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British Medical Bulletin 44:704-716 (1988)
© 1988 The British Council

research-article

Control and prevention of tuberculosis in Britain

K M Citron

Brompton Hospital London

Abstract

The epidemiology of tuberculosis relevant to methods of prevention and control and the organisation of tuberculosis services in Britain are described.

Active case finding is conducted among higher risk groups which include middle aged and elderly native born males, tuberculosis contacts, immigrants from Asia and Africa, and inmates of certain institutions.

Regimens of short-course chemotherapy are used which are highly effective in treatment. Guidelines for the selection of individuals for chemoprophylaxis are given.

Programmes for the management of patients and staff in hospitals and schools are outlined.

BCG vaccination is give to high risk groups including hospital workers, travellers to areas of high prevalence, contacts, immigrants form Asia and Africa, and infants born in Britain of parents of the above immigarant ethnic groups.

Mass vaccination of schoolchildren aged 10–14 years remains effective but predications about declining risks of infection in Britain among young persons suggest that routine vaccination of schoolchildren may be stopped in the near future.


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