TITLE

Ethnic differences in selective neonatal BCG immunisation: white British children miss out

AUTHOR(S)
Srinivasan, R.; Menon, I.; Stevens, P.; Campbell, I.; Alfaham, M.
PUB. DATE
March 2006
SOURCE
Thorax;Mar2006, Vol. 61 Issue 3, p247
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Tuberculosis (TB) is a re-emerging problem, especially in the larger cities of Western Europe. Selective neonatal BCG vaccination is recommended for infants at risk of TB in the UK. Neonatal BCG is safe and effective, with an overall protective value of 75%. This study aimed to assess BCG rates among at risk infants in Cardiff and the Vale of Glamorgan, South Wales in the year 2003. Methods: A cohort of infants at risk for TB was identified from demographic data stored on a computerised maternity activity database. A manual search of immunisation records determined overall rates and the rates for infants belonging to various ethnic groups. Results: Of 5308 infants born in 2003, 514 (9.6%) were at risk of TB; 423 (82.2%) of these infants were referred postnatally for BCG vaccination and 391 received it. Twenty six of the 41 at risk white British infants missed having a BCG vaccination compared with 47 of 288 Asian infants and seven of 39 black African babies. The rate of BCG vaccination among white British infants was 36.5% compared with 83.6% for Asian infants from the Indian subcontinent (χ²=7.25, p<0.01) and 82% for black African infants (χ²=448 p<0.05). Conclusions: The overall BCG rate among at risk infants in Cardiff was 76% during the study period. The vaccination rate was poor among white British infants compared with other ethnic groups. Enhanced awareness of health professionals to recognise the need for vaccinating certain white children at risk of TB is essential to improve BCG coverage in an increasingly multiethnic population.
ACCESSION #
20349790

 

Related Articles

  • TB Vaccine. Stephenson, Joan // JAMA: Journal of the American Medical Association;4/18/2007, Vol. 297 Issue 15, p1646 

    The article states that older versions of the bacille Calmette-Guérin (BCG) vaccine, which is used to protect against tuberculosis, may be more effective than some more recent strains of the vaccine. It is thought that newer strains of the BCG vaccine might have accumulated genetic mutations...

  • New TB vaccine most effective when not co-administered with other childhood vaccines.  // Infectious Disease News;Jul2011, Vol. 24 Issue 7, p25 

    The article reports on the efficacy of MVA85A, a new tuberculosis (TB) vaccine for infants.

  • vaccination update. Gordon, Jay // Fit Pregnancy;Apr/May2003, Vol. 10 Issue 1, p50 

    Answers a question on delaying infants' vaccinations. Controversy surrounding the side effects of vaccinations; Types of vaccines commonly given to infants.

  • 49%. PEDIATRICS, JAMA // Fit Pregnancy;Oct/Nov2013, Vol. 20 Issue 4, p70 

    The article reports that about 49% children younger than 24 months did not receive all recommended vaccinations.

  • In the 'prick' of health. NAIR, POORNIMA // Mother & Baby;Sep2015, Vol. 8 Issue 5, p76 

    The article presents questions and answers related to vaccination of babies including why immunization is important, what is correct age for vaccination, and which all are the routine vaccines for babies.

  • National Infant Immunization Week--April 16-22, 2000.  // MMWR: Morbidity & Mortality Weekly Report;4/7/2000, Vol. 49 Issue 13, p273 

    Deals with the celebration of the National Infant Immunization Week in the United States from April 16 to 22, 2000. Vaccination coverage levels needed by children; Activities to be sponsored by states and communities.

  • BCG Survey: An Experience in Mohmand Agency FATA. Khan, Hamzullah; Bilal; Khan, Khalid; Farooqi, Nazish // Middle East Journal of Family Medicine;Apr/May2013, Vol. 11 Issue 3, p25 

    Objectives: To determine the status of the BCG vaccination in under one year children at Mohmand agency FATA in a sense to improve the system for routine immunization. Procedures: This was a descriptive survey, conducted in all 8 tehsils of the agency through independent monitors. The required...

  • Widening recommendations for influenza immunization: Challenge and opportunity. McMillan, Julia A. // Contemporary Pediatrics;Oct2004, Vol. 21 Issue 10, p9 

    Emphasizes the necessity of influenza immunization to infants. Determination of the impact of influenza infection on infants; Hospitalization rate among infants due to influenza; Inclusion of young children for annual influenza vaccination.

  • National varicella vaccination programme worth it in Israel.  // PharmacoEconomics & Outcomes News;3/13/2004, Issue 448, p9 

    Discusses research being done on a national varicella vaccination programme in Israel. Reference to a study by G. M. Ginsberg and colleagues published in a February 2004 issue of the "Journal of Infection"; Assessment of the costs and benefits of a nationwide active immunisation against...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics