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Journal of Epidemiology and Community Health logoLink to Journal of Epidemiology and Community Health
. 1989 Mar;43(1):15–24. doi: 10.1136/jech.43.1.15

The effects of the scheme for BCG vaccination of schoolchildren in England and Wales and the consequences of discontinuing the scheme at various dates.

I Sutherland 1, V H Springett 1
PMCID: PMC1052785  PMID: 2592886

Abstract

The aims of this paper were to estimate the numbers of tuberculosis notifications in young white adults which will be prevented in the next 25 years by the schools BCG vaccination scheme, and to assess the numbers of additional notifications if the scheme were to be discontinued. Assuming that in the white ethnic group in England and Wales the decline in tuberculosis notification rates (8-10% per year for ages less than 45 years) and efficacy of BCG vaccination (75-80%) are maintained, it is estimated that the scheme for BCG vaccination of schoolchildren with its present coverage will prevent 217 notifications in those aged 15-29 years in 1993, 119 in 1998, and 69 in 2003. The epidemiological consequences of stopping the BCG in schools scheme, whenever this occurs, would be a substantial slowing of the rate of decline of tuberculosis notifications, confined almost entirely to the 15-29 years age group, for a period of about 15 years, after which the steeper decline would resume. If the scheme stopped at the end of 1991 the annual number of additional notifications would slowly increase to a maximum of just over 80 about 15 years later, and then decrease. For stopping at the end of 1996 the maximum annual number of additional notifications would be about 50.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Nunn A. J., Springett V. H., Sutherland I. Changes in tuberculosis notification rates in the white ethnic group in England between 1971 and 1978/79. Br J Dis Chest. 1984 Apr;78(2):159–162. [PubMed] [Google Scholar]
  2. Nunn P. P., McAdam K. P. Mycobacterial infections and AIDS. Br Med Bull. 1988 Jul;44(3):801–813. doi: 10.1093/oxfordjournals.bmb.a072284. [DOI] [PubMed] [Google Scholar]
  3. Springett V. H., Darbyshire J. H., Nunn A. J., Sutherland I. Changes in tuberculosis notification rates in the white ethnic group in England and Wales between 1953 and 1983. J Epidemiol Community Health. 1988 Dec;42(4):370–376. doi: 10.1136/jech.42.4.370. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Springett V. H., Sutherland I. Comparison of the efficacy of liquid and freeze-dried strains of B.C.G. vaccine in preventing tuberculosis. Br Med J. 1970 Oct 17;4(5728):148–150. doi: 10.1136/bmj.4.5728.148. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Sutherland I., Springett V. H. Effectiveness of BCG vaccination in England and Wales in 1983. Tubercle. 1987 Jun;68(2):81–92. doi: 10.1016/0041-3879(87)90023-7. [DOI] [PubMed] [Google Scholar]
  6. Sutherland I., Springett V. H., Nunn A. J. Changes in tuberculosis notification rates in ethnic groups in England between 1971 and 1978/79. Tubercle. 1984 Jun;65(2):83–91. doi: 10.1016/0041-3879(84)90058-8. [DOI] [PubMed] [Google Scholar]

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