A massive vaccination program was also a massive gamble. If no swine flu outbreaks occurred in the fall, health officials could be accused of waste and overreach. But there was another concern: in a letter to the New York Times, Dr. Hans Neumann from the New Haven Department of Health noted that based on the projected scale of the immunizations, within two days of getting a flu shot, about 2,300 people would have a stroke and 7,000 would have a heart attack. “Why?” he asked. “Because that is the number statistically expected, flu shots or no flu shots.” Likewise, in the week following a flu
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