[karenG]

Originally Posted by suzanne4

Thailand
The hospitals here routinely give a chest x-ray every year to their staff.
Even the US Embassy for immigration purposes uses the CXR, at least that is what I have been told over here by my students.

my little book- which is 2 yrs out of date I admit- says that in thailand BCG is given at birth.

nothing is perfect..........but we have so many refugees from all over the place that this has become my little bible for baby imms!! its funny looking at the DTP shedule- here 5 doses are considered sufficient to cover you for life unless you have a tet prone wound. there are many countries that only give 3. we only give 5 polio doses...... and may stop that soon. tunisia gives 7 doses! facinating stuff. travel medicine facinates me!

Karen

[suzanne4]

Originally Posted by karenG

my little book- which is 2 yrs out of date I admit- says that in thailand BCG is given at birth.

nothing is perfect..........but we have so many refugees from all over the place that this has become my little bible for baby imms!! its funny looking at the DTP shedule- here 5 doses are considered sufficient to cover you for life unless you have a tet prone wound. there are many countries that only give 3. we only give 5 polio doses...... and may stop that soon. tunisia gives 7 doses! facinating stuff. travel medicine facinates me!

Karen

Yes, it is given at birth here, but anyone who has ever tried the PPD here has tested psitive, so the health care workers all get CXRs. Plus a couple that I know have scarred at the site, so most won't even attempt it.

(this was written when I was still in Thailand.)

[trish+55]

Originally Posted by MassLPN

Does anyone know if there is a resource available anywhere, that might tell me what countries routinely give the BCG vaccine? I have quite a few employees come through my door, tell me they never had BCG, but find out later, after a positive PPD, and a call home to their mother, that they have in fact had it (which I'd already presumed).

If I could get my hands on a listing somewhere, it would be quite helpful, and perhaps I could avoid giving PPD's when they don't need them.

Thanks in advance!

We place ppd on anyone who has had the bcg vac. over 5 yrs. Due to the majority of ppl losing the effect after childhood ..in other words they are not immune later in life.

[Margaret Parker]

Originally Posted by karenG

easy peasy this one!! if you speak to your nice friendly Aventis rep- I think you might have such a thing! they have a little book which tells you the shedule for every country for all baby imms!!

BCG is given routinely in; long list this!
afghanistan, albania,algeria,angora, anguilla,argintina,armenia,azerbaijan,bahrain,bang ladesh,barbados,belarus,
belize,benin,bhutan,boliva,bosnia&herzegovina, botswana,brazil,british virgin islands,brunei,bulgaria,burkina faso, burundi,cambodia,cameroon,cape verde,caymen islands,central africa rep, chad, chile, china,colombia,comoros, congo, cook islands, costa rica, croatia, cuba, czech republic, korea, congo, dominica, domincan rep, ecuador, egypt, el salvador, equatorial guinea, eritrea, estonia, finland, france, french guinea, french polynesia, gabon, gorgia, germany, greece, guatemala, guinea, guinea-bissau, guyana, haiti, honduras, hong kong, hungary, India, indonesia, Iran, ireland, ivory coast, Jamaica, kazakhastan, kenya, kiribati, kuwait, kyrgyzstan, lao peoples democratic rep. latvia, lesotho, liberia, libya, lithuania, luxembourg, macao,madagascar, malawi, malaysia, maldives, mali, malta, marshall islands,
mauritania, mexico, micronesia (chuck state only) monaco, mongolia, montserrat, morocco, mozambique, myanmar, namibia, nauru,nepal, new zealand,nicaragua, niue, norway, oman, pakistan,panama,papua new guinea,paraguay, peru, philippines, poland, portugal, quatar, republic of korea, rep. of moldova, romania, russian federation, rwanda, st kitts and nevis, st. lucia, st vincent and the grenadines, samoa, saudi arabia. singapore, slovakia, slovinia, solomon islands, somalia, south africa, sri lanka, sudan, swaziland, syrian arab republic, tajikastan, thialand. togo. tokelau. tonga, tunisia, turkmenistan, turks and caicos islands,tuvalu, uganda, ukraine, united arab emirates, united kingdom, united rep. of tanzania, uruguay, uzbekistan, vanuatu, venezuela, viet nam, wallis and futuna islands, west bank and gaza strip (some regions only) yemen, zambia, zimbabwe!!!

whew!! arent you impressed I could tell you that!! hope that helps!!!

Karen

Hi Karen
This list may not be as accurate as you hope. For instance in NZ we only vaccinate some babies (those defined most at risk) and there is no routine vaccination programme. Noone is vaccinated over five years of age. NZ has a wonderful TB Guidelines document which can be accessed on line throught the Ministry of Health Web site or goggle.
Cheers
Margaret

[zenman]

Originally Posted by suzanne4

Thailand
The hospitals here routinely give a chest x-ray every year to their staff.
Even the US Embassy for immigration purposes uses the CXR, at least that is what I have been told over here by my students.

Suzanne, are you back in Thailand?

Whoops, written before page 2!

[HONEYBEAR]

Hi all,

A Londoner here, moved to the USA in 93, I had the BCG when I was 13....have the wonderful scar to prove it (left deltoid). I had the unfortunate experience of having the ppd 1 time and the only time. My arm blistered, was over 20cm in length from the ppd site to where the red line of blisters ended ......ouch .
So now I have a yearly CXR. I have never had any problems.....

[Gail-Anne]

Also, BCG only has about a 20 yr "life span". One of the Respirologists here almost strokes whenever a nurse says, " I have a Mantoux reaction because I had a BCG 28 yrs ago"! It's not a reason to not be PPD'd, it's the change in the reaction that matters. I'm like one of the earlier responders on the thread.... I react to the mantoux...not to the mantoux! Won't ever have another (at least not without feeling my arm should be amputated!) so have chest x-ray if exposed.