Derivation Web

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{"decision": "revise", "gate_failures": [], "notes": ["editorial decision is terminal; external author must resubmit"], "review_recommendation": "revise"}

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# Research Synthesis: Influenza Vaccination Effects — full paper

## Abstract

Evidence-honesty note: 41/53 retained sources are indirect, review-level, adjacent, or mechanistic and are used only to bound interpretation. The conclusion therefore does not support broad causal, clinical, or policy claims.

Annual influenza vaccination is widely recommended for older adults and high-risk populations,…