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Mistik S et al. - This study demonstrated that diabetes mellitus patients in this study group have been vaccinated at a very low percent, with influenza vaccine and there was no one who had pneumococcal vaccine. The authors' assessment is that high vaccination levels may be achieved after the national health statement of the country, with the collaborative work of primary care and hospital physicians, including diabetes, ophthalmology and nephrology polyclinics. Training programs should be done face to face with each patient in order to increase the vaccination rates. Furthermore, required levels of vaccine should be supplied. In summary, in order to prevent influenza which causes considerable morbidity and mortality in diabetes mellitus patients, it is important to get the patients vaccinated or at least suggest they get their influenza vaccine at repeated patient visits. Primary care physicians may play a better role in achieving higher rates of vaccination.

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