Rozsiahla štúdia v USA zistila, že výskyt zápalu pľúc u menej než ročných detí sa za ostatných 10 rokov znížil. Autori opatrne odhadujú, že by teoreticky mohlo ísť o účinky pneumokokovej vakcíny (v rovine domnienky, keďže štúdia nepredstavuje vedecký dôkaz takéhoto tvrdenia). Štúdia zároveň zistila nárast ťažkých priebehov zápalu pľúc u väčších detí. Toto zistenie autori nevedeli vysvetliť. Prečo nevysloviť domnienku, že by teoreticky mohlo ísť o účinky pneumokokovej vakcíny?
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