The effect of a policy of non-vaccination of schoolchildren on the incidence of tuberculosis in Oxfordshire
| Autor: | R. A. Frankenberg, R. T. Mayon-White |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Tuberculosis Adolescent Cohort Studies Risk Factors medicine Humans Routine vaccination Child Aged Aged 80 and over Infectious Disease Contact Tracing business.industry Health Policy Incidence Incidence (epidemiology) Vaccination Age Factors Public Health Environmental and Occupational Health Infant General Medicine Middle Aged medicine.disease England Child Preschool Immunology Asian population Death certificate business BCG vaccine |
| Zdroj: | Journal of Public Health. 13:209-213 |
| ISSN: | 1741-3850 1741-3842 |
| DOI: | 10.1093/oxfordjournals.pubmed.a042620 |
| Popis: | We examined the effect of the decision in 1981 in Oxfordshire to cease routine vaccination of schoolchildren for tuberculosis. All notifications, laboratory and death certificate reports of tuberculosis between 1973 and 1989 were reviewed. Results showed that the incidence of tuberculosis in Oxfordshire continued to decline with an annual 5 per cent decrease. The incidence increased with age from a mean annual rate of 6.18 per 100,000 at age 0-10 to 19.90 per 100,000 at age 71-80. There was a higher incidence in the Asian population, with a mean annual rate of 79.6 per 100,000 compared with 7.35 per 100,000 in non-Asians. Four cases had occurred since 1981 in children who had not been immunized routinely at school. All four children had other risk factors in addition to not receiving BCG vaccine. We did not find a need to resume the routine vaccination programme. However, the findings demonstrated the need to be effective in contract-tracing and in vaccinating those most at risk. |
| Databáze: | OpenAIRE |
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