The control and management of influenza are currently based on the surveill
ance, prevention and treatment of the disease. Almost all European countrie
s have influenza immunization policies for populations considered as being
at-risk, but there are large disagreements about the meaning of "risk", and
the levels of vaccine use vary greatly country by country. In the near fut
ure, new vaccines and specific anti-viral drugs will need to adapt and to e
xtend current recommendations, but meanwhile increasing vaccination coverag
e, improving and up-dating national policies and their achievement are the
only ways to reduce the recurrent burden of influenza epidemics for both in
dividuals and society. (C) 1999 Elsevier Science Ltd. All rights reserved.