Published 27 April 2009, doi:10.1136/bmj.b1715
Cite this as: BMJ 2009;338:b1715

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Flu vaccination rates vary across Europe: Coverage of influenza vaccination varies widely between countries, a study has shown (Journal of Infection 2009 Apr 17, doi:10.1016/j.jinf.2009.04.001). Coverage varied from 9.5% in Poland to 28.7% in the United Kingdom in 2007-8. Coverage in the elderly people was most in the UK, at 70.2%, and vaccine uptake in children was lowest in Ireland (4.2%) and highest in Germany (19.3%).

Managing bladder problems in multiple sclerosis: Second line treatments, such as bladder injections of botulinum toxin A and intermittent self catheterisation, should be more widely available to people with multiple sclerosis who have bladder problems, says evidence based guidance from a multidisciplinary expert group (Journal of Neurology, Neurosurgery and Psychiatry 2009;80:470-7, doi:10.1136/jnnp.2008.159178). The guidance sets out who should see patients who have multiple sclerosis at different stages of their condition and what investigations and treatments should be available.

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