“…However, for AM specifically, PCV7 has not shown the same effect, and the incidence has remained stable or has in fact increased [56][57][58][59]. Halgrimson studied the incidence of AM in children younger than 2 years of age between 1999 and 2008; in 2001, before the widespread use of PCV7, the incidence was 11/100,000, in 2003, it dropped down to 4.5/100,000, and then it returned to 12/100,000 in 2008 [57].…”