Vaccines against bacterial pathogens include the anthrax vaccine and the pneumococcal vaccine. Pneumococcal vaccines are vaccines against the bacterium "Streptococcus pneumoniae". There are two types of pneumococcal vaccines&colon; conjugate vaccines and polysaccharide vaccines. Recommendations may include influenza vaccination, pneumococcal vaccination, oxygen therapy, and stopping smoking. There is an association between pneumococcal pneumonia and influenza. Pneumosil is a decavalent pneumococcal conjugate vaccine produced by the Serum Institute of India. Recipients of cochlear implants for hearing loss are more at risk for pneumococcal meningitis. The organism also causes many types of pneumococcal infections other than pneumonia. Pneumococcal meningitis is an infection of the tissue covering the brain and spinal cord. Stossel TP, Levy R. Intravascular coagulation associated with pneumococcal bacteremia and symmetrical peripheral gangrene. Wyeth produced the only pneumococcal vaccine approved for young children in Australia. People with COPD are recommended by a number of guidelines to have a pneumococcal vaccination. The first pneumococcal vaccine was developed in the 1980s. For example, in Gambia, provision of the pneumococcal conjugate vaccine costs $670 per DALY saved. Smoking appears to be the single biggest risk factor for pneumococcal pneumonia in otherwise-healthy adults.