Editor,—Kyaw et al 1 highlight the importance of advice from general practitioners in the immunisation of patients with pneumococcal vaccine. However, greater knowledge regarding pneumococcal immunisation is required among GPs and doctors in general before patients in the target groups are likely to be vaccinated. I performed a postal questionnaire survey of the awareness of the indications for, and practice of pneumococcal immunisation among GPs in one inner London borough. Questions explored knowledge of the guidelines for pneumococcal immunisation with six real and six factitious indications, and GPs' immunisation practice. One hundred and fifty six GPs were mailed the …