Abstract
OBJECTIVE--To determine the policy and practice of district health authorities in England and Wales for BCG immunisation in schoolchildren and neonates. DESIGN--Self completion postal questionnaire survey. PARTICIPANTS--District immunisation coordinators. SETTING--199 district health authorities in England and Wales. RESULTS--Questionnaires were received from 186 districts, a response rate of 94%. Considerable uniformity was observed in many aspects of BCG immunisation policy and practice but some important variations were found. 15 districts no longer carry out a routine schools programme. 148 districts offer BCG to selected groups of neonates and five to all neonates, but 31 districts do not offer BCG to this age group. The recommended action in response to different levels of tuberculin sensitivity in schoolchildren and neonates varied among districts. CONCLUSIONS--Despite the recommendations of the Joint Committee on Vaccination and Immunisation some districts do not offer BCG immunisation to neonates at high risk of tuberculosis and there are important variations in other aspects of BCG policy.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Cundall D. B., Pearson S. B. Inner city tuberculosis and immunisation policy. Arch Dis Child. 1988 Aug;63(8):964–966. doi: 10.1136/adc.63.8.964. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Curtis H. M., Leck I., Bamford F. N. Incidence of childhood tuberculosis after neonatal BCG vaccination. Lancet. 1984 Jan 21;1(8369):145–148. doi: 10.1016/s0140-6736(84)90072-2. [DOI] [PubMed] [Google Scholar]
- Frankenberg R. A., Mayon-White R. T. The effect of a policy of non-vaccination of schoolchildren on the incidence of tuberculosis in Oxfordshire. J Public Health Med. 1991 Aug;13(3):209–213. doi: 10.1093/oxfordjournals.pubmed.a042620. [DOI] [PubMed] [Google Scholar]
- Miller C. L., Morris J., Pollock T. M. PHLS inquiry into current BCG vaccination policy. Br Med J (Clin Res Ed) 1984 Feb 18;288(6416):564–564. doi: 10.1136/bmj.288.6416.564. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Packe G. E., Innes J. A. Protective effect of BCG vaccination in infant Asians: a case-control study. Arch Dis Child. 1988 Mar;63(3):277–281. doi: 10.1136/adc.63.3.277. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rodrigues L. C., Noel Gill O., Smith P. G. BCG vaccination in the first year of life protects children of Indian subcontinent ethnic origin against tuberculosis in England. J Epidemiol Community Health. 1991 Mar;45(1):78–80. doi: 10.1136/jech.45.1.78. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Springett V. H., Sutherland I. BCG vaccination of schoolchildren in England and Wales. Thorax. 1990 Feb;45(2):83–88. doi: 10.1136/thx.45.2.83. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sutherland I., Springett V. H. The effects of the scheme for BCG vaccination of schoolchildren in England and Wales and the consequences of discontinuing the scheme at various dates. J Epidemiol Community Health. 1989 Mar;43(1):15–24. doi: 10.1136/jech.43.1.15. [DOI] [PMC free article] [PubMed] [Google Scholar]