Pneumococcal vaccine reduces only four cases of pneumonia per 1000 children. The cost for vaccinating 1000 children comes to $ 12,750. Treating the four cases of pneumonia in India using WHO protocol, would cost $1. The pneumococcus strains prevalent in India are nearly all sensitive to inexpensive antibiotics like penicillin. In the US which has been using the pneumococcal vaccine for some years now, there has been a strain shift – strains covered in the vaccine are being replaced by other strains. Ominously the new strains are more antibiotic resistant. Vaccine has simply made the problem of pneumococcal disease worse. Yet this vaccine is being pushed in Africa and Asia.