-z2vqfq98 81 15 , , , cord-016903-z2vqfq98 81 16 meningitis meningitis NN cord-016903-z2vqfq98 81 17 and and CC cord-016903-z2vqfq98 81 18 septicemia septicemia NN cord-016903-z2vqfq98 81 19 , , , cord-016903-z2vqfq98 81 20 particularly particularly RB cord-016903-z2vqfq98 81 21 in in IN cord-016903-z2vqfq98 81 22 young young JJ cord-016903-z2vqfq98 81 23 children child NNS cord-016903-z2vqfq98 81 24 and and CC cord-016903-z2vqfq98 81 25 the the DT cord-016903-z2vqfq98 81 26 elderly elderly JJ cord-016903-z2vqfq98 81 27 . . . cord-016903-z2vqfq98 82 1 80 80 CD cord-016903-z2vqfq98 82 2 to to TO cord-016903-z2vqfq98 82 3 90 90 CD cord-016903-z2vqfq98 82 4 % % NN cord-016903-z2vqfq98 82 5 ofdeaths ofdeath NNS cord-016903-z2vqfq98 82 6 associated associate VBN cord-016903-z2vqfq98 82 7 with with IN cord-016903-z2vqfq98 82 8 Streptococcus streptococcus NN cord-016903-z2vqfq98 82 9 pneumoniaeinfection pneumoniaeinfection NN cord-016903-z2vqfq98 82 10 occur occur VBP cord-016903-z2vqfq98 82 11 in in IN cord-016903-z2vqfq98 82 12 people people NNS cord-016903-z2vqfq98 82 13 aged age VBN cord-016903-z2vqfq98 82 14 60 60 CD cord-016903-z2vqfq98 82 15 years year NNS cord-016903-z2vqfq98 82 16 and and CC cord-016903-z2vqfq98 82 17 above above RB cord-016903-z2vqfq98 82 18 . . . cord-016903-z2vqfq98 83 1 Several several JJ cord-016903-z2vqfq98 83 2 further further JJ cord-016903-z2vqfq98 83 3 groups group NNS cord-016903-z2vqfq98 83 4 at at IN cord-016903-z2vqfq98 83 5 higher high JJR cord-016903-z2vqfq98 83 6 risk risk NN cord-016903-z2vqfq98 84 1 ofinvasive ofinvasive NNP cord-016903-z2vqfq98 84 2 pneumococcal pneumococcal JJ cord-016903-z2vqfq98 84 3 disease disease NN cord-016903-z2vqfq98 84 4 have have VBP cord-016903-z2vqfq98 84 5 been be VBN cord-016903-z2vqfq98 84 6 defined define VBN cord-016903-z2vqfq98 84 7 , , , cord-016903-z2vqfq98 84 8 including include VBG cord-016903-z2vqfq98 84 9 individuals individual NNS cord-016903-z2vqfq98 84 10 with with IN cord-016903-z2vqfq98 84 11 splenic splenic JJ cord-016903-z2vqfq98 84 12 dysfunction dysfunction NN cord-016903-z2vqfq98 84 13 , , , cord-016903-z2vqfq98 84 14 immunosuppression immunosuppression NN cord-016903-z2vqfq98 84 15 , , , cord-016903-z2vqfq98 84 16 chronic chronic JJ cord-016903-z2vqfq98 84 17 pulmonary pulmonary JJ cord-016903-z2vqfq98 84 18 or or CC cord-016903-z2vqfq98 84 19 cardiac cardiac JJ cord-016903-z2vqfq98 84 20 disease disease NN cord-016903-z2vqfq98 84 21 , , , cord-016903-z2vqfq98 84 22 diabetes diabete VBZ cord-016903-z2vqfq98 84 23 mellitus mellitus NN cord-016903-z2vqfq98 84 24 and and CC cord-016903-z2vqfq98 84 25 chronic chronic JJ cord-016903-z2vqfq98 84 26 liver liver NN cord-016903-z2vqfq98 84 27 disease disease NN cord-016903-z2vqfq98 84 28 . . . cord-016903-z2vqfq98 85 1 Generally generally RB cord-016903-z2vqfq98 85 2 , , , cord-016903-z2vqfq98 85 3 antibiotic antibiotic JJ cord-016903-z2vqfq98 85 4 therapy therapy NN cord-016903-z2vqfq98 85 5 has have VBZ cord-016903-z2vqfq98 85 6 to to TO cord-016903-z2vqfq98 85 7 be be VB cord-016903-z2vqfq98 85 8 initiated initiate VBN cord-016903-z2vqfq98 85 9 as as RB cord-016903-z2vqfq98 85 10 soon soon RB cord-016903-z2vqfq98 85 11 as as IN cord-016903-z2vqfq98 85 12 possible possible JJ cord-016903-z2vqfq98 85 13 to to TO cord-016903-z2vqfq98 85 14 reduce reduce VB cord-016903-z2vqfq98 85 15 the the DT cord-016903-z2vqfq98 85 16 risk risk NN cord-016903-z2vqfq98 85 17 ofcomplications ofcomplication NNS cord-016903-z2vqfq98 85 18 due due IN cord-016903-z2vqfq98 85 19 to to IN cord-016903-z2vqfq98 85 20 pneumonia pneumonia NN cord-016903-z2vqfq98 85 21 , , , cord-016903-z2vqfq98 85 22 meningitis meningitis NN cord-016903-z2vqfq98 85 23 or or CC cord-016903-z2vqfq98 85 24 sepsis sepsis NN cord-016903-z2vqfq98 85 25 . . . cord-016903-z2vqfq98 86 1 Nonetheless nonetheless RB cord-016903-z2vqfq98 86 2 , , , cord-016903-z2vqfq98 86 3 50 50 CD cord-016903-z2vqfq98 86 4 % % NN cord-016903-z2vqfq98 86 5 ofall ofall NN cord-016903-z2vqfq98 86 6 deaths death NNS cord-016903-z2vqfq98 86 7 occur occur VBP cord-016903-z2vqfq98 86 8 within within IN cord-016903-z2vqfq98 86 9 the the DT cord-016903-z2vqfq98 86 10 first first JJ cord-016903-z2vqfq98 86 11 48 48 CD cord-016903-z2vqfq98 86 12 hours hour NNS cord-016903-z2vqfq98 86 13 despite despite IN cord-016903-z2vqfq98 86 14 adequate adequate JJ cord-016903-z2vqfq98 86 15 antibiotic antibiotic JJ cord-016903-z2vqfq98 86 16 therapy therapy NN cord-016903-z2vqfq98 86 17 . . . cord-016903-z2vqfq98 87 1 This this DT cord-016903-z2vqfq98 87 2 may may MD cord-016903-z2vqfq98 87 3 be be VB cord-016903-z2vqfq98 87 4 due due JJ cord-016903-z2vqfq98 87 5 to to IN cord-016903-z2vqfq98 87 6 the the DT cord-016903-z2vqfq98 87 7 increased increase VBN cord-016903-z2vqfq98 87 8 occurrence occurrence NN cord-016903-z2vqfq98 87 9 of of IN cord-016903-z2vqfq98 87 10 multiple multiple JJ cord-016903-z2vqfq98 87 11 drug drug NN cord-016903-z2vqfq98 87 12 - - HYPH cord-016903-z2vqfq98 87 13 resistant resistant JJ cord-016903-z2vqfq98 87 14 pneumococcal pneumococcal JJ cord-016903-z2vqfq98 87 15 strains strain NNS cord-016903-z2vqfq98 87 16 . . . cord-016903-z2vqfq98 88 1 In in IN cord-016903-z2vqfq98 88 2 2002 2002 CD cord-016903-z2vqfq98 88 3 , , , cord-016903-z2vqfq98 88 4 the the DT cord-016903-z2vqfq98 88 5 proportion proportion NN cord-016903-z2vqfq98 88 6 ofpenicillin ofpenicillin JJ cord-016903-z2vqfq98 88 7 - - HYPH cord-016903-z2vqfq98 88 8 resistant resistant JJ cord-016903-z2vqfq98 88 9 Streptococcus Streptococcus NNP cord-016903-z2vqfq98 88 10 pneumoniaewas pneumoniaewas NN cord-016903-z2vqfq98 88 11 reported report VBD cord-016903-z2vqfq98 88 12 to to TO cord-016903-z2vqfq98 88 13 be be VB cord-016903-z2vqfq98 88 14 53 53 CD cord-016903-z2vqfq98 88 15 % % NN cord-016903-z2vqfq98 88 16 in in IN cord-016903-z2vqfq98 88 17 France France NNP cord-016903-z2vqfq98 88 18 and and CC cord-016903-z2vqfq98 88 19 more more JJR cord-016903-z2vqfq98 88 20 than than IN cord-016903-z2vqfq98 88 21 25 25 CD cord-016903-z2vqfq98 88 22 % % NN cord-016903-z2vqfq98 88 23 in in IN cord-016903-z2vqfq98 88 24 Israel Israel NNP cord-016903-z2vqfq98 88 25 , , , cord-016903-z2vqfq98 88 26 Poland Poland NNP cord-016903-z2vqfq98 88 27 , , , cord-016903-z2vqfq98 88 28 Romania Romania NNP cord-016903-z2vqfq98 88 29 and and CC cord-016903-z2vqfq98 88 30 Spain Spain NNP cord-016903-z2vqfq98 88 31 . . . cord-016903-z2vqfq98 88 32 " " '' cord-016903-z2vqfq98 89 1 After after IN cord-016903-z2vqfq98 89 2 recovering recover VBG cord-016903-z2vqfq98 89 3 from from IN cord-016903-z2vqfq98 89 4 pneumococcal pneumococcal JJ cord-016903-z2vqfq98 89 5 infection infection NN cord-016903-z2vqfq98 89 6 , , , cord-016903-z2vqfq98 89 7 people people NNS cord-016903-z2vqfq98 89 8 are be VBP cord-016903-z2vqfq98 89 9 not not RB cord-016903-z2vqfq98 89 10 necessarily necessarily RB cord-016903-z2vqfq98 89 11 immune immune JJ cord-016903-z2vqfq98 89 12 , , , cord-016903-z2vqfq98 89 13 because because IN cord-016903-z2vqfq98 89 14 there there EX cord-016903-z2vqfq98 89 15 are be VBP cord-016903-z2vqfq98 89 16 about about RB cord-016903-z2vqfq98 89 17 90 90 CD cord-016903-z2vqfq98 89 18 different different JJ cord-016903-z2vqfq98 89 19 serotypes serotype NNS cord-016903-z2vqfq98 89 20 and and CC cord-016903-z2vqfq98 89 21 immunity immunity NN cord-016903-z2vqfq98 89 22 will will MD cord-016903-z2vqfq98 89 23 be be VB cord-016903-z2vqfq98 89 24 guaranteed guarantee VBN cord-016903-z2vqfq98 89 25 only only RB cord-016903-z2vqfq98 89 26 to to IN cord-016903-z2vqfq98 89 27 the the DT cord-016903-z2vqfq98 89 28 strain strain NN cord-016903-z2vqfq98 89 29 that that WDT cord-016903-z2vqfq98 89 30 has have VBZ cord-016903-z2vqfq98 89 31 caused cause VBN cord-016903-z2vqfq98 89 32 the the DT cord-016903-z2vqfq98 89 33 infection infection NN cord-016903-z2vqfq98 89 34 . . . cord-016903-z2vqfq98 90 1 Currently currently RB cord-016903-z2vqfq98 90 2 , , , cord-016903-z2vqfq98 90 3 pneumococcal pneumococcal JJ cord-016903-z2vqfq98 90 4 vaccines vaccine NNS cord-016903-z2vqfq98 90 5 are be VBP cord-016903-z2vqfq98 90 6 available available JJ cord-016903-z2vqfq98 90 7 that that IN cord-016903-z2vqfq98 90 8 include include VBP cord-016903-z2vqfq98 90 9 up up IN cord-016903-z2vqfq98 90 10 to to TO cord-016903-z2vqfq98 90 11 23 23 CD cord-016903-z2vqfq98 90 12 strains strain NNS cord-016903-z2vqfq98 90 13 which which WDT cord-016903-z2vqfq98 90 14 are be VBP cord-016903-z2vqfq98 90 15 responsible responsible JJ cord-016903-z2vqfq98 90 16 to to TO cord-016903-z2vqfq98 90 17 cause cause VB cord-016903-z2vqfq98 90 18 disease disease NN cord-016903-z2vqfq98 90 19 in in IN cord-016903-z2vqfq98 90 20 almost almost RB cord-016903-z2vqfq98 90 21 90 90 CD cord-016903-z2vqfq98 90 22 % % NN cord-016903-z2vqfq98 90 23 ofall ofall NN cord-016903-z2vqfq98 90 24 cases case NNS cord-016903-z2vqfq98 90 25 ( ( -LRB- cord-016903-z2vqfq98 90 26 Table table NN cord-016903-z2vqfq98 90 27 2 2 CD cord-016903-z2vqfq98 90 28 ) ) -RRB- cord-016903-z2vqfq98 90 29 . . . cord-016903-z2vqfq98 91 1 These these DT cord-016903-z2vqfq98 91 2 vaccines vaccine NNS cord-016903-z2vqfq98 91 3 offer offer VBP cord-016903-z2vqfq98 91 4 protection protection NN cord-016903-z2vqfq98 91 5 against against IN cord-016903-z2vqfq98 91 6 invasive invasive JJ cord-016903-z2vqfq98 91 7 pneumococcal pneumococcal JJ cord-016903-z2vqfq98 91 8 disease disease NN cord-016903-z2vqfq98 91 9 in in IN cord-016903-z2vqfq98 91 10 65 65 CD cord-016903-z2vqfq98 91 11 % % NN cord-016903-z2vqfq98 91 12 of of IN cord-016903-z2vqfq98 91 13 the the DT cord-016903-z2vqfq98 91 14 general general JJ cord-016903-z2vqfq98 91 15 elderly elderly JJ cord-016903-z2vqfq98 91 16 population population NN cord-016903-z2vqfq98 91 17 22.23whereas 22.23whereas CD cord-016903-z2vqfq98 91 18 in in IN cord-016903-z2vqfq98 91 19 elderly elderly JJ cord-016903-z2vqfq98 91 20 persons person NNS cord-016903-z2vqfq98 91 21 with with IN cord-016903-z2vqfq98 91 22 high high JJ cord-016903-z2vqfq98 91 23 risk risk NN cord-016903-z2vqfq98 91 24 factors factor NNS cord-016903-z2vqfq98 91 25 , , , cord-016903-z2vqfq98 91 26 the the DT cord-016903-z2vqfq98 91 27 protective protective JJ cord-016903-z2vqfq98 91 28 effect effect NN cord-016903-z2vqfq98 91 29 of of IN cord-016903-z2vqfq98 91 30 vaccination vaccination NN cord-016903-z2vqfq98 91 31 seems seem VBZ cord-016903-z2vqfq98 91 32 to to TO cord-016903-z2vqfq98 91 33 be be VB cord-016903-z2vqfq98 91 34 only only RB cord-016903-z2vqfq98 91 35 moderate moderate JJ cord-016903-z2vqfq98 91 36 . . . cord-016903-z2vqfq98 92 1 Although although IN cord-016903-z2vqfq98 92 2 many many JJ cord-016903-z2vqfq98 92 3 European european JJ cord-016903-z2vqfq98 92 4 countries country NNS cord-016903-z2vqfq98 92 5 recommend recommend VBP cord-016903-z2vqfq98 92 6 the the DT cord-016903-z2vqfq98 92 7 administration administration NN cord-016903-z2vqfq98 92 8 of of IN cord-016903-z2vqfq98 92 9 pneumococcal pneumococcal JJ cord-016903-z2vqfq98 92 10 vaccines vaccine NNS cord-016903-z2vqfq98 92 11 to to IN cord-016903-z2vqfq98 92 12 all all PDT cord-016903-z2vqfq98 92 13 those those DT cord-016903-z2vqfq98 92 14 > > XX cord-016903-z2vqfq98 92 15 65 65 CD cord-016903-z2vqfq98 92 16 years year NNS cord-016903-z2vqfq98 92 17 ofage ofage JJ cord-016903-z2vqfq98 92 18 , , , cord-016903-z2vqfq98 92 19 vaccination vaccination NN cord-016903-z2vqfq98 92 20 coverage coverage NN cord-016903-z2vqfq98 92 21 among among IN cord-016903-z2vqfq98 92 22 the the DT cord-016903-z2vqfq98 92 23 elderly elderly JJ cord-016903-z2vqfq98 92 24 population population NN cord-016903-z2vqfq98 92 25 is be VBZ cord-016903-z2vqfq98 92 26 very very RB cord-016903-z2vqfq98 92 27 low low JJ cord-016903-z2vqfq98 92 28 . . . cord-016903-z2vqfq98 93 1 This this DT cord-016903-z2vqfq98 93 2 may may MD cord-016903-z2vqfq98 93 3 be be VB cord-016903-z2vqfq98 93 4 due due JJ cord-016903-z2vqfq98 93 5 to to IN cord-016903-z2vqfq98 93 6 the the DT cord-016903-z2vqfq98 93 7 high high JJ cord-016903-z2vqfq98 93 8 costs cost NNS cord-016903-z2vqfq98 93 9 ofthe ofthe DT cord-016903-z2vqfq98 93 10 vaccine vaccine NN cord-016903-z2vqfq98 93 11 and and CC cord-016903-z2vqfq98 93 12 its -PRON- PRP$ cord-016903-z2vqfq98 93 13 unsatisfying unsatisfying JJ cord-016903-z2vqfq98 93 14 efficacy efficacy NN cord-016903-z2vqfq98 93 15 in in IN cord-016903-z2vqfq98 93 16 elderly elderly JJ cord-016903-z2vqfq98 93 17 people people NNS cord-016903-z2vqfq98 93 18 . . . cord-016903-z2vqfq98 94 1 But but CC cord-016903-z2vqfq98 94 2 more more RBR cord-016903-z2vqfq98 94 3 immunogenic immunogenic JJ cord-016903-z2vqfq98 94 4 vaccines vaccine NNS cord-016903-z2vqfq98 94 5 are be VBP cord-016903-z2vqfq98 94 6 currently currently RB cord-016903-z2vqfq98 94 7 in in IN cord-016903-z2vqfq98 94 8 different different JJ cord-016903-z2vqfq98 94 9 phases phase NNS cord-016903-z2vqfq98 94 10 ofclinical ofclinical JJ cord-016903-z2vqfq98 94 11 trials trial NNS cord-016903-z2vqfq98 94 12 ( ( -LRB- cord-016903-z2vqfq98 94 13 Table Table NNP cord-016903-z2vqfq98 94 14 1 1 CD cord-016903-z2vqfq98 94 15 ) ) -RRB- cord-016903-z2vqfq98 94 16 and and CC cord-016903-z2vqfq98 94 17 promise promise VBP cord-016903-z2vqfq98 94 18 to to TO cord-016903-z2vqfq98 94 19 be be VB cord-016903-z2vqfq98 94 20 more more RBR cord-016903-z2vqfq98 94 21 efficient efficient JJ cord-016903-z2vqfq98 94 22 in in IN cord-016903-z2vqfq98 94 23 old old JJ cord-016903-z2vqfq98 94 24 age age NN cord-016903-z2vqfq98 94 25 . . . cord-016903-z2vqfq98 95 1 Additionally additionally RB cord-016903-z2vqfq98 95 2 , , , cord-016903-z2vqfq98 95 3 implementing implement VBG cord-016903-z2vqfq98 95 4 pneumococcal pneumococcal JJ cord-016903-z2vqfq98 95 5 vaccination vaccination NN cord-016903-z2vqfq98 95 6 for for IN cord-016903-z2vqfq98 95 7 children child NNS cord-016903-z2vqfq98 95 8 may may MD cord-016903-z2vqfq98 95 9 decrease decrease VB cord-016903-z2vqfq98 95 10 the the DT cord-016903-z2vqfq98 95 11 incidence incidence NN cord-016903-z2vqfq98 95 12 ofpneumococcal ofpneumococcal JJ cord-016903-z2vqfq98 95 13 disease disease NN cord-016903-z2vqfq98 95 14 in in IN cord-016903-z2vqfq98 95 15 the the DT cord-016903-z2vqfq98 95 16 elderly elderly JJ cord-016903-z2vqfq98 95 17 by by IN cord-016903-z2vqfq98 95 18 reducing reduce VBG cord-016903-z2vqfq98 95 19 transmission transmission NN cord-016903-z2vqfq98 95 20 and and CC cord-016903-z2vqfq98 95 21 possibly possibly RB cord-016903-z2vqfq98 95 22 accomplishing accomplish VBG cord-016903-z2vqfq98 95 23 herd herd NN cord-016903-z2vqfq98 96 1 immunity.- immunity.- NNP cord-016903-z2vqfq98 96 2 " " `` cord-016903-z2vqfq98 96 3 Each each DT cord-016903-z2vqfq98 96 4 year year NN cord-016903-z2vqfq98 96 5 , , , cord-016903-z2vqfq98 96 6 about about RB cord-016903-z2vqfq98 96 7 8 8 CD cord-016903-z2vqfq98 96 8 million million CD cord-016903-z2vqfq98 96 9 people people NNS cord-016903-z2vqfq98 96 10 are be VBP cord-016903-z2vqfq98 96 11 infected infect VBN cord-016903-z2vqfq98 96 12 worldwide worldwide RB cord-016903-z2vqfq98 96 13 with with IN cord-016903-z2vqfq98 96 14 the the DT cord-016903-z2vqfq98 96 15 tubercle tubercle NN cord-016903-z2vqfq98 96 16 bacillus bacillus NN cord-016903-z2vqfq98 96 17 Mycobacterium Mycobacterium NNP cord-016903-z2vqfq98 96 18 tuberculosis tuberculosis NN cord-016903-z2vqfq98 96 19 and and CC cord-016903-z2vqfq98 96 20 1.6 1.6 CD cord-016903-z2vqfq98 96 21 million million CD cord-016903-z2vqfq98 96 22 ofthem ofthem NNS cord-016903-z2vqfq98 96 23 die die VBP cord-016903-z2vqfq98 96 24 . . . cord-016903-z2vqfq98 97 1 The the DT cord-016903-z2vqfq98 97 2 EU25 EU25 NNP cord-016903-z2vqfq98 97 3 has have VBZ cord-016903-z2vqfq98 97 4 a a DT cord-016903-z2vqfq98 97 5 tuberculosis tuberculosis NN cord-016903-z2vqfq98 97 6 ( ( -LRB- cord-016903-z2vqfq98 97 7 TB TB NNP cord-016903-z2vqfq98 97 8 ) ) -RRB- cord-016903-z2vqfq98 97 9 burden burden NN cord-016903-z2vqfq98 97 10 ofmore ofmore JJR cord-016903-z2vqfq98 97 11 than50,000 than50,000 CD cord-016903-z2vqfq98 97 12 new new JJ cord-016903-z2vqfq98 97 13 casesper casesper NN cord-016903-z2vqfq98 97 14 year year NN cord-016903-z2vqfq98 97 15 , , , cord-016903-z2vqfq98 97 16 with with IN cord-016903-z2vqfq98 97 17 the the DT cord-016903-z2vqfq98 97 18 highest high JJS cord-016903-z2vqfq98 97 19 incidences incidence NNS cord-016903-z2vqfq98 97 20 in in IN cord-016903-z2vqfq98 97 21 Latvia Latvia NNP cord-016903-z2vqfq98 97 22 , , , cord-016903-z2vqfq98 97 23 Lithuania Lithuania NNP cord-016903-z2vqfq98 97 24 and and CC cord-016903-z2vqfq98 97 25 Estonia Estonia NNP cord-016903-z2vqfq98 97 26 ( ( -LRB- cord-016903-z2vqfq98 97 27 50 50 CD cord-016903-z2vqfq98 97 28 - - SYM cord-016903-z2vqfq98 97 29 100 100 CD cord-016903-z2vqfq98 97 30 cases/ cases/ CD cord-016903-z2vqfq98 97 31 100,000 100,000 CD cord-016903-z2vqfq98 97 32 ) ) -RRB- cord-016903-z2vqfq98 97 33 . . . cord-016903-z2vqfq98 98 1 The the DT cord-016903-z2vqfq98 98 2 risk risk NN cord-016903-z2vqfq98 98 3 ofdeveloping ofdevelope VBG cord-016903-z2vqfq98 98 4 a a DT cord-016903-z2vqfq98 98 5 disease disease NN cord-016903-z2vqfq98 98 6 following follow VBG cord-016903-z2vqfq98 98 7 TB TB NNP cord-016903-z2vqfq98 98 8 infection infection NN cord-016903-z2vqfq98 98 9 is be VBZ cord-016903-z2vqfq98 98 10 about about RB cord-016903-z2vqfq98 98 11 5 5 CD cord-016903-z2vqfq98 98 12 - - SYM cord-016903-z2vqfq98 98 13 10 10 CD cord-016903-z2vqfq98 98 14 % % NN cord-016903-z2vqfq98 98 15 during during IN cord-016903-z2vqfq98 98 16 lifetime lifetime NN cord-016903-z2vqfq98 98 17 and and CC cord-016903-z2vqfq98 98 18 individuals individual NNS cord-016903-z2vqfq98 98 19 above above IN cord-016903-z2vqfq98 98 20 65 65 CD cord-016903-z2vqfq98 98 21 years year NNS cord-016903-z2vqfq98 98 22 ofage ofage RB cord-016903-z2vqfq98 98 23 have have VBP cord-016903-z2vqfq98 98 24 a a DT cord-016903-z2vqfq98 98 25 four four CD cord-016903-z2vqfq98 98 26 - - HYPH cord-016903-z2vqfq98 98 27 fold fold JJ cord-016903-z2vqfq98 98 28 increased increased JJ cord-016903-z2vqfq98 98 29 risk risk NN cord-016903-z2vqfq98 98 30 ofdeveloping ofdevelope VBG cord-016903-z2vqfq98 98 31 TB TB NNP cord-016903-z2vqfq98 98 32 than than IN cord-016903-z2vqfq98 98 33 the the DT cord-016903-z2vqfq98 98 34 average average JJ cord-016903-z2vqfq98 98 35 population population NN cord-016903-z2vqfq98 98 36 , , , cord-016903-z2vqfq98 98 37 " " '' cord-016903-z2vqfq98 98 38 TB TB NNP cord-016903-z2vqfq98 98 39 is be VBZ cord-016903-z2vqfq98 98 40 also also RB cord-016903-z2vqfq98 98 41 frequently frequently RB cord-016903-z2vqfq98 98 42 diagnosed diagnose VBN cord-016903-z2vqfq98 98 43 with with IN cord-016903-z2vqfq98 98 44 delay delay NN cord-016903-z2vqfq98 98 45 due due IN cord-016903-z2vqfq98 98 46 to to IN cord-016903-z2vqfq98 98 47 an an DT cord-016903-z2vqfq98 98 48 atypical atypical JJ cord-016903-z2vqfq98 98 49 manifestation manifestation NN cord-016903-z2vqfq98 98 50 in in IN cord-016903-z2vqfq98 98 51 old old JJ cord-016903-z2vqfq98 98 52 age age NN cord-016903-z2vqfq98 98 53 . . . cord-016903-z2vqfq98 99 1 This this DT cord-016903-z2vqfq98 99 2 may may MD cord-016903-z2vqfq98 99 3 lead lead VB cord-016903-z2vqfq98 99 4 to to IN cord-016903-z2vqfq98 99 5 an an DT cord-016903-z2vqfq98 99 6 increased increase VBN cord-016903-z2vqfq98 99 7 morbidity morbidity NN cord-016903-z2vqfq98 99 8 and and CC cord-016903-z2vqfq98 99 9 mortality mortality NN cord-016903-z2vqfq98 99 10 and and CC cord-016903-z2vqfq98 99 11 to to IN cord-016903-z2vqfq98 99 12 a a DT cord-016903-z2vqfq98 99 13 spreading spread VBG cord-016903-z2vqfq98 99 14 ofthe ofthe DT cord-016903-z2vqfq98 99 15 disease disease NN cord-016903-z2vqfq98 99 16 , , , cord-016903-z2vqfq98 99 17 in in IN cord-016903-z2vqfq98 99 18 particular particular JJ cord-016903-z2vqfq98 99 19 within within IN cord-016903-z2vqfq98 99 20 institutionalized institutionalized JJ cord-016903-z2vqfq98 99 21 elderly elderly JJ cord-016903-z2vqfq98 99 22 persons person NNS cord-016903-z2vqfq98 99 23 . . . cord-016903-z2vqfq98 100 1 P p NN cord-016903-z2vqfq98 100 2 Further further JJ cord-016903-z2vqfq98 100 3 difficulties difficulty NNS cord-016903-z2vqfq98 100 4 include include VBP cord-016903-z2vqfq98 100 5 the the DT cord-016903-z2vqfq98 100 6 increased increase VBN cord-016903-z2vqfq98 100 7 emergence emergence NN cord-016903-z2vqfq98 100 8 of of IN cord-016903-z2vqfq98 100 9 new new JJ cord-016903-z2vqfq98 100 10 , , , cord-016903-z2vqfq98 100 11 multiple multiple JJ cord-016903-z2vqfq98 100 12 drug drug NN cord-016903-z2vqfq98 100 13 - - HYPH cord-016903-z2vqfq98 100 14 resistant resistant JJ cord-016903-z2vqfq98 100 15 strains strain NNS cord-016903-z2vqfq98 100 16 with with IN cord-016903-z2vqfq98 100 17 higher high JJR cord-016903-z2vqfq98 100 18 rransmissibiliry rransmissibiliry NN cord-016903-z2vqfq98 100 19 , , , cord-016903-z2vqfq98 100 20 " " '' cord-016903-z2vqfq98 100 21 the the DT cord-016903-z2vqfq98 100 22 poor poor JJ cord-016903-z2vqfq98 100 23 efficacy efficacy NN cord-016903-z2vqfq98 100 24 of of IN cord-016903-z2vqfq98 100 25 the the DT cord-016903-z2vqfq98 100 26 current current JJ cord-016903-z2vqfq98 100 27 bacille bacille NN cord-016903-z2vqfq98 100 28 Calmette Calmette NNP cord-016903-z2vqfq98 100 29 Guerin Guerin NNP cord-016903-z2vqfq98 100 30 ( ( -LRB- cord-016903-z2vqfq98 100 31 BCG BCG NNP cord-016903-z2vqfq98 100 32 ) ) -RRB- cord-016903-z2vqfq98 100 33 vaccine vaccine NN cord-016903-z2vqfq98 100 34 in in IN cord-016903-z2vqfq98 100 35 protecting protect VBG cord-016903-z2vqfq98 100 36 adults adult NNS cord-016903-z2vqfq98 100 37 and and CC cord-016903-z2vqfq98 100 38 elderly elderly JJ cord-016903-z2vqfq98 100 39 people people NNS cord-016903-z2vqfq98 100 40 from from IN cord-016903-z2vqfq98 100 41 pulmonary pulmonary JJ cord-016903-z2vqfq98 100 42 Infection infection NN cord-016903-z2vqfq98 100 43 " " '' cord-016903-z2vqfq98 100 44 and and CC cord-016903-z2vqfq98 100 45 the the DT cord-016903-z2vqfq98 100 46 increased increase VBN cord-016903-z2vqfq98 100 47 risk risk NN cord-016903-z2vqfq98 100 48 ofTB ofTB NNP cord-016903-z2vqfq98 100 49 co co NN cord-016903-z2vqfq98 100 50 - - NN cord-016903-z2vqfq98 100 51 infection infection NN cord-016903-z2vqfq98 100 52 in in IN cord-016903-z2vqfq98 100 53 HIV HIV NNP cord-016903-z2vqfq98 100 54 positive positive JJ cord-016903-z2vqfq98 100 55 patients patient NNS cord-016903-z2vqfq98 100 56 . . . cord-016903-z2vqfq98 100 57 " " '' cord-016903-z2vqfq98 101 1 However however RB cord-016903-z2vqfq98 101 2 , , , cord-016903-z2vqfq98 101 3 in in IN cord-016903-z2vqfq98 101 4 the the DT cord-016903-z2vqfq98 101 5 past past JJ cord-016903-z2vqfq98 101 6 few few JJ cord-016903-z2vqfq98 101 7 years year NNS cord-016903-z2vqfq98 101 8 , , , cord-016903-z2vqfq98 101 9 several several JJ cord-016903-z2vqfq98 101 10 TB TB NNP cord-016903-z2vqfq98 101 11 vaccine vaccine NN cord-016903-z2vqfq98 101 12 candidates candidate NNS cord-016903-z2vqfq98 101 13 have have VBP cord-016903-z2vqfq98 101 14 entered enter VBN cord-016903-z2vqfq98 101 15 phase phase NN cord-016903-z2vqfq98 102 1 I -PRON- PRP cord-016903-z2vqfq98 102 2 clinical clinical JJ cord-016903-z2vqfq98 102 3 trials trial NNS cord-016903-z2vqfq98 102 4 , , , cord-016903-z2vqfq98 102 5 including include VBG cord-016903-z2vqfq98 102 6 adjuvanted adjuvante VBN cord-016903-z2vqfq98 102 7 subunit subunit NN cord-016903-z2vqfq98 102 8 vaccines vaccine NNS cord-016903-z2vqfq98 102 9 as as RB cord-016903-z2vqfq98 102 10 well well RB cord-016903-z2vqfq98 102 11 as as IN cord-016903-z2vqfq98 102 12 improved improve VBN cord-016903-z2vqfq98 102 13 live live JJ cord-016903-z2vqfq98 102 14 recombinant recombinant JJ cord-016903-z2vqfq98 102 15 strains strain NNS cord-016903-z2vqfq98 102 16 of of IN cord-016903-z2vqfq98 102 17 the the DT cord-016903-z2vqfq98 102 18 current current JJ cord-016903-z2vqfq98 102 19 BCG BCG NNP cord-016903-z2vqfq98 102 20 vaccine vaccine NN cord-016903-z2vqfq98 102 21 ( ( -LRB- cord-016903-z2vqfq98 102 22 Table table NN cord-016903-z2vqfq98 102 23 1 1 CD cord-016903-z2vqfq98 102 24 ) ) -RRB- cord-016903-z2vqfq98 102 25 . . . cord-016903-z2vqfq98 103 1 All all PDT cord-016903-z2vqfq98 103 2 these these DT cord-016903-z2vqfq98 103 3 vaccine vaccine NN cord-016903-z2vqfq98 103 4 candidates candidate NNS cord-016903-z2vqfq98 103 5 are be VBP cord-016903-z2vqfq98 103 6 supposed suppose VBN cord-016903-z2vqfq98 103 7 to to TO cord-016903-z2vqfq98 103 8 induce induce VB cord-016903-z2vqfq98 103 9 an an DT cord-016903-z2vqfq98 103 10 effective effective JJ cord-016903-z2vqfq98 103 11 and and CC cord-016903-z2vqfq98 103 12 sustainable sustainable JJ cord-016903-z2vqfq98 103 13 cellular cellular JJ cord-016903-z2vqfq98 103 14 immune immune JJ cord-016903-z2vqfq98 103 15 response response NN cord-016903-z2vqfq98 103 16 which which WDT cord-016903-z2vqfq98 103 17 is be VBZ cord-016903-z2vqfq98 103 18 thought think VBN cord-016903-z2vqfq98 103 19 to to TO cord-016903-z2vqfq98 103 20 be be VB cord-016903-z2vqfq98 103 21 crucial crucial JJ cord-016903-z2vqfq98 103 22 to to TO cord-016903-z2vqfq98 103 23 protect protect VB cord-016903-z2vqfq98 103 24 the the DT cord-016903-z2vqfq98 103 25 host host NN cord-016903-z2vqfq98 103 26 from from IN cord-016903-z2vqfq98 103 27 an an DT cord-016903-z2vqfq98 103 28 intracellular intracellular JJ cord-016903-z2vqfq98 103 29 pathogen pathogen NN cord-016903-z2vqfq98 103 30 such such JJ cord-016903-z2vqfq98 103 31 as as IN cord-016903-z2vqfq98 103 32 Mycobacterium Mycobacterium NNP cord-016903-z2vqfq98 103 33 tuberculosis tuberculosis NN cord-016903-z2vqfq98 103 34 . . . cord-016903-z2vqfq98 104 1 30 30 CD cord-016903-z2vqfq98 104 2 _SP cord-016903-z2vqfq98 104 3 Primary primary JJ cord-016903-z2vqfq98 104 4 infection infection NN cord-016903-z2vqfq98 104 5 with with IN cord-016903-z2vqfq98 104 6 the the DT cord-016903-z2vqfq98 104 7 Varicella Varicella NNP cord-016903-z2vqfq98 104 8 zoster zoster NN cord-016903-z2vqfq98 104 9 virus virus NN cord-016903-z2vqfq98 104 10 ( ( -LRB- cord-016903-z2vqfq98 104 11 VZV VZV NNP cord-016903-z2vqfq98 104 12 ) ) -RRB- cord-016903-z2vqfq98 104 13 causes cause VBZ cord-016903-z2vqfq98 104 14 chickenpox chickenpox NN cord-016903-z2vqfq98 104 15 which which WDT cord-016903-z2vqfq98 104 16 is be VBZ cord-016903-z2vqfq98 104 17 usually usually RB cord-016903-z2vqfq98 104 18 a a DT cord-016903-z2vqfq98 104 19 mild mild JJ cord-016903-z2vqfq98 104 20 disease disease NN cord-016903-z2vqfq98 104 21 in in IN cord-016903-z2vqfq98 104 22 childhood childhood NN cord-016903-z2vqfq98 104 23 . . . cord-016903-z2vqfq98 105 1 The the DT cord-016903-z2vqfq98 105 2 virus virus NN cord-016903-z2vqfq98 105 3 then then RB cord-016903-z2vqfq98 105 4 persists persist VBZ cord-016903-z2vqfq98 105 5 in in IN cord-016903-z2vqfq98 105 6 a a DT cord-016903-z2vqfq98 105 7 latent latent JJ cord-016903-z2vqfq98 105 8 form form NN cord-016903-z2vqfq98 105 9 in in IN cord-016903-z2vqfq98 105 10 sensory sensory JJ cord-016903-z2vqfq98 105 11 ganglia ganglion NNS cord-016903-z2vqfq98 105 12 until until IN cord-016903-z2vqfq98 105 13 its -PRON- PRP$ cord-016903-z2vqfq98 105 14 reactivation reactivation NN cord-016903-z2vqfq98 105 15 which which WDT cord-016903-z2vqfq98 105 16 results result VBZ cord-016903-z2vqfq98 105 17 in in IN cord-016903-z2vqfq98 105 18 the the DT cord-016903-z2vqfq98 105 19 clinical clinical JJ cord-016903-z2vqfq98 105 20 manifestation manifestation NN cord-016903-z2vqfq98 105 21 of of IN cord-016903-z2vqfq98 105 22 herpes herpes NNP cord-016903-z2vqfq98 105 23 zoster zoster NN cord-016903-z2vqfq98 105 24 ( ( -LRB- cord-016903-z2vqfq98 105 25 shingles shingle NNS cord-016903-z2vqfq98 105 26 ) ) -RRB- cord-016903-z2vqfq98 105 27 . . . cord-016903-z2vqfq98 106 1 Between between IN cord-016903-z2vqfq98 106 2 13 13 CD cord-016903-z2vqfq98 106 3 and and CC cord-016903-z2vqfq98 106 4 26 26 CD cord-016903-z2vqfq98 106 5 % % NN cord-016903-z2vqfq98 106 6 ofpersons ofperson NNS cord-016903-z2vqfq98 106 7 with with IN cord-016903-z2vqfq98 106 8 herpes herpes NN cord-016903-z2vqfq98 106 9 zoster zoster NN cord-016903-z2vqfq98 106 10 develop develop VBP cord-016903-z2vqfq98 106 11 complications complication NNS cord-016903-z2vqfq98 106 12 , , , cord-016903-z2vqfq98 106 13 such such JJ cord-016903-z2vqfq98 106 14 as as IN cord-016903-z2vqfq98 106 15 postherpetic postherpetic NNP cord-016903-z2vqfq98 106 16 neuralgia neuralgia NNP cord-016903-z2vqfq98 106 17 . . . cord-016903-z2vqfq98 107 1 " " '' cord-016903-z2vqfq98 108 1 Postherpetic Postherpetic NNP cord-016903-z2vqfq98 108 2 neuralgia neuralgia NN cord-016903-z2vqfq98 108 3 also also RB cord-016903-z2vqfq98 108 4 increases increase VBZ cord-016903-z2vqfq98 108 5 with with IN cord-016903-z2vqfq98 108 6 age age NN cord-016903-z2vqfq98 108 7 with with IN cord-016903-z2vqfq98 108 8 a a DT cord-016903-z2vqfq98 108 9 prevalence prevalence NN cord-016903-z2vqfq98 108 10 of of IN cord-016903-z2vqfq98 108 11 50 50 CD cord-016903-z2vqfq98 108 12 % % NN cord-016903-z2vqfq98 108 13 in in IN cord-016903-z2vqfq98 108 14 people people NNS cord-016903-z2vqfq98 108 15 aged age VBN cord-016903-z2vqfq98 108 16 70 70 CD cord-016903-z2vqfq98 108 17 years year NNS cord-016903-z2vqfq98 108 18 and and CC cord-016903-z2vqfq98 108 19 above above RB cord-016903-z2vqfq98 108 20 . . . cord-016903-z2vqfq98 109 1 The the DT cord-016903-z2vqfq98 109 2 incidence incidence NN cord-016903-z2vqfq98 109 3 and and CC cord-016903-z2vqfq98 109 4 severity severity NN cord-016903-z2vqfq98 109 5 ofherpes ofherpes IN cord-016903-z2vqfq98 109 6 zoster zoster NN cord-016903-z2vqfq98 109 7 increase increase VBP cord-016903-z2vqfq98 109 8 with with IN cord-016903-z2vqfq98 109 9 age age NN cord-016903-z2vqfq98 109 10 , , , cord-016903-z2vqfq98 109 11 because because IN cord-016903-z2vqfq98 109 12 VZV VZV NNP cord-016903-z2vqfq98 109 13 reactivation reactivation NN cord-016903-z2vqfq98 109 14 is be VBZ cord-016903-z2vqfq98 109 15 associated associate VBN cord-016903-z2vqfq98 109 16 with with IN cord-016903-z2vqfq98 109 17 a a DT cord-016903-z2vqfq98 109 18 progressive progressive JJ cord-016903-z2vqfq98 109 19 decline decline NN cord-016903-z2vqfq98 109 20 in in IN cord-016903-z2vqfq98 109 21 cell cell NN cord-016903-z2vqfq98 109 22 - - HYPH cord-016903-z2vqfq98 109 23 mediated mediate VBN cord-016903-z2vqfq98 109 24 immunity immunity NN cord-016903-z2vqfq98 109 25 to to IN cord-016903-z2vqfq98 109 26 VZVY.·33 VZVY.·33 NNP cord-016903-z2vqfq98 109 27 Routine routine JJ cord-016903-z2vqfq98 109 28 vaccination vaccination NN cord-016903-z2vqfq98 109 29 ofchildren ofchildren NN cord-016903-z2vqfq98 109 30 using use VBG cord-016903-z2vqfq98 109 31 a a DT cord-016903-z2vqfq98 109 32 tetravalent tetravalent NN cord-016903-z2vqfq98 109 33 vaccine vaccine NN cord-016903-z2vqfq98 109 34 that that WDT cord-016903-z2vqfq98 109 35 protects protect VBZ cord-016903-z2vqfq98 109 36 against against IN cord-016903-z2vqfq98 109 37 measles measle NNS cord-016903-z2vqfq98 109 38 , , , cord-016903-z2vqfq98 109 39 mumps mumps NN cord-016903-z2vqfq98 109 40 , , , cord-016903-z2vqfq98 109 41 rubella rubella NN cord-016903-z2vqfq98 109 42 and and CC cord-016903-z2vqfq98 109 43 varicella varicella NN cord-016903-z2vqfq98 109 44 will will MD cord-016903-z2vqfq98 109 45 soon soon RB cord-016903-z2vqfq98 109 46 be be VB cord-016903-z2vqfq98 109 47 available available JJ cord-016903-z2vqfq98 109 48 ( ( -LRB- cord-016903-z2vqfq98 109 49 Table table NN cord-016903-z2vqfq98 109 50 1 1 CD cord-016903-z2vqfq98 109 51 ) ) -RRB- cord-016903-z2vqfq98 109 52 and and CC cord-016903-z2vqfq98 109 53 may may MD cord-016903-z2vqfq98 109 54 reduce reduce VB cord-016903-z2vqfq98 109 55 the the DT cord-016903-z2vqfq98 109 56 incidence incidence NN cord-016903-z2vqfq98 109 57 of of IN cord-016903-z2vqfq98 109 58 chickenpox chickenpox NN cord-016903-z2vqfq98 109 59 as as RB cord-016903-z2vqfq98 109 60 well well RB cord-016903-z2vqfq98 109 61 as as IN cord-016903-z2vqfq98 109 62 the the DT cord-016903-z2vqfq98 109 63 reactivation reactivation NN cord-016903-z2vqfq98 109 64 ofVZV ofvzv NN cord-016903-z2vqfq98 110 1 in in IN cord-016903-z2vqfq98 110 2 later later JJ cord-016903-z2vqfq98 110 3 life life NN cord-016903-z2vqfq98 110 4 . . . cord-016903-z2vqfq98 111 1 Since since IN cord-016903-z2vqfq98 111 2 1995 1995 CD cord-016903-z2vqfq98 111 3 , , , cord-016903-z2vqfq98 111 4 a a DT cord-016903-z2vqfq98 111 5 live live RB cord-016903-z2vqfq98 111 6 - - HYPH cord-016903-z2vqfq98 111 7 attenuated attenuated JJ cord-016903-z2vqfq98 111 8 Oka Oka NNP cord-016903-z2vqfq98 111 9 strain strain NN cord-016903-z2vqfq98 111 10 VZV VZV NNP cord-016903-z2vqfq98 111 11 vaccine vaccine NN cord-016903-z2vqfq98 111 12 is be VBZ cord-016903-z2vqfq98 111 13 on on IN cord-016903-z2vqfq98 111 14 the the DT cord-016903-z2vqfq98 111 15 market market NN cord-016903-z2vqfq98 111 16 that that WDT cord-016903-z2vqfq98 111 17 has have VBZ cord-016903-z2vqfq98 111 18 shown show VBN cord-016903-z2vqfq98 111 19 clinical clinical JJ cord-016903-z2vqfq98 111 20 efficacy efficacy NN cord-016903-z2vqfq98 111 21 in in IN cord-016903-z2vqfq98 111 22 preventing prevent VBG cord-016903-z2vqfq98 111 23 children child NNS cord-016903-z2vqfq98 111 24 from from IN cord-016903-z2vqfq98 111 25 chickenpox chickenpox NN cord-016903-z2vqfq98 111 26 . . . cord-016903-z2vqfq98 111 27 " " '' cord-016903-z2vqfq98 112 1 However however RB cord-016903-z2vqfq98 112 2 , , , cord-016903-z2vqfq98 112 3 the the DT cord-016903-z2vqfq98 112 4 currently currently RB cord-016903-z2vqfq98 112 5 available available JJ cord-016903-z2vqfq98 112 6 VZV VZV NNP cord-016903-z2vqfq98 112 7 vaccines vaccine NNS cord-016903-z2vqfq98 112 8 have have VBP cord-016903-z2vqfq98 112 9 not not RB cord-016903-z2vqfq98 112 10 been be VBN cord-016903-z2vqfq98 112 11 proven prove VBN cord-016903-z2vqfq98 112 12 to to TO cord-016903-z2vqfq98 112 13 adequately adequately RB cord-016903-z2vqfq98 112 14 boost boost VB cord-016903-z2vqfq98 112 15 T t NN cord-016903-z2vqfq98 112 16 - - HYPH cord-016903-z2vqfq98 112 17 cell cell NN cord-016903-z2vqfq98 112 18 responses response NNS cord-016903-z2vqfq98 112 19 in in IN cord-016903-z2vqfq98 112 20 older old JJR cord-016903-z2vqfq98 112 21 adults adult NNS cord-016903-z2vqfq98 112 22 and and CC cord-016903-z2vqfq98 112 23 to to TO cord-016903-z2vqfq98 112 24 prevent prevent VB cord-016903-z2vqfq98 112 25 reactivation reactivation NN cord-016903-z2vqfq98 112 26 ofherpes ofherpes IN cord-016903-z2vqfq98 112 27 zoster zoster NN cord-016903-z2vqfq98 112 28 . . . cord-016903-z2vqfq98 113 1 Recently recently RB cord-016903-z2vqfq98 113 2 , , , cord-016903-z2vqfq98 113 3 a a DT cord-016903-z2vqfq98 113 4 vaccine vaccine NN cord-016903-z2vqfq98 113 5 that that WDT cord-016903-z2vqfq98 113 6 may may MD cord-016903-z2vqfq98 113 7 prevent prevent VB cord-016903-z2vqfq98 113 8 herpes herpes NN cord-016903-z2vqfq98 113 9 zoster zoster NN cord-016903-z2vqfq98 113 10 virus virus NN cord-016903-z2vqfq98 113 11 reactivation reactivation NN cord-016903-z2vqfq98 113 12 has have VBZ cord-016903-z2vqfq98 113 13 been be VBN cord-016903-z2vqfq98 113 14 submitted submit VBN cord-016903-z2vqfq98 113 15 for for IN cord-016903-z2vqfq98 113 16 registration registration NN cord-016903-z2vqfq98 113 17 . . . cord-016903-z2vqfq98 114 1 This this DT cord-016903-z2vqfq98 114 2 live live RB cord-016903-z2vqfq98 114 3 - - HYPH cord-016903-z2vqfq98 114 4 attenuated attenuated JJ cord-016903-z2vqfq98 114 5 VZV VZV NNP cord-016903-z2vqfq98 114 6 vaccine vaccine NN cord-016903-z2vqfq98 114 7 has have VBZ cord-016903-z2vqfq98 114 8 been be VBN cord-016903-z2vqfq98 114 9 developed develop VBN cord-016903-z2vqfq98 114 10 to to TO cord-016903-z2vqfq98 114 11 prevent prevent VB cord-016903-z2vqfq98 114 12 reactivation reactivation NN cord-016903-z2vqfq98 114 13 of of IN cord-016903-z2vqfq98 114 14 herpes herpe NNS cord-016903-z2vqfq98 114 15 zoster zoster NNP cord-016903-z2vqfq98 114 16 in in IN cord-016903-z2vqfq98 114 17 the the DT cord-016903-z2vqfq98 114 18 elderly.3s.36This elderly.3s.36This NNP cord-016903-z2vqfq98 114 19 is be VBZ cord-016903-z2vqfq98 114 20 of of IN cord-016903-z2vqfq98 114 21 particular particular JJ cord-016903-z2vqfq98 114 22 importance importance NN cord-016903-z2vqfq98 114 23 , , , cord-016903-z2vqfq98 114 24 because because IN cord-016903-z2vqfq98 114 25 the the DT cord-016903-z2vqfq98 114 26 elderly elderly JJ cord-016903-z2vqfq98 114 27 population population NN cord-016903-z2vqfq98 114 28 has have VBZ cord-016903-z2vqfq98 114 29 not not RB cord-016903-z2vqfq98 114 30 been be VBN cord-016903-z2vqfq98 114 31 vaccinated vaccinate VBN cord-016903-z2vqfq98 114 32 against against IN cord-016903-z2vqfq98 114 33 but but CC cord-016903-z2vqfq98 114 34 may may MD cord-016903-z2vqfq98 114 35 have have VB cord-016903-z2vqfq98 114 36 been be VBN cord-016903-z2vqfq98 114 37 frequently frequently RB cord-016903-z2vqfq98 114 38 infected infect VBN cord-016903-z2vqfq98 114 39 by by IN cord-016903-z2vqfq98 114 40 Vzv Vzv NNP cord-016903-z2vqfq98 114 41 . . . cord-016903-z2vqfq98 115 1 For for IN cord-016903-z2vqfq98 115 2 instance instance NN cord-016903-z2vqfq98 115 3 , , , cord-016903-z2vqfq98 115 4 more more JJR cord-016903-z2vqfq98 115 5 than than IN cord-016903-z2vqfq98 115 6 90 90 CD cord-016903-z2vqfq98 115 7 % % NN cord-016903-z2vqfq98 115 8 ofadults ofadult NNS cord-016903-z2vqfq98 115 9 in in IN cord-016903-z2vqfq98 115 10 the the DT cord-016903-z2vqfq98 115 11 United United NNP cord-016903-z2vqfq98 115 12 States States NNP cord-016903-z2vqfq98 115 13 have have VBP cord-016903-z2vqfq98 115 14 had have VBN cord-016903-z2vqfq98 115 15 chickenpox chickenpox NN cord-016903-z2vqfq98 115 16 . . . cord-016903-z2vqfq98 116 1 As as IN cord-016903-z2vqfq98 116 2 a a DT cord-016903-z2vqfq98 116 3 consequence consequence NN cord-016903-z2vqfq98 116 4 , , , cord-016903-z2vqfq98 116 5 it -PRON- PRP cord-016903-z2vqfq98 116 6 is be VBZ cord-016903-z2vqfq98 116 7 estimated estimate VBN cord-016903-z2vqfq98 116 8 that that IN cord-016903-z2vqfq98 116 9 up up IN cord-016903-z2vqfq98 116 10 to to TO cord-016903-z2vqfq98 116 11 800,000 800,000 CD cord-016903-z2vqfq98 116 12 people people NNS cord-016903-z2vqfq98 116 13 in in IN cord-016903-z2vqfq98 116 14 the the DT cord-016903-z2vqfq98 116 15 United United NNP cord-016903-z2vqfq98 116 16 States States NNP cord-016903-z2vqfq98 116 17 suffer suffer VBP cord-016903-z2vqfq98 116 18 from from IN cord-016903-z2vqfq98 116 19 shingles shingle NNS cord-016903-z2vqfq98 116 20 each each DT cord-016903-z2vqfq98 116 21 year year NN cord-016903-z2vqfq98 116 22 and and CC cord-016903-z2vqfq98 116 23 the the DT cord-016903-z2vqfq98 116 24 incidence incidence NN cord-016903-z2vqfq98 116 25 is be VBZ cord-016903-z2vqfq98 116 26 expected expect VBN cord-016903-z2vqfq98 116 27 to to TO cord-016903-z2vqfq98 116 28 increase increase VB cord-016903-z2vqfq98 116 29 as as IN cord-016903-z2vqfq98 116 30 the the DT cord-016903-z2vqfq98 116 31 population population NN cord-016903-z2vqfq98 116 32 ages age NNS cord-016903-z2vqfq98 116 33 . . . cord-016903-z2vqfq98 117 1 Thus thus RB cord-016903-z2vqfq98 117 2 , , , cord-016903-z2vqfq98 117 3 reactivation reactivation NN cord-016903-z2vqfq98 117 4 ofherpes ofherpes IN cord-016903-z2vqfq98 117 5 zoster zoster NN cord-016903-z2vqfq98 117 6 and and CC cord-016903-z2vqfq98 117 7 its -PRON- PRP$ cord-016903-z2vqfq98 117 8 clinical clinical JJ cord-016903-z2vqfq98 117 9 manifestations manifestation NNS cord-016903-z2vqfq98 117 10 represents represent VBZ cord-016903-z2vqfq98 117 11 a a DT cord-016903-z2vqfq98 117 12 serious serious JJ cord-016903-z2vqfq98 117 13 health health NN cord-016903-z2vqfq98 117 14 burden burden NN cord-016903-z2vqfq98 117 15 to to IN cord-016903-z2vqfq98 117 16 the the DT cord-016903-z2vqfq98 117 17 growing grow VBG cord-016903-z2vqfq98 117 18 elderly elderly JJ cord-016903-z2vqfq98 117 19 population population NN cord-016903-z2vqfq98 117 20 and and CC cord-016903-z2vqfq98 117 21 could could MD cord-016903-z2vqfq98 117 22 be be VB cord-016903-z2vqfq98 117 23 counteracted counteract VBN cord-016903-z2vqfq98 117 24 by by IN cord-016903-z2vqfq98 117 25 potent potent JJ cord-016903-z2vqfq98 117 26 vaccines vaccine NNS cord-016903-z2vqfq98 117 27 . . . cord-016903-z2vqfq98 118 1 The the DT cord-016903-z2vqfq98 118 2 cytomegalovirus cytomegalovirus NN cord-016903-z2vqfq98 118 3 ( ( -LRB- cord-016903-z2vqfq98 118 4 CMV CMV NNP cord-016903-z2vqfq98 118 5 ) ) -RRB- cord-016903-z2vqfq98 118 6 , , , cord-016903-z2vqfq98 118 7 a a DT cord-016903-z2vqfq98 118 8 B b NN cord-016903-z2vqfq98 118 9 - - HYPH cord-016903-z2vqfq98 118 10 herpesvirus herpesvirus NN cord-016903-z2vqfq98 118 11 , , , cord-016903-z2vqfq98 118 12 has have VBZ cord-016903-z2vqfq98 118 13 also also RB cord-016903-z2vqfq98 118 14 been be VBN cord-016903-z2vqfq98 118 15 shown show VBN cord-016903-z2vqfq98 118 16 to to TO cord-016903-z2vqfq98 118 17 persist persist VB cord-016903-z2vqfq98 118 18 throughout throughout IN cord-016903-z2vqfq98 118 19 life life NN cord-016903-z2vqfq98 118 20 until until IN cord-016903-z2vqfq98 118 21 its -PRON- PRP$ cord-016903-z2vqfq98 118 22 reactivation reactivation NN cord-016903-z2vqfq98 118 23 as as IN cord-016903-z2vqfq98 118 24 a a DT cord-016903-z2vqfq98 118 25 result result NN cord-016903-z2vqfq98 118 26 ofimmune ofimmune NNP cord-016903-z2vqfq98 118 27 suppression suppression NN cord-016903-z2vqfq98 118 28 or or CC cord-016903-z2vqfq98 118 29 deficiency deficiency NN cord-016903-z2vqfq98 118 30 . . . cord-016903-z2vqfq98 119 1 CMV CMV NNP cord-016903-z2vqfq98 119 2 infection infection NN cord-016903-z2vqfq98 119 3 is be VBZ cord-016903-z2vqfq98 119 4 quite quite RB cord-016903-z2vqfq98 119 5 common common JJ cord-016903-z2vqfq98 119 6 and and CC cord-016903-z2vqfq98 119 7 affects affect VBZ cord-016903-z2vqfq98 119 8 60 60 CD cord-016903-z2vqfq98 119 9 - - SYM cord-016903-z2vqfq98 119 10 100 100 CD cord-016903-z2vqfq98 119 11 % % NN cord-016903-z2vqfq98 119 12 ofthe ofthe DT cord-016903-z2vqfq98 119 13 adult adult NN cord-016903-z2vqfq98 119 14 population population NN cord-016903-z2vqfq98 119 15 , , , cord-016903-z2vqfq98 119 16 dependingon dependingon NNP cord-016903-z2vqfq98 119 17 the the DT cord-016903-z2vqfq98 119 18 area area NN cord-016903-z2vqfq98 119 19 . . . cord-016903-z2vqfq98 120 1 The the DT cord-016903-z2vqfq98 120 2 CMVis CMVis NNPS cord-016903-z2vqfq98 120 3 transmitted transmit VBN cord-016903-z2vqfq98 120 4 via via IN cord-016903-z2vqfq98 120 5 person person NN cord-016903-z2vqfq98 120 6 - - HYPH cord-016903-z2vqfq98 120 7 to to IN cord-016903-z2vqfq98 120 8 - - HYPH cord-016903-z2vqfq98 120 9 person person NN cord-016903-z2vqfq98 120 10 contacts contact NNS cord-016903-z2vqfq98 120 11 but but CC cord-016903-z2vqfq98 120 12 immunocompetent immunocompetent JJ cord-016903-z2vqfq98 120 13 subjects subject NNS cord-016903-z2vqfq98 121 1 mostly mostly RB cord-016903-z2vqfq98 121 2 do do VBP cord-016903-z2vqfq98 121 3 not not RB cord-016903-z2vqfq98 121 4 recognize recognize VB cord-016903-z2vqfq98 121 5 infection infection NN cord-016903-z2vqfq98 121 6 as as IN cord-016903-z2vqfq98 121 7 it -PRON- PRP cord-016903-z2vqfq98 121 8 causes cause VBZ cord-016903-z2vqfq98 121 9 no no DT cord-016903-z2vqfq98 121 10 or or CC cord-016903-z2vqfq98 121 11 few few JJ cord-016903-z2vqfq98 121 12 unspecific unspecific JJ cord-016903-z2vqfq98 121 13 symptoms symptom NNS cord-016903-z2vqfq98 121 14 . . . cord-016903-z2vqfq98 122 1 However however RB cord-016903-z2vqfq98 122 2 , , , cord-016903-z2vqfq98 122 3 a a DT cord-016903-z2vqfq98 122 4 CMV CMV NNP cord-016903-z2vqfq98 122 5 infection infection NN cord-016903-z2vqfq98 122 6 represents represent VBZ cord-016903-z2vqfq98 122 7 a a DT cord-016903-z2vqfq98 122 8 severe severe JJ cord-016903-z2vqfq98 122 9 health health NN cord-016903-z2vqfq98 122 10 problem problem NN cord-016903-z2vqfq98 122 11 in in IN cord-016903-z2vqfq98 122 12 immunocompromised immunocompromised JJ cord-016903-z2vqfq98 122 13 persons person NNS cord-016903-z2vqfq98 122 14 ( ( -LRB- cord-016903-z2vqfq98 122 15 e.g. e.g. RB cord-016903-z2vqfq98 123 1 , , , cord-016903-z2vqfq98 123 2 due due IN cord-016903-z2vqfq98 123 3 to to IN cord-016903-z2vqfq98 123 4 immunosuppressive immunosuppressive JJ cord-016903-z2vqfq98 123 5 disease disease NN cord-016903-z2vqfq98 123 6 , , , cord-016903-z2vqfq98 123 7 chemotherapy chemotherapy NN cord-016903-z2vqfq98 123 8 or or CC cord-016903-z2vqfq98 123 9 transplantation transplantation NN cord-016903-z2vqfq98 123 10 ) ) -RRB- cord-016903-z2vqfq98 123 11 or or CC cord-016903-z2vqfq98 123 12 in in IN cord-016903-z2vqfq98 123 13 a a DT cord-016903-z2vqfq98 123 14 fetus fetus NN cord-016903-z2vqfq98 123 15 as as IN cord-016903-z2vqfq98 123 16 a a DT cord-016903-z2vqfq98 123 17 result result NN cord-016903-z2vqfq98 123 18 of of IN cord-016903-z2vqfq98 123 19 congenital congenital JJ cord-016903-z2vqfq98 123 20 infection infection NN cord-016903-z2vqfq98 123 21 . . . cord-016903-z2vqfq98 124 1 Research research NN cord-016903-z2vqfq98 124 2 results result NNS cord-016903-z2vqfq98 124 3 over over IN cord-016903-z2vqfq98 124 4 the the DT cord-016903-z2vqfq98 124 5 past past JJ cord-016903-z2vqfq98 124 6 decade decade NN cord-016903-z2vqfq98 124 7 suggest suggest VBP cord-016903-z2vqfq98 124 8 that that IN cord-016903-z2vqfq98 124 9 CMV CMV NNP cord-016903-z2vqfq98 124 10 favors favor VBZ cord-016903-z2vqfq98 124 11 an an DT cord-016903-z2vqfq98 124 12 accelerated accelerate VBN cord-016903-z2vqfq98 124 13 aging aging NN cord-016903-z2vqfq98 124 14 of of IN cord-016903-z2vqfq98 124 15 the the DT cord-016903-z2vqfq98 124 16 immune immune JJ cord-016903-z2vqfq98 124 17 system system NN cord-016903-z2vqfq98 124 18 as as IN cord-016903-z2vqfq98 124 19 CMV CMV NNP cord-016903-z2vqfq98 124 20 infection infection NN cord-016903-z2vqfq98 124 21 is be VBZ cord-016903-z2vqfq98 124 22 chronic chronic JJ cord-016903-z2vqfq98 124 23 and and CC cord-016903-z2vqfq98 124 24 the the DT cord-016903-z2vqfq98 124 25 organism organism NN cord-016903-z2vqfq98 124 26 is be VBZ cord-016903-z2vqfq98 124 27 forced force VBN cord-016903-z2vqfq98 124 28 to to TO cord-016903-z2vqfq98 124 29 continuously continuously RB cord-016903-z2vqfq98 124 30 prevent prevent VB cord-016903-z2vqfq98 124 31 virus virus NN cord-016903-z2vqfq98 124 32 reactivation reactivation NN cord-016903-z2vqfq98 124 33 . . . cord-016903-z2vqfq98 125 1 F F NNP cord-016903-z2vqfq98 125 2 ' ' '' cord-016903-z2vqfq98 125 3 " " '' cord-016903-z2vqfq98 126 1 Despite despite IN cord-016903-z2vqfq98 126 2 the the DT cord-016903-z2vqfq98 126 3 high high JJ cord-016903-z2vqfq98 126 4 frequency frequency NN cord-016903-z2vqfq98 126 5 of of IN cord-016903-z2vqfq98 126 6 CMV CMV NNP cord-016903-z2vqfq98 126 7 - - HYPH cord-016903-z2vqfq98 126 8 specific specific JJ cord-016903-z2vqfq98 126 9 CD8 CD8 NNP cord-016903-z2vqfq98 126 10 + + SYM cord-016903-z2vqfq98 126 11 Tscells Tscells NNP cord-016903-z2vqfq98 126 12 , , , cord-016903-z2vqfq98 126 13 the the DT cord-016903-z2vqfq98 126 14 virus virus NN cord-016903-z2vqfq98 126 15 usually usually RB cord-016903-z2vqfq98 126 16 can can MD cord-016903-z2vqfq98 126 17 not not RB cord-016903-z2vqfq98 126 18 be be VB cord-016903-z2vqfq98 126 19 eliminated eliminate VBN cord-016903-z2vqfq98 126 20 by by IN cord-016903-z2vqfq98 126 21 the the DT cord-016903-z2vqfq98 126 22 immune immune JJ cord-016903-z2vqfq98 126 23 system system NN cord-016903-z2vqfq98 126 24 . . . cord-016903-z2vqfq98 127 1 This this DT cord-016903-z2vqfq98 127 2 is be VBZ cord-016903-z2vqfq98 127 3 because because IN cord-016903-z2vqfq98 127 4 the the DT cord-016903-z2vqfq98 127 5 virus virus NN cord-016903-z2vqfq98 127 6 has have VBZ cord-016903-z2vqfq98 127 7 evolved evolve VBN cord-016903-z2vqfq98 127 8 several several JJ cord-016903-z2vqfq98 127 9 mechanisms mechanism NNS cord-016903-z2vqfq98 127 10 to to TO cord-016903-z2vqfq98 127 11 escape escape VB cord-016903-z2vqfq98 127 12 the the DT cord-016903-z2vqfq98 127 13 host host NN cord-016903-z2vqfq98 127 14 's 's POS cord-016903-z2vqfq98 127 15 immune immune JJ cord-016903-z2vqfq98 127 16 defense defense NN cord-016903-z2vqfq98 127 17 . . . cord-016903-z2vqfq98 127 18 " " '' cord-016903-z2vqfq98 128 1 For for IN cord-016903-z2vqfq98 128 2 instance instance NN cord-016903-z2vqfq98 128 3 , , , cord-016903-z2vqfq98 128 4 CMV CMV NNP cord-016903-z2vqfq98 128 5 encodes encode VBZ cord-016903-z2vqfq98 128 6 for for IN cord-016903-z2vqfq98 128 7 a a DT cord-016903-z2vqfq98 128 8 type type NN cord-016903-z2vqfq98 128 9 ofproteins ofprotein NNS cord-016903-z2vqfq98 128 10 called call VBN cord-016903-z2vqfq98 128 11 immunoevasins immunoevasin NNS cord-016903-z2vqfq98 128 12 that that WDT cord-016903-z2vqfq98 128 13 modulate modulate VBP cord-016903-z2vqfq98 128 14 the the DT cord-016903-z2vqfq98 128 15 presentation presentation NN cord-016903-z2vqfq98 128 16 ofviral ofviral JJ cord-016903-z2vqfq98 128 17 peptides peptide NNS cord-016903-z2vqfq98 128 18 or or CC cord-016903-z2vqfq98 128 19 directly directly RB cord-016903-z2vqfq98 128 20 suppress suppress VB cord-016903-z2vqfq98 128 21 cellular cellular JJ cord-016903-z2vqfq98 128 22 immune immune JJ cord-016903-z2vqfq98 128 23 responses response NNS cord-016903-z2vqfq98 128 24 . . . cord-016903-z2vqfq98 129 1 Hence hence RB cord-016903-z2vqfq98 129 2 , , , cord-016903-z2vqfq98 129 3 the the DT cord-016903-z2vqfq98 129 4 accumulation accumulation NN cord-016903-z2vqfq98 129 5 of of IN cord-016903-z2vqfq98 129 6 CMV CMV NNP cord-016903-z2vqfq98 129 7 - - HYPH cord-016903-z2vqfq98 129 8 specific specific JJ cord-016903-z2vqfq98 129 9 T t NN cord-016903-z2vqfq98 129 10 - - HYPH cord-016903-z2vqfq98 129 11 cells cell NNS cord-016903-z2vqfq98 129 12 substantially substantially RB cord-016903-z2vqfq98 129 13 constricts constrict VBZ cord-016903-z2vqfq98 129 14 the the DT cord-016903-z2vqfq98 129 15 diversity diversity NN cord-016903-z2vqfq98 129 16 of of IN cord-016903-z2vqfq98 129 17 the the DT cord-016903-z2vqfq98 129 18 T t NN cord-016903-z2vqfq98 129 19 - - HYPH cord-016903-z2vqfq98 129 20 cell cell NN cord-016903-z2vqfq98 129 21 repertoire repertoire NN cord-016903-z2vqfq98 129 22 " " '' cord-016903-z2vqfq98 129 23 and and CC cord-016903-z2vqfq98 129 24 leads lead VBZ cord-016903-z2vqfq98 129 25 to to IN cord-016903-z2vqfq98 129 26 the the DT cord-016903-z2vqfq98 129 27 production production NN cord-016903-z2vqfq98 129 28 ofproinflammatory ofproinflammatory JJ cord-016903-z2vqfq98 129 29 cytokines cytokine NNS cord-016903-z2vqfq98 129 30 , , , cord-016903-z2vqfq98 129 31 such such JJ cord-016903-z2vqfq98 129 32 as as IN cord-016903-z2vqfq98 129 33 gamma gamma NN cord-016903-z2vqfq98 129 34 interferon interferon NN cord-016903-z2vqfq98 129 35 and and CC cord-016903-z2vqfq98 129 36 tumor tumor NN cord-016903-z2vqfq98 129 37 necrosis necrosis NN cord-016903-z2vqfq98 129 38 factor factor NN cord-016903-z2vqfq98 129 39 alpha alpha NN cord-016903-z2vqfq98 129 40 . . . cord-016903-z2vqfq98 129 41 ' ' '' cord-016903-z2vqfq98 129 42 ? ? . cord-016903-z2vqfq98 130 1 This this DT cord-016903-z2vqfq98 130 2 imbalance imbalance NN cord-016903-z2vqfq98 130 3 in in IN cord-016903-z2vqfq98 130 4 the the DT cord-016903-z2vqfq98 130 5 cytokine cytokine NN cord-016903-z2vqfq98 130 6 production production NN cord-016903-z2vqfq98 130 7 profile profile NN cord-016903-z2vqfq98 130 8 may may MD cord-016903-z2vqfq98 130 9 not not RB cord-016903-z2vqfq98 130 10 only only RB cord-016903-z2vqfq98 130 11 promote promote VB cord-016903-z2vqfq98 130 12 the the DT cord-016903-z2vqfq98 130 13 pathogenesis pathogenesis NN cord-016903-z2vqfq98 130 14 of of IN cord-016903-z2vqfq98 130 15 age age NN cord-016903-z2vqfq98 130 16 - - HYPH cord-016903-z2vqfq98 130 17 related relate VBN cord-016903-z2vqfq98 130 18 diseasesf diseasesf NN cord-016903-z2vqfq98 130 19 but but CC cord-016903-z2vqfq98 130 20 leads lead VBZ cord-016903-z2vqfq98 130 21 to to IN cord-016903-z2vqfq98 130 22 a a DT cord-016903-z2vqfq98 130 23 decreased decreased JJ cord-016903-z2vqfq98 130 24 production production NN cord-016903-z2vqfq98 130 25 of of IN cord-016903-z2vqfq98 130 26 antibodies antibody NNS cord-016903-z2vqfq98 130 27 following follow VBG cord-016903-z2vqfq98 130 28 influenza influenza NN cord-016903-z2vqfq98 130 29 vaccination vaccination NN cord-016903-z2vqfq98 130 30 in in IN cord-016903-z2vqfq98 130 31 elderly elderly JJ cord-016903-z2vqfq98 130 32 persons.fA persons.fa NN cord-016903-z2vqfq98 130 33 few few JJ cord-016903-z2vqfq98 130 34 antiviral antiviral JJ cord-016903-z2vqfq98 130 35 substances substance NNS cord-016903-z2vqfq98 130 36 including include VBG cord-016903-z2vqfq98 130 37 ganciclovir ganciclovir NNP cord-016903-z2vqfq98 130 38 , , , cord-016903-z2vqfq98 130 39 valganciclovir valganciclovir NNP cord-016903-z2vqfq98 130 40 , , , cord-016903-z2vqfq98 130 41 foscarnet foscarnet NN cord-016903-z2vqfq98 130 42 and and CC cord-016903-z2vqfq98 130 43 cidofovir cidofovir NNS cord-016903-z2vqfq98 130 44 are be VBP cord-016903-z2vqfq98 130 45 available available JJ cord-016903-z2vqfq98 130 46 to to TO cord-016903-z2vqfq98 130 47 prevent prevent VB cord-016903-z2vqfq98 130 48 CMV CMV NNP cord-016903-z2vqfq98 130 49 infection infection NN cord-016903-z2vqfq98 130 50 in in IN cord-016903-z2vqfq98 130 51 immunocompromised immunocompromised JJ cord-016903-z2vqfq98 130 52 patients patient NNS cord-016903-z2vqfq98 130 53 . . . cord-016903-z2vqfq98 131 1 But but CC cord-016903-z2vqfq98 131 2 antiviral antiviral JJ cord-016903-z2vqfq98 131 3 therapy therapy NN cord-016903-z2vqfq98 131 4 is be VBZ cord-016903-z2vqfq98 131 5 limited limit VBN cord-016903-z2vqfq98 131 6 by by IN cord-016903-z2vqfq98 131 7 its -PRON- PRP$ cord-016903-z2vqfq98 131 8 severe severe JJ cord-016903-z2vqfq98 131 9 adverse adverse JJ cord-016903-z2vqfq98 131 10 reactions reaction NNS cord-016903-z2vqfq98 131 11 , , , cord-016903-z2vqfq98 131 12 such such JJ cord-016903-z2vqfq98 131 13 as as IN cord-016903-z2vqfq98 131 14 neutropenia neutropenia NN cord-016903-z2vqfq98 131 15 , , , cord-016903-z2vqfq98 131 16 nephrotoxicity nephrotoxicity NN cord-016903-z2vqfq98 131 17 , , , cord-016903-z2vqfq98 131 18 hypocalcemia hypocalcemia NN cord-016903-z2vqfq98 131 19 and and CC cord-016903-z2vqfq98 131 20 seizures seizure NNS cord-016903-z2vqfq98 131 21 . . . cord-016903-z2vqfq98 132 1 Another another DT cord-016903-z2vqfq98 132 2 strategy strategy NN cord-016903-z2vqfq98 132 3 is be VBZ cord-016903-z2vqfq98 132 4 the the DT cord-016903-z2vqfq98 132 5 adoptive adoptive JJ cord-016903-z2vqfq98 132 6 transfer transfer NN cord-016903-z2vqfq98 132 7 ofdonor ofdonor NN cord-016903-z2vqfq98 132 8 - - HYPH cord-016903-z2vqfq98 132 9 derived derive VBN cord-016903-z2vqfq98 132 10 CMV CMV NNP cord-016903-z2vqfq98 132 11 - - HYPH cord-016903-z2vqfq98 132 12 specific specific JJ cord-016903-z2vqfq98 132 13 CD4 CD4 NNP cord-016903-z2vqfq98 132 14 + + CC cord-016903-z2vqfq98 132 15 and and CC cord-016903-z2vqfq98 132 16 CD8 CD8 NNP cord-016903-z2vqfq98 132 17 + + CC cord-016903-z2vqfq98 132 18 T T NNP cord-016903-z2vqfq98 132 19 - - HYPH cord-016903-z2vqfq98 132 20 cells cell NNS cord-016903-z2vqfq98 132 21 that that WDT cord-016903-z2vqfq98 132 22 may may MD cord-016903-z2vqfq98 132 23 restore restore VB cord-016903-z2vqfq98 132 24 the the DT cord-016903-z2vqfq98 132 25 host host NN cord-016903-z2vqfq98 132 26 's 's POS cord-016903-z2vqfq98 132 27 immunity immunity NN cord-016903-z2vqfq98 132 28 against against IN cord-016903-z2vqfq98 132 29 CMV CMV NNP cord-016903-z2vqfq98 132 30 . . . cord-016903-z2vqfq98 133 1 44 44 CD cord-016903-z2vqfq98 134 1 Despite despite IN cord-016903-z2vqfq98 134 2 the the DT cord-016903-z2vqfq98 134 3 need need NN cord-016903-z2vqfq98 134 4 ofa ofa NN cord-016903-z2vqfq98 134 5 safe safe JJ cord-016903-z2vqfq98 134 6 and and CC cord-016903-z2vqfq98 134 7 potent potent JJ cord-016903-z2vqfq98 134 8 vaccine vaccine NN cord-016903-z2vqfq98 134 9 that that WDT cord-016903-z2vqfq98 134 10 prevents prevent VBZ cord-016903-z2vqfq98 134 11 CMV CMV NNP cord-016903-z2vqfq98 134 12 disease disease NN cord-016903-z2vqfq98 134 13 , , , cord-016903-z2vqfq98 134 14 no no DT cord-016903-z2vqfq98 134 15 vaccine vaccine NN cord-016903-z2vqfq98 134 16 candidate candidate NN cord-016903-z2vqfq98 134 17 has have VBZ cord-016903-z2vqfq98 134 18 yet yet RB cord-016903-z2vqfq98 134 19 entered enter VBN cord-016903-z2vqfq98 134 20 the the DT cord-016903-z2vqfq98 134 21 market market NN cord-016903-z2vqfq98 134 22 . . . cord-016903-z2vqfq98 135 1 A a DT cord-016903-z2vqfq98 135 2 few few JJ cord-016903-z2vqfq98 135 3 vaccines vaccine NNS cord-016903-z2vqfq98 135 4 against against IN cord-016903-z2vqfq98 135 5 CMV CMV NNP cord-016903-z2vqfq98 135 6 are be VBP cord-016903-z2vqfq98 135 7 currently currently RB cord-016903-z2vqfq98 135 8 in in IN cord-016903-z2vqfq98 135 9 phase phase NN cord-016903-z2vqfq98 136 1 IIII IIII NNP cord-016903-z2vqfq98 136 2 clinical clinical JJ cord-016903-z2vqfq98 136 3 trials trial NNS cord-016903-z2vqfq98 136 4 ( ( -LRB- cord-016903-z2vqfq98 136 5 Table table NN cord-016903-z2vqfq98 136 6 1 1 CD cord-016903-z2vqfq98 136 7 ) ) -RRB- cord-016903-z2vqfq98 136 8 . . . cord-016903-z2vqfq98 137 1 Active active JJ cord-016903-z2vqfq98 137 2 immunization immunization NN cord-016903-z2vqfq98 137 3 against against IN cord-016903-z2vqfq98 137 4 CMV CMV NNP cord-016903-z2vqfq98 137 5 could could MD cord-016903-z2vqfq98 137 6 reduce reduce VB cord-016903-z2vqfq98 137 7 the the DT cord-016903-z2vqfq98 137 8 incidence incidence NN cord-016903-z2vqfq98 137 9 ofneonatal ofneonatal JJ cord-016903-z2vqfq98 137 10 infections infection NNS cord-016903-z2vqfq98 137 11 as as RB cord-016903-z2vqfq98 137 12 well well RB cord-016903-z2vqfq98 137 13 as as IN cord-016903-z2vqfq98 137 14 complications complication NNS cord-016903-z2vqfq98 137 15 in in IN cord-016903-z2vqfq98 137 16 immunocompromised immunocompromised JJ cord-016903-z2vqfq98 137 17 persons person NNS cord-016903-z2vqfq98 137 18 and and CC cord-016903-z2vqfq98 137 19 may may MD cord-016903-z2vqfq98 137 20 prevent prevent VB cord-016903-z2vqfq98 137 21 CMV CMV NNP cord-016903-z2vqfq98 137 22 - - HYPH cord-016903-z2vqfq98 137 23 associated associate VBN cord-016903-z2vqfq98 137 24 premature premature JJ cord-016903-z2vqfq98 137 25 aging age VBG cord-016903-z2vqfq98 137 26 ofthe ofthe DT cord-016903-z2vqfq98 137 27 immune immune JJ cord-016903-z2vqfq98 137 28 system system NN cord-016903-z2vqfq98 137 29 when when WRB cord-016903-z2vqfq98 137 30 applied apply VBD cord-016903-z2vqfq98 137 31 early early RB cord-016903-z2vqfq98 137 32 in in IN cord-016903-z2vqfq98 137 33 life life NN cord-016903-z2vqfq98 137 34 . . . cord-016903-z2vqfq98 138 1 Pertussis pertussis NN cord-016903-z2vqfq98 138 2 ( ( -LRB- cord-016903-z2vqfq98 138 3 whooping whooping JJ cord-016903-z2vqfq98 138 4 cough cough NN cord-016903-z2vqfq98 138 5 ) ) -RRB- cord-016903-z2vqfq98 138 6 is be VBZ cord-016903-z2vqfq98 138 7 a a DT cord-016903-z2vqfq98 138 8 highly highly RB cord-016903-z2vqfq98 138 9 contagious contagious JJ cord-016903-z2vqfq98 138 10 respiratory respiratory JJ cord-016903-z2vqfq98 138 11 system system NN cord-016903-z2vqfq98 138 12 infection infection NN cord-016903-z2vqfq98 138 13 caused cause VBN cord-016903-z2vqfq98 138 14 by by IN cord-016903-z2vqfq98 138 15 the the DT cord-016903-z2vqfq98 138 16 bacterium bacterium NN cord-016903-z2vqfq98 138 17 Bordetella Bordetella NNP cord-016903-z2vqfq98 138 18 pertussis pertussis NN cord-016903-z2vqfq98 138 19 and and CC cord-016903-z2vqfq98 138 20 rarely rarely RB cord-016903-z2vqfq98 138 21 by by IN cord-016903-z2vqfq98 138 22 B.parapertussis B.parapertussis NNP cord-016903-z2vqfq98 138 23 , , , cord-016903-z2vqfq98 138 24 B. B. NNP cord-016903-z2vqfq98 138 25 bronchiseptica bronchiseptica NNP cord-016903-z2vqfq98 138 26 or or CC cord-016903-z2vqfq98 138 27 other other JJ cord-016903-z2vqfq98 138 28 pathogens pathogen NNS cord-016903-z2vqfq98 138 29 . . . cord-016903-z2vqfq98 139 1 Each each DT cord-016903-z2vqfq98 139 2 year year NN cord-016903-z2vqfq98 139 3 , , , cord-016903-z2vqfq98 139 4 more more JJR cord-016903-z2vqfq98 139 5 than than IN cord-016903-z2vqfq98 139 6 20 20 CD cord-016903-z2vqfq98 139 7 million million CD cord-016903-z2vqfq98 139 8 cases case NNS cord-016903-z2vqfq98 139 9 ofpertussis ofpertussi NNS cord-016903-z2vqfq98 139 10 are be VBP cord-016903-z2vqfq98 139 11 reported report VBN cord-016903-z2vqfq98 139 12 worldwide worldwide RB cord-016903-z2vqfq98 139 13 , , , cord-016903-z2vqfq98 139 14 90 90 CD cord-016903-z2vqfq98 139 15 % % NN cord-016903-z2vqfq98 139 16 ofwhich ofwhich NNS cord-016903-z2vqfq98 139 17 occur occur VBP cord-016903-z2vqfq98 139 18 in in IN cord-016903-z2vqfq98 139 19 developing develop VBG cord-016903-z2vqfq98 139 20 countries country NNS cord-016903-z2vqfq98 139 21 , , , cord-016903-z2vqfq98 139 22 with with IN cord-016903-z2vqfq98 139 23 an an DT cord-016903-z2vqfq98 139 24 estimated estimate VBN cord-016903-z2vqfq98 139 25 200,000 200,000 CD cord-016903-z2vqfq98 139 26 to to TO cord-016903-z2vqfq98 139 27 300,000 300,000 CD cord-016903-z2vqfq98 139 28 fatalities fatality NNS cord-016903-z2vqfq98 139 29 . . . cord-016903-z2vqfq98 140 1 The the DT cord-016903-z2vqfq98 140 2 implementation implementation NN cord-016903-z2vqfq98 140 3 of of IN cord-016903-z2vqfq98 140 4 routine routine JJ cord-016903-z2vqfq98 140 5 childhood childhood NN cord-016903-z2vqfq98 140 6 vaccination vaccination NN cord-016903-z2vqfq98 140 7 against against IN cord-016903-z2vqfq98 140 8 pertussis pertussis NN cord-016903-z2vqfq98 140 9 has have VBZ cord-016903-z2vqfq98 140 10 reduced reduce VBN cord-016903-z2vqfq98 140 11 the the DT cord-016903-z2vqfq98 140 12 high high JJ cord-016903-z2vqfq98 140 13 mortality mortality NN cord-016903-z2vqfq98 140 14 rate rate NN cord-016903-z2vqfq98 140 15 among among IN cord-016903-z2vqfq98 140 16 children child NNS cord-016903-z2vqfq98 140 17 . . . cord-016903-z2vqfq98 141 1 Although although IN cord-016903-z2vqfq98 141 2 most most JJS cord-016903-z2vqfq98 141 3 infants infant NNS cord-016903-z2vqfq98 141 4 are be VBP cord-016903-z2vqfq98 141 5 being be VBG cord-016903-z2vqfq98 141 6 immunized immunize VBN cord-016903-z2vqfq98 141 7 against against IN cord-016903-z2vqfq98 141 8 pertussis pertussis NN cord-016903-z2vqfq98 141 9 in in IN cord-016903-z2vqfq98 141 10 industrialized industrialize VBN cord-016903-z2vqfq98 141 11 countries country NNS cord-016903-z2vqfq98 141 12 , , , cord-016903-z2vqfq98 141 13 immunity immunity NN cord-016903-z2vqfq98 141 14 usually usually RB cord-016903-z2vqfq98 141 15 fades fade VBZ cord-016903-z2vqfq98 141 16 during during IN cord-016903-z2vqfq98 141 17 adolescence adolescence NN cord-016903-z2vqfq98 141 18 . . . cord-016903-z2vqfq98 142 1 Consequently consequently RB cord-016903-z2vqfq98 142 2 , , , cord-016903-z2vqfq98 142 3 a a DT cord-016903-z2vqfq98 142 4 significant significant JJ cord-016903-z2vqfq98 142 5 rise rise NN cord-016903-z2vqfq98 142 6 in in IN cord-016903-z2vqfq98 142 7 pertussis pertussis NN cord-016903-z2vqfq98 142 8 incidence incidence NN cord-016903-z2vqfq98 142 9 has have VBZ cord-016903-z2vqfq98 142 10 been be VBN cord-016903-z2vqfq98 142 11 noticed notice VBN cord-016903-z2vqfq98 142 12 in in IN cord-016903-z2vqfq98 142 13 adolescents adolescent NNS cord-016903-z2vqfq98 142 14 and and CC cord-016903-z2vqfq98 142 15 adults adult NNS cord-016903-z2vqfq98 142 16 . . . cord-016903-z2vqfq98 142 17 " " '' cord-016903-z2vqfq98 143 1 However however RB cord-016903-z2vqfq98 143 2 , , , cord-016903-z2vqfq98 143 3 the the DT cord-016903-z2vqfq98 143 4 reported report VBN cord-016903-z2vqfq98 143 5 pertussis pertussis NN cord-016903-z2vqfq98 143 6 cases case NNS cord-016903-z2vqfq98 143 7 in in IN cord-016903-z2vqfq98 143 8 adults adult NNS cord-016903-z2vqfq98 143 9 and and CC cord-016903-z2vqfq98 143 10 elderly elderly JJ cord-016903-z2vqfq98 143 11 people people NNS cord-016903-z2vqfq98 143 12 are be VBP cord-016903-z2vqfq98 143 13 likely likely JJ cord-016903-z2vqfq98 143 14 to to TO cord-016903-z2vqfq98 143 15 be be VB cord-016903-z2vqfq98 143 16 underestimated underestimate VBN cord-016903-z2vqfq98 143 17 because because IN cord-016903-z2vqfq98 143 18 symptoms symptom NNS cord-016903-z2vqfq98 143 19 ofdisease ofdisease MD cord-016903-z2vqfq98 143 20 may may MD cord-016903-z2vqfq98 143 21 be be VB cord-016903-z2vqfq98 143 22 characterless characterless JJ cord-016903-z2vqfq98 143 23 and and CC cord-016903-z2vqfq98 143 24 make make VB cord-016903-z2vqfq98 143 25 clinical clinical JJ cord-016903-z2vqfq98 143 26 diagnosis diagnosis NN cord-016903-z2vqfq98 143 27 difficult difficult JJ cord-016903-z2vqfq98 143 28 . . . cord-016903-z2vqfq98 144 1 Among among IN cord-016903-z2vqfq98 144 2 nonvaccinated nonvaccinate VBN cord-016903-z2vqfq98 144 3 elderly elderly JJ cord-016903-z2vqfq98 144 4 people people NNS cord-016903-z2vqfq98 144 5 the the DT cord-016903-z2vqfq98 144 6 attack attack NN cord-016903-z2vqfq98 144 7 rate rate NN cord-016903-z2vqfq98 144 8 ofpertussis ofpertussis NN cord-016903-z2vqfq98 144 9 is be VBZ cord-016903-z2vqfq98 144 10 high high JJ cord-016903-z2vqfq98 144 11 ( ( -LRB- cord-016903-z2vqfq98 144 12 53 53 CD cord-016903-z2vqfq98 144 13 % % NN cord-016903-z2vqfq98 144 14 ) ) -RRB- cord-016903-z2vqfq98 144 15 and and CC cord-016903-z2vqfq98 144 16 up up IN cord-016903-z2vqfq98 144 17 to to TO cord-016903-z2vqfq98 144 18 10 10 CD cord-016903-z2vqfq98 144 19 % % NN cord-016903-z2vqfq98 144 20 ofelderly ofelderly JJ cord-016903-z2vqfq98 144 21 persons person NNS cord-016903-z2vqfq98 144 22 may may MD cord-016903-z2vqfq98 144 23 die die VB cord-016903-z2vqfq98 144 24 from from IN cord-016903-z2vqfq98 144 25 intracranial intracranial JJ cord-016903-z2vqfq98 144 26 bleeding bleeding NN cord-016903-z2vqfq98 144 27 while while IN cord-016903-z2vqfq98 144 28 they -PRON- PRP cord-016903-z2vqfq98 144 29 are be VBP cord-016903-z2vqfq98 144 30 symptomatic symptomatic JJ cord-016903-z2vqfq98 144 31 for for IN cord-016903-z2vqfq98 144 32 pertussis pertussis NN cord-016903-z2vqfq98 144 33 . . . cord-016903-z2vqfq98 144 34 " " '' cord-016903-z2vqfq98 145 1 Regular regular JJ cord-016903-z2vqfq98 145 2 booster booster NN cord-016903-z2vqfq98 145 3 immunizations immunization NNS cord-016903-z2vqfq98 145 4 should should MD cord-016903-z2vqfq98 145 5 thus thus RB cord-016903-z2vqfq98 145 6 be be VB cord-016903-z2vqfq98 145 7 considered consider VBN cord-016903-z2vqfq98 145 8 for for IN cord-016903-z2vqfq98 145 9 adults adult NNS cord-016903-z2vqfq98 145 10 and and CC cord-016903-z2vqfq98 145 11 elderly elderly JJ cord-016903-z2vqfq98 145 12 persons person NNS cord-016903-z2vqfq98 145 13 , , , cord-016903-z2vqfq98 145 14 which which WDT cord-016903-z2vqfq98 145 15 is be VBZ cord-016903-z2vqfq98 145 16 indispensable indispensable JJ cord-016903-z2vqfq98 145 17 to to TO cord-016903-z2vqfq98 145 18 remain remain VB cord-016903-z2vqfq98 145 19 protected protect VBN cord-016903-z2vqfq98 145 20 from from IN cord-016903-z2vqfq98 145 21 disease disease NN cord-016903-z2vqfq98 145 22 . . . cord-016903-z2vqfq98 146 1 Tetanus Tetanus NNP cord-016903-z2vqfq98 146 2 is be VBZ cord-016903-z2vqfq98 146 3 acquired acquire VBN cord-016903-z2vqfq98 146 4 via via IN cord-016903-z2vqfq98 146 5 environmental environmental JJ cord-016903-z2vqfq98 146 6 exposure exposure NN cord-016903-z2vqfq98 146 7 to to IN cord-016903-z2vqfq98 146 8 the the DT cord-016903-z2vqfq98 146 9 spores spore NNS cord-016903-z2vqfq98 146 10 of of IN cord-016903-z2vqfq98 146 11 Clostridium clostridium NN cord-016903-z2vqfq98 146 12 tetani tetani NN cord-016903-z2vqfq98 146 13 , , , cord-016903-z2vqfq98 146 14 which which WDT cord-016903-z2vqfq98 146 15 are be VBP cord-016903-z2vqfq98 146 16 present present JJ cord-016903-z2vqfq98 146 17 in in IN cord-016903-z2vqfq98 146 18 soil soil NN cord-016903-z2vqfq98 146 19 worldwide worldwide RB cord-016903-z2vqfq98 146 20 . . . cord-016903-z2vqfq98 147 1 The the DT cord-016903-z2vqfq98 147 2 disease disease NN cord-016903-z2vqfq98 147 3 is be VBZ cord-016903-z2vqfq98 147 4 caused cause VBN cord-016903-z2vqfq98 147 5 by by IN cord-016903-z2vqfq98 147 6 a a DT cord-016903-z2vqfq98 147 7 potent potent JJ cord-016903-z2vqfq98 147 8 neurotoxin neurotoxin NN cord-016903-z2vqfq98 147 9 produced produce VBN cord-016903-z2vqfq98 147 10 by by IN cord-016903-z2vqfq98 147 11 the the DT cord-016903-z2vqfq98 147 12 bacterium bacterium NN cord-016903-z2vqfq98 147 13 in in IN cord-016903-z2vqfq98 147 14 dead dead JJ cord-016903-z2vqfq98 147 15 tissue tissue NN cord-016903-z2vqfq98 147 16 , , , cord-016903-z2vqfq98 147 17 e.g e.g NNP cord-016903-z2vqfq98 147 18 . . NNP cord-016903-z2vqfq98 147 19 ,dirty ,dirty NNP cord-016903-z2vqfq98 147 20 wounds wound NNS cord-016903-z2vqfq98 147 21 . . . cord-016903-z2vqfq98 148 1 Diphtheria diphtheria NN cord-016903-z2vqfq98 148 2 is be VBZ cord-016903-z2vqfq98 148 3 a a DT cord-016903-z2vqfq98 148 4 bacterial bacterial JJ cord-016903-z2vqfq98 148 5 disease disease NN cord-016903-z2vqfq98 148 6 caused cause VBN cord-016903-z2vqfq98 148 7 by by IN cord-016903-z2vqfq98 148 8 Corynebacterium Corynebacterium NNP cord-016903-z2vqfq98 148 9 diphtheriac diphtheriac NNP cord-016903-z2vqfq98 148 10 and and CC cord-016903-z2vqfq98 148 11 is be VBZ cord-016903-z2vqfq98 148 12 transmitted transmit VBN cord-016903-z2vqfq98 148 13 from from IN cord-016903-z2vqfq98 148 14 person person NN cord-016903-z2vqfq98 148 15 to to IN cord-016903-z2vqfq98 148 16 person person NN cord-016903-z2vqfq98 148 17 through through IN cord-016903-z2vqfq98 148 18 close close JJ cord-016903-z2vqfq98 148 19 physical physical JJ cord-016903-z2vqfq98 148 20 contact contact NN cord-016903-z2vqfq98 148 21 . . . cord-016903-z2vqfq98 149 1 The the DT cord-016903-z2vqfq98 149 2 public public JJ cord-016903-z2vqfq98 149 3 health health NN cord-016903-z2vqfq98 149 4 burden burden NN cord-016903-z2vqfq98 149 5 ofboth ofboth NNP cord-016903-z2vqfq98 149 6 diseaseshas diseaseshas NNP cord-016903-z2vqfq98 149 7 been be VBN cord-016903-z2vqfq98 149 8 low low JJ cord-016903-z2vqfq98 149 9 in in IN cord-016903-z2vqfq98 149 10 developed develop VBN cord-016903-z2vqfq98 149 11 countries country NNS cord-016903-z2vqfq98 149 12 due due JJ cord-016903-z2vqfq98 149 13 to to IN cord-016903-z2vqfq98 149 14 routine routine JJ cord-016903-z2vqfq98 149 15 immunization immunization NN cord-016903-z2vqfq98 149 16 . . . cord-016903-z2vqfq98 150 1 However however RB cord-016903-z2vqfq98 150 2 , , , cord-016903-z2vqfq98 150 3 outbreaks outbreak NNS cord-016903-z2vqfq98 150 4 ofdiphtheria ofdiphtheria NNS cord-016903-z2vqfq98 150 5 have have VBP cord-016903-z2vqfq98 150 6 been be VBN cord-016903-z2vqfq98 150 7 reported report VBN cord-016903-z2vqfq98 150 8 in in IN cord-016903-z2vqfq98 150 9 the the DT cord-016903-z2vqfq98 150 10 independent independent JJ cord-016903-z2vqfq98 150 11 states state NNS cord-016903-z2vqfq98 150 12 ofthe ofthe DT cord-016903-z2vqfq98 150 13 former former JJ cord-016903-z2vqfq98 150 14 Soviet Soviet NNP cord-016903-z2vqfq98 150 15 Union Union NNP cord-016903-z2vqfq98 150 16 , , , cord-016903-z2vqfq98 150 17 Algeria Algeria NNP cord-016903-z2vqfq98 150 18 , , , cord-016903-z2vqfq98 150 19 China China NNP cord-016903-z2vqfq98 150 20 , , , cord-016903-z2vqfq98 150 21 Iraq Iraq NNP cord-016903-z2vqfq98 150 22 , , , cord-016903-z2vqfq98 150 23 Sudan Sudan NNP cord-016903-z2vqfq98 150 24 , , , cord-016903-z2vqfq98 150 25 Thailand Thailand NNP cord-016903-z2vqfq98 150 26 and and CC cord-016903-z2vqfq98 150 27 other other JJ cord-016903-z2vqfq98 150 28 countries country NNS cord-016903-z2vqfq98 150 29 . . . cord-016903-z2vqfq98 151 1 Thus thus RB cord-016903-z2vqfq98 151 2 , , , cord-016903-z2vqfq98 151 3 maintaining maintain VBG cord-016903-z2vqfq98 151 4 high high JJ cord-016903-z2vqfq98 151 5 vaccination vaccination NN cord-016903-z2vqfq98 151 6 coverage coverage NN cord-016903-z2vqfq98 151 7 is be VBZ cord-016903-z2vqfq98 151 8 important important JJ cord-016903-z2vqfq98 151 9 to to TO cord-016903-z2vqfq98 151 10 prevent prevent VB cord-016903-z2vqfq98 151 11 the the DT cord-016903-z2vqfq98 151 12 outbreak outbreak NN cord-016903-z2vqfq98 151 13 of of IN cord-016903-z2vqfq98 151 14 new new JJ cord-016903-z2vqfq98 151 15 diphtheria diphtheria NN cord-016903-z2vqfq98 151 16 epidemics epidemic NNS cord-016903-z2vqfq98 151 17 . . . cord-016903-z2vqfq98 152 1 Although although IN cord-016903-z2vqfq98 152 2 vaccines vaccine NNS cord-016903-z2vqfq98 152 3 that that WDT cord-016903-z2vqfq98 152 4 prevent prevent VBP cord-016903-z2vqfq98 152 5 from from IN cord-016903-z2vqfq98 152 6 tetanus tetanus NN cord-016903-z2vqfq98 152 7 and and CC cord-016903-z2vqfq98 152 8 diphtheria diphtheria NN cord-016903-z2vqfq98 152 9 have have VBP cord-016903-z2vqfq98 152 10 been be VBN cord-016903-z2vqfq98 152 11 used use VBN cord-016903-z2vqfq98 152 12 for for IN cord-016903-z2vqfq98 152 13 routine routine JJ cord-016903-z2vqfq98 152 14 immunization immunization NN cord-016903-z2vqfq98 152 15 for for IN cord-016903-z2vqfq98 152 16 a a DT cord-016903-z2vqfq98 152 17 long long JJ cord-016903-z2vqfq98 152 18 time time NN cord-016903-z2vqfq98 152 19 all all RB cord-016903-z2vqfq98 152 20 over over IN cord-016903-z2vqfq98 152 21 the the DT cord-016903-z2vqfq98 152 22 world world NN cord-016903-z2vqfq98 152 23 , , , cord-016903-z2vqfq98 152 24 few few JJ cord-016903-z2vqfq98 152 25 studies study NNS cord-016903-z2vqfq98 152 26 exist exist VBP cord-016903-z2vqfq98 152 27 that that DT cord-016903-z2vqfq98 152 28 document document NN cord-016903-z2vqfq98 152 29 their -PRON- PRP$ cord-016903-z2vqfq98 152 30 efficacyin efficacyin JJ cord-016903-z2vqfq98 152 31 elderly elderly JJ cord-016903-z2vqfq98 152 32 people people NNS cord-016903-z2vqfq98 152 33 . . . cord-016903-z2vqfq98 153 1 The the DT cord-016903-z2vqfq98 153 2 vaccination vaccination NN cord-016903-z2vqfq98 153 3 coverage coverage NN cord-016903-z2vqfq98 153 4 among among IN cord-016903-z2vqfq98 153 5 elderly elderly JJ cord-016903-z2vqfq98 153 6 subjects subject NNS cord-016903-z2vqfq98 153 7 is be VBZ cord-016903-z2vqfq98 153 8 decreasing decrease VBG cord-016903-z2vqfq98 153 9 in in IN cord-016903-z2vqfq98 153 10 several several JJ cord-016903-z2vqfq98 153 11 European european JJ cord-016903-z2vqfq98 153 12 countries country NNS cord-016903-z2vqfq98 153 13 and and CC cord-016903-z2vqfq98 153 14 up up IN cord-016903-z2vqfq98 153 15 to to TO cord-016903-z2vqfq98 153 16 40 40 CD cord-016903-z2vqfq98 153 17 % % NN cord-016903-z2vqfq98 153 18 of of IN cord-016903-z2vqfq98 153 19 appropriately appropriately RB cord-016903-z2vqfq98 153 20 vaccinated vaccinate VBN cord-016903-z2vqfq98 153 21 elderly elderly JJ cord-016903-z2vqfq98 153 22 persons person NNS cord-016903-z2vqfq98 153 23 do do VBP cord-016903-z2vqfq98 153 24 not not RB cord-016903-z2vqfq98 153 25 have have VB cord-016903-z2vqfq98 153 26 protective protective JJ cord-016903-z2vqfq98 153 27 tetanus tetanus RB cord-016903-z2vqfq98 153 28 - - HYPH cord-016903-z2vqfq98 153 29 specific specific JJ cord-016903-z2vqfq98 153 30 antibody antibody NN cord-016903-z2vqfq98 153 31 concentrations concentration NNS cord-016903-z2vqfq98 153 32 . . . cord-016903-z2vqfq98 154 1 47 47 CD cord-016903-z2vqfq98 154 2 - - SYM cord-016903-z2vqfq98 154 3 49Therefore 49therefore CD cord-016903-z2vqfq98 154 4 , , , cord-016903-z2vqfq98 154 5 public public JJ cord-016903-z2vqfq98 154 6 health health NN cord-016903-z2vqfq98 154 7 authorities authority NNS cord-016903-z2vqfq98 154 8 ofsome ofsome IN cord-016903-z2vqfq98 154 9 European european JJ cord-016903-z2vqfq98 154 10 countries country NNS cord-016903-z2vqfq98 154 11 have have VBP cord-016903-z2vqfq98 154 12 recommended recommend VBN cord-016903-z2vqfq98 154 13 five five CD cord-016903-z2vqfq98 154 14 instead instead RB cord-016903-z2vqfq98 154 15 often often RB cord-016903-z2vqfq98 154 16 year year NN cord-016903-z2vqfq98 154 17 booster booster NN cord-016903-z2vqfq98 154 18 vaccination vaccination NN cord-016903-z2vqfq98 154 19 intervals interval NNS cord-016903-z2vqfq98 154 20 for for IN cord-016903-z2vqfq98 154 21 people people NNS cord-016903-z2vqfq98 154 22 over over IN cord-016903-z2vqfq98 154 23 60 60 CD cord-016903-z2vqfq98 154 24 years year NNS cord-016903-z2vqfq98 154 25 ofage ofage RB cord-016903-z2vqfq98 154 26 . . . cord-016903-z2vqfq98 155 1 Additionally additionally RB cord-016903-z2vqfq98 155 2 , , , cord-016903-z2vqfq98 155 3 strategies strategy NNS cord-016903-z2vqfq98 155 4 should should MD cord-016903-z2vqfq98 155 5 be be VB cord-016903-z2vqfq98 155 6 developed develop VBN cord-016903-z2vqfq98 155 7 to to TO cord-016903-z2vqfq98 155 8 draw draw VB cord-016903-z2vqfq98 155 9 public public JJ cord-016903-z2vqfq98 155 10 attention attention NN cord-016903-z2vqfq98 155 11 to to IN cord-016903-z2vqfq98 155 12 the the DT cord-016903-z2vqfq98 155 13 problem problem NN cord-016903-z2vqfq98 155 14 ofimmunizations ofimmunization VBZ cord-016903-z2vqfq98 155 15 in in IN cord-016903-z2vqfq98 155 16 the the DT cord-016903-z2vqfq98 155 17 elderly elderly JJ cord-016903-z2vqfq98 155 18 , , , cord-016903-z2vqfq98 155 19 to to TO cord-016903-z2vqfq98 155 20 inform inform VB cord-016903-z2vqfq98 155 21 general general JJ cord-016903-z2vqfq98 155 22 practitioners practitioner NNS cord-016903-z2vqfq98 155 23 and and CC cord-016903-z2vqfq98 155 24 to to TO cord-016903-z2vqfq98 155 25 increase increase VB cord-016903-z2vqfq98 155 26 vaccination vaccination NN cord-016903-z2vqfq98 155 27 acceptance acceptance NN cord-016903-z2vqfq98 155 28 . . . cord-016903-z2vqfq98 156 1 The the DT cord-016903-z2vqfq98 156 2 increasing increase VBG cord-016903-z2vqfq98 156 3 mobility mobility NN cord-016903-z2vqfq98 156 4 ofelderly ofelderly JJ cord-016903-z2vqfq98 156 5 persons person NNS cord-016903-z2vqfq98 156 6 recognized recognize VBN cord-016903-z2vqfq98 156 7 worldwide worldwide RB cord-016903-z2vqfq98 156 8 is be VBZ cord-016903-z2vqfq98 156 9 accompanied accompany VBN cord-016903-z2vqfq98 156 10 by by IN cord-016903-z2vqfq98 156 11 an an DT cord-016903-z2vqfq98 156 12 enhanced enhanced JJ cord-016903-z2vqfq98 156 13 risk risk NN cord-016903-z2vqfq98 156 14 to to TO cord-016903-z2vqfq98 156 15 encounter encounter VB cord-016903-z2vqfq98 156 16 new new JJ cord-016903-z2vqfq98 156 17 antigens antigen NNS cord-016903-z2vqfq98 156 18 . . . cord-016903-z2vqfq98 157 1 This this DT cord-016903-z2vqfq98 157 2 may may MD cord-016903-z2vqfq98 157 3 be be VB cord-016903-z2vqfq98 157 4 ofconcern ofconcern NNP cord-016903-z2vqfq98 157 5 because because IN cord-016903-z2vqfq98 157 6 elderly elderly JJ cord-016903-z2vqfq98 157 7 persons person NNS cord-016903-z2vqfq98 157 8 possess possess VBP cord-016903-z2vqfq98 157 9 a a DT cord-016903-z2vqfq98 157 10 limited limited JJ cord-016903-z2vqfq98 157 11 T t NN cord-016903-z2vqfq98 157 12 - - HYPH cord-016903-z2vqfq98 157 13 cell cell NN cord-016903-z2vqfq98 157 14 repertoire repertoire NN cord-016903-z2vqfq98 157 15 that that WDT cord-016903-z2vqfq98 157 16 may may MD cord-016903-z2vqfq98 157 17 not not RB cord-016903-z2vqfq98 157 18 guarantee guarantee VB cord-016903-z2vqfq98 157 19 full full JJ cord-016903-z2vqfq98 157 20 responsiveness responsiveness NN cord-016903-z2vqfq98 157 21 to to IN cord-016903-z2vqfq98 157 22 a a DT cord-016903-z2vqfq98 157 23 wide wide JJ cord-016903-z2vqfq98 157 24 variety variety NN cord-016903-z2vqfq98 157 25 ofnew ofnew NN cord-016903-z2vqfq98 157 26 antigens antigen NNS cord-016903-z2vqfq98 157 27 ( ( -LRB- cord-016903-z2vqfq98 157 28 see see VB cord-016903-z2vqfq98 157 29 below below RB cord-016903-z2vqfq98 157 30 for for IN cord-016903-z2vqfq98 157 31 details detail NNS cord-016903-z2vqfq98 157 32 ) ) -RRB- cord-016903-z2vqfq98 157 33 . . . cord-016903-z2vqfq98 158 1 Nevertheless nevertheless RB cord-016903-z2vqfq98 158 2 , , , cord-016903-z2vqfq98 158 3 in in IN cord-016903-z2vqfq98 158 4 vitro vitro FW cord-016903-z2vqfq98 158 5 experiments experiment NNS cord-016903-z2vqfq98 158 6 have have VBP cord-016903-z2vqfq98 158 7 demonstrated demonstrate VBN cord-016903-z2vqfq98 158 8 that that IN cord-016903-z2vqfq98 158 9 naive naive JJ cord-016903-z2vqfq98 158 10 T t NN cord-016903-z2vqfq98 158 11 - - HYPH cord-016903-z2vqfq98 158 12 cells cell NNS cord-016903-z2vqfq98 158 13 from from IN cord-016903-z2vqfq98 158 14 elderly elderly JJ cord-016903-z2vqfq98 158 15 persons person NNS cord-016903-z2vqfq98 158 16 can can MD cord-016903-z2vqfq98 158 17 still still RB cord-016903-z2vqfq98 158 18 be be VB cord-016903-z2vqfq98 158 19 stimulated stimulate VBN cord-016903-z2vqfq98 158 20 by by IN cord-016903-z2vqfq98 158 21 neoantigens neoantigen NNS cord-016903-z2vqfq98 158 22 , , , cord-016903-z2vqfq98 158 23 at at IN cord-016903-z2vqfq98 158 24 least least JJS cord-016903-z2vqfq98 158 25 to to IN cord-016903-z2vqfq98 158 26 the the DT cord-016903-z2vqfq98 158 27 recombinant recombinant JJ cord-016903-z2vqfq98 158 28 Etr Etr NNP cord-016903-z2vqfq98 158 29 protein protein NN cord-016903-z2vqfq98 158 30 of of IN cord-016903-z2vqfq98 158 31 TBE TBE NNP cord-016903-z2vqfq98 158 32 virus virus NN cord-016903-z2vqfq98 158 33 and and CC cord-016903-z2vqfq98 158 34 rabies rabies NN cord-016903-z2vqfq98 158 35 virus virus NN cord-016903-z2vqfq98 158 36 . . . cord-016903-z2vqfq98 158 37 " " '' cord-016903-z2vqfq98 159 1 Based base VBN cord-016903-z2vqfq98 159 2 on on IN cord-016903-z2vqfq98 159 3 an an DT cord-016903-z2vqfq98 159 4 assessment assessment NN cord-016903-z2vqfq98 159 5 of of IN cord-016903-z2vqfq98 159 6 the the DT cord-016903-z2vqfq98 159 7 risks risk NNS cord-016903-z2vqfq98 159 8 for for IN cord-016903-z2vqfq98 159 9 travel travel NN cord-016903-z2vqfq98 159 10 - - HYPH cord-016903-z2vqfq98 159 11 related relate VBN cord-016903-z2vqfq98 159 12 diseases disease NNS cord-016903-z2vqfq98 159 13 , , , cord-016903-z2vqfq98 159 14 including include VBG cord-016903-z2vqfq98 159 15 the the DT cord-016903-z2vqfq98 159 16 destination destination NN cord-016903-z2vqfq98 159 17 , , , cord-016903-z2vqfq98 159 18 the the DT cord-016903-z2vqfq98 159 19 type type NN cord-016903-z2vqfq98 159 20 of of IN cord-016903-z2vqfq98 159 21 journey journey NN cord-016903-z2vqfq98 159 22 and and CC cord-016903-z2vqfq98 159 23 the the DT cord-016903-z2vqfq98 159 24 duration duration NN cord-016903-z2vqfq98 159 25 , , , cord-016903-z2vqfq98 159 26 vaccination vaccination NN cord-016903-z2vqfq98 159 27 is be VBZ cord-016903-z2vqfq98 159 28 recommended recommend VBN cord-016903-z2vqfq98 159 29 to to TO cord-016903-z2vqfq98 159 30 protect protect VB cord-016903-z2vqfq98 159 31 from from IN cord-016903-z2vqfq98 159 32 typhoid typhoid NN cord-016903-z2vqfq98 159 33 and and CC cord-016903-z2vqfq98 159 34 yellow yellow JJ cord-016903-z2vqfq98 159 35 fever fever NN cord-016903-z2vqfq98 159 36 , , , cord-016903-z2vqfq98 159 37 hepatitis hepatitis NNP cord-016903-z2vqfq98 159 38 A a NN cord-016903-z2vqfq98 159 39 and and CC cord-016903-z2vqfq98 159 40 B b NN cord-016903-z2vqfq98 159 41 , , , cord-016903-z2vqfq98 159 42 Japanese japanese JJ cord-016903-z2vqfq98 159 43 encephalitis encephalitis RB cord-016903-z2vqfq98 159 44 , , , cord-016903-z2vqfq98 159 45 tick tick VB cord-016903-z2vqfq98 159 46 - - HYPH cord-016903-z2vqfq98 159 47 borne bear VBN cord-016903-z2vqfq98 159 48 encephalitis encephalitis JJ cord-016903-z2vqfq98 159 49 ( ( -LRB- cord-016903-z2vqfq98 159 50 TBE TBE NNP cord-016903-z2vqfq98 159 51 ) ) -RRB- cord-016903-z2vqfq98 159 52 or or CC cord-016903-z2vqfq98 159 53 rabies rabie NNS cord-016903-z2vqfq98 159 54 . . . cord-016903-z2vqfq98 160 1 But but CC cord-016903-z2vqfq98 160 2 elderly elderly JJ cord-016903-z2vqfq98 160 3 persons person NNS cord-016903-z2vqfq98 160 4 should should MD cord-016903-z2vqfq98 160 5 also also RB cord-016903-z2vqfq98 160 6 check check VB cord-016903-z2vqfq98 160 7 whether whether IN cord-016903-z2vqfq98 160 8 they -PRON- PRP cord-016903-z2vqfq98 160 9 have have VBP cord-016903-z2vqfq98 160 10 followed follow VBN cord-016903-z2vqfq98 160 11 the the DT cord-016903-z2vqfq98 160 12 recommended recommend VBN cord-016903-z2vqfq98 160 13 booster booster NN cord-016903-z2vqfq98 160 14 intervals interval NNS cord-016903-z2vqfq98 160 15 of of IN cord-016903-z2vqfq98 160 16 routine routine JJ cord-016903-z2vqfq98 160 17 immunizations immunization NNS cord-016903-z2vqfq98 160 18 , , , cord-016903-z2vqfq98 160 19 e.g. e.g. RB cord-016903-z2vqfq98 160 20 , , , cord-016903-z2vqfq98 160 21 against against IN cord-016903-z2vqfq98 160 22 tetanus tetanus NN cord-016903-z2vqfq98 160 23 , , , cord-016903-z2vqfq98 160 24 diphtheria diphtheria NN cord-016903-z2vqfq98 160 25 , , , cord-016903-z2vqfq98 160 26 poliomyelitis poliomyelitis NN cord-016903-z2vqfq98 160 27 , , , cord-016903-z2vqfq98 160 28 measles measle NNS cord-016903-z2vqfq98 160 29 or or CC cord-016903-z2vqfq98 160 30 influenza influenza NN cord-016903-z2vqfq98 160 31 . . . cord-016903-z2vqfq98 161 1 TBE TBE NNP cord-016903-z2vqfq98 161 2 is be VBZ cord-016903-z2vqfq98 161 3 caused cause VBN cord-016903-z2vqfq98 161 4 by by IN cord-016903-z2vqfq98 161 5 a a DT cord-016903-z2vqfq98 161 6 virus virus NN cord-016903-z2vqfq98 161 7 that that WDT cord-016903-z2vqfq98 161 8 is be VBZ cord-016903-z2vqfq98 161 9 primarily primarily RB cord-016903-z2vqfq98 161 10 transmitted transmit VBN cord-016903-z2vqfq98 161 11 to to IN cord-016903-z2vqfq98 161 12 humans human NNS cord-016903-z2vqfq98 161 13 by by IN cord-016903-z2vqfq98 161 14 infected infected JJ cord-016903-z2vqfq98 161 15 ticks tick NNS cord-016903-z2vqfq98 161 16 . . . cord-016903-z2vqfq98 162 1 There there EX cord-016903-z2vqfq98 162 2 are be VBP cord-016903-z2vqfq98 162 3 three three CD cord-016903-z2vqfq98 162 4 genetically genetically RB cord-016903-z2vqfq98 162 5 closely closely RB cord-016903-z2vqfq98 162 6 related related JJ cord-016903-z2vqfq98 162 7 subtypes subtype NNS cord-016903-z2vqfq98 162 8 of of IN cord-016903-z2vqfq98 162 9 the the DT cord-016903-z2vqfq98 162 10 TBE TBE NNP cord-016903-z2vqfq98 162 11 virus virus NN cord-016903-z2vqfq98 162 12 known know VBN cord-016903-z2vqfq98 162 13 ( ( -LRB- cord-016903-z2vqfq98 162 14 European european JJ cord-016903-z2vqfq98 162 15 , , , cord-016903-z2vqfq98 162 16 Siberian siberian JJ cord-016903-z2vqfq98 162 17 and and CC cord-016903-z2vqfq98 162 18 Far far JJ cord-016903-z2vqfq98 162 19 Eastern eastern JJ cord-016903-z2vqfq98 162 20 subtype subtype NN cord-016903-z2vqfq98 162 21 ) ) -RRB- cord-016903-z2vqfq98 162 22 . . . cord-016903-z2vqfq98 163 1 TBE TBE NNP cord-016903-z2vqfq98 163 2 is be VBZ cord-016903-z2vqfq98 163 3 among among IN cord-016903-z2vqfq98 163 4 the the DT cord-016903-z2vqfq98 163 5 most most RBS cord-016903-z2vqfq98 163 6 dangerous dangerous JJ cord-016903-z2vqfq98 163 7 neuro neuro JJ cord-016903-z2vqfq98 163 8 - - HYPH cord-016903-z2vqfq98 163 9 infectious infectious JJ cord-016903-z2vqfq98 163 10 diseases disease NNS cord-016903-z2vqfq98 163 11 in in IN cord-016903-z2vqfq98 163 12 Europe Europe NNP cord-016903-z2vqfq98 163 13 and and CC cord-016903-z2vqfq98 163 14 Asia Asia NNP cord-016903-z2vqfq98 163 15 and and CC cord-016903-z2vqfq98 163 16 is be VBZ cord-016903-z2vqfq98 163 17 responsible responsible JJ cord-016903-z2vqfq98 163 18 for for IN cord-016903-z2vqfq98 163 19 up up IN cord-016903-z2vqfq98 163 20 to to TO cord-016903-z2vqfq98 163 21 12,000 12,000 CD cord-016903-z2vqfq98 163 22 casesofTBE casesoftbe NN cord-016903-z2vqfq98 163 23 annually annually RB cord-016903-z2vqfq98 163 24 , , , cord-016903-z2vqfq98 163 25 most most JJS cord-016903-z2vqfq98 163 26 ofthem ofthem NNS cord-016903-z2vqfq98 163 27 occurring occur VBG cord-016903-z2vqfq98 163 28 in in IN cord-016903-z2vqfq98 163 29 Russia Russia NNP cord-016903-z2vqfq98 163 30 , , , cord-016903-z2vqfq98 163 31 Czech Czech NNP cord-016903-z2vqfq98 163 32 Republic Republic NNP cord-016903-z2vqfq98 163 33 and and CC cord-016903-z2vqfq98 163 34 the the DT cord-016903-z2vqfq98 163 35 Baltic baltic JJ cord-016903-z2vqfq98 163 36 states state NNS cord-016903-z2vqfq98 163 37 . . . cord-016903-z2vqfq98 164 1 " " `` cord-016903-z2vqfq98 164 2 Up up IN cord-016903-z2vqfq98 164 3 to to TO cord-016903-z2vqfq98 164 4 30 30 CD cord-016903-z2vqfq98 164 5 % % NN cord-016903-z2vqfq98 164 6 ofadults ofadult NNS cord-016903-z2vqfq98 164 7 with with IN cord-016903-z2vqfq98 164 8 clinically clinically RB cord-016903-z2vqfq98 164 9 confirmed confirm VBN cord-016903-z2vqfq98 164 10 TBE tbe NN cord-016903-z2vqfq98 164 11 infection infection NN cord-016903-z2vqfq98 164 12 develop develop VBP cord-016903-z2vqfq98 164 13 meningitis meningitis NN cord-016903-z2vqfq98 164 14 or or CC cord-016903-z2vqfq98 164 15 meningoencephalitis meningoencephalitis NN cord-016903-z2vqfq98 164 16 and and CC cord-016903-z2vqfq98 164 17 the the DT cord-016903-z2vqfq98 164 18 lethality lethality NN cord-016903-z2vqfq98 164 19 ofTBE oftbe XX cord-016903-z2vqfq98 165 1 in in IN cord-016903-z2vqfq98 165 2 Europe Europe NNP cord-016903-z2vqfq98 165 3 is be VBZ cord-016903-z2vqfq98 165 4 up up IN cord-016903-z2vqfq98 165 5 to to IN cord-016903-z2vqfq98 165 6 1%.Yet 1%.yet CD cord-016903-z2vqfq98 165 7 , , , cord-016903-z2vqfq98 165 8 there there EX cord-016903-z2vqfq98 165 9 is be VBZ cord-016903-z2vqfq98 165 10 no no DT cord-016903-z2vqfq98 165 11 specific specific JJ cord-016903-z2vqfq98 165 12 therapy therapy NN cord-016903-z2vqfq98 165 13 available available JJ cord-016903-z2vqfq98 165 14 and and CC cord-016903-z2vqfq98 165 15 , , , cord-016903-z2vqfq98 165 16 therefore therefore RB cord-016903-z2vqfq98 165 17 , , , cord-016903-z2vqfq98 165 18 active active JJ cord-016903-z2vqfq98 165 19 immunization immunization NN cord-016903-z2vqfq98 165 20 with with IN cord-016903-z2vqfq98 165 21 inactivated inactivate VBN cord-016903-z2vqfq98 165 22 whole whole JJ cord-016903-z2vqfq98 165 23 virus virus NN cord-016903-z2vqfq98 165 24 provides provide VBZ cord-016903-z2vqfq98 165 25 the the DT cord-016903-z2vqfq98 165 26 only only JJ cord-016903-z2vqfq98 165 27 efficient efficient JJ cord-016903-z2vqfq98 165 28 protection protection NN cord-016903-z2vqfq98 165 29 from from IN cord-016903-z2vqfq98 165 30 TBE TBE NNP cord-016903-z2vqfq98 165 31 disease disease NN cord-016903-z2vqfq98 165 32 ( ( -LRB- cord-016903-z2vqfq98 165 33 Table table NN cord-016903-z2vqfq98 165 34 2 2 CD cord-016903-z2vqfq98 165 35 ) ) -RRB- cord-016903-z2vqfq98 165 36 .52 .52 . cord-016903-z2vqfq98 166 1 Importantly importantly RB cord-016903-z2vqfq98 166 2 , , , cord-016903-z2vqfq98 166 3 more more JJR cord-016903-z2vqfq98 166 4 and and CC cord-016903-z2vqfq98 166 5 more more JJR cord-016903-z2vqfq98 166 6 TBE TBE NNP cord-016903-z2vqfq98 166 7 cases case NNS cord-016903-z2vqfq98 166 8 are be VBP cord-016903-z2vqfq98 166 9 reported report VBN cord-016903-z2vqfq98 166 10 in in IN cord-016903-z2vqfq98 166 11 people people NNS cord-016903-z2vqfq98 166 12 over over IN cord-016903-z2vqfq98 166 13 50 50 CD cord-016903-z2vqfq98 166 14 years year NNS cord-016903-z2vqfq98 166 15 ofage ofage JJ cord-016903-z2vqfq98 166 16 and and CC cord-016903-z2vqfq98 166 17 vaccination vaccination NN cord-016903-z2vqfq98 166 18 coverage coverage NN cord-016903-z2vqfq98 166 19 in in IN cord-016903-z2vqfq98 166 20 this this DT cord-016903-z2vqfq98 166 21 population population NN cord-016903-z2vqfq98 166 22 is be VBZ cord-016903-z2vqfq98 166 23 lower low JJR cord-016903-z2vqfq98 166 24 than than IN cord-016903-z2vqfq98 166 25 average average JJ cord-016903-z2vqfq98 166 26 . . . cord-016903-z2vqfq98 167 1 Therefore therefore RB cord-016903-z2vqfq98 167 2 , , , cord-016903-z2vqfq98 167 3 future future JJ cord-016903-z2vqfq98 167 4 strategies strategy NNS cord-016903-z2vqfq98 167 5 should should MD cord-016903-z2vqfq98 167 6 increase increase VB cord-016903-z2vqfq98 167 7 the the DT cord-016903-z2vqfq98 167 8 vaccination vaccination NN cord-016903-z2vqfq98 167 9 coverage coverage NN cord-016903-z2vqfq98 167 10 among among IN cord-016903-z2vqfq98 167 11 elderly elderly JJ cord-016903-z2vqfq98 167 12 persons person NNS cord-016903-z2vqfq98 167 13 and and CC cord-016903-z2vqfq98 167 14 assure assure VB cord-016903-z2vqfq98 167 15 that that IN cord-016903-z2vqfq98 167 16 they -PRON- PRP cord-016903-z2vqfq98 167 17 stick stick VBP cord-016903-z2vqfq98 167 18 to to IN cord-016903-z2vqfq98 167 19 regular regular JJ cord-016903-z2vqfq98 167 20 booster booster NN cord-016903-z2vqfq98 167 21 intervals interval NNS cord-016903-z2vqfq98 167 22 . . . cord-016903-z2vqfq98 168 1 Anyhow anyhow RB cord-016903-z2vqfq98 168 2 , , , cord-016903-z2vqfq98 168 3 regular regular JJ cord-016903-z2vqfq98 168 4 boosters booster NNS cord-016903-z2vqfq98 168 5 should should MD cord-016903-z2vqfq98 168 6 be be VB cord-016903-z2vqfq98 168 7 given give VBN cord-016903-z2vqfq98 168 8 throughout throughout IN cord-016903-z2vqfq98 168 9 life life NN cord-016903-z2vqfq98 168 10 as as IN cord-016903-z2vqfq98 168 11 this this DT cord-016903-z2vqfq98 168 12 may may MD cord-016903-z2vqfq98 168 13 favor favor VB cord-016903-z2vqfq98 168 14 the the DT cord-016903-z2vqfq98 168 15 maintenance maintenance NN cord-016903-z2vqfq98 168 16 oflong oflong NN cord-016903-z2vqfq98 168 17 - - HYPH cord-016903-z2vqfq98 168 18 lastinghumoral lastinghumoral JJ cord-016903-z2vqfq98 168 19 immunity immunity NN cord-016903-z2vqfq98 168 20 against against IN cord-016903-z2vqfq98 168 21 TBE53and TBE53and NNP cord-016903-z2vqfq98 168 22 may may MD cord-016903-z2vqfq98 168 23 decrease decrease VB cord-016903-z2vqfq98 168 24 the the DT cord-016903-z2vqfq98 168 25 risk risk NN cord-016903-z2vqfq98 168 26 ofimmunization ofimmunization NN cord-016903-z2vqfq98 168 27 failures failure NNS cord-016903-z2vqfq98 168 28 in in IN cord-016903-z2vqfq98 168 29 the the DT cord-016903-z2vqfq98 168 30 elderly elderly JJ cord-016903-z2vqfq98 168 31 . . . cord-016903-z2vqfq98 169 1 Hepatitis Hepatitis NNP cord-016903-z2vqfq98 169 2 A A NNP cord-016903-z2vqfq98 169 3 is be VBZ cord-016903-z2vqfq98 169 4 an an DT cord-016903-z2vqfq98 169 5 acute acute JJ cord-016903-z2vqfq98 169 6 disease disease NN cord-016903-z2vqfq98 169 7 ofthe ofthe DT cord-016903-z2vqfq98 169 8 liver liver NN cord-016903-z2vqfq98 169 9 caused cause VBN cord-016903-z2vqfq98 169 10 by by IN cord-016903-z2vqfq98 169 11 the the DT cord-016903-z2vqfq98 169 12 hepatitis hepatitis NN cord-016903-z2vqfq98 169 13 A A NNP cord-016903-z2vqfq98 169 14 virus virus NN cord-016903-z2vqfq98 169 15 ( ( -LRB- cord-016903-z2vqfq98 169 16 HAY HAY NNP cord-016903-z2vqfq98 169 17 ) ) -RRB- cord-016903-z2vqfq98 169 18 , , , cord-016903-z2vqfq98 169 19 a a DT cord-016903-z2vqfq98 169 20 nonenveloped nonenveloped JJ cord-016903-z2vqfq98 169 21 virus virus NN cord-016903-z2vqfq98 169 22 belonging belong VBG cord-016903-z2vqfq98 169 23 to to IN cord-016903-z2vqfq98 169 24 the the DT cord-016903-z2vqfq98 169 25 Picornaviridae Picornaviridae NNP cord-016903-z2vqfq98 169 26 family family NN cord-016903-z2vqfq98 169 27 . . . cord-016903-z2vqfq98 170 1 Each each DT cord-016903-z2vqfq98 170 2 year year NN cord-016903-z2vqfq98 170 3 , , , cord-016903-z2vqfq98 170 4 an an DT cord-016903-z2vqfq98 170 5 estimated estimate VBN cord-016903-z2vqfq98 170 6 1.5 1.5 CD cord-016903-z2vqfq98 170 7 million million CD cord-016903-z2vqfq98 170 8 cases case NNS cord-016903-z2vqfq98 170 9 ofhepatitis ofhepatitis VBP cord-016903-z2vqfq98 170 10 A a DT cord-016903-z2vqfq98 170 11 occur occur VBP cord-016903-z2vqfq98 170 12 worldwide worldwide RB cord-016903-z2vqfq98 170 13 . . . cord-016903-z2vqfq98 171 1 HAY HAY NNP cord-016903-z2vqfq98 171 2 infection infection NN cord-016903-z2vqfq98 171 3 induces induce VBZ cord-016903-z2vqfq98 171 4 life life NN cord-016903-z2vqfq98 171 5 - - HYPH cord-016903-z2vqfq98 171 6 long long JJ cord-016903-z2vqfq98 171 7 immunity immunity NN cord-016903-z2vqfq98 171 8 and and CC cord-016903-z2vqfq98 171 9 is be VBZ cord-016903-z2vqfq98 171 10 usually usually RB cord-016903-z2vqfq98 171 11 asymptomatic asymptomatic JJ cord-016903-z2vqfq98 171 12 in in IN cord-016903-z2vqfq98 171 13 young young JJ cord-016903-z2vqfq98 171 14 children child NNS cord-016903-z2vqfq98 171 15 , , , cord-016903-z2vqfq98 171 16 whereas whereas IN cord-016903-z2vqfq98 171 17 adults adult NNS cord-016903-z2vqfq98 171 18 frequently frequently RB cord-016903-z2vqfq98 171 19 experience experience VBP cord-016903-z2vqfq98 171 20 symptomatic symptomatic JJ cord-016903-z2vqfq98 171 21 disease disease NN cord-016903-z2vqfq98 171 22 . . . cord-016903-z2vqfq98 172 1 HAY HAY NNP cord-016903-z2vqfq98 172 2 is be VBZ cord-016903-z2vqfq98 172 3 acquired acquire VBN cord-016903-z2vqfq98 172 4 directly directly RB cord-016903-z2vqfq98 172 5 from from IN cord-016903-z2vqfq98 172 6 infected infected JJ cord-016903-z2vqfq98 172 7 persons person NNS cord-016903-z2vqfq98 172 8 by by IN cord-016903-z2vqfq98 172 9 close close JJ cord-016903-z2vqfq98 172 10 contact contact NN cord-016903-z2vqfq98 172 11 or or CC cord-016903-z2vqfq98 172 12 by by IN cord-016903-z2vqfq98 172 13 the the DT cord-016903-z2vqfq98 172 14 consumption consumption NN cord-016903-z2vqfq98 172 15 ofcontaminated ofcontaminate VBN cord-016903-z2vqfq98 172 16 drinking drinking NN cord-016903-z2vqfq98 172 17 water water NN cord-016903-z2vqfq98 172 18 , , , cord-016903-z2vqfq98 172 19 vegetables vegetable NNS cord-016903-z2vqfq98 172 20 , , , cord-016903-z2vqfq98 172 21 fruits fruit NNS cord-016903-z2vqfq98 172 22 or or CC cord-016903-z2vqfq98 172 23 shells shell NNS cord-016903-z2vqfq98 172 24 . . . cord-016903-z2vqfq98 173 1 HAY HAY NNP cord-016903-z2vqfq98 173 2 vaccination vaccination NN cord-016903-z2vqfq98 173 3 is be VBZ cord-016903-z2vqfq98 173 4 recommended recommend VBN cord-016903-z2vqfq98 173 5 when when WRB cord-016903-z2vqfq98 173 6 traveling travel VBG cord-016903-z2vqfq98 173 7 to to IN cord-016903-z2vqfq98 173 8 tropic tropic NNP cord-016903-z2vqfq98 173 9 and and CC cord-016903-z2vqfq98 173 10 subtropic subtropic NNP cord-016903-z2vqfq98 173 11 countries country NNS cord-016903-z2vqfq98 173 12 that that WDT cord-016903-z2vqfq98 173 13 have have VBP cord-016903-z2vqfq98 173 14 an an DT cord-016903-z2vqfq98 173 15 increased increase VBN cord-016903-z2vqfq98 173 16 risk risk NN cord-016903-z2vqfq98 173 17 of of IN cord-016903-z2vqfq98 173 18 infection infection NN cord-016903-z2vqfq98 173 19 . . . cord-016903-z2vqfq98 174 1 For for IN cord-016903-z2vqfq98 174 2 instance instance NN cord-016903-z2vqfq98 174 3 , , , cord-016903-z2vqfq98 174 4 the the DT cord-016903-z2vqfq98 174 5 risk risk NN cord-016903-z2vqfq98 174 6 ofhepatitis ofhepatitis NN cord-016903-z2vqfq98 174 7 A a DT cord-016903-z2vqfq98 174 8 infection infection NN cord-016903-z2vqfq98 174 9 ofpersons ofperson NNS cord-016903-z2vqfq98 174 10 traveling travel VBG cord-016903-z2vqfq98 174 11 to to IN cord-016903-z2vqfq98 174 12 developing develop VBG cord-016903-z2vqfq98 174 13 countries country NNS cord-016903-z2vqfq98 174 14 was be VBD cord-016903-z2vqfq98 174 15 estimated estimate VBN cord-016903-z2vqfq98 174 16 to to TO cord-016903-z2vqfq98 174 17 be be VB cord-016903-z2vqfq98 174 18 3 3 CD cord-016903-z2vqfq98 174 19 to to TO cord-016903-z2vqfq98 174 20 20 20 CD cord-016903-z2vqfq98 174 21 cases case NNS cord-016903-z2vqfq98 174 22 per per IN cord-016903-z2vqfq98 174 23 1000 1000 CD cord-016903-z2vqfq98 174 24 persons person NNS cord-016903-z2vqfq98 174 25 per per IN cord-016903-z2vqfq98 174 26 month month NN cord-016903-z2vqfq98 174 27 ofstay ofstay NN cord-016903-z2vqfq98 174 28 , , , cord-016903-z2vqfq98 174 29 varying vary VBG cord-016903-z2vqfq98 174 30 with with IN cord-016903-z2vqfq98 174 31 destination destination NN cord-016903-z2vqfq98 174 32 , , , cord-016903-z2vqfq98 174 33 living living NN cord-016903-z2vqfq98 174 34 conditions condition NNS cord-016903-z2vqfq98 174 35 and and CC cord-016903-z2vqfq98 174 36 age age NN cord-016903-z2vqfq98 174 37 . . . cord-016903-z2vqfq98 174 38 " " '' cord-016903-z2vqfq98 175 1 Improved improve VBN cord-016903-z2vqfq98 175 2 sanitary sanitary JJ cord-016903-z2vqfq98 175 3 standards standard NNS cord-016903-z2vqfq98 175 4 in in IN cord-016903-z2vqfq98 175 5 developed develop VBN cord-016903-z2vqfq98 175 6 countries country NNS cord-016903-z2vqfq98 175 7 have have VBP cord-016903-z2vqfq98 175 8 reduced reduce VBN cord-016903-z2vqfq98 175 9 the the DT cord-016903-z2vqfq98 175 10 opportunity opportunity NN cord-016903-z2vqfq98 175 11 for for IN cord-016903-z2vqfq98 175 12 environmental environmental JJ cord-016903-z2vqfq98 175 13 exposure exposure NN cord-016903-z2vqfq98 175 14 to to IN cord-016903-z2vqfq98 175 15 HAY HAY NNP cord-016903-z2vqfq98 175 16 and and CC cord-016903-z2vqfq98 175 17 have have VBP cord-016903-z2vqfq98 175 18 lowered lower VBN cord-016903-z2vqfq98 175 19 the the DT cord-016903-z2vqfq98 175 20 overall overall JJ cord-016903-z2vqfq98 175 21 incidence incidence NN cord-016903-z2vqfq98 175 22 ofinfection ofinfection NN cord-016903-z2vqfq98 175 23 . . . cord-016903-z2vqfq98 176 1 Paradoxically paradoxically RB cord-016903-z2vqfq98 176 2 , , , cord-016903-z2vqfq98 176 3 susceptibility susceptibility NN cord-016903-z2vqfq98 176 4 to to IN cord-016903-z2vqfq98 176 5 the the DT cord-016903-z2vqfq98 176 6 virus virus NN cord-016903-z2vqfq98 176 7 increased increase VBN cord-016903-z2vqfq98 176 8 because because IN cord-016903-z2vqfq98 176 9 of of IN cord-016903-z2vqfq98 176 10 the the DT cord-016903-z2vqfq98 176 11 decrease decrease NN cord-016903-z2vqfq98 176 12 in in IN cord-016903-z2vqfq98 176 13 natural natural JJ cord-016903-z2vqfq98 176 14 immunity immunity NN cord-016903-z2vqfq98 176 15 . . . cord-016903-z2vqfq98 177 1 Consequently consequently RB cord-016903-z2vqfq98 177 2 , , , cord-016903-z2vqfq98 177 3 less less JJR cord-016903-z2vqfq98 177 4 than than IN cord-016903-z2vqfq98 177 5 20 20 CD cord-016903-z2vqfq98 177 6 % % NN cord-016903-z2vqfq98 177 7 ofpersons ofperson NNS cord-016903-z2vqfq98 177 8 born bear VBN cord-016903-z2vqfq98 177 9 after after IN cord-016903-z2vqfq98 177 10 1945 1945 CD cord-016903-z2vqfq98 177 11 have have VBP cord-016903-z2vqfq98 177 12 a a DT cord-016903-z2vqfq98 177 13 natural natural JJ cord-016903-z2vqfq98 177 14 immunity immunity NN cord-016903-z2vqfq98 177 15 against against IN cord-016903-z2vqfq98 177 16 HAy'54 HAy'54 NNP cord-016903-z2vqfq98 178 1 In in IN cord-016903-z2vqfq98 178 2 contrast contrast NN cord-016903-z2vqfq98 178 3 to to IN cord-016903-z2vqfq98 178 4 hepatitis hepatitis NNP cord-016903-z2vqfq98 178 5 B B NNP cord-016903-z2vqfq98 178 6 and and CC cord-016903-z2vqfq98 178 7 C C NNP cord-016903-z2vqfq98 178 8 that that WDT cord-016903-z2vqfq98 178 9 may may MD cord-016903-z2vqfq98 178 10 lead lead VB cord-016903-z2vqfq98 178 11 to to IN cord-016903-z2vqfq98 178 12 the the DT cord-016903-z2vqfq98 178 13 manifestation manifestation NN cord-016903-z2vqfq98 178 14 of of IN cord-016903-z2vqfq98 178 15 a a DT cord-016903-z2vqfq98 178 16 chronic chronic JJ cord-016903-z2vqfq98 178 17 infection infection NN cord-016903-z2vqfq98 178 18 , , , cord-016903-z2vqfq98 178 19 clinical clinical JJ cord-016903-z2vqfq98 178 20 illness illness NN cord-016903-z2vqfq98 178 21 after after IN cord-016903-z2vqfq98 178 22 hepatitis hepatitis NNP cord-016903-z2vqfq98 178 23 A a DT cord-016903-z2vqfq98 178 24 infection infection NN cord-016903-z2vqfq98 178 25 is be VBZ cord-016903-z2vqfq98 178 26 usually usually RB cord-016903-z2vqfq98 178 27 mild mild JJ cord-016903-z2vqfq98 178 28 in in IN cord-016903-z2vqfq98 178 29 young young JJ cord-016903-z2vqfq98 178 30 individuals individual NNS cord-016903-z2vqfq98 178 31 . . . cord-016903-z2vqfq98 179 1 But but CC cord-016903-z2vqfq98 179 2 increasing increase VBG cord-016903-z2vqfq98 179 3 age age NN cord-016903-z2vqfq98 179 4 represents represent VBZ cord-016903-z2vqfq98 179 5 an an DT cord-016903-z2vqfq98 179 6 enhanced enhanced JJ cord-016903-z2vqfq98 179 7 risk risk NN cord-016903-z2vqfq98 179 8 ofsevere ofsevere JJ cord-016903-z2vqfq98 179 9 infection infection NN cord-016903-z2vqfq98 179 10 and and CC cord-016903-z2vqfq98 179 11 mortality mortality NN cord-016903-z2vqfq98 179 12 rates rate NNS cord-016903-z2vqfq98 179 13 are be VBP cord-016903-z2vqfq98 179 14 about about RB cord-016903-z2vqfq98 179 15 2 2 CD cord-016903-z2vqfq98 179 16 % % NN cord-016903-z2vqfq98 179 17 for for IN cord-016903-z2vqfq98 179 18 persons person NNS cord-016903-z2vqfq98 179 19 over over IN cord-016903-z2vqfq98 179 20 40 40 CD cord-016903-z2vqfq98 179 21 and and CC cord-016903-z2vqfq98 179 22 4 4 CD cord-016903-z2vqfq98 179 23 % % NN cord-016903-z2vqfq98 179 24 for for IN cord-016903-z2vqfq98 179 25 those those DT cord-016903-z2vqfq98 179 26 over over IN cord-016903-z2vqfq98 179 27 60 60 CD cord-016903-z2vqfq98 179 28 years year NNS cord-016903-z2vqfq98 179 29 ofage ofage JJ cord-016903-z2vqfq98 179 30 . . . cord-016903-z2vqfq98 179 31 " " '' cord-016903-z2vqfq98 180 1 Several several JJ cord-016903-z2vqfq98 180 2 vaccines vaccine NNS cord-016903-z2vqfq98 180 3 against against IN cord-016903-z2vqfq98 180 4 hepatitis hepatitis NNP cord-016903-z2vqfq98 180 5 A A NNP cord-016903-z2vqfq98 180 6 are be VBP cord-016903-z2vqfq98 180 7 available available JJ cord-016903-z2vqfq98 180 8 ( ( -LRB- cord-016903-z2vqfq98 180 9 Table table NN cord-016903-z2vqfq98 180 10 2 2 CD cord-016903-z2vqfq98 180 11 ) ) -RRB- cord-016903-z2vqfq98 180 12 and and CC cord-016903-z2vqfq98 180 13 a a DT cord-016903-z2vqfq98 180 14 study study NN cord-016903-z2vqfq98 180 15 of773 of773 VBP cord-016903-z2vqfq98 180 16 adults adult NNS cord-016903-z2vqfq98 180 17 showed show VBD cord-016903-z2vqfq98 180 18 that that IN cord-016903-z2vqfq98 180 19 immunogenicity immunogenicity NN cord-016903-z2vqfq98 180 20 and and CC cord-016903-z2vqfq98 180 21 safety safety NN cord-016903-z2vqfq98 180 22 profiles profile NNS cord-016903-z2vqfq98 180 23 between between IN cord-016903-z2vqfq98 180 24 ' ' `` cord-016903-z2vqfq98 180 25 Iwinrix Iwinrix NNP cord-016903-z2vqfq98 180 26 ' ' '' cord-016903-z2vqfq98 180 27 and and CC cord-016903-z2vqfq98 180 28 Havrix Havrix NNP cord-016903-z2vqfq98 180 29 ' ' '' cord-016903-z2vqfq98 180 30 are be VBP cord-016903-z2vqfq98 180 31 comparable.56 comparable.56 NNP cord-016903-z2vqfq98 181 1 But but CC cord-016903-z2vqfq98 181 2 there there EX cord-016903-z2vqfq98 181 3 is be VBZ cord-016903-z2vqfq98 181 4 some some DT cord-016903-z2vqfq98 181 5 evidence evidence NN cord-016903-z2vqfq98 181 6 oflower oflow JJR cord-016903-z2vqfq98 181 7 antibody antibody NN cord-016903-z2vqfq98 181 8 titers titer NNS cord-016903-z2vqfq98 181 9 with with IN cord-016903-z2vqfq98 181 10 advanced advanced JJ cord-016903-z2vqfq98 181 11 age age NN cord-016903-z2vqfq98 181 12 . . . cord-016903-z2vqfq98 182 1 For for IN cord-016903-z2vqfq98 182 2 instance instance NN cord-016903-z2vqfq98 182 3 , , , cord-016903-z2vqfq98 182 4 the the DT cord-016903-z2vqfq98 182 5 seroconversion seroconversion NN cord-016903-z2vqfq98 182 6 rates rate NNS cord-016903-z2vqfq98 182 7 8 8 CD cord-016903-z2vqfq98 182 8 months month NNS cord-016903-z2vqfq98 182 9 after after IN cord-016903-z2vqfq98 182 10 two two CD cord-016903-z2vqfq98 182 11 doses dose NNS cord-016903-z2vqfq98 182 12 ofHavrix ofHavrix NNP cord-016903-z2vqfq98 182 13 ' ' '' cord-016903-z2vqfq98 182 14 were be VBD cord-016903-z2vqfq98 182 15 found find VBN cord-016903-z2vqfq98 182 16 to to TO cord-016903-z2vqfq98 182 17 be be VB cord-016903-z2vqfq98 182 18 85 85 CD cord-016903-z2vqfq98 182 19 % % NN cord-016903-z2vqfq98 182 20 and and CC cord-016903-z2vqfq98 182 21 60 60 CD cord-016903-z2vqfq98 182 22 % % NN cord-016903-z2vqfq98 182 23 for for IN cord-016903-z2vqfq98 182 24 adults adult NNS cord-016903-z2vqfq98 182 25 < < XX cord-016903-z2vqfq98 182 26 35 35 CD cord-016903-z2vqfq98 182 27 years year NNS cord-016903-z2vqfq98 182 28 and and CC cord-016903-z2vqfq98 182 29 > > SYM cord-016903-z2vqfq98 182 30 35 35 CD cord-016903-z2vqfq98 182 31 years year NNS cord-016903-z2vqfq98 182 32 , , , cord-016903-z2vqfq98 182 33 respectively.57After respectively.57After . cord-016903-z2vqfq98 183 1 the the DT cord-016903-z2vqfq98 183 2 recommended recommend VBN cord-016903-z2vqfq98 183 3 immunization immunization NN cord-016903-z2vqfq98 183 4 schedule schedule NN cord-016903-z2vqfq98 183 5 with with IN cord-016903-z2vqfq98 183 6 Twinrix'.seroprotection twinrix'.seroprotection NN cord-016903-z2vqfq98 183 7 was be VBD cord-016903-z2vqfq98 183 8 92 92 CD cord-016903-z2vqfq98 183 9 % % NN cord-016903-z2vqfq98 183 10 and and CC cord-016903-z2vqfq98 183 11 63 63 CD cord-016903-z2vqfq98 183 12 % % NN cord-016903-z2vqfq98 183 13 for for IN cord-016903-z2vqfq98 183 14 adults adult NNS cord-016903-z2vqfq98 183 15 < < XX cord-016903-z2vqfq98 183 16 40 40 CD cord-016903-z2vqfq98 183 17 years year NNS cord-016903-z2vqfq98 183 18 and and CC cord-016903-z2vqfq98 183 19 > > XX cord-016903-z2vqfq98 183 20 60 60 CD cord-016903-z2vqfq98 183 21 years year NNS cord-016903-z2vqfq98 183 22 , , , cord-016903-z2vqfq98 183 23 respectively.58 respectively.58 JJ cord-016903-z2vqfq98 184 1 Therefore therefore RB cord-016903-z2vqfq98 184 2 , , , cord-016903-z2vqfq98 184 3 it -PRON- PRP cord-016903-z2vqfq98 184 4 may may MD cord-016903-z2vqfq98 184 5 be be VB cord-016903-z2vqfq98 184 6 useful useful JJ cord-016903-z2vqfq98 184 7 to to TO cord-016903-z2vqfq98 184 8 measure measure VB cord-016903-z2vqfq98 184 9 HAY HAY NNP cord-016903-z2vqfq98 184 10 antibodies antibody NNS cord-016903-z2vqfq98 184 11 in in IN cord-016903-z2vqfq98 184 12 elderly elderly JJ cord-016903-z2vqfq98 184 13 persons person NNS cord-016903-z2vqfq98 184 14 , , , cord-016903-z2vqfq98 184 15 as as IN cord-016903-z2vqfq98 184 16 in in IN cord-016903-z2vqfq98 184 17 the the DT cord-016903-z2vqfq98 184 18 case case NN cord-016903-z2vqfq98 184 19 ofvaccination ofvaccination NN cord-016903-z2vqfq98 184 20 failure failure NN cord-016903-z2vqfq98 184 21 , , , cord-016903-z2vqfq98 184 22 boosters booster NNS cord-016903-z2vqfq98 184 23 have have VBP cord-016903-z2vqfq98 184 24 shown show VBN cord-016903-z2vqfq98 184 25 to to TO cord-016903-z2vqfq98 184 26 be be VB cord-016903-z2vqfq98 184 27 effective effective JJ cord-016903-z2vqfq98 184 28 . . . cord-016903-z2vqfq98 185 1 " " `` cord-016903-z2vqfq98 185 2 It -PRON- PRP cord-016903-z2vqfq98 185 3 is be VBZ cord-016903-z2vqfq98 185 4 further further RB cord-016903-z2vqfq98 185 5 recommended recommend VBN cord-016903-z2vqfq98 185 6 that that IN cord-016903-z2vqfq98 185 7 the the DT cord-016903-z2vqfq98 185 8 vaccine vaccine NN cord-016903-z2vqfq98 185 9 is be VBZ cord-016903-z2vqfq98 185 10 given give VBN cord-016903-z2vqfq98 185 11 at at IN cord-016903-z2vqfq98 185 12 least least JJS cord-016903-z2vqfq98 185 13 3 3 CD cord-016903-z2vqfq98 185 14 to to TO cord-016903-z2vqfq98 185 15 4 4 CD cord-016903-z2vqfq98 185 16 weeks week NNS cord-016903-z2vqfq98 185 17 before before IN cord-016903-z2vqfq98 185 18 travel travel NN cord-016903-z2vqfq98 185 19 due due IN cord-016903-z2vqfq98 185 20 to to IN cord-016903-z2vqfq98 185 21 a a DT cord-016903-z2vqfq98 185 22 slower slow JJR cord-016903-z2vqfq98 185 23 onset onset NN cord-016903-z2vqfq98 185 24 ofthe ofthe DT cord-016903-z2vqfq98 185 25 antibody antibody NN cord-016903-z2vqfq98 185 26 response response NN cord-016903-z2vqfq98 185 27 in in IN cord-016903-z2vqfq98 185 28 elderly elderly JJ cord-016903-z2vqfq98 185 29 individuals individual NNS cord-016903-z2vqfq98 185 30 . . . cord-016903-z2vqfq98 186 1 59 59 CD cord-016903-z2vqfq98 187 1 Another another DT cord-016903-z2vqfq98 187 2 travel travel NN cord-016903-z2vqfq98 187 3 vaccine vaccine NN cord-016903-z2vqfq98 187 4 is be VBZ cord-016903-z2vqfq98 187 5 directed direct VBN cord-016903-z2vqfq98 187 6 against against IN cord-016903-z2vqfq98 187 7 yellow yellow JJ cord-016903-z2vqfq98 187 8 fever fever NN cord-016903-z2vqfq98 187 9 ( ( -LRB- cord-016903-z2vqfq98 187 10 YF YF NNP cord-016903-z2vqfq98 187 11 ) ) -RRB- cord-016903-z2vqfq98 187 12 , , , cord-016903-z2vqfq98 187 13 which which WDT cord-016903-z2vqfq98 187 14 is be VBZ cord-016903-z2vqfq98 187 15 endemic endemic JJ cord-016903-z2vqfq98 187 16 in in IN cord-016903-z2vqfq98 187 17 tropic tropic NN cord-016903-z2vqfq98 187 18 regions region NNS cord-016903-z2vqfq98 187 19 ofAfrica ofAfrica NNP cord-016903-z2vqfq98 187 20 and and CC cord-016903-z2vqfq98 187 21 South South NNP cord-016903-z2vqfq98 187 22 America America NNP cord-016903-z2vqfq98 187 23 . . . cord-016903-z2vqfq98 188 1 YF YF NNP cord-016903-z2vqfq98 188 2 is be VBZ cord-016903-z2vqfq98 188 3 transmitted transmit VBN cord-016903-z2vqfq98 188 4 by by IN cord-016903-z2vqfq98 188 5 the the DT cord-016903-z2vqfq98 188 6 bite bite NN cord-016903-z2vqfq98 188 7 ofinfective ofinfective JJ cord-016903-z2vqfq98 188 8 Aedes Aedes NNP cord-016903-z2vqfq98 188 9 aegypti aegypti NN cord-016903-z2vqfq98 188 10 and and CC cord-016903-z2vqfq98 188 11 other other JJ cord-016903-z2vqfq98 188 12 mosquitoes mosquito NNS cord-016903-z2vqfq98 188 13 that that WDT cord-016903-z2vqfq98 188 14 bite bite VBP cord-016903-z2vqfq98 188 15 during during IN cord-016903-z2vqfq98 188 16 daylight daylight NN cord-016903-z2vqfq98 188 17 hours hour NNS cord-016903-z2vqfq98 188 18 in in IN cord-016903-z2vqfq98 188 19 regions region NNS cord-016903-z2vqfq98 188 20 below below IN cord-016903-z2vqfq98 188 21 2500 2500 CD cord-016903-z2vqfq98 188 22 meters meter NNS cord-016903-z2vqfq98 188 23 ofaltitude ofaltitude NN cord-016903-z2vqfq98 188 24 . . . cord-016903-z2vqfq98 189 1 Most Most JJS cord-016903-z2vqfq98 189 2 infections infection NNS cord-016903-z2vqfq98 189 3 lead lead VBP cord-016903-z2vqfq98 189 4 to to IN cord-016903-z2vqfq98 189 5 an an DT cord-016903-z2vqfq98 189 6 acute acute JJ cord-016903-z2vqfq98 189 7 illness illness NN cord-016903-z2vqfq98 189 8 characterized characterize VBN cord-016903-z2vqfq98 189 9 by by IN cord-016903-z2vqfq98 189 10 fever fever NN cord-016903-z2vqfq98 189 11 , , , cord-016903-z2vqfq98 189 12 muscular muscular JJ cord-016903-z2vqfq98 189 13 pain pain NN cord-016903-z2vqfq98 189 14 , , , cord-016903-z2vqfq98 189 15 headache headache NN cord-016903-z2vqfq98 189 16 , , , cord-016903-z2vqfq98 189 17 anorexia anorexia NN cord-016903-z2vqfq98 189 18 , , , cord-016903-z2vqfq98 189 19 nausea nausea NN cord-016903-z2vqfq98 189 20 and/or and/or CC cord-016903-z2vqfq98 189 21 vomiting vomiting NN cord-016903-z2vqfq98 189 22 , , , cord-016903-z2vqfq98 189 23 often often RB cord-016903-z2vqfq98 189 24 with with IN cord-016903-z2vqfq98 189 25 bradycardia bradycardia NN cord-016903-z2vqfq98 189 26 . . . cord-016903-z2vqfq98 190 1 After after IN cord-016903-z2vqfq98 190 2 a a DT cord-016903-z2vqfq98 190 3 few few JJ cord-016903-z2vqfq98 190 4 days day NNS cord-016903-z2vqfq98 190 5 , , , cord-016903-z2vqfq98 190 6 about about RB cord-016903-z2vqfq98 190 7 15 15 CD cord-016903-z2vqfq98 190 8 % % NN cord-016903-z2vqfq98 190 9 ofpatients ofpatient NNS cord-016903-z2vqfq98 190 10 progress progress NN cord-016903-z2vqfq98 190 11 to to IN cord-016903-z2vqfq98 190 12 a a DT cord-016903-z2vqfq98 190 13 second second JJ cord-016903-z2vqfq98 190 14 phase phase NN cord-016903-z2vqfq98 190 15 , , , cord-016903-z2vqfq98 190 16 with with IN cord-016903-z2vqfq98 190 17 resurgence resurgence NN cord-016903-z2vqfq98 190 18 offever offever RB cord-016903-z2vqfq98 190 19 , , , cord-016903-z2vqfq98 190 20 development development NN cord-016903-z2vqfq98 190 21 ofjaundice ofjaundice NN cord-016903-z2vqfq98 190 22 , , , cord-016903-z2vqfq98 190 23 abdominal abdominal JJ cord-016903-z2vqfq98 190 24 pain pain NN cord-016903-z2vqfq98 190 25 and and CC cord-016903-z2vqfq98 190 26 haemorrhagic haemorrhagic JJ cord-016903-z2vqfq98 190 27 manifestations manifestation NNS cord-016903-z2vqfq98 190 28 . . . cord-016903-z2vqfq98 191 1 Halfofthese halfofthese JJ cord-016903-z2vqfq98 191 2 persons person NNS cord-016903-z2vqfq98 191 3 die die VBP cord-016903-z2vqfq98 191 4 10 10 CD cord-016903-z2vqfq98 191 5 - - SYM cord-016903-z2vqfq98 191 6 14days 14days CD cord-016903-z2vqfq98 191 7 after after IN cord-016903-z2vqfq98 191 8 the the DT cord-016903-z2vqfq98 191 9 onset onset NN cord-016903-z2vqfq98 191 10 ofillness ofillness NN cord-016903-z2vqfq98 191 11 . . . cord-016903-z2vqfq98 192 1 The the DT cord-016903-z2vqfq98 192 2 WHO who WP cord-016903-z2vqfq98 192 3 estimates estimate VBZ cord-016903-z2vqfq98 192 4 that that IN cord-016903-z2vqfq98 192 5 a a DT cord-016903-z2vqfq98 192 6 total total JJ cord-016903-z2vqfq98 192 7 of200,000 of200,000 CD cord-016903-z2vqfq98 192 8 cases case NNS cord-016903-z2vqfq98 192 9 ofYF ofyf NN cord-016903-z2vqfq98 192 10 occur occur VBP cord-016903-z2vqfq98 192 11 each each DT cord-016903-z2vqfq98 192 12 year year NN cord-016903-z2vqfq98 192 13 , , , cord-016903-z2vqfq98 192 14 with with IN cord-016903-z2vqfq98 192 15 about about RB cord-016903-z2vqfq98 192 16 30,000 30,000 CD cord-016903-z2vqfq98 192 17 deaths death NNS cord-016903-z2vqfq98 192 18 . . . cord-016903-z2vqfq98 193 1 6oYF 6oYF NNP cord-016903-z2vqfq98 193 2 also also RB cord-016903-z2vqfq98 193 3 represents represent VBZ cord-016903-z2vqfq98 193 4 a a DT cord-016903-z2vqfq98 193 5 significant significant JJ cord-016903-z2vqfq98 193 6 risk risk NN cord-016903-z2vqfq98 193 7 to to IN cord-016903-z2vqfq98 193 8 more more JJR cord-016903-z2vqfq98 193 9 than than IN cord-016903-z2vqfq98 193 10 3 3 CD cord-016903-z2vqfq98 193 11 million million CD cord-016903-z2vqfq98 193 12 travelers traveler NNS cord-016903-z2vqfq98 193 13 that that WDT cord-016903-z2vqfq98 193 14 visit visit VBP cord-016903-z2vqfq98 193 15 YF YF NNP cord-016903-z2vqfq98 193 16 - - HYPH cord-016903-z2vqfq98 193 17 endemic endemic JJ cord-016903-z2vqfq98 193 18 areas area NNS cord-016903-z2vqfq98 193 19 each each DT cord-016903-z2vqfq98 193 20 year year NN cord-016903-z2vqfq98 193 21 . . . cord-016903-z2vqfq98 194 1 Neonates neonate NNS cord-016903-z2vqfq98 194 2 and and CC cord-016903-z2vqfq98 194 3 elderly elderly JJ cord-016903-z2vqfq98 194 4 individuals individual NNS cord-016903-z2vqfq98 194 5 demonstrate demonstrate VBP cord-016903-z2vqfq98 194 6 the the DT cord-016903-z2vqfq98 194 7 highest high JJS cord-016903-z2vqfq98 194 8 mortality mortality NN cord-016903-z2vqfq98 194 9 when when WRB cord-016903-z2vqfq98 194 10 infected infect VBN cord-016903-z2vqfq98 194 11 by by IN cord-016903-z2vqfq98 194 12 the the DT cord-016903-z2vqfq98 194 13 YF YF NNP cord-016903-z2vqfq98 194 14 virus virus NN cord-016903-z2vqfq98 194 15 . . . cord-016903-z2vqfq98 195 1 As as IN cord-016903-z2vqfq98 195 2 there there EX cord-016903-z2vqfq98 195 3 is be VBZ cord-016903-z2vqfq98 195 4 no no DT cord-016903-z2vqfq98 195 5 specific specific JJ cord-016903-z2vqfq98 195 6 antiviral antiviral JJ cord-016903-z2vqfq98 195 7 treatment treatment NN cord-016903-z2vqfq98 195 8 against against IN cord-016903-z2vqfq98 195 9 YF YF NNP cord-016903-z2vqfq98 195 10 available available JJ cord-016903-z2vqfq98 195 11 yet yet RB cord-016903-z2vqfq98 195 12 , , , cord-016903-z2vqfq98 195 13 vaccination vaccination NN cord-016903-z2vqfq98 195 14 is be VBZ cord-016903-z2vqfq98 195 15 the the DT cord-016903-z2vqfq98 195 16 only only JJ cord-016903-z2vqfq98 195 17 way way NN cord-016903-z2vqfq98 195 18 to to TO cord-016903-z2vqfq98 195 19 protect protect VB cord-016903-z2vqfq98 195 20 persons person NNS cord-016903-z2vqfq98 195 21 from from IN cord-016903-z2vqfq98 195 22 YF YF NNP cord-016903-z2vqfq98 195 23 disease disease NN cord-016903-z2vqfq98 195 24 . . . cord-016903-z2vqfq98 196 1 The the DT cord-016903-z2vqfq98 196 2 currently currently RB cord-016903-z2vqfq98 196 3 available available JJ cord-016903-z2vqfq98 196 4 vaccine vaccine NN cord-016903-z2vqfq98 196 5 contains contain VBZ cord-016903-z2vqfq98 196 6 a a DT cord-016903-z2vqfq98 196 7 live live RB cord-016903-z2vqfq98 196 8 - - HYPH cord-016903-z2vqfq98 196 9 attenuated attenuate VBN cord-016903-z2vqfq98 196 10 17D 17d CD cord-016903-z2vqfq98 196 11 strain strain NN cord-016903-z2vqfq98 196 12 virus virus NN cord-016903-z2vqfq98 196 13 ( ( -LRB- cord-016903-z2vqfq98 196 14 Table table NN cord-016903-z2vqfq98 196 15 2 2 CD cord-016903-z2vqfq98 196 16 ) ) -RRB- cord-016903-z2vqfq98 196 17 and and CC cord-016903-z2vqfq98 196 18 has have VBZ cord-016903-z2vqfq98 196 19 been be VBN cord-016903-z2vqfq98 196 20 shown show VBN cord-016903-z2vqfq98 196 21 to to TO cord-016903-z2vqfq98 196 22 be be VB cord-016903-z2vqfq98 196 23 safe safe JJ cord-016903-z2vqfq98 196 24 and and CC cord-016903-z2vqfq98 196 25 highly highly RB cord-016903-z2vqfq98 196 26 potent potent JJ cord-016903-z2vqfq98 196 27 . . . cord-016903-z2vqfq98 196 28 " " '' cord-016903-z2vqfq98 197 1 However however RB cord-016903-z2vqfq98 197 2 , , , cord-016903-z2vqfq98 197 3 due due IN cord-016903-z2vqfq98 197 4 to to IN cord-016903-z2vqfq98 197 5 the the DT cord-016903-z2vqfq98 197 6 increased increase VBN cord-016903-z2vqfq98 197 7 use use NN cord-016903-z2vqfq98 197 8 in in IN cord-016903-z2vqfq98 197 9 international international JJ cord-016903-z2vqfq98 197 10 travelers traveler NNS cord-016903-z2vqfq98 197 11 , , , cord-016903-z2vqfq98 197 12 it -PRON- PRP cord-016903-z2vqfq98 197 13 has have VBZ cord-016903-z2vqfq98 197 14 become become VBN cord-016903-z2vqfq98 197 15 evident evident JJ cord-016903-z2vqfq98 197 16 that that IN cord-016903-z2vqfq98 197 17 advanced advanced JJ cord-016903-z2vqfq98 197 18 age age NN cord-016903-z2vqfq98 197 19 might may MD cord-016903-z2vqfq98 197 20 be be VB cord-016903-z2vqfq98 197 21 a a DT cord-016903-z2vqfq98 197 22 risk risk NN cord-016903-z2vqfq98 197 23 factor factor NN cord-016903-z2vqfq98 197 24 for for IN cord-016903-z2vqfq98 197 25 serious serious JJ cord-016903-z2vqfq98 197 26 adverse adverse JJ cord-016903-z2vqfq98 197 27 effects effect NNS cord-016903-z2vqfq98 197 28 and and CC cord-016903-z2vqfq98 197 29 even even RB cord-016903-z2vqfq98 197 30 deam deam NNP cord-016903-z2vqfq98 197 31 . . . cord-016903-z2vqfq98 197 32 62 62 CD cord-016903-z2vqfq98 198 1 Compared compare VBN cord-016903-z2vqfq98 198 2 with with IN cord-016903-z2vqfq98 198 3 persons person NNS cord-016903-z2vqfq98 198 4 aged age VBN cord-016903-z2vqfq98 198 5 25 25 CD cord-016903-z2vqfq98 198 6 - - SYM cord-016903-z2vqfq98 198 7 44 44 CD cord-016903-z2vqfq98 198 8 years year NNS cord-016903-z2vqfq98 198 9 , , , cord-016903-z2vqfq98 198 10 individuals individual NNS cord-016903-z2vqfq98 198 11 aged age VBN cord-016903-z2vqfq98 198 12 < < XX cord-016903-z2vqfq98 198 13 75 75 CD cord-016903-z2vqfq98 198 14 had have VBD cord-016903-z2vqfq98 198 15 an an DT cord-016903-z2vqfq98 198 16 18-fold 18-fold RB cord-016903-z2vqfq98 198 17 greater great JJR cord-016903-z2vqfq98 198 18 risk risk NN cord-016903-z2vqfq98 198 19 to to TO cord-016903-z2vqfq98 198 20 experience experience VB cord-016903-z2vqfq98 198 21 serious serious JJ cord-016903-z2vqfq98 198 22 adverse adverse JJ cord-016903-z2vqfq98 198 23 events event NNS cord-016903-z2vqfq98 198 24 after after IN cord-016903-z2vqfq98 198 25 vaccination vaccination NN cord-016903-z2vqfq98 198 26 . . . cord-016903-z2vqfq98 199 1 The the DT cord-016903-z2vqfq98 199 2 rate rate NN cord-016903-z2vqfq98 199 3 for for IN cord-016903-z2vqfq98 199 4 systemic systemic JJ cord-016903-z2vqfq98 199 5 illness illness NN cord-016903-z2vqfq98 199 6 requiring require VBG cord-016903-z2vqfq98 199 7 hospitalization hospitalization NN cord-016903-z2vqfq98 199 8 or or CC cord-016903-z2vqfq98 199 9 leading lead VBG cord-016903-z2vqfq98 199 10 to to IN cord-016903-z2vqfq98 199 11 death death NN cord-016903-z2vqfq98 199 12 after after IN cord-016903-z2vqfq98 199 13 YF YF NNP cord-016903-z2vqfq98 199 14 vaccination vaccination NN cord-016903-z2vqfq98 199 15 was be VBD cord-016903-z2vqfq98 199 16 reported report VBN cord-016903-z2vqfq98 199 17 to to TO cord-016903-z2vqfq98 199 18 be be VB cord-016903-z2vqfq98 199 19 3.5 3.5 CD cord-016903-z2vqfq98 199 20 per per IN cord-016903-z2vqfq98 199 21 100,000 100,000 CD cord-016903-z2vqfq98 199 22 among among IN cord-016903-z2vqfq98 199 23 people people NNS cord-016903-z2vqfq98 199 24 65 65 CD cord-016903-z2vqfq98 199 25 to to TO cord-016903-z2vqfq98 199 26 75 75 CD cord-016903-z2vqfq98 199 27 years year NNS cord-016903-z2vqfq98 199 28 of of IN cord-016903-z2vqfq98 199 29 age age NN cord-016903-z2vqfq98 199 30 and and CC cord-016903-z2vqfq98 199 31 9.1 9.1 CD cord-016903-z2vqfq98 199 32 per per IN cord-016903-z2vqfq98 199 33 100,000 100,000 CD cord-016903-z2vqfq98 199 34 for for IN cord-016903-z2vqfq98 199 35 people people NNS cord-016903-z2vqfq98 199 36 more more JJR cord-016903-z2vqfq98 199 37 than than IN cord-016903-z2vqfq98 199 38 75 75 CD cord-016903-z2vqfq98 199 39 years year NNS cord-016903-z2vqfq98 199 40 . . . cord-016903-z2vqfq98 200 1 Furthermore furthermore RB cord-016903-z2vqfq98 200 2 , , , cord-016903-z2vqfq98 200 3 there there EX cord-016903-z2vqfq98 200 4 are be VBP cord-016903-z2vqfq98 200 5 no no DT cord-016903-z2vqfq98 200 6 studies study NNS cord-016903-z2vqfq98 200 7 available available JJ cord-016903-z2vqfq98 200 8 that that WDT cord-016903-z2vqfq98 200 9 demonstrated demonstrate VBD cord-016903-z2vqfq98 200 10 the the DT cord-016903-z2vqfq98 200 11 efficacy efficacy NN cord-016903-z2vqfq98 200 12 of of IN cord-016903-z2vqfq98 200 13 the the DT cord-016903-z2vqfq98 200 14 YF YF NNP cord-016903-z2vqfq98 200 15 vaccine vaccine NN cord-016903-z2vqfq98 200 16 in in IN cord-016903-z2vqfq98 200 17 elderly elderly JJ cord-016903-z2vqfq98 200 18 persons person NNS cord-016903-z2vqfq98 200 19 . . . cord-016903-z2vqfq98 201 1 Accordingly accordingly RB cord-016903-z2vqfq98 201 2 , , , cord-016903-z2vqfq98 201 3 recommendations recommendation NNS cord-016903-z2vqfq98 201 4 and and CC cord-016903-z2vqfq98 201 5 manufacturing manufacturing NN cord-016903-z2vqfq98 201 6 standards standard NNS cord-016903-z2vqfq98 201 7 have have VBP cord-016903-z2vqfq98 201 8 been be VBN cord-016903-z2vqfq98 201 9 modified modify VBN cord-016903-z2vqfq98 201 10 to to TO cord-016903-z2vqfq98 201 11 increase increase VB cord-016903-z2vqfq98 201 12 vaccine vaccine NN cord-016903-z2vqfq98 201 13 safety safety NN cord-016903-z2vqfq98 201 14 in in IN cord-016903-z2vqfq98 201 15 elderly elderly JJ cord-016903-z2vqfq98 201 16 persons person NNS cord-016903-z2vqfq98 201 17 . . . cord-016903-z2vqfq98 202 1 Although although IN cord-016903-z2vqfq98 202 2 the the DT cord-016903-z2vqfq98 202 3 benefit benefit NN cord-016903-z2vqfq98 202 4 - - HYPH cord-016903-z2vqfq98 202 5 risk risk NN cord-016903-z2vqfq98 202 6 ratio ratio NN cord-016903-z2vqfq98 202 7 still still RB cord-016903-z2vqfq98 202 8 favors favor VBZ cord-016903-z2vqfq98 202 9 the the DT cord-016903-z2vqfq98 202 10 vaccination vaccination NN cord-016903-z2vqfq98 202 11 ofpeople ofpeople NN cord-016903-z2vqfq98 202 12 at at IN cord-016903-z2vqfq98 202 13 high high JJ cord-016903-z2vqfq98 202 14 risk risk NN cord-016903-z2vqfq98 202 15 for for IN cord-016903-z2vqfq98 202 16 infection infection NN cord-016903-z2vqfq98 202 17 and and CC cord-016903-z2vqfq98 202 18 outlines outline VBZ cord-016903-z2vqfq98 202 19 the the DT cord-016903-z2vqfq98 202 20 vaccine vaccine NN cord-016903-z2vqfq98 202 21 's 's POS cord-016903-z2vqfq98 202 22 fundamental fundamental JJ cord-016903-z2vqfq98 202 23 role role NN cord-016903-z2vqfq98 202 24 in in IN cord-016903-z2vqfq98 202 25 disease disease NN cord-016903-z2vqfq98 202 26 prevention prevention NN cord-016903-z2vqfq98 202 27 and and CC cord-016903-z2vqfq98 202 28 control control NN cord-016903-z2vqfq98 202 29 , , , cord-016903-z2vqfq98 202 30 efforts effort NNS cord-016903-z2vqfq98 202 31 to to TO cord-016903-z2vqfq98 202 32 improve improve VB cord-016903-z2vqfq98 202 33 safety safety NN cord-016903-z2vqfq98 202 34 and and CC cord-016903-z2vqfq98 202 35 to to TO cord-016903-z2vqfq98 202 36 ensure ensure VB cord-016903-z2vqfq98 202 37 vaccine vaccine NN cord-016903-z2vqfq98 202 38 efficacy efficacy NN cord-016903-z2vqfq98 202 39 in in IN cord-016903-z2vqfq98 202 40 elderly elderly JJ cord-016903-z2vqfq98 202 41 persons person NNS cord-016903-z2vqfq98 202 42 are be VBP cord-016903-z2vqfq98 202 43 ofurgent ofurgent JJ cord-016903-z2vqfq98 202 44 need need NN cord-016903-z2vqfq98 202 45 . . . cord-016903-z2vqfq98 203 1 The the DT cord-016903-z2vqfq98 203 2 term term NN cord-016903-z2vqfq98 203 3 immunosenescence immunosenescence RB cord-016903-z2vqfq98 203 4 refers refer VBZ cord-016903-z2vqfq98 203 5 to to IN cord-016903-z2vqfq98 203 6 a a DT cord-016903-z2vqfq98 203 7 complex complex JJ cord-016903-z2vqfq98 203 8 remodeling remodeling NN cord-016903-z2vqfq98 203 9 ofthe ofthe DT cord-016903-z2vqfq98 203 10 immune immune JJ cord-016903-z2vqfq98 203 11 system system NN cord-016903-z2vqfq98 203 12 in in IN cord-016903-z2vqfq98 203 13 old old JJ cord-016903-z2vqfq98 203 14 age age NN cord-016903-z2vqfq98 203 15 and and CC cord-016903-z2vqfq98 203 16 may may MD cord-016903-z2vqfq98 203 17 contribute contribute VB cord-016903-z2vqfq98 203 18 significantly significantly RB cord-016903-z2vqfq98 203 19 to to IN cord-016903-z2vqfq98 203 20 morbidity morbidity NN cord-016903-z2vqfq98 203 21 and and CC cord-016903-z2vqfq98 203 22 mortality mortality NN cord-016903-z2vqfq98 203 23 in in IN cord-016903-z2vqfq98 203 24 the the DT cord-016903-z2vqfq98 203 25 elderly elderly JJ cord-016903-z2vqfq98 203 26 . . . cord-016903-z2vqfq98 204 1 Thymic thymic JJ cord-016903-z2vqfq98 204 2 involution involution NN cord-016903-z2vqfq98 204 3 , , , cord-016903-z2vqfq98 204 4 telomere telomere NN cord-016903-z2vqfq98 204 5 shortening shortening NN cord-016903-z2vqfq98 204 6 , , , cord-016903-z2vqfq98 204 7 T t NN cord-016903-z2vqfq98 204 8 - - HYPH cord-016903-z2vqfq98 204 9 cell cell NN cord-016903-z2vqfq98 204 10 signal signal NN cord-016903-z2vqfq98 204 11 transduction transduction NN cord-016903-z2vqfq98 204 12 changes change NNS cord-016903-z2vqfq98 204 13 , , , cord-016903-z2vqfq98 204 14 alterations alteration NNS cord-016903-z2vqfq98 204 15 in in IN cord-016903-z2vqfq98 204 16 the the DT cord-016903-z2vqfq98 204 17 interaction interaction NN cord-016903-z2vqfq98 204 18 of of IN cord-016903-z2vqfq98 204 19 the the DT cord-016903-z2vqfq98 204 20 innate innate JJ cord-016903-z2vqfq98 204 21 and and CC cord-016903-z2vqfq98 204 22 adaptive adaptive JJ cord-016903-z2vqfq98 204 23 immune immune JJ cord-016903-z2vqfq98 204 24 response response NN cord-016903-z2vqfq98 204 25 , , , cord-016903-z2vqfq98 204 26 impaired impair VBN cord-016903-z2vqfq98 204 27 DNA dna NN cord-016903-z2vqfq98 204 28 repair repair NN cord-016903-z2vqfq98 204 29 and and CC cord-016903-z2vqfq98 204 30 antioxidant antioxidant NN cord-016903-z2vqfq98 204 31 mechanisms mechanism NNS cord-016903-z2vqfq98 204 32 as as RB cord-016903-z2vqfq98 204 33 well well RB cord-016903-z2vqfq98 204 34 as as IN cord-016903-z2vqfq98 204 35 persistent persistent JJ cord-016903-z2vqfq98 204 36 antigenic antigenic JJ cord-016903-z2vqfq98 204 37 stress stress NN cord-016903-z2vqfq98 204 38 may may MD cord-016903-z2vqfq98 204 39 all all DT cord-016903-z2vqfq98 204 40 be be VB cord-016903-z2vqfq98 204 41 factors factor NNS cord-016903-z2vqfq98 204 42 contributing contribute VBG cord-016903-z2vqfq98 204 43 to to IN cord-016903-z2vqfq98 204 44 immunosenescence immunosenescence NNP cord-016903-z2vqfq98 204 45 . . . cord-016903-z2vqfq98 205 1 Although although IN cord-016903-z2vqfq98 205 2 perturbations perturbation NNS cord-016903-z2vqfq98 205 3 ofinnate ofinnate NN cord-016903-z2vqfq98 205 4 immune immune JJ cord-016903-z2vqfq98 205 5 system system NN cord-016903-z2vqfq98 205 6 components component NNS cord-016903-z2vqfq98 205 7 have have VBP cord-016903-z2vqfq98 205 8 been be VBN cord-016903-z2vqfq98 205 9 described describe VBN cord-016903-z2vqfq98 205 10 , , , cord-016903-z2vqfq98 205 11 much much JJ cord-016903-z2vqfq98 205 12 ofthe ofthe DT cord-016903-z2vqfq98 205 13 decrease decrease NN cord-016903-z2vqfq98 205 14 in in IN cord-016903-z2vqfq98 205 15 immunoresponsiveness immunoresponsiveness NN cord-016903-z2vqfq98 205 16 seen see VBN cord-016903-z2vqfq98 205 17 in in IN cord-016903-z2vqfq98 205 18 elderly elderly JJ cord-016903-z2vqfq98 205 19 people people NNS cord-016903-z2vqfq98 205 20 is be VBZ cord-016903-z2vqfq98 205 21 associated associate VBN cord-016903-z2vqfq98 205 22 with with IN cord-016903-z2vqfq98 205 23 changes change NNS cord-016903-z2vqfq98 205 24 in in IN cord-016903-z2vqfq98 205 25 T t NN cord-016903-z2vqfq98 205 26 - - HYPH cord-016903-z2vqfq98 205 27 cell cell NN cord-016903-z2vqfq98 205 28 responses response NNS cord-016903-z2vqfq98 205 29 . . . cord-016903-z2vqfq98 206 1 This this DT cord-016903-z2vqfq98 206 2 is be VBZ cord-016903-z2vqfq98 206 3 due due JJ cord-016903-z2vqfq98 206 4 to to IN cord-016903-z2vqfq98 206 5 the the DT cord-016903-z2vqfq98 206 6 continuous continuous JJ cord-016903-z2vqfq98 206 7 loss loss NN cord-016903-z2vqfq98 206 8 offunctional offunctional JJ cord-016903-z2vqfq98 206 9 thymic thymic JJ cord-016903-z2vqfq98 206 10 tissue tissue NN cord-016903-z2vqfq98 206 11 with with IN cord-016903-z2vqfq98 206 12 increasing increase VBG cord-016903-z2vqfq98 206 13 age age NN cord-016903-z2vqfq98 206 14 . . . cord-016903-z2vqfq98 207 1 63.64The 63.64the JJ cord-016903-z2vqfq98 207 2 thymus thymus NN cord-016903-z2vqfq98 207 3 , , , cord-016903-z2vqfq98 207 4 the the DT cord-016903-z2vqfq98 207 5 central central JJ cord-016903-z2vqfq98 207 6 lymphoid lymphoid JJ cord-016903-z2vqfq98 207 7 organ organ NN cord-016903-z2vqfq98 207 8 , , , cord-016903-z2vqfq98 207 9 is be VBZ cord-016903-z2vqfq98 207 10 responsible responsible JJ cord-016903-z2vqfq98 207 11 for for IN cord-016903-z2vqfq98 207 12 the the DT cord-016903-z2vqfq98 207 13 maturation maturation NN cord-016903-z2vqfq98 207 14 and and CC cord-016903-z2vqfq98 207 15 selection selection NN cord-016903-z2vqfq98 207 16 ofso ofso RB cord-016903-z2vqfq98 207 17 - - HYPH cord-016903-z2vqfq98 207 18 called call VBN cord-016903-z2vqfq98 207 19 naive naive JJ cord-016903-z2vqfq98 207 20 T t NN cord-016903-z2vqfq98 207 21 - - HYPH cord-016903-z2vqfq98 207 22 cells cell NNS cord-016903-z2vqfq98 207 23 that that WDT cord-016903-z2vqfq98 207 24 regenerate regenerate VBP cord-016903-z2vqfq98 207 25 the the DT cord-016903-z2vqfq98 207 26 peripheral peripheral JJ cord-016903-z2vqfq98 207 27 Tcell Tcell NNP cord-016903-z2vqfq98 207 28 pool pool NN cord-016903-z2vqfq98 207 29 and and CC cord-016903-z2vqfq98 207 30 retain retain VB cord-016903-z2vqfq98 207 31 the the DT cord-016903-z2vqfq98 207 32 capability capability NN cord-016903-z2vqfq98 207 33 ofthe ofthe DT cord-016903-z2vqfq98 207 34 immune immune JJ cord-016903-z2vqfq98 207 35 system system NN cord-016903-z2vqfq98 207 36 to to TO cord-016903-z2vqfq98 207 37 respond respond VB cord-016903-z2vqfq98 207 38 to to IN cord-016903-z2vqfq98 207 39 a a DT cord-016903-z2vqfq98 207 40 variety variety NN cord-016903-z2vqfq98 207 41 ofdifferent ofdifferent JJ cord-016903-z2vqfq98 207 42 pathogens pathogen NNS cord-016903-z2vqfq98 207 43 . . . cord-016903-z2vqfq98 208 1 In in IN cord-016903-z2vqfq98 208 2 old old JJ cord-016903-z2vqfq98 208 3 age age NN cord-016903-z2vqfq98 208 4 , , , cord-016903-z2vqfq98 208 5 the the DT cord-016903-z2vqfq98 208 6 number number NN cord-016903-z2vqfq98 208 7 ofnaive ofnaive NNP cord-016903-z2vqfq98 208 8 T T NNP cord-016903-z2vqfq98 208 9 - - HYPH cord-016903-z2vqfq98 208 10 celIs celIs NNP cord-016903-z2vqfq98 208 11 decreases decrease NNS cord-016903-z2vqfq98 208 12 while while IN cord-016903-z2vqfq98 208 13 the the DT cord-016903-z2vqfq98 208 14 number number NN cord-016903-z2vqfq98 208 15 ofantigen ofantigen NN cord-016903-z2vqfq98 208 16 - - HYPH cord-016903-z2vqfq98 208 17 experienced experience VBN cord-016903-z2vqfq98 208 18 ' ' '' cord-016903-z2vqfq98 208 19 Tcells Tcells NNP cord-016903-z2vqfq98 208 20 increases increase VBZ cord-016903-z2vqfq98 208 21 . . . cord-016903-z2vqfq98 209 1 65 65 CD cord-016903-z2vqfq98 209 2 .66 .66 . cord-016903-z2vqfq98 210 1 These these DT cord-016903-z2vqfq98 210 2 antigen antigen NN cord-016903-z2vqfq98 210 3 - - HYPH cord-016903-z2vqfq98 210 4 experienced experience VBN cord-016903-z2vqfq98 210 5 T T NNP cord-016903-z2vqfq98 210 6 - - HYPH cord-016903-z2vqfq98 210 7 celIs celIs NNP cord-016903-z2vqfq98 210 8 include include VBP cord-016903-z2vqfq98 210 9 a a DT cord-016903-z2vqfq98 210 10 substantial substantial JJ cord-016903-z2vqfq98 210 11 proportion proportion NN cord-016903-z2vqfq98 210 12 of of IN cord-016903-z2vqfq98 210 13 senescent senescent JJ cord-016903-z2vqfq98 210 14 memory memory NN cord-016903-z2vqfq98 210 15 - - HYPH cord-016903-z2vqfq98 210 16 effector effector NN cord-016903-z2vqfq98 210 17 T T NNP cord-016903-z2vqfq98 210 18 - - HYPH cord-016903-z2vqfq98 210 19 cells cell NNS cord-016903-z2vqfq98 210 20 that that WDT cord-016903-z2vqfq98 210 21 accumulate accumulate VBP cord-016903-z2vqfq98 210 22 in in IN cord-016903-z2vqfq98 210 23 elderly elderly JJ cord-016903-z2vqfq98 210 24 persons person NNS cord-016903-z2vqfq98 210 25 . . . cord-016903-z2vqfq98 211 1 Senescent senescent JJ cord-016903-z2vqfq98 211 2 memory memory NN cord-016903-z2vqfq98 211 3 - - HYPH cord-016903-z2vqfq98 211 4 effector effector NN cord-016903-z2vqfq98 211 5 TcelIs tcelis ADD cord-016903-z2vqfq98 211 6 display display NN cord-016903-z2vqfq98 211 7 phenotypic phenotypic NNS cord-016903-z2vqfq98 211 8 ( ( -LRB- cord-016903-z2vqfq98 211 9 loss loss NN cord-016903-z2vqfq98 211 10 ofcostimulatory ofcostimulatory NN cord-016903-z2vqfq98 211 11 molecules molecule NNS cord-016903-z2vqfq98 211 12 such such JJ cord-016903-z2vqfq98 211 13 as as IN cord-016903-z2vqfq98 211 14 CD28 CD28 NNP cord-016903-z2vqfq98 211 15 and and CC cord-016903-z2vqfq98 211 16 CD40L cd40l NN cord-016903-z2vqfq98 211 17 ) ) -RRB- cord-016903-z2vqfq98 211 18 as as RB cord-016903-z2vqfq98 211 19 well well RB cord-016903-z2vqfq98 211 20 as as IN cord-016903-z2vqfq98 211 21 functional functional JJ cord-016903-z2vqfq98 211 22 changes change NNS cord-016903-z2vqfq98 211 23 ( ( -LRB- cord-016903-z2vqfq98 211 24 altered alter VBN cord-016903-z2vqfq98 211 25 cytokine cytokine NN cord-016903-z2vqfq98 211 26 production production NN cord-016903-z2vqfq98 211 27 profile profile NN cord-016903-z2vqfq98 211 28 , , , cord-016903-z2vqfq98 211 29 decreased decrease VBD cord-016903-z2vqfq98 211 30 proliferative proliferative JJ cord-016903-z2vqfq98 211 31 response response NN cord-016903-z2vqfq98 211 32 , , , cord-016903-z2vqfq98 211 33 shortened shorten VBN cord-016903-z2vqfq98 211 34 telomeres telomere NNS cord-016903-z2vqfq98 211 35 , , , cord-016903-z2vqfq98 211 36 increased increase VBN cord-016903-z2vqfq98 211 37 resistance resistance NN cord-016903-z2vqfq98 211 38 to to IN cord-016903-z2vqfq98 211 39 programmed program VBN cord-016903-z2vqfq98 211 40 cell cell NN cord-016903-z2vqfq98 211 41 - - HYPH cord-016903-z2vqfq98 211 42 death death NN cord-016903-z2vqfq98 211 43 and and CC cord-016903-z2vqfq98 211 44 restricted restrict VBN cord-016903-z2vqfq98 211 45 T t NN cord-016903-z2vqfq98 211 46 - - HYPH cord-016903-z2vqfq98 211 47 cell cell NN cord-016903-z2vqfq98 211 48 diversity).67.68Ofparticular diversity).67.68ofparticular NN cord-016903-z2vqfq98 211 49 importance importance NN cord-016903-z2vqfq98 211 50 , , , cord-016903-z2vqfq98 211 51 the the DT cord-016903-z2vqfq98 211 52 senescent senescent JJ cord-016903-z2vqfq98 211 53 CD8+CD28-memory cd8+cd28-memory JJ cord-016903-z2vqfq98 211 54 - - HYPH cord-016903-z2vqfq98 211 55 effector effector JJ cord-016903-z2vqfq98 211 56 T t NN cord-016903-z2vqfq98 211 57 - - HYPH cord-016903-z2vqfq98 211 58 cell cell NN cord-016903-z2vqfq98 211 59 population population NN cord-016903-z2vqfq98 211 60 predominantly predominantly RB cord-016903-z2vqfq98 211 61 produces produce VBZ cord-016903-z2vqfq98 211 62 the the DT cord-016903-z2vqfq98 211 63 pro pro JJ cord-016903-z2vqfq98 211 64 - - JJ cord-016903-z2vqfq98 211 65 inflammatory inflammatory JJ cord-016903-z2vqfq98 211 66 cytokine cytokine NN cord-016903-z2vqfq98 211 67 gamma gamma NN cord-016903-z2vqfq98 211 68 interferon interferon NN cord-016903-z2vqfq98 211 69 ( ( -LRB- cord-016903-z2vqfq98 211 70 IFNy IFNy NNP cord-016903-z2vqfq98 211 71 ) ) -RRB- cord-016903-z2vqfq98 211 72 , , , cord-016903-z2vqfq98 211 73 but but CC cord-016903-z2vqfq98 211 74 does do VBZ cord-016903-z2vqfq98 211 75 not not RB cord-016903-z2vqfq98 211 76 produce produce VB cord-016903-z2vqfq98 211 77 interleukin interleukin NN cord-016903-z2vqfq98 211 78 2 2 CD cord-016903-z2vqfq98 211 79 ( ( -LRB- cord-016903-z2vqfq98 211 80 IL-2 IL-2 NNP cord-016903-z2vqfq98 211 81 ) ) -RRB- cord-016903-z2vqfq98 211 82 and and CC cord-016903-z2vqfq98 211 83 the the DT cord-016903-z2vqfq98 211 84 anti anti JJ cord-016903-z2vqfq98 211 85 - - JJ cord-016903-z2vqfq98 211 86 inflammatory inflammatory JJ cord-016903-z2vqfq98 211 87 , , , cord-016903-z2vqfq98 211 88 B b NN cord-016903-z2vqfq98 211 89 - - HYPH cord-016903-z2vqfq98 211 90 cell cell NN cord-016903-z2vqfq98 211 91 stimulating stimulate VBG cord-016903-z2vqfq98 211 92 cytokine cytokine NN cord-016903-z2vqfq98 211 93 IL-4 IL-4 NNP cord-016903-z2vqfq98 211 94 . . . cord-016903-z2vqfq98 212 1 43 43 CD cord-016903-z2vqfq98 213 1 Recent recent JJ cord-016903-z2vqfq98 213 2 data datum NNS cord-016903-z2vqfq98 213 3 also also RB cord-016903-z2vqfq98 213 4 support support VBP cord-016903-z2vqfq98 213 5 the the DT cord-016903-z2vqfq98 213 6 hypothesis hypothesis NN cord-016903-z2vqfq98 213 7 that that IN cord-016903-z2vqfq98 213 8 chronic chronic JJ cord-016903-z2vqfq98 213 9 infection infection NN cord-016903-z2vqfq98 213 10 with with IN cord-016903-z2vqfq98 213 11 the the DT cord-016903-z2vqfq98 213 12 cytomegalovirus cytomegalovirus NN cord-016903-z2vqfq98 213 13 , , , cord-016903-z2vqfq98 213 14 ã ã FW cord-016903-z2vqfq98 213 15 -herpesvirus -herpesvirus NNP cord-016903-z2vqfq98 213 16 , , , cord-016903-z2vqfq98 213 17 may may MD cord-016903-z2vqfq98 213 18 lead lead VB cord-016903-z2vqfq98 213 19 to to IN cord-016903-z2vqfq98 213 20 a a DT cord-016903-z2vqfq98 213 21 decrease decrease NN cord-016903-z2vqfq98 213 22 in in IN cord-016903-z2vqfq98 213 23 the the DT cord-016903-z2vqfq98 213 24 size size NN cord-016903-z2vqfq98 213 25 ofthe ofthe DT cord-016903-z2vqfq98 213 26 naive naive JJ cord-016903-z2vqfq98 213 27 and and CC cord-016903-z2vqfq98 213 28 early early JJ cord-016903-z2vqfq98 213 29 memory memory NN cord-016903-z2vqfq98 213 30 CD8 CD8 NNP cord-016903-z2vqfq98 213 31 + + CC cord-016903-z2vqfq98 213 32 T t NN cord-016903-z2vqfq98 213 33 - - HYPH cord-016903-z2vqfq98 213 34 cell cell NN cord-016903-z2vqfq98 213 35 pool pool NN cord-016903-z2vqfq98 213 36 , , , cord-016903-z2vqfq98 213 37 but but CC cord-016903-z2vqfq98 213 38 to to IN cord-016903-z2vqfq98 213 39 an an DT cord-016903-z2vqfq98 213 40 increase increase NN cord-016903-z2vqfq98 213 41 in in IN cord-016903-z2vqfq98 213 42 the the DT cord-016903-z2vqfq98 213 43 number number NN cord-016903-z2vqfq98 213 44 of of IN cord-016903-z2vqfq98 213 45 dysfunctional dysfunctional JJ cord-016903-z2vqfq98 213 46 , , , cord-016903-z2vqfq98 213 47 IFNy ifny NN cord-016903-z2vqfq98 213 48 - - HYPH cord-016903-z2vqfq98 213 49 producing produce VBG cord-016903-z2vqfq98 213 50 CD8+CD28-memory cd8+cd28-memory VB cord-016903-z2vqfq98 213 51 - - HYPH cord-016903-z2vqfq98 213 52 effector effector JJ cord-016903-z2vqfq98 213 53 Tvcells Tvcells NNP cord-016903-z2vqfq98 213 54 ( ( -LRB- cord-016903-z2vqfq98 213 55 Fig Fig NNP cord-016903-z2vqfq98 213 56 . . NNP cord-016903-z2vqfq98 213 57 2 2 CD cord-016903-z2vqfq98 213 58 ) ) -RRB- cord-016903-z2vqfq98 213 59 , , , cord-016903-z2vqfq98 213 60 37 37 CD cord-016903-z2vqfq98 213 61 One one CD cord-016903-z2vqfq98 213 62 clinical clinical JJ cord-016903-z2vqfq98 213 63 consequence consequence NN cord-016903-z2vqfq98 213 64 of of IN cord-016903-z2vqfq98 213 65 the the DT cord-016903-z2vqfq98 213 66 accumulation accumulation NN cord-016903-z2vqfq98 213 67 of of IN cord-016903-z2vqfq98 213 68 CD8+CD28-T CD8+CD28-T NNP cord-016903-z2vqfq98 213 69 - - HYPH cord-016903-z2vqfq98 213 70 cells cell NNS cord-016903-z2vqfq98 213 71 is be VBZ cord-016903-z2vqfq98 213 72 an an DT cord-016903-z2vqfq98 213 73 impaired impaired JJ cord-016903-z2vqfq98 213 74 generation generation NN cord-016903-z2vqfq98 213 75 of of IN cord-016903-z2vqfq98 213 76 protective protective JJ cord-016903-z2vqfq98 213 77 antibody antibody NN cord-016903-z2vqfq98 213 78 levels level NNS cord-016903-z2vqfq98 213 79 after after IN cord-016903-z2vqfq98 213 80 vaccination vaccination NN cord-016903-z2vqfq98 213 81 . . . cord-016903-z2vqfq98 214 1 43.69 43.69 CD cord-016903-z2vqfq98 215 1 Furthermore furthermore RB cord-016903-z2vqfq98 215 2 , , , cord-016903-z2vqfq98 215 3 the the DT cord-016903-z2vqfq98 215 4 age age NN cord-016903-z2vqfq98 215 5 - - HYPH cord-016903-z2vqfq98 215 6 dependent dependent JJ cord-016903-z2vqfq98 215 7 increase increase NN cord-016903-z2vqfq98 215 8 in in IN cord-016903-z2vqfq98 215 9 the the DT cord-016903-z2vqfq98 215 10 level level NN cord-016903-z2vqfq98 215 11 ofpro ofpro JJ cord-016903-z2vqfq98 215 12 - - HYPH cord-016903-z2vqfq98 215 13 inflammatory inflammatory JJ cord-016903-z2vqfq98 215 14 cyrokines cyrokine NNS cord-016903-z2vqfq98 215 15 may may MD cord-016903-z2vqfq98 215 16 lead lead VB cord-016903-z2vqfq98 215 17 to to IN cord-016903-z2vqfq98 215 18 ubiquitous ubiquitous JJ cord-016903-z2vqfq98 215 19 chronic chronic JJ cord-016903-z2vqfq98 215 20 inflammatory inflammatory JJ cord-016903-z2vqfq98 215 21 responses response NNS cord-016903-z2vqfq98 215 22 in in IN cord-016903-z2vqfq98 215 23 old old JJ cord-016903-z2vqfq98 215 24 age age NN cord-016903-z2vqfq98 215 25 42 42 CD cord-016903-z2vqfq98 215 26 and and CC cord-016903-z2vqfq98 215 27 may may MD cord-016903-z2vqfq98 215 28 therefore therefore RB cord-016903-z2vqfq98 215 29 support support VB cord-016903-z2vqfq98 215 30 the the DT cord-016903-z2vqfq98 215 31 development development NN cord-016903-z2vqfq98 215 32 of of IN cord-016903-z2vqfq98 215 33 age age NN cord-016903-z2vqfq98 215 34 - - HYPH cord-016903-z2vqfq98 215 35 related relate VBN cord-016903-z2vqfq98 215 36 chronic chronic JJ cord-016903-z2vqfq98 215 37 diseases disease NNS cord-016903-z2vqfq98 215 38 , , , cord-016903-z2vqfq98 215 39 such such JJ cord-016903-z2vqfq98 215 40 as as IN cord-016903-z2vqfq98 215 41 atherosclerosis atherosclerosis NN cord-016903-z2vqfq98 215 42 , , . cord-016903-z2vqfq98 216 1 " " `` cord-016903-z2vqfq98 216 2 rheumatoid rheumatoid NNP cord-016903-z2vqfq98 216 3 arthritis arthritis NN cord-016903-z2vqfq98 216 4 " " '' cord-016903-z2vqfq98 216 5 and and CC cord-016903-z2vqfq98 216 6 Alzheimer Alzheimer NNP cord-016903-z2vqfq98 216 7 's 's POS cord-016903-z2vqfq98 216 8 disease disease NN cord-016903-z2vqfq98 216 9 . . . cord-016903-z2vqfq98 217 1 72 72 CD cord-016903-z2vqfq98 217 2 , , , cord-016903-z2vqfq98 217 3 73 73 CD cord-016903-z2vqfq98 218 1 Although although IN cord-016903-z2vqfq98 218 2 individuals individual NNS cord-016903-z2vqfq98 218 3 maintain maintain VBP cord-016903-z2vqfq98 218 4 a a DT cord-016903-z2vqfq98 218 5 relatively relatively RB cord-016903-z2vqfq98 218 6 constant constant JJ cord-016903-z2vqfq98 218 7 total total JJ cord-016903-z2vqfq98 218 8 number number NN cord-016903-z2vqfq98 218 9 ofperipheral ofperipheral JJ cord-016903-z2vqfq98 218 10 B B NNP cord-016903-z2vqfq98 218 11 - - HYPH cord-016903-z2vqfq98 218 12 celIs celi VBN cord-016903-z2vqfq98 218 13 during during IN cord-016903-z2vqfq98 218 14 aging age VBG cord-016903-z2vqfq98 218 15 , , , cord-016903-z2vqfq98 218 16 each each DT cord-016903-z2vqfq98 218 17 B b NN cord-016903-z2vqfq98 218 18 - - HYPH cord-016903-z2vqfq98 218 19 cell cell NN cord-016903-z2vqfq98 218 20 subset subset NN cord-016903-z2vqfq98 218 21 comprises comprise VBZ cord-016903-z2vqfq98 218 22 severeperturbations severeperturbation NNS cord-016903-z2vqfq98 218 23 in in IN cord-016903-z2vqfq98 218 24 size size NN cord-016903-z2vqfq98 218 25 , , , cord-016903-z2vqfq98 218 26 dynamics dynamic NNS cord-016903-z2vqfq98 218 27 and and CC cord-016903-z2vqfq98 218 28 repertoire repertoire NN cord-016903-z2vqfq98 218 29 . . . cord-016903-z2vqfq98 219 1 The the DT cord-016903-z2vqfq98 219 2 alterations alteration NNS cord-016903-z2vqfq98 219 3 affecting affect VBG cord-016903-z2vqfq98 219 4 the the DT cord-016903-z2vqfq98 219 5 Bvcell Bvcell NNP cord-016903-z2vqfq98 219 6 subsets subset NNS cord-016903-z2vqfq98 219 7 are be VBP cord-016903-z2vqfq98 219 8 due due JJ cord-016903-z2vqfq98 219 9 to to IN cord-016903-z2vqfq98 219 10 a a DT cord-016903-z2vqfq98 219 11 decreased decrease VBN cord-016903-z2vqfq98 219 12 generation generation NN cord-016903-z2vqfq98 219 13 ofB ofb NN cord-016903-z2vqfq98 219 14 - - HYPH cord-016903-z2vqfq98 219 15 cell cell NN cord-016903-z2vqfq98 219 16 precursors precursor NNS cord-016903-z2vqfq98 219 17 , , , cord-016903-z2vqfq98 219 18 such such JJ cord-016903-z2vqfq98 219 19 asearly asearly JJ cord-016903-z2vqfq98 219 20 lymphoid lymphoid JJ cord-016903-z2vqfq98 219 21 precursors precursor NNS cord-016903-z2vqfq98 219 22 and and CC cord-016903-z2vqfq98 219 23 pro pro JJ cord-016903-z2vqfq98 219 24 - - JJ cord-016903-z2vqfq98 219 25 Bvcells Bvcells NNP cord-016903-z2vqfq98 219 26 , , , cord-016903-z2vqfq98 219 27 Cell cell NN cord-016903-z2vqfq98 219 28 - - HYPH cord-016903-z2vqfq98 219 29 intrinsic intrinsic JJ cord-016903-z2vqfq98 219 30 as as RB cord-016903-z2vqfq98 219 31 well well RB cord-016903-z2vqfq98 219 32 as as IN cord-016903-z2vqfq98 219 33 micro micro JJ cord-016903-z2vqfq98 219 34 - - JJ cord-016903-z2vqfq98 219 35 environmental environmental JJ cord-016903-z2vqfq98 219 36 disturbances disturbance NNS cord-016903-z2vqfq98 219 37 are be VBP cord-016903-z2vqfq98 219 38 both both DT cord-016903-z2vqfq98 219 39 likely likely JJ cord-016903-z2vqfq98 219 40 to to TO cord-016903-z2vqfq98 219 41 contribute contribute VB cord-016903-z2vqfq98 219 42 to to IN cord-016903-z2vqfq98 219 43 the the DT cord-016903-z2vqfq98 219 44 decreased decrease VBN cord-016903-z2vqfq98 219 45 output output NN cord-016903-z2vqfq98 219 46 ofpro ofpro NNP cord-016903-z2vqfq98 219 47 - - HYPH cord-016903-z2vqfq98 219 48 Bscells Bscells NNPS cord-016903-z2vqfq98 219 49 . . . cord-016903-z2vqfq98 220 1 Furthermore furthermore RB cord-016903-z2vqfq98 220 2 , , , cord-016903-z2vqfq98 220 3 alterations alteration NNS cord-016903-z2vqfq98 220 4 in in IN cord-016903-z2vqfq98 220 5 environmental environmental JJ cord-016903-z2vqfq98 220 6 factors factor NNS cord-016903-z2vqfq98 220 7 also also RB cord-016903-z2vqfq98 220 8 impair impair VBP cord-016903-z2vqfq98 220 9 overall overall JJ cord-016903-z2vqfq98 220 10 V(D)J V(D)J NNP cord-016903-z2vqfq98 220 11 recombinase recombinase NN cord-016903-z2vqfq98 220 12 activity activity NN cord-016903-z2vqfq98 220 13 among among IN cord-016903-z2vqfq98 220 14 pro pro JJ cord-016903-z2vqfq98 220 15 - - JJ cord-016903-z2vqfq98 220 16 Bvcellst'whlch bvcellst'whlch JJ cord-016903-z2vqfq98 220 17 accounts account NNS cord-016903-z2vqfq98 220 18 for for IN cord-016903-z2vqfq98 220 19 the the DT cord-016903-z2vqfq98 220 20 limited limited JJ cord-016903-z2vqfq98 220 21 B b NN cord-016903-z2vqfq98 220 22 - - HYPH cord-016903-z2vqfq98 220 23 cell cell NN cord-016903-z2vqfq98 220 24 repertoire repertoire NN cord-016903-z2vqfq98 221 1 frequendy frequendy NNP cord-016903-z2vqfq98 221 2 detected detect VBD cord-016903-z2vqfq98 221 3 in in IN cord-016903-z2vqfq98 221 4 elderly elderly JJ cord-016903-z2vqfq98 221 5 persons person NNS cord-016903-z2vqfq98 221 6 . . . cord-016903-z2vqfq98 221 7 " " '' cord-016903-z2vqfq98 222 1 Although although IN cord-016903-z2vqfq98 222 2 no no DT cord-016903-z2vqfq98 222 3 decrease decrease NN cord-016903-z2vqfq98 222 4 in in IN cord-016903-z2vqfq98 222 5 overall overall JJ cord-016903-z2vqfq98 222 6 serum serum NN cord-016903-z2vqfq98 222 7 immunoglobulin immunoglobulin NN cord-016903-z2vqfq98 222 8 levels level NNS cord-016903-z2vqfq98 222 9 have have VBP cord-016903-z2vqfq98 222 10 been be VBN cord-016903-z2vqfq98 222 11 observed observe VBN cord-016903-z2vqfq98 222 12 during during IN cord-016903-z2vqfq98 222 13 aging age VBG cord-016903-z2vqfq98 222 14 , , , cord-016903-z2vqfq98 222 15 the the DT cord-016903-z2vqfq98 222 16 antibodies antibody NNS cord-016903-z2vqfq98 222 17 generated generate VBN cord-016903-z2vqfq98 222 18 in in IN cord-016903-z2vqfq98 222 19 old old JJ cord-016903-z2vqfq98 222 20 age age NN cord-016903-z2vqfq98 222 21 are be VBP cord-016903-z2vqfq98 222 22 oflower oflow JJR cord-016903-z2vqfq98 222 23 affinity affinity NN cord-016903-z2vqfq98 222 24 due due IN cord-016903-z2vqfq98 222 25 to to IN cord-016903-z2vqfq98 222 26 a a DT cord-016903-z2vqfq98 222 27 shift shift NN cord-016903-z2vqfq98 222 28 in in IN cord-016903-z2vqfq98 222 29 antibody antibody NN cord-016903-z2vqfq98 222 30 isotypes isotypes NNP cord-016903-z2vqfq98 222 31 from from IN cord-016903-z2vqfq98 222 32 IgG IgG NNP cord-016903-z2vqfq98 222 33 to to IN cord-016903-z2vqfq98 222 34 IgM,76 IgM,76 NNP cord-016903-z2vqfq98 222 35 Of of IN cord-016903-z2vqfq98 222 36 particular particular JJ cord-016903-z2vqfq98 222 37 importance importance NN cord-016903-z2vqfq98 222 38 , , , cord-016903-z2vqfq98 222 39 B b NN cord-016903-z2vqfq98 222 40 - - HYPH cord-016903-z2vqfq98 222 41 celIs celi VBN cord-016903-z2vqfq98 222 42 from from IN cord-016903-z2vqfq98 222 43 elderly elderly JJ cord-016903-z2vqfq98 222 44 individuals individual NNS cord-016903-z2vqfq98 222 45 are be VBP cord-016903-z2vqfq98 222 46 stimulated stimulate VBN cord-016903-z2vqfq98 222 47 70 70 CD cord-016903-z2vqfq98 222 48 % % NN cord-016903-z2vqfq98 222 49 less less CC cord-016903-z2vqfq98 222 50 efficiendy efficiendy VBN cord-016903-z2vqfq98 222 51 by by IN cord-016903-z2vqfq98 222 52 follicular follicular JJ cord-016903-z2vqfq98 222 53 dendritic dendritic JJ cord-016903-z2vqfq98 222 54 cells cell NNS cord-016903-z2vqfq98 222 55 than than IN cord-016903-z2vqfq98 222 56 Bvcells Bvcells NNP cord-016903-z2vqfq98 222 57 from from IN cord-016903-z2vqfq98 222 58 young young JJ cord-016903-z2vqfq98 222 59 subjects subject NNS cord-016903-z2vqfq98 222 60 , , , cord-016903-z2vqfq98 222 61 " " '' cord-016903-z2vqfq98 222 62 suggesting suggest VBG cord-016903-z2vqfq98 222 63 loss loss NN cord-016903-z2vqfq98 222 64 ofB ofB NNP cord-016903-z2vqfq98 222 65 - - HYPH cord-016903-z2vqfq98 222 66 cell cell NN cord-016903-z2vqfq98 222 67 function function NN cord-016903-z2vqfq98 222 68 , , , cord-016903-z2vqfq98 222 69 in in IN cord-016903-z2vqfq98 222 70 part part NN cord-016903-z2vqfq98 222 71 due due IN cord-016903-z2vqfq98 222 72 to to IN cord-016903-z2vqfq98 222 73 the the DT cord-016903-z2vqfq98 222 74 decreased decrease VBN cord-016903-z2vqfq98 222 75 expression expression NN cord-016903-z2vqfq98 222 76 ofcostimulatory ofcostimulatory NN cord-016903-z2vqfq98 222 77 molecules molecule NNS cord-016903-z2vqfq98 222 78 , , , cord-016903-z2vqfq98 222 79 such such JJ cord-016903-z2vqfq98 222 80 as as IN cord-016903-z2vqfq98 222 81 CD40 CD40 NNP cord-016903-z2vqfq98 222 82 or or CC cord-016903-z2vqfq98 222 83 CD27,78 CD27,78 NNS cord-016903-z2vqfq98 222 84 Impaired impair VBD cord-016903-z2vqfq98 222 85 T t NN cord-016903-z2vqfq98 222 86 - - HYPH cord-016903-z2vqfq98 222 87 cell cell NN cord-016903-z2vqfq98 222 88 - - HYPH cord-016903-z2vqfq98 222 89 mediated mediate VBN cord-016903-z2vqfq98 222 90 immunity immunity NN cord-016903-z2vqfq98 222 91 as as RB cord-016903-z2vqfq98 222 92 well well RB cord-016903-z2vqfq98 222 93 as as IN cord-016903-z2vqfq98 222 94 defects defect NNS cord-016903-z2vqfq98 222 95 in in IN cord-016903-z2vqfq98 222 96 antigen antigen NN cord-016903-z2vqfq98 222 97 presentation presentation NN cord-016903-z2vqfq98 222 98 by by IN cord-016903-z2vqfq98 222 99 antigen antigen NN cord-016903-z2vqfq98 222 100 presenting present VBG cord-016903-z2vqfq98 222 101 cells cell NNS cord-016903-z2vqfq98 222 102 _SP cord-016903-z2vqfq98 223 1 There there EX cord-016903-z2vqfq98 223 2 is be VBZ cord-016903-z2vqfq98 223 3 a a DT cord-016903-z2vqfq98 223 4 tremendous tremendous JJ cord-016903-z2vqfq98 223 5 need need NN cord-016903-z2vqfq98 223 6 to to IN cord-016903-z2vqfq98 223 7 increasethe increasethe FW cord-016903-z2vqfq98 223 8 protective protective JJ cord-016903-z2vqfq98 223 9 effect effect NN cord-016903-z2vqfq98 223 10 ofvaccines ofvaccine NNS cord-016903-z2vqfq98 223 11 in in IN cord-016903-z2vqfq98 223 12 the the DT cord-016903-z2vqfq98 223 13 elderly elderly JJ cord-016903-z2vqfq98 223 14 . . . cord-016903-z2vqfq98 224 1 Research research NN cord-016903-z2vqfq98 224 2 of of IN cord-016903-z2vqfq98 224 3 the the DT cord-016903-z2vqfq98 224 4 last last JJ cord-016903-z2vqfq98 224 5 decade decade NN cord-016903-z2vqfq98 224 6 has have VBZ cord-016903-z2vqfq98 224 7 provided provide VBN cord-016903-z2vqfq98 224 8 new new JJ cord-016903-z2vqfq98 224 9 insights insight NNS cord-016903-z2vqfq98 224 10 into into IN cord-016903-z2vqfq98 224 11 the the DT cord-016903-z2vqfq98 224 12 molecular molecular JJ cord-016903-z2vqfq98 224 13 mechanisms mechanism NNS cord-016903-z2vqfq98 224 14 ofthe ofthe DT cord-016903-z2vqfq98 224 15 immune immune JJ cord-016903-z2vqfq98 224 16 response response NN cord-016903-z2vqfq98 224 17 in in IN cord-016903-z2vqfq98 224 18 old old JJ cord-016903-z2vqfq98 224 19 age age NN cord-016903-z2vqfq98 224 20 , , , cord-016903-z2vqfq98 224 21 which which WDT cord-016903-z2vqfq98 224 22 can can MD cord-016903-z2vqfq98 224 23 now now RB cord-016903-z2vqfq98 224 24 be be VB cord-016903-z2vqfq98 224 25 used use VBN cord-016903-z2vqfq98 224 26 for for IN cord-016903-z2vqfq98 224 27 th th XX cord-016903-z2vqfq98 224 28 e e NN cord-016903-z2vqfq98 224 29 development development NN cord-016903-z2vqfq98 224 30 of of IN cord-016903-z2vqfq98 224 31 potent potent JJ cord-016903-z2vqfq98 224 32 vaccines vaccine NNS cord-016903-z2vqfq98 224 33 . . . cord-016903-z2vqfq98 225 1 In in IN cord-016903-z2vqfq98 225 2 the the DT cord-016903-z2vqfq98 225 3 past past NN cord-016903-z2vqfq98 225 4 , , , cord-016903-z2vqfq98 225 5 vaccines vaccine NNS cord-016903-z2vqfq98 225 6 were be VBD cord-016903-z2vqfq98 225 7 primarily primarily RB cord-016903-z2vqfq98 225 8 designed design VBN cord-016903-z2vqfq98 225 9 to to TO cord-016903-z2vqfq98 225 10 elicit elicit VB cord-016903-z2vqfq98 225 11 a a DT cord-016903-z2vqfq98 225 12 strong strong JJ cord-016903-z2vqfq98 225 13 humoral humoral JJ cord-016903-z2vqfq98 225 14 immune immune JJ cord-016903-z2vqfq98 225 15 response response NN cord-016903-z2vqfq98 225 16 . . . cord-016903-z2vqfq98 226 1 However however RB cord-016903-z2vqfq98 226 2 , , , cord-016903-z2vqfq98 226 3 vaccines vaccine NNS cord-016903-z2vqfq98 226 4 in in IN cord-016903-z2vqfq98 226 5 elderly elderly JJ cord-016903-z2vqfq98 226 6 persons person NNS cord-016903-z2vqfq98 226 7 may may MD cord-016903-z2vqfq98 226 8 be be VB cord-016903-z2vqfq98 226 9 more more RBR cord-016903-z2vqfq98 226 10 effective effective JJ cord-016903-z2vqfq98 227 1 ifthe ifthe DT cord-016903-z2vqfq98 227 2 stimulate stimulate VBP cord-016903-z2vqfq98 227 3 innate innate JJ cord-016903-z2vqfq98 227 4 immune immune JJ cord-016903-z2vqfq98 227 5 components component NNS cord-016903-z2vqfq98 227 6 and and CC cord-016903-z2vqfq98 227 7 the the DT cord-016903-z2vqfq98 227 8 generation generation NN cord-016903-z2vqfq98 227 9 of of IN cord-016903-z2vqfq98 227 10 long long RB cord-016903-z2vqfq98 227 11 - - HYPH cord-016903-z2vqfq98 227 12 lived live VBN cord-016903-z2vqfq98 227 13 memory memory NN cord-016903-z2vqfq98 227 14 T t NN cord-016903-z2vqfq98 227 15 - - HYPH cord-016903-z2vqfq98 227 16 cells cell NNS cord-016903-z2vqfq98 227 17 . . . cord-016903-z2vqfq98 228 1 Currently currently RB cord-016903-z2vqfq98 228 2 , , , cord-016903-z2vqfq98 228 3 severalstrategies severalstrategie NNS cord-016903-z2vqfq98 228 4 are be VBP cord-016903-z2vqfq98 228 5 being be VBG cord-016903-z2vqfq98 228 6 pursued pursue VBN cord-016903-z2vqfq98 228 7 to to TO cord-016903-z2vqfq98 228 8 increase increase VB cord-016903-z2vqfq98 228 9 immunogeniclry immunogeniclry NN cord-016903-z2vqfq98 228 10 , , , cord-016903-z2vqfq98 228 11 to to TO cord-016903-z2vqfq98 228 12 minimize minimize VB cord-016903-z2vqfq98 228 13 adverse adverse JJ cord-016903-z2vqfq98 228 14 side side NN cord-016903-z2vqfq98 228 15 effects effect NNS cord-016903-z2vqfq98 228 16 and and CC cord-016903-z2vqfq98 228 17 to to TO cord-016903-z2vqfq98 228 18 increase increase VB cord-016903-z2vqfq98 228 19 vaccine vaccine NN cord-016903-z2vqfq98 228 20 acceptance acceptance NN cord-016903-z2vqfq98 228 21 by by IN cord-016903-z2vqfq98 228 22 introducing introduce VBG cord-016903-z2vqfq98 228 23 needle needle NN cord-016903-z2vqfq98 228 24 - - HYPH cord-016903-z2vqfq98 228 25 free free JJ cord-016903-z2vqfq98 228 26 injection injection NN cord-016903-z2vqfq98 228 27 devices device NNS cord-016903-z2vqfq98 228 28 . . . cord-016903-z2vqfq98 229 1 Proven proven JJ cord-016903-z2vqfq98 229 2 and and CC cord-016903-z2vqfq98 229 3 promisingvaccine promisingvaccine JJ cord-016903-z2vqfq98 229 4 technologies technology NNS cord-016903-z2vqfq98 229 5 are be VBP cord-016903-z2vqfq98 229 6 used use VBN cord-016903-z2vqfq98 229 7 to to TO cord-016903-z2vqfq98 229 8 design design VB cord-016903-z2vqfq98 229 9 conjugate conjugate NN cord-016903-z2vqfq98 229 10 , , , cord-016903-z2vqfq98 229 11 subunit subunit NN cord-016903-z2vqfq98 229 12 , , , cord-016903-z2vqfq98 229 13 live live JJ cord-016903-z2vqfq98 229 14 vector vector NN cord-016903-z2vqfq98 229 15 , , , cord-016903-z2vqfq98 229 16 DNA dna NN cord-016903-z2vqfq98 229 17 and and CC cord-016903-z2vqfq98 229 18 live live RB cord-016903-z2vqfq98 229 19 - - HYPH cord-016903-z2vqfq98 229 20 attenuated attenuate VBN cord-016903-z2vqfq98 229 21 vaccines vaccine NNS cord-016903-z2vqfq98 229 22 ( ( -LRB- cord-016903-z2vqfq98 229 23 Table Table NNP cord-016903-z2vqfq98 229 24 3 3 CD cord-016903-z2vqfq98 229 25 ) ) -RRB- cord-016903-z2vqfq98 229 26 .80 .80 . cord-016903-z2vqfq98 230 1 While while IN cord-016903-z2vqfq98 230 2 live live RB cord-016903-z2vqfq98 230 3 - - HYPH cord-016903-z2vqfq98 230 4 attenuated attenuate VBN cord-016903-z2vqfq98 230 5 vaccines vaccine NNS cord-016903-z2vqfq98 230 6 ( ( -LRB- cord-016903-z2vqfq98 230 7 e.g.• e.g.• PRP cord-016903-z2vqfq98 230 8 against against IN cord-016903-z2vqfq98 230 9 varicella varicella NN cord-016903-z2vqfq98 230 10 , , , cord-016903-z2vqfq98 230 11 measles measle NNS cord-016903-z2vqfq98 230 12 or or CC cord-016903-z2vqfq98 230 13 yellow yellow JJ cord-016903-z2vqfq98 230 14 fever fever NN cord-016903-z2vqfq98 230 15 ) ) -RRB- cord-016903-z2vqfq98 230 16 stimulate stimulate VBP cord-016903-z2vqfq98 230 17 numerous numerous JJ cord-016903-z2vqfq98 230 18 immune immune JJ cord-016903-z2vqfq98 230 19 components component NNS cord-016903-z2vqfq98 230 20 and and CC cord-016903-z2vqfq98 230 21 display display NN cord-016903-z2vqfq98 230 22 enhanced enhance VBN cord-016903-z2vqfq98 230 23 immunogenicity immunogenicity NN cord-016903-z2vqfq98 230 24 , , , cord-016903-z2vqfq98 230 25 conjugate conjugate NN cord-016903-z2vqfq98 230 26 and and CC cord-016903-z2vqfq98 230 27 subunit subunit NN cord-016903-z2vqfq98 230 28 vaccines vaccine NNS cord-016903-z2vqfq98 230 29 ( ( -LRB- cord-016903-z2vqfq98 230 30 e.g. e.g. RB cord-016903-z2vqfq98 230 31 , , , cord-016903-z2vqfq98 230 32 against against IN cord-016903-z2vqfq98 230 33 influenza influenza NN cord-016903-z2vqfq98 230 34 ) ) -RRB- cord-016903-z2vqfq98 230 35 are be VBP cord-016903-z2vqfq98 230 36 often often RB cord-016903-z2vqfq98 230 37 supplemented supplement VBN cord-016903-z2vqfq98 230 38 with with IN cord-016903-z2vqfq98 230 39 adjuvants adjuvant NNS cord-016903-z2vqfq98 230 40 " " `` cord-016903-z2vqfq98 230 41 to to TO cord-016903-z2vqfq98 230 42 ensure ensure VB cord-016903-z2vqfq98 230 43 their -PRON- PRP$ cord-016903-z2vqfq98 230 44 protective protective JJ cord-016903-z2vqfq98 230 45 effect effect NN cord-016903-z2vqfq98 230 46 . . . cord-016903-z2vqfq98 231 1 Generally generally RB cord-016903-z2vqfq98 231 2 , , , cord-016903-z2vqfq98 231 3 adjuvants adjuvant NNS cord-016903-z2vqfq98 231 4 can can MD cord-016903-z2vqfq98 231 5 be be VB cord-016903-z2vqfq98 231 6 divided divide VBN cord-016903-z2vqfq98 231 7 into into IN cord-016903-z2vqfq98 231 8 antigen antigen NN cord-016903-z2vqfq98 231 9 delivery delivery NN cord-016903-z2vqfq98 231 10 systems system NNS cord-016903-z2vqfq98 231 11 ( ( -LRB- cord-016903-z2vqfq98 231 12 cationic cationic JJ cord-016903-z2vqfq98 231 13 microparticles microparticle NNS cord-016903-z2vqfq98 231 14 , , , cord-016903-z2vqfq98 231 15 proteasomes proteasomes NN cord-016903-z2vqfq98 231 16 and and CC cord-016903-z2vqfq98 231 17 virus virus NN cord-016903-z2vqfq98 231 18 - - HYPH cord-016903-z2vqfq98 231 19 like like JJ cord-016903-z2vqfq98 231 20 particles particle NNS cord-016903-z2vqfq98 231 21 ) ) -RRB- cord-016903-z2vqfq98 231 22 and and CC cord-016903-z2vqfq98 231 23 immune immune JJ cord-016903-z2vqfq98 231 24 potentiators potentiator NNS cord-016903-z2vqfq98 231 25 ( ( -LRB- cord-016903-z2vqfq98 231 26 e.g.• e.g.• PRP cord-016903-z2vqfq98 231 27 cytokines cytokine NNS cord-016903-z2vqfq98 231 28 ) ) -RRB- cord-016903-z2vqfq98 231 29 . . . cord-016903-z2vqfq98 232 1 These these DT cord-016903-z2vqfq98 232 2 adjuvants adjuvant NNS cord-016903-z2vqfq98 232 3 may may MD cord-016903-z2vqfq98 232 4 overcome overcome VB cord-016903-z2vqfq98 232 5 the the DT cord-016903-z2vqfq98 232 6 proposed propose VBN cord-016903-z2vqfq98 232 7 age age NN cord-016903-z2vqfq98 232 8 - - HYPH cord-016903-z2vqfq98 232 9 related relate VBN cord-016903-z2vqfq98 232 10 functional functional JJ cord-016903-z2vqfq98 232 11 decline decline NN cord-016903-z2vqfq98 232 12 ofinnate ofinnate NN cord-016903-z2vqfq98 232 13 immune immune JJ cord-016903-z2vqfq98 232 14 responses response NNS cord-016903-z2vqfq98 232 15 by by IN cord-016903-z2vqfq98 232 16 targeting target VBG cord-016903-z2vqfq98 232 17 pattern pattern NN cord-016903-z2vqfq98 232 18 - - HYPH cord-016903-z2vqfq98 232 19 recognition recognition NN cord-016903-z2vqfq98 232 20 receptors receptor NNS cord-016903-z2vqfq98 232 21 , , , cord-016903-z2vqfq98 232 22 such such JJ cord-016903-z2vqfq98 232 23 as as IN cord-016903-z2vqfq98 232 24 the the DT cord-016903-z2vqfq98 232 25 recently recently RB cord-016903-z2vqfq98 232 26 identified identify VBN cord-016903-z2vqfq98 232 27 toll toll NN cord-016903-z2vqfq98 232 28 - - HYPH cord-016903-z2vqfq98 232 29 like like JJ cord-016903-z2vqfq98 232 30 receptors receptor NNS cord-016903-z2vqfq98 232 31 or or CC cord-016903-z2vqfq98 232 32 nucleotide nucleotide NN cord-016903-z2vqfq98 232 33 - - HYPH cord-016903-z2vqfq98 232 34 bindingoligomerization bindingoligomerization NN cord-016903-z2vqfq98 232 35 domain domain NN cord-016903-z2vqfq98 232 36 proteins protein NNS cord-016903-z2vqfq98 232 37 . . . cord-016903-z2vqfq98 233 1 " " `` cord-016903-z2vqfq98 233 2 The the DT cord-016903-z2vqfq98 233 3 enhanced enhanced JJ cord-016903-z2vqfq98 233 4 activation activation NN cord-016903-z2vqfq98 233 5 ofthe ofthe DT cord-016903-z2vqfq98 233 6 innate innate JJ cord-016903-z2vqfq98 233 7 immune immune JJ cord-016903-z2vqfq98 233 8 system system NN cord-016903-z2vqfq98 233 9 may may MD cord-016903-z2vqfq98 233 10 also also RB cord-016903-z2vqfq98 233 11 improve improve VB cord-016903-z2vqfq98 233 12 antigen antigen NN cord-016903-z2vqfq98 233 13 processing processing NN cord-016903-z2vqfq98 233 14 and and CC cord-016903-z2vqfq98 233 15 presentation presentation NN cord-016903-z2vqfq98 233 16 leading lead VBG cord-016903-z2vqfq98 233 17 to to IN cord-016903-z2vqfq98 233 18 more more RBR cord-016903-z2vqfq98 233 19 potent potent JJ cord-016903-z2vqfq98 233 20 T t NN cord-016903-z2vqfq98 233 21 and and CC cord-016903-z2vqfq98 233 22 B b NN cord-016903-z2vqfq98 233 23 - - HYPH cord-016903-z2vqfq98 233 24 cell cell NN cord-016903-z2vqfq98 233 25 responses response NNS cord-016903-z2vqfq98 233 26 and and CC cord-016903-z2vqfq98 233 27 to to IN cord-016903-z2vqfq98 233 28 sustained sustain VBN cord-016903-z2vqfq98 233 29 immunological immunological JJ cord-016903-z2vqfq98 233 30 memory memory NN cord-016903-z2vqfq98 233 31 . . . cord-016903-z2vqfq98 234 1 Vaccines vaccine NNS cord-016903-z2vqfq98 234 2 supplemented supplement VBN cord-016903-z2vqfq98 234 3 with with IN cord-016903-z2vqfq98 234 4 the the DT cord-016903-z2vqfq98 234 5 DNA dna NN cord-016903-z2vqfq98 234 6 of of IN cord-016903-z2vqfq98 234 7 cytokines cytokine NNS cord-016903-z2vqfq98 234 8 ( ( -LRB- cord-016903-z2vqfq98 234 9 e.g. e.g. RB cord-016903-z2vqfq98 234 10 , , , cord-016903-z2vqfq98 234 11 IL-2 IL-2 NNP cord-016903-z2vqfq98 234 12 , , , cord-016903-z2vqfq98 234 13 IL- IL- NNP cord-016903-z2vqfq98 234 14 ? ? . cord-016903-z2vqfq98 234 15 IL IL NNP cord-016903-z2vqfq98 234 16 - - HYPH cord-016903-z2vqfq98 234 17 I2 I2 NNP cord-016903-z2vqfq98 234 18 , , , cord-016903-z2vqfq98 234 19 IL IL NNP cord-016903-z2vqfq98 234 20 - - HYPH cord-016903-z2vqfq98 234 21 IS IS NNP cord-016903-z2vqfq98 234 22 or or CC cord-016903-z2vqfq98 234 23 IL-21 IL-21 NNP cord-016903-z2vqfq98 234 24 ) ) -RRB- cord-016903-z2vqfq98 234 25 , , , cord-016903-z2vqfq98 234 26 chemokines chemokine NNS cord-016903-z2vqfq98 234 27 or or CC cord-016903-z2vqfq98 234 28 costirnulatory costirnulatory NN cord-016903-z2vqfq98 234 29 molecules molecule NNS cord-016903-z2vqfq98 234 30 may may MD cord-016903-z2vqfq98 234 31 magnify magnify VB cord-016903-z2vqfq98 234 32 immune immune JJ cord-016903-z2vqfq98 234 33 responses response NNS cord-016903-z2vqfq98 234 34 by by IN cord-016903-z2vqfq98 234 35 generating generate VBG cord-016903-z2vqfq98 234 36 more more JJR cord-016903-z2vqfq98 234 37 and and CC cord-016903-z2vqfq98 234 38 long long RB cord-016903-z2vqfq98 234 39 - - HYPH cord-016903-z2vqfq98 234 40 lived live VBN cord-016903-z2vqfq98 234 41 memory memory NN cord-016903-z2vqfq98 234 42 T_ceIIs83 t_ceiis83 NN cord-016903-z2vqfq98 234 43 - - HYPH cord-016903-z2vqfq98 234 44 85and 85and NN cord-016903-z2vqfq98 234 45 may may MD cord-016903-z2vqfq98 234 46 overcome overcome VB cord-016903-z2vqfq98 234 47 immunodominance immunodominance NN cord-016903-z2vqfq98 234 48 . . . cord-016903-z2vqfq98 234 49 ' ' '' cord-016903-z2vqfq98 235 1 " " '' cord-016903-z2vqfq98 236 1 In in IN cord-016903-z2vqfq98 236 2 addition addition NN cord-016903-z2vqfq98 236 3 to to TO cord-016903-z2vqfq98 236 4 improve improve VB cord-016903-z2vqfq98 236 5 vaccine vaccine NN cord-016903-z2vqfq98 236 6 efficacy efficacy NN cord-016903-z2vqfq98 236 7 , , , cord-016903-z2vqfq98 236 8 a a DT cord-016903-z2vqfq98 236 9 modification modification NN cord-016903-z2vqfq98 236 10 of of IN cord-016903-z2vqfq98 236 11 vaccination vaccination NN cord-016903-z2vqfq98 236 12 strategies strategy NNS cord-016903-z2vqfq98 236 13 for for IN cord-016903-z2vqfq98 236 14 elderly elderly JJ cord-016903-z2vqfq98 236 15 persons person NNS cord-016903-z2vqfq98 236 16 has have VBZ cord-016903-z2vqfq98 236 17 been be VBN cord-016903-z2vqfq98 236 18 supported support VBN cord-016903-z2vqfq98 236 19 by by IN cord-016903-z2vqfq98 236 20 the the DT cord-016903-z2vqfq98 236 21 results result NNS cord-016903-z2vqfq98 236 22 of of IN cord-016903-z2vqfq98 236 23 several several JJ cord-016903-z2vqfq98 236 24 vaccination vaccination NN cord-016903-z2vqfq98 236 25 trials trial NNS cord-016903-z2vqfq98 236 26 . . . cord-016903-z2vqfq98 237 1 For for IN cord-016903-z2vqfq98 237 2 instance instance NN cord-016903-z2vqfq98 237 3 , , , cord-016903-z2vqfq98 237 4 a a DT cord-016903-z2vqfq98 237 5 decreased decrease VBN cord-016903-z2vqfq98 237 6 response response NN cord-016903-z2vqfq98 237 7 and and CC cord-016903-z2vqfq98 237 8 a a DT cord-016903-z2vqfq98 237 9 shortened shorten VBN cord-016903-z2vqfq98 237 10 duration duration NN cord-016903-z2vqfq98 237 11 ofprotective ofprotective NN cord-016903-z2vqfq98 237 12 immunity immunity NN cord-016903-z2vqfq98 237 13 following follow VBG cord-016903-z2vqfq98 237 14 booster booster NN cord-016903-z2vqfq98 237 15 immunization immunization NN cord-016903-z2vqfq98 237 16 is be VBZ cord-016903-z2vqfq98 237 17 a a DT cord-016903-z2vqfq98 237 18 characteristic characteristic JJ cord-016903-z2vqfq98 237 19 feature feature NN cord-016903-z2vqfq98 237 20 of of IN cord-016903-z2vqfq98 237 21 old old JJ cord-016903-z2vqfq98 237 22 age age NN cord-016903-z2vqfq98 237 23 . . . cord-016903-z2vqfq98 238 1 87Thus 87thus CD cord-016903-z2vqfq98 238 2 , , , cord-016903-z2vqfq98 238 3 several several JJ cord-016903-z2vqfq98 238 4 European european JJ cord-016903-z2vqfq98 238 5 health health NN cord-016903-z2vqfq98 238 6 authorities authority NNS cord-016903-z2vqfq98 238 7 have have VBP cord-016903-z2vqfq98 238 8 recommended recommend VBN cord-016903-z2vqfq98 238 9 five five CD cord-016903-z2vqfq98 238 10 - - HYPH cord-016903-z2vqfq98 238 11 year year NN cord-016903-z2vqfq98 238 12 vaccination vaccination NN cord-016903-z2vqfq98 238 13 intervals interval NNS cord-016903-z2vqfq98 238 14 for for IN cord-016903-z2vqfq98 238 15 tetanus tetanus NN cord-016903-z2vqfq98 238 16 , , , cord-016903-z2vqfq98 238 17 diphtheria diphtheria NN cord-016903-z2vqfq98 238 18 , , , cord-016903-z2vqfq98 238 19 pertussis pertussis NN cord-016903-z2vqfq98 238 20 and and CC cord-016903-z2vqfq98 238 21 pneumonia pneumonia NN cord-016903-z2vqfq98 238 22 . . . cord-016903-z2vqfq98 239 1 Increased increase VBN cord-016903-z2vqfq98 239 2 public public JJ cord-016903-z2vqfq98 239 3 awareness awareness NN cord-016903-z2vqfq98 239 4 of of IN cord-016903-z2vqfq98 239 5 regular regular JJ cord-016903-z2vqfq98 239 6 booster booster NN cord-016903-z2vqfq98 239 7 vaccinations vaccination NNS cord-016903-z2vqfq98 239 8 in in IN cord-016903-z2vqfq98 239 9 adults adult NNS cord-016903-z2vqfq98 239 10 should should MD cord-016903-z2vqfq98 239 11 be be VB cord-016903-z2vqfq98 239 12 enforced enforce VBN cord-016903-z2vqfq98 239 13 , , , cord-016903-z2vqfq98 239 14 as as IN cord-016903-z2vqfq98 239 15 these these DT cord-016903-z2vqfq98 239 16 immunization immunization NN cord-016903-z2vqfq98 239 17 regimes regime NNS cord-016903-z2vqfq98 239 18 may may MD cord-016903-z2vqfq98 239 19 be be VB cord-016903-z2vqfq98 239 20 essential essential JJ cord-016903-z2vqfq98 239 21 to to TO cord-016903-z2vqfq98 239 22 maintain maintain VB cord-016903-z2vqfq98 239 23 the the DT cord-016903-z2vqfq98 239 24 ability ability NN cord-016903-z2vqfq98 239 25 to to TO cord-016903-z2vqfq98 239 26 respond respond VB cord-016903-z2vqfq98 239 27 to to TO cord-016903-z2vqfq98 239 28 recall recall VB cord-016903-z2vqfq98 239 29 antigens antigen NNS cord-016903-z2vqfq98 239 30 in in IN cord-016903-z2vqfq98 239 31 old old JJ cord-016903-z2vqfq98 239 32 age age NN cord-016903-z2vqfq98 239 33 . . . cord-016903-z2vqfq98 240 1 Recent recent JJ cord-016903-z2vqfq98 240 2 result result NN cord-016903-z2vqfq98 240 3 s s POS cord-016903-z2vqfq98 240 4 also also RB cord-016903-z2vqfq98 240 5 indicate indicate VBP cord-016903-z2vqfq98 240 6 that that IN cord-016903-z2vqfq98 240 7 long long RB cord-016903-z2vqfq98 240 8 - - HYPH cord-016903-z2vqfq98 240 9 lasting last VBG cord-016903-z2vqfq98 240 10 protection protection NN cord-016903-z2vqfq98 240 11 but but CC cord-016903-z2vqfq98 240 12 also also RB cord-016903-z2vqfq98 240 13 a a DT cord-016903-z2vqfq98 240 14 good good JJ cord-016903-z2vqfq98 240 15 booster booster NN cord-016903-z2vqfq98 240 16 effect effect NN cord-016903-z2vqfq98 240 17 can can MD cord-016903-z2vqfq98 240 18 be be VB cord-016903-z2vqfq98 240 19 expected expect VBN cord-016903-z2vqfq98 240 20 even even RB cord-016903-z2vqfq98 240 21 a a DT cord-016903-z2vqfq98 240 22 long long JJ cord-016903-z2vqfq98 240 23 time time NN cord-016903-z2vqfq98 240 24 after after IN cord-016903-z2vqfq98 240 25 the the DT cord-016903-z2vqfq98 240 26 last last JJ cord-016903-z2vqfq98 240 27 vaccination vaccination NN cord-016903-z2vqfq98 240 28 , , , cord-016903-z2vqfq98 240 29 when when WRB cord-016903-z2vqfq98 240 30 a a DT cord-016903-z2vqfq98 240 31 live live RB cord-016903-z2vqfq98 240 32 - - HYPH cord-016903-z2vqfq98 240 33 attenuated attenuated JJ cord-016903-z2vqfq98 240 34 vaccine vaccine NN cord-016903-z2vqfq98 240 35 ( ( -LRB- cord-016903-z2vqfq98 240 36 e.g. e.g. RB cord-016903-z2vqfq98 240 37 , , , cord-016903-z2vqfq98 240 38 polio polio NN cord-016903-z2vqfq98 240 39 vaccine vaccine NN cord-016903-z2vqfq98 240 40 ) ) -RRB- cord-016903-z2vqfq98 240 41 is be VBZ cord-016903-z2vqfq98 240 42 used use VBN cord-016903-z2vqfq98 240 43 for for IN cord-016903-z2vqfq98 240 44 primary primary JJ cord-016903-z2vqfq98 240 45 immunization immunization NN cord-016903-z2vqfq98 240 46 in in IN cord-016903-z2vqfq98 240 47 early early JJ cord-016903-z2vqfq98 240 48 life life NN cord-016903-z2vqfq98 240 49 . . . cord-016903-z2vqfq98 241 1 New new JJ cord-016903-z2vqfq98 241 2 delivery delivery NN cord-016903-z2vqfq98 241 3 systems system NNS cord-016903-z2vqfq98 241 4 that that WDT cord-016903-z2vqfq98 241 5 make make VBP cord-016903-z2vqfq98 241 6 use use VB cord-016903-z2vqfq98 241 7 oftiny oftiny NNP cord-016903-z2vqfq98 241 8 micro micro NNS cord-016903-z2vqfq98 241 9 - - HYPH cord-016903-z2vqfq98 241 10 needles needle NNS cord-016903-z2vqfq98 241 11 or or CC cord-016903-z2vqfq98 241 12 non non JJ cord-016903-z2vqfq98 241 13 - - JJ cord-016903-z2vqfq98 241 14 injectable injectable JJ cord-016903-z2vqfq98 241 15 application application NN cord-016903-z2vqfq98 241 16 devices device NNS cord-016903-z2vqfq98 241 17 ( ( -LRB- cord-016903-z2vqfq98 241 18 nasal nasal NN cord-016903-z2vqfq98 241 19 , , , cord-016903-z2vqfq98 241 20 oral oral JJ cord-016903-z2vqfq98 241 21 , , , cord-016903-z2vqfq98 241 22 transcutaneous transcutaneous JJ cord-016903-z2vqfq98 241 23 ) ) -RRB- cord-016903-z2vqfq98 241 24 may may MD cord-016903-z2vqfq98 241 25 further far RBR cord-016903-z2vqfq98 241 26 increase increase VB cord-016903-z2vqfq98 241 27 vaccination vaccination NN cord-016903-z2vqfq98 241 28 acceptance acceptance NN cord-016903-z2vqfq98 241 29 , , , cord-016903-z2vqfq98 241 30 especially especially RB cord-016903-z2vqfq98 241 31 in in IN cord-016903-z2vqfq98 241 32 the the DT cord-016903-z2vqfq98 241 33 case case NN cord-016903-z2vqfq98 241 34 of of IN cord-016903-z2vqfq98 241 35 influenza influenza NN cord-016903-z2vqfq98 241 36 as as IN cord-016903-z2vqfq98 241 37 this this DT cord-016903-z2vqfq98 241 38 vaccination vaccination NN cord-016903-z2vqfq98 241 39 has have VBZ cord-016903-z2vqfq98 241 40 to to TO cord-016903-z2vqfq98 241 41 be be VB cord-016903-z2vqfq98 241 42 repeated repeat VBN cord-016903-z2vqfq98 241 43 annually annually RB cord-016903-z2vqfq98 241 44 . . . cord-016903-z2vqfq98 242 1 Infectious infectious JJ cord-016903-z2vqfq98 242 2 diseases disease NNS cord-016903-z2vqfq98 242 3 in in IN cord-016903-z2vqfq98 242 4 elderly elderly JJ cord-016903-z2vqfq98 242 5 persons person NNS cord-016903-z2vqfq98 242 6 are be VBP cord-016903-z2vqfq98 242 7 becoming become VBG cord-016903-z2vqfq98 242 8 an an DT cord-016903-z2vqfq98 242 9 increasingly increasingly RB cord-016903-z2vqfq98 242 10 importan importan JJ cord-016903-z2vqfq98 242 11 t t NN cord-016903-z2vqfq98 242 12 issue issue NN cord-016903-z2vqfq98 242 13 . . . cord-016903-z2vqfq98 243 1 An an DT cord-016903-z2vqfq98 243 2 utmost utmost JJ cord-016903-z2vqfq98 243 3 need need NN cord-016903-z2vqfq98 243 4 represents represent VBZ cord-016903-z2vqfq98 243 5 the the DT cord-016903-z2vqfq98 243 6 development development NN cord-016903-z2vqfq98 243 7 ofmore ofmore IN cord-016903-z2vqfq98 243 8 immunogenic immunogenic JJ cord-016903-z2vqfq98 243 9 vaccines vaccine NNS cord-016903-z2vqfq98 243 10 for for IN cord-016903-z2vqfq98 243 11 the the DT cord-016903-z2vqfq98 243 12 elderly elderly JJ cord-016903-z2vqfq98 243 13 . . . cord-016903-z2vqfq98 244 1 The the DT cord-016903-z2vqfq98 244 2 improvement improvement NN cord-016903-z2vqfq98 244 3 of of IN cord-016903-z2vqfq98 244 4 specific specific JJ cord-016903-z2vqfq98 244 5 vaccine vaccine NN cord-016903-z2vqfq98 244 6 types type NNS cord-016903-z2vqfq98 244 7 regarding regard VBG cord-016903-z2vqfq98 244 8 immunogenicity immunogenicity NN cord-016903-z2vqfq98 244 9 and and CC cord-016903-z2vqfq98 244 10 tolerability tolerability NN cord-016903-z2vqfq98 244 11 , , , cord-016903-z2vqfq98 244 12 th th XX cord-016903-z2vqfq98 244 13 e e NN cord-016903-z2vqfq98 244 14 addition addition NN cord-016903-z2vqfq98 244 15 of of IN cord-016903-z2vqfq98 244 16 adjuvants adjuvant NNS cord-016903-z2vqfq98 244 17 . . . cord-016903-z2vqfq98 245 1 the the DT cord-016903-z2vqfq98 245 2 design design NN cord-016903-z2vqfq98 245 3 ofnew ofnew NNP cord-016903-z2vqfq98 245 4 delivery delivery NN cord-016903-z2vqfq98 245 5 systems system NNS cord-016903-z2vqfq98 245 6 as as RB cord-016903-z2vqfq98 245 7 well well RB cord-016903-z2vqfq98 245 8 as as IN cord-016903-z2vqfq98 245 9 specific specific JJ cord-016903-z2vqfq98 245 10 immunization immunization NN cord-016903-z2vqfq98 245 11 regimes regime NNS cord-016903-z2vqfq98 245 12 should should MD cord-016903-z2vqfq98 245 13 all all RB cord-016903-z2vqfq98 245 14 contribute contribute VB cord-016903-z2vqfq98 245 15 to to IN cord-016903-z2vqfq98 245 16 an an DT cord-016903-z2vqfq98 245 17 enhanced enhance VBN cord-016903-z2vqfq98 245 18 efficacy efficacy NN cord-016903-z2vqfq98 245 19 ofvaccines ofvaccines NNP cord-016903-z2vqfq98 245 20 in in IN cord-016903-z2vqfq98 245 21 elderl elderl NNP cord-016903-z2vqfq98 245 22 y y NNP cord-016903-z2vqfq98 245 23 persons person NNS cord-016903-z2vqfq98 245 24 . . . cord-016903-z2vqfq98 246 1 Further further JJ cord-016903-z2vqfq98 246 2 improvements improvement NNS cord-016903-z2vqfq98 246 3 may may MD cord-016903-z2vqfq98 246 4 comprise comprise VB cord-016903-z2vqfq98 246 5 the the DT cord-016903-z2vqfq98 246 6 adjustment adjustment NN cord-016903-z2vqfq98 246 7 ofvaccination ofvaccination NN cord-016903-z2vqfq98 246 8 intervals interval NNS cord-016903-z2vqfq98 246 9 in in IN cord-016903-z2vqfq98 246 10 old old JJ cord-016903-z2vqfq98 246 11 age age NN cord-016903-z2vqfq98 246 12 , , , cord-016903-z2vqfq98 246 13 the the DT cord-016903-z2vqfq98 246 14 increase increase NN cord-016903-z2vqfq98 246 15 in in IN cord-016903-z2vqfq98 246 16 vaccine vaccine NN cord-016903-z2vqfq98 246 17 acceptance acceptance NN cord-016903-z2vqfq98 246 18 and and CC cord-016903-z2vqfq98 246 19 vaccination vaccination NN cord-016903-z2vqfq98 246 20 coverage coverage NN cord-016903-z2vqfq98 246 21 as as RB cord-016903-z2vqfq98 246 22 well well RB cord-016903-z2vqfq98 246 23 as as IN cord-016903-z2vqfq98 246 24 raising raise VBG cord-016903-z2vqfq98 246 25 people people NNS cord-016903-z2vqfq98 246 26 's 's POS cord-016903-z2vqfq98 246 27 awareness awareness NN cord-016903-z2vqfq98 246 28 to to TO cord-016903-z2vqfq98 246 29 stick stick VB cord-016903-z2vqfq98 246 30 to to IN cord-016903-z2vqfq98 246 31 the the DT cord-016903-z2vqfq98 246 32 recommended recommend VBN cord-016903-z2vqfq98 246 33 booster booster NN cord-016903-z2vqfq98 246 34 vaccination vaccination NN cord-016903-z2vqfq98 246 35 intervals interval NNS cord-016903-z2vqfq98 246 36 throughout throughout IN cord-016903-z2vqfq98 246 37 life life NN cord-016903-z2vqfq98 246 38 . . . cord-016903-z2vqfq98 247 1 In in IN cord-016903-z2vqfq98 247 2 the the DT cord-016903-z2vqfq98 247 3 distant distant JJ cord-016903-z2vqfq98 247 4 future future NN cord-016903-z2vqfq98 247 5 , , , cord-016903-z2vqfq98 247 6 vaccines vaccine NNS cord-016903-z2vqfq98 247 7 may may MD cord-016903-z2vqfq98 247 8 also also RB cord-016903-z2vqfq98 247 9 play play VB cord-016903-z2vqfq98 247 10 an an DT cord-016903-z2vqfq98 247 11 important important JJ cord-016903-z2vqfq98 247 12 role role NN cord-016903-z2vqfq98 247 13 in in IN cord-016903-z2vqfq98 247 14 treating treat VBG cord-016903-z2vqfq98 247 15 non non JJ cord-016903-z2vqfq98 247 16 - - JJ cord-016903-z2vqfq98 247 17 infectious infectious JJ cord-016903-z2vqfq98 247 18 diseases disease NNS cord-016903-z2vqfq98 247 19 such such JJ cord-016903-z2vqfq98 247 20 as as IN cord-016903-z2vqfq98 247 21 allergy allergy NN cord-016903-z2vqfq98 247 22 , , , cord-016903-z2vqfq98 247 23 autoimmunity autoimmunity NN cord-016903-z2vqfq98 247 24 , , , cord-016903-z2vqfq98 247 25 Alzheimer Alzheimer NNP cord-016903-z2vqfq98 247 26 's 's POS cord-016903-z2vqfq98 247 27 disease disease NN cord-016903-z2vqfq98 247 28 and and CC cord-016903-z2vqfq98 247 29 cancers cancer NNS cord-016903-z2vqfq98 247 30 . . . cord-016903-z2vqfq98 248 1 Deaths death NNS cord-016903-z2vqfq98 248 2 : : : cord-016903-z2vqfq98 248 3 leading lead VBG cord-016903-z2vqfq98 248 4 causes cause NNS cord-016903-z2vqfq98 248 5 for for IN cord-016903-z2vqfq98 248 6 2002 2002 CD cord-016903-z2vqfq98 248 7 Social social JJ cord-016903-z2vqfq98 248 8 and and CC cord-016903-z2vqfq98 248 9 environmental environmental JJ cord-016903-z2vqfq98 248 10 risk risk NN cord-016903-z2vqfq98 248 11 factors factor NNS cord-016903-z2vqfq98 248 12 in in IN cord-016903-z2vqfq98 248 13 the the DT cord-016903-z2vqfq98 248 14 emetgence emetgence NN cord-016903-z2vqfq98 248 15 of of IN cord-016903-z2vqfq98 248 16 infectious infectious JJ cord-016903-z2vqfq98 248 17 diseases disease NNS cord-016903-z2vqfq98 249 1 A a DT cord-016903-z2vqfq98 249 2 successful successful JJ cord-016903-z2vqfq98 249 3 eradication eradication NN cord-016903-z2vqfq98 249 4 campaign campaign NN cord-016903-z2vqfq98 249 5 . . . cord-016903-z2vqfq98 250 1 Global global JJ cord-016903-z2vqfq98 250 2 eradication eradication NN cord-016903-z2vqfq98 250 3 of of IN cord-016903-z2vqfq98 250 4 smallpox smallpox NN cord-016903-z2vqfq98 250 5 Survey Survey NNP cord-016903-z2vqfq98 250 6 : : : cord-016903-z2vqfq98 250 7 New New NNP cord-016903-z2vqfq98 250 8 Medicines medicine NNS cord-016903-z2vqfq98 250 9 in in IN cord-016903-z2vqfq98 250 10 development development NN cord-016903-z2vqfq98 250 11 for for IN cord-016903-z2vqfq98 250 12 Infectious infectious JJ cord-016903-z2vqfq98 250 13 diseases disease NNS cord-016903-z2vqfq98 250 14 Ageing age VBG cord-016903-z2vqfq98 250 15 and and CC cord-016903-z2vqfq98 250 16 infection infection NN cord-016903-z2vqfq98 251 1 Pneumonia pneumonia NN cord-016903-z2vqfq98 251 2 and and CC cord-016903-z2vqfq98 251 3 influenza influenza NN cord-016903-z2vqfq98 251 4 deaths death NNS cord-016903-z2vqfq98 251 5 during during IN cord-016903-z2vqfq98 251 6 epidemics epidemic NNS cord-016903-z2vqfq98 251 7 : : : cord-016903-z2vqfq98 251 8 implications implication NNS cord-016903-z2vqfq98 251 9 for for IN cord-016903-z2vqfq98 251 10 prevention prevention NN cord-016903-z2vqfq98 251 11 Influenza influenza NN cord-016903-z2vqfq98 251 12 and and CC cord-016903-z2vqfq98 251 13 pneumococcal pneumococcal JJ cord-016903-z2vqfq98 251 14 vaccination vaccination NN cord-016903-z2vqfq98 251 15 coverage coverage NN cord-016903-z2vqfq98 251 16 among among IN cord-016903-z2vqfq98 251 17 persons person NNS cord-016903-z2vqfq98 251 18 aged age VBN cord-016903-z2vqfq98 252 1 > > XX cord-016903-z2vqfq98 252 2 or or CC cord-016903-z2vqfq98 252 3 = = SYM cord-016903-z2vqfq98 252 4 65 65 CD cord-016903-z2vqfq98 252 5 years year NNS cord-016903-z2vqfq98 252 6 and and CC cord-016903-z2vqfq98 252 7 persons person NNS cord-016903-z2vqfq98 252 8 aged age VBN cord-016903-z2vqfq98 252 9 18 18 CD cord-016903-z2vqfq98 252 10 - - SYM cord-016903-z2vqfq98 252 11 64 64 CD cord-016903-z2vqfq98 252 12 years year NNS cord-016903-z2vqfq98 252 13 with with IN cord-016903-z2vqfq98 252 14 diabetes diabetes NN cord-016903-z2vqfq98 252 15 or or CC cord-016903-z2vqfq98 252 16 asthma asthma NN cord-016903-z2vqfq98 252 17 - - HYPH cord-016903-z2vqfq98 252 18 United United NNP cord-016903-z2vqfq98 252 19 States States NNP cord-016903-z2vqfq98 253 1 The the DT cord-016903-z2vqfq98 253 2 efficacy efficacy NN cord-016903-z2vqfq98 253 3 of of IN cord-016903-z2vqfq98 253 4 influenza influenza NN cord-016903-z2vqfq98 253 5 vaccine vaccine NN cord-016903-z2vqfq98 253 6 in in IN cord-016903-z2vqfq98 253 7 elderly elderly JJ cord-016903-z2vqfq98 253 8 persons person NNS cord-016903-z2vqfq98 253 9 . . . cord-016903-z2vqfq98 254 1 A a DT cord-016903-z2vqfq98 254 2 meta meta JJ cord-016903-z2vqfq98 254 3 - - HYPH cord-016903-z2vqfq98 254 4 analysis analysis NN cord-016903-z2vqfq98 254 5 and and CC cord-016903-z2vqfq98 254 6 review review NN cord-016903-z2vqfq98 254 7 of of IN cord-016903-z2vqfq98 254 8 the the DT cord-016903-z2vqfq98 254 9 literature literature NN cord-016903-z2vqfq98 254 10 Immunity immunity NN cord-016903-z2vqfq98 254 11 and and CC cord-016903-z2vqfq98 254 12 immunization immunization NN cord-016903-z2vqfq98 254 13 in in IN cord-016903-z2vqfq98 254 14 elderly elderly JJ cord-016903-z2vqfq98 255 1 The the DT cord-016903-z2vqfq98 255 2 efficacy efficacy NN cord-016903-z2vqfq98 255 3 and and CC cord-016903-z2vqfq98 255 4 cost cost NN cord-016903-z2vqfq98 255 5 effectiveness effectiveness NN cord-016903-z2vqfq98 255 6 of of IN cord-016903-z2vqfq98 255 7 vaccination vaccination NN cord-016903-z2vqfq98 255 8 against against IN cord-016903-z2vqfq98 255 9 influenza influenza NN cord-016903-z2vqfq98 255 10 among among IN cord-016903-z2vqfq98 255 11 elderly elderly JJ cord-016903-z2vqfq98 255 12 persons person NNS cord-016903-z2vqfq98 255 13 living live VBG cord-016903-z2vqfq98 255 14 in in IN cord-016903-z2vqfq98 255 15 the the DT cord-016903-z2vqfq98 255 16 community community NN cord-016903-z2vqfq98 255 17 Influenza Influenza NNP cord-016903-z2vqfq98 255 18 vaccination vaccination NN cord-016903-z2vqfq98 255 19 programs program NNS cord-016903-z2vqfq98 255 20 for for IN cord-016903-z2vqfq98 255 21 elderly elderly JJ cord-016903-z2vqfq98 255 22 persons person NNS cord-016903-z2vqfq98 255 23 : : : cord-016903-z2vqfq98 255 24 cost cost NN cord-016903-z2vqfq98 255 25 - - HYPH cord-016903-z2vqfq98 255 26 effectiveness effectiveness NN cord-016903-z2vqfq98 255 27 in in IN cord-016903-z2vqfq98 255 28 a a DT cord-016903-z2vqfq98 255 29 health health NN cord-016903-z2vqfq98 255 30 maintenance maintenance NN cord-016903-z2vqfq98 255 31 organization organization NN cord-016903-z2vqfq98 255 32 Reduction reduction NN cord-016903-z2vqfq98 255 33 in in IN cord-016903-z2vqfq98 255 34 mortality mortality NN cord-016903-z2vqfq98 255 35 associated associate VBN cord-016903-z2vqfq98 255 36 with with IN cord-016903-z2vqfq98 255 37 influenza influenza JJ cord-016903-z2vqfq98 255 38 vaccine vaccine NN cord-016903-z2vqfq98 255 39 during during IN cord-016903-z2vqfq98 255 40 1989 1989 CD cord-016903-z2vqfq98 255 41 - - SYM cord-016903-z2vqfq98 255 42 90 90 CD cord-016903-z2vqfq98 255 43 epidemic epidemic NN cord-016903-z2vqfq98 255 44 Evidence evidence NN cord-016903-z2vqfq98 255 45 of of IN cord-016903-z2vqfq98 255 46 increased increase VBN cord-016903-z2vqfq98 255 47 clinical clinical JJ cord-016903-z2vqfq98 255 48 protection protection NN cord-016903-z2vqfq98 255 49 of of IN cord-016903-z2vqfq98 255 50 an an DT cord-016903-z2vqfq98 255 51 MF59-adjuvant mf59-adjuvant CD cord-016903-z2vqfq98 255 52 influenza influenza NN cord-016903-z2vqfq98 255 53 vaccine vaccine NN cord-016903-z2vqfq98 255 54 compared compare VBN cord-016903-z2vqfq98 255 55 to to IN cord-016903-z2vqfq98 255 56 a a DT cord-016903-z2vqfq98 255 57 non non JJ cord-016903-z2vqfq98 255 58 - - JJ cord-016903-z2vqfq98 255 59 adjuvant adjuvant JJ cord-016903-z2vqfq98 255 60 vaccine vaccine NN cord-016903-z2vqfq98 255 61 among among IN cord-016903-z2vqfq98 255 62 elderly elderly JJ cord-016903-z2vqfq98 255 63 residents resident NNS cord-016903-z2vqfq98 255 64 of of IN cord-016903-z2vqfq98 255 65 long long JJ cord-016903-z2vqfq98 255 66 - - HYPH cord-016903-z2vqfq98 255 67 term term NN cord-016903-z2vqfq98 255 68 care care NN cord-016903-z2vqfq98 255 69 facilities facility NNS cord-016903-z2vqfq98 255 70 in in IN cord-016903-z2vqfq98 255 71 Italy Italy NNP cord-016903-z2vqfq98 255 72 Immunogenicity Immunogenicity NNP cord-016903-z2vqfq98 255 73 of of IN cord-016903-z2vqfq98 255 74 new new JJ cord-016903-z2vqfq98 255 75 virosome virosome NNP cord-016903-z2vqfq98 255 76 influenza influenza NN cord-016903-z2vqfq98 255 77 vaccine vaccine NN cord-016903-z2vqfq98 255 78 in in IN cord-016903-z2vqfq98 255 79 elderly elderly JJ cord-016903-z2vqfq98 255 80 people people NNS cord-016903-z2vqfq98 255 81 Immunogenicity Immunogenicity NNP cord-016903-z2vqfq98 255 82 of of IN cord-016903-z2vqfq98 255 83 trivalent trivalent JJ cord-016903-z2vqfq98 255 84 subunit subunit NN cord-016903-z2vqfq98 255 85 versus versus IN cord-016903-z2vqfq98 255 86 virosome virosome NNP cord-016903-z2vqfq98 255 87 - - HYPH cord-016903-z2vqfq98 255 88 formulated formulate VBN cord-016903-z2vqfq98 255 89 influenza influenza NN cord-016903-z2vqfq98 255 90 vaccines vaccine NNS cord-016903-z2vqfq98 255 91 in in IN cord-016903-z2vqfq98 255 92 geriatric geriatric JJ cord-016903-z2vqfq98 255 93 patients patient NNS cord-016903-z2vqfq98 255 94 randomized randomized JJ cord-016903-z2vqfq98 255 95 study study NN cord-016903-z2vqfq98 255 96 to to TO cord-016903-z2vqfq98 255 97 compare compare VB cord-016903-z2vqfq98 255 98 the the DT cord-016903-z2vqfq98 255 99 immunogenicity immunogenicity NN cord-016903-z2vqfq98 255 100 and and CC cord-016903-z2vqfq98 255 101 reactogenicity reactogenicity NN cord-016903-z2vqfq98 255 102 of of IN cord-016903-z2vqfq98 255 103 an an DT cord-016903-z2vqfq98 255 104 influenza influenza NN cord-016903-z2vqfq98 255 105 split split VBN cord-016903-z2vqfq98 255 106 vaccine vaccine NN cord-016903-z2vqfq98 255 107 with with IN cord-016903-z2vqfq98 255 108 an an DT cord-016903-z2vqfq98 255 109 MF59adjuvanted MF59adjuvanted NNP cord-016903-z2vqfq98 255 110 subunit subunit NN cord-016903-z2vqfq98 255 111 vaccine vaccine NN cord-016903-z2vqfq98 255 112 and and CC cord-016903-z2vqfq98 255 113 a a DT cord-016903-z2vqfq98 255 114 virosome virosome NN cord-016903-z2vqfq98 255 115 - - HYPH cord-016903-z2vqfq98 255 116 based base VBN cord-016903-z2vqfq98 255 117 subunit subunit NN cord-016903-z2vqfq98 255 118 vaccine vaccine NN cord-016903-z2vqfq98 255 119 in in IN cord-016903-z2vqfq98 255 120 elderly elderly JJ cord-016903-z2vqfq98 255 121 Clinical clinical JJ cord-016903-z2vqfq98 255 122 experience experience NN cord-016903-z2vqfq98 255 123 with with IN cord-016903-z2vqfq98 255 124 inactivated inactivate VBN cord-016903-z2vqfq98 255 125 , , , cord-016903-z2vqfq98 255 126 virosomal virosomal VBN cord-016903-z2vqfq98 255 127 influenza influenza NN cord-016903-z2vqfq98 255 128 vaccine vaccine NN cord-016903-z2vqfq98 256 1 Inactivated inactivate VBN cord-016903-z2vqfq98 256 2 influenza influenza NN cord-016903-z2vqfq98 256 3 virus virus NN cord-016903-z2vqfq98 256 4 vaccines vaccine NNS cord-016903-z2vqfq98 256 5 in in IN cord-016903-z2vqfq98 256 6 children child NNS cord-016903-z2vqfq98 257 1 The the DT cord-016903-z2vqfq98 257 2 Japanese japanese JJ cord-016903-z2vqfq98 257 3 experiencewith experiencewith NN cord-016903-z2vqfq98 257 4 vaccinating vaccinate VBG cord-016903-z2vqfq98 257 5 schoolchildren schoolchildren NNS cord-016903-z2vqfq98 257 6 against against IN cord-016903-z2vqfq98 257 7 influenza influenza NN cord-016903-z2vqfq98 258 1 The the DT cord-016903-z2vqfq98 258 2 23-valent 23-valent CD cord-016903-z2vqfq98 258 3 pneumococcal pneumococcal JJ cord-016903-z2vqfq98 258 4 polysaccharide polysaccharide NN cord-016903-z2vqfq98 258 5 vaccine vaccine NN cord-016903-z2vqfq98 258 6 . . . cord-016903-z2vqfq98 259 1 Part part NN cord-016903-z2vqfq98 259 2 1.Efficacyof 1.efficacyof CD cord-016903-z2vqfq98 259 3 PPV PPV NNP cord-016903-z2vqfq98 259 4 in in IN cord-016903-z2vqfq98 259 5 the the DT cord-016903-z2vqfq98 259 6 elderly elderly JJ cord-016903-z2vqfq98 259 7 : : : cord-016903-z2vqfq98 259 8 a a DT cord-016903-z2vqfq98 259 9 comparison comparison NN cord-016903-z2vqfq98 259 10 of of IN cord-016903-z2vqfq98 259 11 meta meta NNP cord-016903-z2vqfq98 259 12 - - HYPH cord-016903-z2vqfq98 259 13 analyses analysis NNS cord-016903-z2vqfq98 259 14 Impact Impact NNP cord-016903-z2vqfq98 259 15 of of IN cord-016903-z2vqfq98 259 16 pneumococcal pneumococcal JJ cord-016903-z2vqfq98 259 17 vaccination vaccination NN cord-016903-z2vqfq98 259 18 on on IN cord-016903-z2vqfq98 259 19 morbidity morbidity NN cord-016903-z2vqfq98 259 20 and and CC cord-016903-z2vqfq98 259 21 mortality mortality NN cord-016903-z2vqfq98 259 22 of of IN cord-016903-z2vqfq98 259 23 geriatric geriatric JJ cord-016903-z2vqfq98 259 24 patients patient NNS cord-016903-z2vqfq98 259 25 : : : cord-016903-z2vqfq98 259 26 a a DT cord-016903-z2vqfq98 259 27 case case NN cord-016903-z2vqfq98 259 28 - - HYPH cord-016903-z2vqfq98 259 29 controlled control VBN cord-016903-z2vqfq98 259 30 study study NN cord-016903-z2vqfq98 259 31 Changing change VBG cord-016903-z2vqfq98 259 32 epidemiology epidemiology NN cord-016903-z2vqfq98 259 33 of of IN cord-016903-z2vqfq98 259 34 invasivepneumococcal invasivepneumococcal JJ cord-016903-z2vqfq98 259 35 disease disease NN cord-016903-z2vqfq98 259 36 among among IN cord-016903-z2vqfq98 259 37 older old JJR cord-016903-z2vqfq98 259 38 adults adult NNS cord-016903-z2vqfq98 259 39 in in IN cord-016903-z2vqfq98 259 40 the the DT cord-016903-z2vqfq98 259 41 era era NN cord-016903-z2vqfq98 259 42 of of IN cord-016903-z2vqfq98 259 43 pediatric pediatric JJ cord-016903-z2vqfq98 259 44 pneumococcal pneumococcal JJ cord-016903-z2vqfq98 259 45 conjugate conjugate NN cord-016903-z2vqfq98 259 46 vaccine vaccine NN cord-016903-z2vqfq98 259 47 . . . cord-016903-z2vqfq98 260 1 lama lama NNP cord-016903-z2vqfq98 260 2 Stead Stead NNP cord-016903-z2vqfq98 260 3 ww ww XX cord-016903-z2vqfq98 260 4 : : : cord-016903-z2vqfq98 261 1 Tuberculosis Tuberculosis NNP cord-016903-z2vqfq98 261 2 Tuberculosis Tuberculosis NNP cord-016903-z2vqfq98 261 3 in in IN cord-016903-z2vqfq98 261 4 the the DT cord-016903-z2vqfq98 261 5 elderly elderly JJ cord-016903-z2vqfq98 261 6 AntiTB AntiTB NNP cord-016903-z2vqfq98 261 7 drug drug NN cord-016903-z2vqfq98 261 8 resistance resistance NN cord-016903-z2vqfq98 261 9 in in IN cord-016903-z2vqfq98 261 10 the the DT cord-016903-z2vqfq98 261 11 world world NN cord-016903-z2vqfq98 261 12 Efficacy Efficacy NNP cord-016903-z2vqfq98 261 13 of of IN cord-016903-z2vqfq98 261 14 BCG BCG NNP cord-016903-z2vqfq98 261 15 vaccine vaccine NN cord-016903-z2vqfq98 261 16 in in IN cord-016903-z2vqfq98 261 17 the the DT cord-016903-z2vqfq98 261 18 prevention prevention NN cord-016903-z2vqfq98 261 19 of of IN cord-016903-z2vqfq98 261 20 tuberculosis tuberculosis NN cord-016903-z2vqfq98 261 21 . . . cord-016903-z2vqfq98 262 1 Meta Meta NNP cord-016903-z2vqfq98 262 2 - - HYPH cord-016903-z2vqfq98 262 3 analysis analysis NN cord-016903-z2vqfq98 262 4 of of IN cord-016903-z2vqfq98 262 5 the the DT cord-016903-z2vqfq98 262 6 published publish VBN cord-016903-z2vqfq98 262 7 literature literature NN cord-016903-z2vqfq98 262 8 Colnfection Colnfection NNP cord-016903-z2vqfq98 262 9 with with IN cord-016903-z2vqfq98 262 10 HIV HIV NNP cord-016903-z2vqfq98 262 11 and and CC cord-016903-z2vqfq98 262 12 TB TB NNP cord-016903-z2vqfq98 262 13 : : : cord-016903-z2vqfq98 262 14 double double JJ cord-016903-z2vqfq98 262 15 trouble trouble NN cord-016903-z2vqfq98 263 1 lnununology lnununology NN cord-016903-z2vqfq98 263 2 of of IN cord-016903-z2vqfq98 263 3 tuberculosis tuberculosis NN cord-016903-z2vqfq98 263 4 Population population NN cord-016903-z2vqfq98 263 5 - - HYPH cord-016903-z2vqfq98 263 6 based base VBN cord-016903-z2vqfq98 263 7 study study NN cord-016903-z2vqfq98 263 8 of of IN cord-016903-z2vqfq98 263 9 herpes herpes NNP cord-016903-z2vqfq98 263 10 zoster zoster NNP cord-016903-z2vqfq98 263 11 and and CC cord-016903-z2vqfq98 263 12 its -PRON- PRP$ cord-016903-z2vqfq98 263 13 sequelae sequela NNS cord-016903-z2vqfq98 263 14 Varicella varicella NN cord-016903-z2vqfq98 263 15 - - HYPH cord-016903-z2vqfq98 263 16 Zoster Zoster NNP cord-016903-z2vqfq98 263 17 virus virus NN cord-016903-z2vqfq98 263 18 : : : cord-016903-z2vqfq98 263 19 pathogenesis pathogenesis NN cord-016903-z2vqfq98 263 20 , , , cord-016903-z2vqfq98 263 21 immunity immunity NN cord-016903-z2vqfq98 263 22 and and CC cord-016903-z2vqfq98 263 23 clinical clinical JJ cord-016903-z2vqfq98 263 24 management management NN cord-016903-z2vqfq98 263 25 in in IN cord-016903-z2vqfq98 263 26 hematopoietic hematopoietic JJ cord-016903-z2vqfq98 263 27 cell cell NN cord-016903-z2vqfq98 263 28 transplant transplant NN cord-016903-z2vqfq98 263 29 recipients recipient NNS cord-016903-z2vqfq98 263 30 Stress stress NN cord-016903-z2vqfq98 263 31 - - HYPH cord-016903-z2vqfq98 263 32 induced induce VBN cord-016903-z2vqfq98 263 33 subclinical subclinical JJ cord-016903-z2vqfq98 263 34 reactivation reactivation NN cord-016903-z2vqfq98 263 35 of of IN cord-016903-z2vqfq98 263 36 varicella varicella NN cord-016903-z2vqfq98 263 37 zoster zoster NN cord-016903-z2vqfq98 263 38 virus virus NN cord-016903-z2vqfq98 263 39 in in IN cord-016903-z2vqfq98 263 40 astronauts astronaut NNS cord-016903-z2vqfq98 264 1 Live live VB cord-016903-z2vqfq98 265 1 attenuated attenuated JJ cord-016903-z2vqfq98 265 2 varicella varicella NN cord-016903-z2vqfq98 265 3 vaccine vaccine NN cord-016903-z2vqfq98 265 4 Vaccination Vaccination NNP cord-016903-z2vqfq98 265 5 boosts boost VBZ cord-016903-z2vqfq98 265 6 adult adult NN cord-016903-z2vqfq98 265 7 immunity immunity NN cord-016903-z2vqfq98 265 8 to to IN cord-016903-z2vqfq98 265 9 varicella varicella NN cord-016903-z2vqfq98 265 10 zoster zoster NNP cord-016903-z2vqfq98 265 11 virus virus NN cord-016903-z2vqfq98 266 1 A a DT cord-016903-z2vqfq98 266 2 vaccine vaccine NN cord-016903-z2vqfq98 266 3 to to TO cord-016903-z2vqfq98 266 4 prevent prevent VB cord-016903-z2vqfq98 266 5 herpes herpes NN cord-016903-z2vqfq98 266 6 zoster zoster NN cord-016903-z2vqfq98 266 7 and and CC cord-016903-z2vqfq98 266 8 postherpetic postherpetic NNP cord-016903-z2vqfq98 266 9 neuralgia neuralgia NN cord-016903-z2vqfq98 266 10 in in IN cord-016903-z2vqfq98 266 11 older old JJR cord-016903-z2vqfq98 266 12 adults adult NNS cord-016903-z2vqfq98 266 13 Long long JJ cord-016903-z2vqfq98 266 14 - - HYPH cord-016903-z2vqfq98 266 15 term term NN cord-016903-z2vqfq98 266 16 cytomegalovirus cytomegalovirus JJ cord-016903-z2vqfq98 266 17 infection infection NN cord-016903-z2vqfq98 266 18 leads lead VBZ cord-016903-z2vqfq98 266 19 to to IN cord-016903-z2vqfq98 266 20 significant significant JJ cord-016903-z2vqfq98 266 21 changes change NNS cord-016903-z2vqfq98 266 22 in in IN cord-016903-z2vqfq98 266 23 the the DT cord-016903-z2vqfq98 266 24 composition composition NN cord-016903-z2vqfq98 266 25 of of IN cord-016903-z2vqfq98 266 26 the the DT cord-016903-z2vqfq98 266 27 CD8 CD8 NNP cord-016903-z2vqfq98 266 28 + + CC cord-016903-z2vqfq98 266 29 T t NN cord-016903-z2vqfq98 266 30 - - HYPH cord-016903-z2vqfq98 266 31 cell cell NN cord-016903-z2vqfq98 266 32 repertoire repertoire NN cord-016903-z2vqfq98 266 33 , , , cord-016903-z2vqfq98 266 34 which which WDT cord-016903-z2vqfq98 266 35 may may MD cord-016903-z2vqfq98 266 36 be be VB cord-016903-z2vqfq98 266 37 the the DT cord-016903-z2vqfq98 266 38 basis basis NN cord-016903-z2vqfq98 266 39 for for IN cord-016903-z2vqfq98 266 40 an an DT cord-016903-z2vqfq98 266 41 imbalance imbalance NN cord-016903-z2vqfq98 266 42 in in IN cord-016903-z2vqfq98 266 43 the the DT cord-016903-z2vqfq98 266 44 cyrokine cyrokine JJ cord-016903-z2vqfq98 266 45 production production NN cord-016903-z2vqfq98 266 46 profile profile NN cord-016903-z2vqfq98 266 47 in in IN cord-016903-z2vqfq98 266 48 elderly elderly JJ cord-016903-z2vqfq98 266 49 persons person NNS cord-016903-z2vqfq98 266 50 Human human JJ cord-016903-z2vqfq98 266 51 immunosenescence immunosenescence NN cord-016903-z2vqfq98 266 52 : : : cord-016903-z2vqfq98 266 53 is be VBZ cord-016903-z2vqfq98 266 54 it -PRON- PRP cord-016903-z2vqfq98 266 55 infectious infectious JJ cord-016903-z2vqfq98 266 56 ? ? . cord-016903-z2vqfq98 267 1 Dysfunctional dysfunctional JJ cord-016903-z2vqfq98 267 2 CMV CMV NNP cord-016903-z2vqfq98 267 3 - - HYPH cord-016903-z2vqfq98 267 4 specific specific JJ cord-016903-z2vqfq98 267 5 CD8 CD8 NNP cord-016903-z2vqfq98 267 6 + + CC cord-016903-z2vqfq98 267 7 T T NNP cord-016903-z2vqfq98 267 8 - - HYPH cord-016903-z2vqfq98 267 9 cells cell NNS cord-016903-z2vqfq98 267 10 accumulate accumulate VBP cord-016903-z2vqfq98 267 11 in in IN cord-016903-z2vqfq98 267 12 the the DT cord-016903-z2vqfq98 267 13 elderly elderly JJ cord-016903-z2vqfq98 267 14 Cytomegalovirus Cytomegalovirus NNP cord-016903-z2vqfq98 267 15 misleads mislead VBZ cord-016903-z2vqfq98 267 16 its -PRON- PRP$ cord-016903-z2vqfq98 267 17 host host NN cord-016903-z2vqfq98 267 18 by by IN cord-016903-z2vqfq98 267 19 priming prime VBG cord-016903-z2vqfq98 267 20 of of IN cord-016903-z2vqfq98 267 21 CD8 CD8 NNP cord-016903-z2vqfq98 267 22 Tvcclls Tvcclls NNP cord-016903-z2vqfq98 267 23 specific specific JJ cord-016903-z2vqfq98 267 24 for for IN cord-016903-z2vqfq98 267 25 an an DT cord-016903-z2vqfq98 267 26 epirope epirope NN cord-016903-z2vqfq98 267 27 not not RB cord-016903-z2vqfq98 267 28 presented present VBN cord-016903-z2vqfq98 267 29 in in IN cord-016903-z2vqfq98 267 30 infected infected JJ cord-016903-z2vqfq98 267 31 tissues tissue NNS cord-016903-z2vqfq98 267 32 Cytomegalovirus Cytomegalovirus NNP cord-016903-z2vqfq98 267 33 seropositivity seropositivity NN cord-016903-z2vqfq98 267 34 drives drive VBZ cord-016903-z2vqfq98 267 35 the the DT cord-016903-z2vqfq98 267 36 CD8 CD8 NNP cord-016903-z2vqfq98 267 37 T T NNP cord-016903-z2vqfq98 267 38 - - HYPH cord-016903-z2vqfq98 267 39 cell cell NN cord-016903-z2vqfq98 267 40 repertoire repertoire NN cord-016903-z2vqfq98 267 41 toward toward IN cord-016903-z2vqfq98 267 42 greater great JJR cord-016903-z2vqfq98 267 43 clonaliry clonaliry NN cord-016903-z2vqfq98 267 44 in in IN cord-016903-z2vqfq98 267 45 healthy healthy JJ cord-016903-z2vqfq98 267 46 elderly elderly JJ cord-016903-z2vqfq98 267 47 individuals individual NNS cord-016903-z2vqfq98 267 48 Inllamm Inllamm NNP cord-016903-z2vqfq98 267 49 - - HYPH cord-016903-z2vqfq98 267 50 aging aging NN cord-016903-z2vqfq98 267 51 . . . cord-016903-z2vqfq98 268 1 An an DT cord-016903-z2vqfq98 268 2 evolutionary evolutionary JJ cord-016903-z2vqfq98 268 3 perspective perspective NN cord-016903-z2vqfq98 268 4 on on IN cord-016903-z2vqfq98 268 5 immunosenescence immunosenescence NNP cord-016903-z2vqfq98 268 6 Lack lack NN cord-016903-z2vqfq98 268 7 of of IN cord-016903-z2vqfq98 268 8 antibody antibody NN cord-016903-z2vqfq98 268 9 produ produ NNP cord-016903-z2vqfq98 268 10 ction ction NN cord-016903-z2vqfq98 268 11 following follow VBG cord-016903-z2vqfq98 268 12 immunization immunization NN cord-016903-z2vqfq98 268 13 in in IN cord-016903-z2vqfq98 268 14 old old JJ cord-016903-z2vqfq98 268 15 age age NN cord-016903-z2vqfq98 268 16 : : : cord-016903-z2vqfq98 268 17 association association NN cord-016903-z2vqfq98 268 18 with with IN cord-016903-z2vqfq98 268 19 CD8 CD8 NNP cord-016903-z2vqfq98 268 20 + + SYM cord-016903-z2vqfq98 268 21 CD28 CD28 NNP cord-016903-z2vqfq98 268 22 ' ' '' cord-016903-z2vqfq98 268 23 T t NN cord-016903-z2vqfq98 268 24 - - HYPH cord-016903-z2vqfq98 268 25 cell cell NN cord-016903-z2vqfq98 268 26 clonal clonal JJ cord-016903-z2vqfq98 268 27 expansions expansion NNS cord-016903-z2vqfq98 268 28 and and CC cord-016903-z2vqfq98 268 29 an an DT cord-016903-z2vqfq98 268 30 imbalance imbalance NN cord-016903-z2vqfq98 268 31 in in IN cord-016903-z2vqfq98 268 32 the the DT cord-016903-z2vqfq98 268 33 production production NN cord-016903-z2vqfq98 268 34 of of IN cord-016903-z2vqfq98 268 35 Thl Thl NNP cord-016903-z2vqfq98 268 36 and and CC cord-016903-z2vqfq98 268 37 Th2 Th2 NNP cord-016903-z2vqfq98 268 38 cyrokines cyrokines NNP cord-016903-z2vqfq98 268 39 Restoration Restoration NNP cord-016903-z2vqfq98 268 40 of of IN cord-016903-z2vqfq98 268 41 viral viral JJ cord-016903-z2vqfq98 268 42 immunity immunity NN cord-016903-z2vqfq98 268 43 in in IN cord-016903-z2vqfq98 268 44 immunodeficient immunodeficient JJ cord-016903-z2vqfq98 268 45 humans human NNS cord-016903-z2vqfq98 268 46 by by IN cord-016903-z2vqfq98 268 47 the the DT cord-016903-z2vqfq98 268 48 adoptive adoptive JJ cord-016903-z2vqfq98 268 49 transfer transfer NN cord-016903-z2vqfq98 268 50 ofT ofT JJS cord-016903-z2vqfq98 268 51 - - HYPH cord-016903-z2vqfq98 268 52 cell cell NN cord-016903-z2vqfq98 268 53 clones clone NNS cord-016903-z2vqfq98 268 54 The the DT cord-016903-z2vqfq98 268 55 epidemiology epidemiology NN cord-016903-z2vqfq98 268 56 of of IN cord-016903-z2vqfq98 268 57 pertussis pertussis NN cord-016903-z2vqfq98 268 58 : : : cord-016903-z2vqfq98 268 59 a a DT cord-016903-z2vqfq98 268 60 comparison comparison NN cord-016903-z2vqfq98 268 61 of of IN cord-016903-z2vqfq98 268 62 the the DT cord-016903-z2vqfq98 268 63 epidemiology epidemiology NN cord-016903-z2vqfq98 268 64 of of IN cord-016903-z2vqfq98 268 65 the the DT cord-016903-z2vqfq98 268 66 disease disease NN cord-016903-z2vqfq98 268 67 pertussis pertussis NN cord-016903-z2vqfq98 268 68 with with IN cord-016903-z2vqfq98 268 69 the the DT cord-016903-z2vqfq98 268 70 epidemiology epidemiology NN cord-016903-z2vqfq98 268 71 of of IN cord-016903-z2vqfq98 268 72 Bordetella Bordetella NNP cord-016903-z2vqfq98 268 73 pertussis pertussis NN cord-016903-z2vqfq98 268 74 infection infection NN cord-016903-z2vqfq98 269 1 An an DT cord-016903-z2vqfq98 269 2 epidemic epidemic NN cord-016903-z2vqfq98 269 3 of of IN cord-016903-z2vqfq98 269 4 pertussis pertussis NN cord-016903-z2vqfq98 269 5 among among IN cord-016903-z2vqfq98 269 6 elderly elderly JJ cord-016903-z2vqfq98 269 7 people people NNS cord-016903-z2vqfq98 269 8 in in IN cord-016903-z2vqfq98 269 9 a a DT cord-016903-z2vqfq98 269 10 religious religious JJ cord-016903-z2vqfq98 269 11 institution institution NN cord-016903-z2vqfq98 269 12 in in IN cord-016903-z2vqfq98 269 13 The the DT cord-016903-z2vqfq98 269 14 Netherlands Netherlands NNP cord-016903-z2vqfq98 269 15 Vaccination Vaccination NNP cord-016903-z2vqfq98 269 16 against against IN cord-016903-z2vqfq98 269 17 tetanus tetanus NN cord-016903-z2vqfq98 269 18 in in IN cord-016903-z2vqfq98 269 19 the the DT cord-016903-z2vqfq98 269 20 elderly elderly JJ cord-016903-z2vqfq98 269 21 : : : cord-016903-z2vqfq98 269 22 do do VB cord-016903-z2vqfq98 269 23 recommended recommend VBN cord-016903-z2vqfq98 269 24 vaccination vaccination NN cord-016903-z2vqfq98 269 25 strategies strategy NNS cord-016903-z2vqfq98 269 26 give give VBP cord-016903-z2vqfq98 269 27 sufficient sufficient JJ cord-016903-z2vqfq98 269 28 protection protection NN cord-016903-z2vqfq98 270 1 No no DT cord-016903-z2vqfq98 270 2 immunity immunity NN cord-016903-z2vqfq98 270 3 for for IN cord-016903-z2vqfq98 270 4 the the DT cord-016903-z2vqfq98 270 5 elderly elderly JJ cord-016903-z2vqfq98 270 6 A A NNP cord-016903-z2vqfq98 270 7 population population NN cord-016903-z2vqfq98 270 8 - - HYPH cord-016903-z2vqfq98 270 9 based base VBN cord-016903-z2vqfq98 270 10 serologic serologic NNP cord-016903-z2vqfq98 270 11 survey survey NN cord-016903-z2vqfq98 270 12 of of IN cord-016903-z2vqfq98 270 13 immunity immunity NN cord-016903-z2vqfq98 270 14 to to IN cord-016903-z2vqfq98 270 15 tetanus tetanus NN cord-016903-z2vqfq98 270 16 in in IN cord-016903-z2vqfq98 270 17 the the DT cord-016903-z2vqfq98 270 18 United United NNP cord-016903-z2vqfq98 270 19 States States NNP cord-016903-z2vqfq98 270 20 T T NNP cord-016903-z2vqfq98 270 21 - - HYPH cord-016903-z2vqfq98 270 22 cells cell NNS cord-016903-z2vqfq98 270 23 from from IN cord-016903-z2vqfq98 270 24 elderly elderly JJ cord-016903-z2vqfq98 270 25 persons person NNS cord-016903-z2vqfq98 270 26 respond respond VBP cord-016903-z2vqfq98 270 27 to to IN cord-016903-z2vqfq98 270 28 neoantigenic neoantigenic JJ cord-016903-z2vqfq98 270 29 stimulation stimulation NN cord-016903-z2vqfq98 270 30 with with IN cord-016903-z2vqfq98 270 31 an an DT cord-016903-z2vqfq98 270 32 unimpaired unimpaired JJ cord-016903-z2vqfq98 270 33 IL-2 IL-2 NNP cord-016903-z2vqfq98 270 34 production production NN cord-016903-z2vqfq98 270 35 and and CC cord-016903-z2vqfq98 270 36 an an DT cord-016903-z2vqfq98 270 37 enhanced enhance VBN cord-016903-z2vqfq98 270 38 differentiation differentiation NN cord-016903-z2vqfq98 270 39 into into IN cord-016903-z2vqfq98 270 40 effector effector NN cord-016903-z2vqfq98 270 41 cells cell NNS cord-016903-z2vqfq98 270 42 Epidemiology epidemiology NN cord-016903-z2vqfq98 270 43 and and CC cord-016903-z2vqfq98 270 44 ecology ecology NN cord-016903-z2vqfq98 270 45 of of IN cord-016903-z2vqfq98 270 46 TBE TBE NNP cord-016903-z2vqfq98 270 47 relevant relevant JJ cord-016903-z2vqfq98 270 48 to to IN cord-016903-z2vqfq98 270 49 the the DT cord-016903-z2vqfq98 270 50 production production NN cord-016903-z2vqfq98 270 51 of of IN cord-016903-z2vqfq98 270 52 effectivevaccines effectivevaccines NNP cord-016903-z2vqfq98 270 53 TBE TBE NNP cord-016903-z2vqfq98 270 54 vaccination vaccination NN cord-016903-z2vqfq98 270 55 and and CC cord-016903-z2vqfq98 270 56 the the DT cord-016903-z2vqfq98 270 57 Austrian austrian JJ cord-016903-z2vqfq98 270 58 experience experience NN cord-016903-z2vqfq98 270 59 Vaccine Vaccine NNP cord-016903-z2vqfq98 270 60 Immunogenicity Immunogenicity NNP cord-016903-z2vqfq98 270 61 and and CC cord-016903-z2vqfq98 270 62 safety safety NN cord-016903-z2vqfq98 270 63 of of IN cord-016903-z2vqfq98 270 64 a a DT cord-016903-z2vqfq98 270 65 booster booster NN cord-016903-z2vqfq98 270 66 vaccination vaccination NN cord-016903-z2vqfq98 270 67 against against IN cord-016903-z2vqfq98 270 68 tick tick NN cord-016903-z2vqfq98 270 69 - - HYPH cord-016903-z2vqfq98 270 70 borne bear VBN cord-016903-z2vqfq98 270 71 encephalitis encephalitis RB cord-016903-z2vqfq98 270 72 more more JJR cord-016903-z2vqfq98 270 73 than than IN cord-016903-z2vqfq98 270 74 3 3 CD cord-016903-z2vqfq98 270 75 years year NNS cord-016903-z2vqfq98 270 76 following follow VBG cord-016903-z2vqfq98 270 77 the the DT cord-016903-z2vqfq98 270 78 last last JJ cord-016903-z2vqfq98 270 79 immunisation immunisation NN cord-016903-z2vqfq98 270 80 Epidemiology epidemiology NN cord-016903-z2vqfq98 270 81 and and CC cord-016903-z2vqfq98 270 82 prevention prevention NN cord-016903-z2vqfq98 270 83 of of IN cord-016903-z2vqfq98 270 84 hepatitis hepatitis NNP cord-016903-z2vqfq98 270 85 A A NNP cord-016903-z2vqfq98 270 86 in in IN cord-016903-z2vqfq98 270 87 travelers traveler NNS cord-016903-z2vqfq98 270 88 Hepatitis Hepatitis NNP cord-016903-z2vqfq98 270 89 A A NNP cord-016903-z2vqfq98 270 90 and and CC cord-016903-z2vqfq98 270 91 hepatitis hepatitis NN cord-016903-z2vqfq98 270 92 B b NN cord-016903-z2vqfq98 270 93 : : : cord-016903-z2vqfq98 270 94 risks risk NNS cord-016903-z2vqfq98 270 95 compared compare VBN cord-016903-z2vqfq98 270 96 with with IN cord-016903-z2vqfq98 270 97 other other JJ cord-016903-z2vqfq98 270 98 vaccine vaccine NN cord-016903-z2vqfq98 270 99 preventable preventable JJ cord-016903-z2vqfq98 270 100 diseases disease NNS cord-016903-z2vqfq98 270 101 and and CC cord-016903-z2vqfq98 270 102 immunization immunization NN cord-016903-z2vqfq98 270 103 recommendations recommendation NNS cord-016903-z2vqfq98 270 104 A a DT cord-016903-z2vqfq98 270 105 prospective prospective JJ cord-016903-z2vqfq98 270 106 , , , cord-016903-z2vqfq98 270 107 randomized randomized JJ cord-016903-z2vqfq98 270 108 , , , cord-016903-z2vqfq98 270 109 comparative comparative JJ cord-016903-z2vqfq98 270 110 US US NNP cord-016903-z2vqfq98 270 111 trial trial NN cord-016903-z2vqfq98 270 112 of of IN cord-016903-z2vqfq98 270 113 a a DT cord-016903-z2vqfq98 270 114 combination combination NN cord-016903-z2vqfq98 270 115 hepatitis hepatitis NN cord-016903-z2vqfq98 270 116 A a NN cord-016903-z2vqfq98 270 117 and and CC cord-016903-z2vqfq98 270 118 B B NNP cord-016903-z2vqfq98 270 119 vaccine vaccine NN cord-016903-z2vqfq98 270 120 ( ( -LRB- cord-016903-z2vqfq98 270 121 Twinrix Twinrix NNP cord-016903-z2vqfq98 270 122 ) ) -RRB- cord-016903-z2vqfq98 270 123 with with IN cord-016903-z2vqfq98 270 124 corresponding correspond VBG cord-016903-z2vqfq98 270 125 monovalent monovalent JJ cord-016903-z2vqfq98 270 126 vaccines vaccine NNS cord-016903-z2vqfq98 270 127 ( ( -LRB- cord-016903-z2vqfq98 270 128 Havrix Havrix NNP cord-016903-z2vqfq98 270 129 and and CC cord-016903-z2vqfq98 270 130 Engerix Engerix NNP cord-016903-z2vqfq98 270 131 - - HYPH cord-016903-z2vqfq98 270 132 B B NNP cord-016903-z2vqfq98 270 133 ) ) -RRB- cord-016903-z2vqfq98 270 134 in in IN cord-016903-z2vqfq98 270 135 adults adult NNS cord-016903-z2vqfq98 270 136 Immunogenicity Immunogenicity NNP cord-016903-z2vqfq98 270 137 of of IN cord-016903-z2vqfq98 270 138 an an DT cord-016903-z2vqfq98 270 139 inactivated inactivate VBN cord-016903-z2vqfq98 270 140 hepatitis hepatitis NN cord-016903-z2vqfq98 270 141 A a DT cord-016903-z2vqfq98 270 142 vaccine vaccine NN cord-016903-z2vqfq98 270 143 in in IN cord-016903-z2vqfq98 270 144 Dutch Dutch NNP cord-016903-z2vqfq98 270 145 United United NNP cord-016903-z2vqfq98 270 146 Nations Nations NNP cord-016903-z2vqfq98 270 147 troops troop NNS cord-016903-z2vqfq98 270 148 Immunogenicity Immunogenicity NNP cord-016903-z2vqfq98 270 149 of of IN cord-016903-z2vqfq98 270 150 combined combine VBN cord-016903-z2vqfq98 270 151 hepatitis hepatitis NN cord-016903-z2vqfq98 270 152 A A NNP cord-016903-z2vqfq98 270 153 and and CC cord-016903-z2vqfq98 270 154 B B NNP cord-016903-z2vqfq98 270 155 vaccine vaccine NN cord-016903-z2vqfq98 270 156 in in IN cord-016903-z2vqfq98 270 157 elderly elderly JJ cord-016903-z2vqfq98 270 158 persons person NNS cord-016903-z2vqfq98 271 1 The the DT cord-016903-z2vqfq98 271 2 effect effect NN cord-016903-z2vqfq98 271 3 of of IN cord-016903-z2vqfq98 271 4 age age NN cord-016903-z2vqfq98 271 5 and and CC cord-016903-z2vqfq98 271 6 weight weight NN cord-016903-z2vqfq98 271 7 on on IN cord-016903-z2vqfq98 271 8 the the DT cord-016903-z2vqfq98 271 9 response response NN cord-016903-z2vqfq98 271 10 to to IN cord-016903-z2vqfq98 271 11 formalin formalin NN cord-016903-z2vqfq98 271 12 inactivated inactivate VBN cord-016903-z2vqfq98 271 13 , , , cord-016903-z2vqfq98 271 14 alum alum NN cord-016903-z2vqfq98 271 15 - - HYPH cord-016903-z2vqfq98 271 16 adjuvanted adjuvante VBN cord-016903-z2vqfq98 271 17 hepatitis hepatitis NN cord-016903-z2vqfq98 271 18 A A NNP cord-016903-z2vqfq98 271 19 vaccine vaccine NN cord-016903-z2vqfq98 271 20 in in IN cord-016903-z2vqfq98 271 21 healthy healthy JJ cord-016903-z2vqfq98 271 22 adults adult NNS cord-016903-z2vqfq98 272 1 District District NNP cord-016903-z2vqfq98 272 2 guidelines guideline NNS cord-016903-z2vqfq98 272 3 for for IN cord-016903-z2vqfq98 272 4 yellow yellow JJ cord-016903-z2vqfq98 272 5 fever fever NN cord-016903-z2vqfq98 272 6 surveillance surveillance NN cord-016903-z2vqfq98 272 7 Persistence persistence NN cord-016903-z2vqfq98 272 8 of of IN cord-016903-z2vqfq98 272 9 neutralizing neutralize VBG cord-016903-z2vqfq98 272 10 antibody antibody NN cord-016903-z2vqfq98 272 11 30 30 CD cord-016903-z2vqfq98 272 12 - - SYM cord-016903-z2vqfq98 272 13 35 35 CD cord-016903-z2vqfq98 272 14 years year NNS cord-016903-z2vqfq98 272 15 after after IN cord-016903-z2vqfq98 272 16 immunization immunization NN cord-016903-z2vqfq98 272 17 with with IN cord-016903-z2vqfq98 272 18 17D 17d CD cord-016903-z2vqfq98 272 19 yellow yellow JJ cord-016903-z2vqfq98 272 20 fever fever NN cord-016903-z2vqfq98 272 21 vaccine vaccine NN cord-016903-z2vqfq98 272 22 Advanced Advanced NNP cord-016903-z2vqfq98 272 23 age age NN cord-016903-z2vqfq98 272 24 a a DT cord-016903-z2vqfq98 272 25 risk risk NN cord-016903-z2vqfq98 272 26 factor factor NN cord-016903-z2vqfq98 272 27 for for IN cord-016903-z2vqfq98 272 28 illness illness NN cord-016903-z2vqfq98 272 29 temporally temporally RB cord-016903-z2vqfq98 272 30 associated associate VBN cord-016903-z2vqfq98 272 31 with with IN cord-016903-z2vqfq98 272 32 yellow yellow JJ cord-016903-z2vqfq98 272 33 fever fever NN cord-016903-z2vqfq98 272 34 vaccination vaccination NN cord-016903-z2vqfq98 272 35 Thymic Thymic NNP cord-016903-z2vqfq98 272 36 involution involution NN cord-016903-z2vqfq98 272 37 in in IN cord-016903-z2vqfq98 272 38 aging age VBG cord-016903-z2vqfq98 272 39 Thymic Thymic NNP cord-016903-z2vqfq98 272 40 involution involution NN cord-016903-z2vqfq98 272 41 with with IN cord-016903-z2vqfq98 272 42 ageing age VBG cord-016903-z2vqfq98 272 43 : : : cord-016903-z2vqfq98 272 44 obsolescence obsolescence NN cord-016903-z2vqfq98 272 45 or or CC cord-016903-z2vqfq98 272 46 good good JJ cord-016903-z2vqfq98 272 47 housekeeping housekeeping NN cord-016903-z2vqfq98 272 48 ? ? . cord-016903-z2vqfq98 273 1 Age age NN cord-016903-z2vqfq98 273 2 - - HYPH cord-016903-z2vqfq98 273 3 related relate VBN cord-016903-z2vqfq98 273 4 loss loss NN cord-016903-z2vqfq98 273 5 of of IN cord-016903-z2vqfq98 273 6 naive naive JJ cord-016903-z2vqfq98 273 7 T t NN cord-016903-z2vqfq98 273 8 - - HYPH cord-016903-z2vqfq98 273 9 cells cell NNS cord-016903-z2vqfq98 273 10 and and CC cord-016903-z2vqfq98 273 11 dysregulation dysregulation NN cord-016903-z2vqfq98 273 12 of of IN cord-016903-z2vqfq98 273 13 T'-cell/ T'-cell/ NNP cord-016903-z2vqfq98 273 14 B b NN cord-016903-z2vqfq98 273 15 - - HYPH cord-016903-z2vqfq98 273 16 cell cell NN cord-016903-z2vqfq98 273 17 interactions interaction NNS cord-016903-z2vqfq98 273 18 in in IN cord-016903-z2vqfq98 273 19 human human JJ cord-016903-z2vqfq98 273 20 lymph lymph NN cord-016903-z2vqfq98 273 21 nodes node NNS cord-016903-z2vqfq98 273 22 Marked mark VBD cord-016903-z2vqfq98 273 23 increase increase NN cord-016903-z2vqfq98 273 24 with with IN cord-016903-z2vqfq98 273 25 age age NN cord-016903-z2vqfq98 273 26 of of IN cord-016903-z2vqfq98 273 27 type type NN cord-016903-z2vqfq98 273 28 1 1 CD cord-016903-z2vqfq98 273 29 cytokines cytokine NNS cord-016903-z2vqfq98 273 30 within within IN cord-016903-z2vqfq98 273 31 memory memory NN cord-016903-z2vqfq98 273 32 and and CC cord-016903-z2vqfq98 273 33 effector effector NN cord-016903-z2vqfq98 274 1 /cytotoxic /cytotoxic NFP cord-016903-z2vqfq98 274 2 CD8 CD8 NNP cord-016903-z2vqfq98 274 3 + + CC cord-016903-z2vqfq98 274 4 T T NNP cord-016903-z2vqfq98 274 5 - - HYPH cord-016903-z2vqfq98 274 6 cells cell NNS cord-016903-z2vqfq98 274 7 in in IN cord-016903-z2vqfq98 274 8 humans human NNS cord-016903-z2vqfq98 274 9 : : : cord-016903-z2vqfq98 275 1 a a DT cord-016903-z2vqfq98 275 2 contribution contribution NN cord-016903-z2vqfq98 275 3 to to TO cord-016903-z2vqfq98 275 4 understand understand VB cord-016903-z2vqfq98 275 5 the the DT cord-016903-z2vqfq98 275 6 relationship relationship NN cord-016903-z2vqfq98 275 7 between between IN cord-016903-z2vqfq98 275 8 inflammation inflammation NN cord-016903-z2vqfq98 275 9 and and CC cord-016903-z2vqfq98 275 10 immunosenescence immunosenescence NN cord-016903-z2vqfq98 276 1 The the DT cord-016903-z2vqfq98 276 2 aging aging NN cord-016903-z2vqfq98 276 3 of of IN cord-016903-z2vqfq98 276 4 the the DT cord-016903-z2vqfq98 276 5 immune immune JJ cord-016903-z2vqfq98 276 6 system system NN cord-016903-z2vqfq98 276 7 CD8 CD8 NNP cord-016903-z2vqfq98 276 8 T T NNP cord-016903-z2vqfq98 276 9 - - HYPH cord-016903-z2vqfq98 276 10 cells cell NNS cord-016903-z2vqfq98 276 11 and and CC cord-016903-z2vqfq98 276 12 aging age VBG cord-016903-z2vqfq98 276 13 Value value NN cord-016903-z2vqfq98 276 14 of of IN cord-016903-z2vqfq98 276 15 immunological immunological JJ cord-016903-z2vqfq98 276 16 markers marker NNS cord-016903-z2vqfq98 276 17 in in IN cord-016903-z2vqfq98 276 18 predicting predict VBG cord-016903-z2vqfq98 276 19 responsiveness responsiveness NN cord-016903-z2vqfq98 276 20 to to IN cord-016903-z2vqfq98 276 21 influenza influenza NN cord-016903-z2vqfq98 276 22 vaccination vaccination NN cord-016903-z2vqfq98 276 23 in in IN cord-016903-z2vqfq98 276 24 elderly elderly JJ cord-016903-z2vqfq98 276 25 individuals individual NNS cord-016903-z2vqfq98 276 26 Artherosclerosis Artherosclerosis NNP cord-016903-z2vqfq98 276 27 as as IN cord-016903-z2vqfq98 276 28 an an DT cord-016903-z2vqfq98 276 29 infectious infectious JJ cord-016903-z2vqfq98 276 30 , , , cord-016903-z2vqfq98 276 31 inflammatory inflammatory JJ cord-016903-z2vqfq98 276 32 and and CC cord-016903-z2vqfq98 276 33 autoinunune autoinunune JJ cord-016903-z2vqfq98 276 34 disease disease NN cord-016903-z2vqfq98 276 35 Role role NN cord-016903-z2vqfq98 276 36 of of IN cord-016903-z2vqfq98 276 37 the the DT cord-016903-z2vqfq98 276 38 immune immune JJ cord-016903-z2vqfq98 276 39 system system NN cord-016903-z2vqfq98 276 40 in in IN cord-016903-z2vqfq98 276 41 the the DT cord-016903-z2vqfq98 276 42 pathogenesis pathogenesis NN cord-016903-z2vqfq98 276 43 , , , cord-016903-z2vqfq98 276 44 prevention prevention NN cord-016903-z2vqfq98 276 45 and and CC cord-016903-z2vqfq98 276 46 treatment treatment NN cord-016903-z2vqfq98 276 47 of of IN cord-016903-z2vqfq98 276 48 Alzheimer Alzheimer NNP cord-016903-z2vqfq98 276 49 's 's POS cord-016903-z2vqfq98 276 50 disease disease NN cord-016903-z2vqfq98 276 51 How how WRB cord-016903-z2vqfq98 276 52 chronic chronic JJ cord-016903-z2vqfq98 276 53 inflammation inflammation NN cord-016903-z2vqfq98 276 54 can can MD cord-016903-z2vqfq98 276 55 affect affect VB cord-016903-z2vqfq98 276 56 the the DT cord-016903-z2vqfq98 276 57 brain brain NN cord-016903-z2vqfq98 276 58 and and CC cord-016903-z2vqfq98 276 59 support support VB cord-016903-z2vqfq98 276 60 the the DT cord-016903-z2vqfq98 276 61 development development NN cord-016903-z2vqfq98 276 62 of of IN cord-016903-z2vqfq98 276 63 Alzheimer Alzheimer NNP cord-016903-z2vqfq98 276 64 's 's POS cord-016903-z2vqfq98 276 65 disease disease NN cord-016903-z2vqfq98 276 66 in in IN cord-016903-z2vqfq98 276 67 old old JJ cord-016903-z2vqfq98 276 68 age age NN cord-016903-z2vqfq98 276 69 : : : cord-016903-z2vqfq98 276 70 the the DT cord-016903-z2vqfq98 276 71 role role NN cord-016903-z2vqfq98 276 72 of of IN cord-016903-z2vqfq98 276 73 microglia microglia NN cord-016903-z2vqfq98 276 74 and and CC cord-016903-z2vqfq98 276 75 astrocytes astrocyte VBZ cord-016903-z2vqfq98 276 76 Bone bone NN cord-016903-z2vqfq98 276 77 marrow marrow NN cord-016903-z2vqfq98 276 78 microenvironmental microenvironmental NN cord-016903-z2vqfq98 276 79 changes change NNS cord-016903-z2vqfq98 276 80 underlie underlie VBP cord-016903-z2vqfq98 276 81 reduced reduce VBN cord-016903-z2vqfq98 276 82 RAG rag NN cord-016903-z2vqfq98 276 83 - - HYPH cord-016903-z2vqfq98 276 84 mediated mediate VBN cord-016903-z2vqfq98 276 85 recombination recombination NN cord-016903-z2vqfq98 276 86 and and CC cord-016903-z2vqfq98 276 87 Bvcell Bvcell NNP cord-016903-z2vqfq98 276 88 generation generation NN cord-016903-z2vqfq98 276 89 in in IN cord-016903-z2vqfq98 276 90 aged aged JJ cord-016903-z2vqfq98 276 91 mice mouse NNS cord-016903-z2vqfq98 277 1 The the DT cord-016903-z2vqfq98 277 2 effect effect NN cord-016903-z2vqfq98 277 3 of of IN cord-016903-z2vqfq98 277 4 age age NN cord-016903-z2vqfq98 277 5 on on IN cord-016903-z2vqfq98 277 6 the the DT cord-016903-z2vqfq98 277 7 B b NN cord-016903-z2vqfq98 277 8 - - HYPH cord-016903-z2vqfq98 277 9 cell cell NN cord-016903-z2vqfq98 277 10 repertoire repertoire NN cord-016903-z2vqfq98 277 11 Ageing age VBG cord-016903-z2vqfq98 277 12 , , , cord-016903-z2vqfq98 277 13 autoimmunity autoimmunity NN cord-016903-z2vqfq98 277 14 and and CC cord-016903-z2vqfq98 277 15 arthritis arthritis NN cord-016903-z2vqfq98 277 16 : : : cord-016903-z2vqfq98 277 17 senescence senescence NN cord-016903-z2vqfq98 277 18 of of IN cord-016903-z2vqfq98 277 19 the the DT cord-016903-z2vqfq98 277 20 B b NN cord-016903-z2vqfq98 277 21 - - HYPH cord-016903-z2vqfq98 277 22 cell cell NN cord-016903-z2vqfq98 277 23 compartment compartment NN cord-016903-z2vqfq98 277 24 -implications -implication NNS cord-016903-z2vqfq98 277 25 for for IN cord-016903-z2vqfq98 277 26 humoral humoral JJ cord-016903-z2vqfq98 277 27 immunity immunity NN cord-016903-z2vqfq98 277 28 Age Age NNP cord-016903-z2vqfq98 277 29 - - HYPH cord-016903-z2vqfq98 277 30 related relate VBN cord-016903-z2vqfq98 277 31 depression depression NN cord-016903-z2vqfq98 277 32 of of IN cord-016903-z2vqfq98 277 33 FDC FDC NNP cord-016903-z2vqfq98 277 34 accessory accessory NN cord-016903-z2vqfq98 277 35 functions function NNS cord-016903-z2vqfq98 277 36 and and CC cord-016903-z2vqfq98 277 37 CD21 CD21 NNP cord-016903-z2vqfq98 277 38 ligand ligand NN cord-016903-z2vqfq98 277 39 - - HYPH cord-016903-z2vqfq98 277 40 mediated mediate VBN cord-016903-z2vqfq98 277 41 repair repair NN cord-016903-z2vqfq98 277 42 of of IN cord-016903-z2vqfq98 277 43 costimulation costimulation NN cord-016903-z2vqfq98 277 44 B b NN cord-016903-z2vqfq98 277 45 - - HYPH cord-016903-z2vqfq98 277 46 cells cell NNS cord-016903-z2vqfq98 277 47 in in IN cord-016903-z2vqfq98 277 48 the the DT cord-016903-z2vqfq98 277 49 aged aged JJ cord-016903-z2vqfq98 277 50 : : : cord-016903-z2vqfq98 277 51 CD27 CD27 NNP cord-016903-z2vqfq98 277 52 , , , cord-016903-z2vqfq98 277 53 CDS CDS NNP cord-016903-z2vqfq98 277 54 and and CC cord-016903-z2vqfq98 277 55 CD40 CD40 NNP cord-016903-z2vqfq98 277 56 expression expression NN cord-016903-z2vqfq98 277 57 Ineffective ineffective JJ cord-016903-z2vqfq98 277 58 humoral humoral JJ cord-016903-z2vqfq98 277 59 immunity immunity NN cord-016903-z2vqfq98 277 60 in in IN cord-016903-z2vqfq98 277 61 the the DT cord-016903-z2vqfq98 277 62 elderly elderly JJ cord-016903-z2vqfq98 277 63 Vaccine Vaccine NNP cord-016903-z2vqfq98 277 64 development development NN cord-016903-z2vqfq98 277 65 strategies strategy NNS cord-016903-z2vqfq98 277 66 for for IN cord-016903-z2vqfq98 277 67 improving improve VBG cord-016903-z2vqfq98 277 68 immunization immunization NN cord-016903-z2vqfq98 277 69 : : : cord-016903-z2vqfq98 277 70 the the DT cord-016903-z2vqfq98 277 71 role role NN cord-016903-z2vqfq98 277 72 of of IN cord-016903-z2vqfq98 277 73 modem modem NNP cord-016903-z2vqfq98 277 74 immunology immunology NNP cord-016903-z2vqfq98 277 75 Survey Survey NNP cord-016903-z2vqfq98 277 76 of of IN cord-016903-z2vqfq98 277 77 human human JJ cord-016903-z2vqfq98 277 78 - - HYPH cord-016903-z2vqfq98 277 79 use use NN cord-016903-z2vqfq98 277 80 adjuvants adjuvant NNS cord-016903-z2vqfq98 277 81 Targeting target VBG cord-016903-z2vqfq98 277 82 the the DT cord-016903-z2vqfq98 277 83 innate innate JJ cord-016903-z2vqfq98 277 84 immune immune JJ cord-016903-z2vqfq98 277 85 response response NN cord-016903-z2vqfq98 277 86 with with IN cord-016903-z2vqfq98 277 87 improved improved JJ cord-016903-z2vqfq98 277 88 vaccine vaccine NN cord-016903-z2vqfq98 277 89 adjuvants adjuvant NNS cord-016903-z2vqfq98 277 90 Augmentation augmentation NN cord-016903-z2vqfq98 277 91 and and CC cord-016903-z2vqfq98 277 92 suppression suppression NN cord-016903-z2vqfq98 277 93 of of IN cord-016903-z2vqfq98 277 94 immune immune JJ cord-016903-z2vqfq98 277 95 responses response NNS cord-016903-z2vqfq98 277 96 to to IN cord-016903-z2vqfq98 277 97 an an DT cord-016903-z2vqfq98 277 98 HIV HIV NNP cord-016903-z2vqfq98 277 99 - - HYPH cord-016903-z2vqfq98 277 100 l l NNP cord-016903-z2vqfq98 277 101 DNA DNA NNP cord-016903-z2vqfq98 277 102 vaccine vaccine NN cord-016903-z2vqfq98 277 103 by by IN cord-016903-z2vqfq98 277 104 plasmid plasmid NN cord-016903-z2vqfq98 277 105 cytokine cytokine NN cord-016903-z2vqfq98 277 106 / / SYM cord-016903-z2vqfq98 277 107 Ig Ig NNP cord-016903-z2vqfq98 277 108 administration administration NN cord-016903-z2vqfq98 277 109 Coimmunization Coimmunization NNP cord-016903-z2vqfq98 277 110 with with IN cord-016903-z2vqfq98 277 111 an an DT cord-016903-z2vqfq98 277 112 optimized optimize VBN cord-016903-z2vqfq98 277 113 IL-15 IL-15 NNP cord-016903-z2vqfq98 277 114 plasmid plasmid NN cord-016903-z2vqfq98 277 115 results result NNS cord-016903-z2vqfq98 277 116 in in IN cord-016903-z2vqfq98 277 117 enhanced enhanced JJ cord-016903-z2vqfq98 277 118 function function NN cord-016903-z2vqfq98 277 119 and and CC cord-016903-z2vqfq98 277 120 longevity longevity NN cord-016903-z2vqfq98 277 121 of of IN cord-016903-z2vqfq98 277 122 CD8 CD8 NNP cord-016903-z2vqfq98 277 123 T T NNP cord-016903-z2vqfq98 277 124 - - HYPH cord-016903-z2vqfq98 277 125 cells cell NNS cord-016903-z2vqfq98 277 126 that that WDT cord-016903-z2vqfq98 277 127 are be VBP cord-016903-z2vqfq98 277 128 partially partially RB cord-016903-z2vqfq98 277 129 independent independent JJ cord-016903-z2vqfq98 277 130 of of IN cord-016903-z2vqfq98 277 131 CD4 CD4 NNP cord-016903-z2vqfq98 277 132 T T NNP cord-016903-z2vqfq98 277 133 - - HYPH cord-016903-z2vqfq98 277 134 cell cell NN cord-016903-z2vqfq98 277 135 help help NN cord-016903-z2vqfq98 278 1 IL-21 IL-21 NNP cord-016903-z2vqfq98 278 2 influences influence VBZ cord-016903-z2vqfq98 278 3 the the DT cord-016903-z2vqfq98 278 4 frequency frequency NN cord-016903-z2vqfq98 278 5 , , , cord-016903-z2vqfq98 278 6 phenotype phenotype NN cord-016903-z2vqfq98 278 7 and and CC cord-016903-z2vqfq98 278 8 affinity affinity NN cord-016903-z2vqfq98 278 9 of of IN cord-016903-z2vqfq98 278 10 the the DT cord-016903-z2vqfq98 278 11 antigen antigen NN cord-016903-z2vqfq98 278 12 - - HYPH cord-016903-z2vqfq98 278 13 specific specific JJ cord-016903-z2vqfq98 278 14 CD8 CD8 NNP cord-016903-z2vqfq98 278 15 T t NN cord-016903-z2vqfq98 278 16 - - HYPH cord-016903-z2vqfq98 278 17 cell cell NN cord-016903-z2vqfq98 278 18 response response NN cord-016903-z2vqfq98 278 19 Adjuvant Adjuvant NNP cord-016903-z2vqfq98 278 20 IL7 IL7 NNS cord-016903-z2vqfq98 278 21 or or CC cord-016903-z2vqfq98 278 22 IL-15 IL-15 NNP cord-016903-z2vqfq98 278 23 overcomes overcome VBZ cord-016903-z2vqfq98 278 24 immunodominance immunodominance NN cord-016903-z2vqfq98 278 25 and and CC cord-016903-z2vqfq98 278 26 improves improve VBZ cord-016903-z2vqfq98 278 27 survival survival NN cord-016903-z2vqfq98 278 28 of of IN cord-016903-z2vqfq98 278 29 the the DT cord-016903-z2vqfq98 278 30 CD8 CD8 NNP cord-016903-z2vqfq98 278 31 + + CC cord-016903-z2vqfq98 278 32 memory memory NN cord-016903-z2vqfq98 278 33 cell cell NN cord-016903-z2vqfq98 278 34 pool pool NN cord-016903-z2vqfq98 279 1 Insufficient insufficient JJ cord-016903-z2vqfq98 279 2 protection protection NN cord-016903-z2vqfq98 279 3 for for IN cord-016903-z2vqfq98 279 4 healthy healthy JJ cord-016903-z2vqfq98 279 5 elderly elderly JJ cord-016903-z2vqfq98 279 6 adults adult NNS cord-016903-z2vqfq98 279 7 by by IN cord-016903-z2vqfq98 279 8 tetanus tetanus NN cord-016903-z2vqfq98 279 9 and and CC cord-016903-z2vqfq98 279 10 TBE TBE NNP cord-016903-z2vqfq98 279 11 vaccines vaccine NNS cord-016903-z2vqfq98 279 12 Immunizations immunization NNS cord-016903-z2vqfq98 279 13 in in IN cord-016903-z2vqfq98 279 14 the the DT cord-016903-z2vqfq98 279 15 elderly elderly JJ cord-016903-z2vqfq98 279 16 : : : cord-016903-z2vqfq98 279 17 do do VBP cord-016903-z2vqfq98 279 18 they -PRON- PRP cord-016903-z2vqfq98 279 19 live live VB cord-016903-z2vqfq98 279 20 up up IN cord-016903-z2vqfq98 279 21 to to IN cord-016903-z2vqfq98 279 22 their -PRON- PRP$ cord-016903-z2vqfq98 279 23 promise promise NN cord-016903-z2vqfq98 279 24 The the DT cord-016903-z2vqfq98 279 25 authors author NNS cord-016903-z2vqfq98 279 26 wish wish VBP cord-016903-z2vqfq98 279 27 to to TO cord-016903-z2vqfq98 279 28 acknowledge acknowledge VB cord-016903-z2vqfq98 279 29 the the DT cord-016903-z2vqfq98 279 30 support support NN cord-016903-z2vqfq98 279 31 ofthe ofthe DT cord-016903-z2vqfq98 279 32 Austrian Austrian NNP cord-016903-z2vqfq98 279 33 Science Science NNP cord-016903-z2vqfq98 279 34 Fund Fund NNP cord-016903-z2vqfq98 279 35 and and CC cord-016903-z2vqfq98 279 36 the the DT cord-016903-z2vqfq98 279 37 Austrian Austrian NNP cord-016903-z2vqfq98 279 38 Green Green NNP cord-016903-z2vqfq98 279 39 Cross Cross NNP cord-016903-z2vqfq98 279 40 Society Society NNP cord-016903-z2vqfq98 279 41 for for IN cord-016903-z2vqfq98 279 42 Preventive Preventive NNP cord-016903-z2vqfq98 279 43 Medicine Medicine NNP cord-016903-z2vqfq98 279 44 . . .