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| No. 10 |
Jun 28, 2004, 06:40 AM
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my little book- which is 2 yrs out of date I admit- says that in thailand BCG is given at birth.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
| | Advertisement Sponsored Links | | | | No. 11 |
Jun 29, 2004, 07:19 AM
Updated
Aug 02, 2005 at 07:45 PM by 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Originally Posted by karenG my little book- which is 2 yrs out of date I admit- says that in thailand BCG is given at birth.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.)
| | No. 12 |
Jul 30, 2005, 11:28 PM
bcg 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.
| | No. 13 |
Aug 27, 2005, 05:01 AM
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
| | No. 14 |
Sep 23, 2005, 03:20 AM
Updated
Sep 23, 2005 at 03:25 AM by 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!
| | No. 15 |
Sep 23, 2005, 04:20 AM
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..... | | No. 16 |
Sep 23, 2005, 04:57 PM
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.
| | No. 17 |
Nov 21, 2008, 10:30 AM
Re: Info on BCG Vaccine needed
as far as immunity sure there is variable effect but the tb test is for previous exposure and bcg will cause a positive not saying it will prevent tb but that the body had been exposed and remembers. the xray will verify weather or not it is present.
| | No. 18 |
Nov 22, 2008, 06:37 PM
Re: Info on BCG Vaccine needed
Hi all:
Interesting discussion.
I had BCG when I was 7. At 28 years old, I had to have a PPD as part of the US immigration process, and had a MAJOR reaction. The doctor insisted that I needed to take TB meds for 6 months! This despite a negative chest X-ray and the fact I'd had BCG.
Needless to say I got a second opinion. Both my family doctor and the Doc in the USA said I should never have another PPD......
Maybe it is unusual, but I am an example of a + PPD 20 years after the vaccine.
| | No. 19 |
Nov 22, 2008, 08:12 PM
Re: Info on BCG Vaccine needed
From the reading that I did it said that there are way too may variables that determine how long ikt is effective. Native americans where seen effective sixty years later bcg had been administered in the 1920's . There's also articles that refute that and say its not effective after 21. Even though myh cxr is clear im taking the antibiotic to rule out everything. Sucks really that there isn't one answer at that the opinions of its use are so varied.Im 28 by the way and was vaccinated as a baby.
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