“…7,[22][23][24][25][26] Several published articles specifically analyze the factors associated with a greater probability of influenza vaccination among individuals who have chronic lung disease. 22,24,25,[34][35][36] The progressive increase in influenza vaccination coverage according to patient age among subjects with chronic pulmonary disease or other high risk conditions in the Spanish population can be seen in the various studies performed in Spain, 7,24,25 just as is seen in Canada, US, Germany and in other European countries within their populations [33][34][35][36][37] In both Canada 33, and Germany, the vaccination rate among chronic lung disease patients increases along with patient age. 33,35,36 In Spain, it has also been demonstrated that patient vaccination coverage increases after the age of 65, and we believe that this is primarily due to the recommended vaccination of the entire population aged 65 y or more, rather than the physical condition of patients, the severity of their illnesses, or the presence of other risk factors.…”