In light of rising outbreaks of measles and other vaccine-preventable diseases in Europe, the Sabin Vaccine Institute in 2018 conducted a review of immunization legislation in the region.
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Streptococcus pneumoniae remains an important cause of pneumonia and invasive bacterial disease, primarily meningitis and sepsis. The greatest burden of disease occurs in low-and middle-income countries, and the risk of serious pneumococcal disease peaks at the extreme ages of life. Young children are at highest risk, but older adults and people with immuno-compromising conditions also suffer high rates of pneumococcal disease.