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Morbidity and mortality from pneumonia is increased in patients with rheumatoid arthritis. Factors contributing to this have been recently identified and a number of recommendations have been implemented in an attempt to reverse this trend. The present paper shows that these measures have combined to produce a fourfold reduction in both admissions and case fatality rates. In the study population, immunisation rates against influenza and pneumococcus have improved to 86% and 65%, oral steroiddoi:10.7861/clinmedicine.10-4-326 pmid:20849003 pmcid:PMC4952158 fatcat:mimlsh5ss5fvlacw2g6ncaq4nq