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Recently, the Department of Health in England (DH) recommended that welders should each receive a single dose of the 23-valent pneumococcal vaccine (PPV23).1 Although this advice arises in the context of occupational health and safety practice in the UK, we believe that readers internationally with responsibility for the health of welders may be interested to learn of this development.
The evidence behind the advice of the DH has accumulated steadily over the last 2 decades and now rests on several pillars. …
Contributors The letter was written jointly by both the authors.
Funding HSE commissioned two of the described national mortality analyses (ref3 ,4) and the case-control study6. The Colt foundation is funding ongoing mechanistic studies. The letter, however, covers a wider literature.
Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.