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The text of this paper can be found on the online version of this publication: http://doi.org/10.1371/journal.pone.0020505.

Abstract: The authors report upon the data from a large-scale observational study of the prevalence of non-sick people to be found in nearly 40,000 persons across a wide geographical area. Data from this study indicate that a low prevalence of sickness and death among individuals with chronic illness is associated with low rates of the use and acquisition of vaccines, the use of antibiotics, a lack of access to safe and non-prescription vaccines, and poor medical care, which lead to unnecessary and even potentially deadly complications associated with the illness. The findings of this large-scale observational study are relevant for the development of vaccine safety assessment systems as well as the prevention and management of human immunodeficiency virus (HIV) transmission.





































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