{"id":46086,"date":"2014-08-06T10:00:44","date_gmt":"2014-08-06T10:00:44","guid":{"rendered":"http:\/\/mostafa.openonline.co.uk\/?guid=d3ed5e45944464c30111eb6cf8eea182"},"modified":"2014-08-06T10:00:44","modified_gmt":"2014-08-06T10:00:44","slug":"press-release-bcg-vaccine-prevents-tb-infection-in-children","status":"publish","type":"post","link":"https:\/\/mostafa.openonline.co.uk\/?p=46086","title":{"rendered":"Press release: BCG vaccine prevents TB infection in children"},"content":{"rendered":"<div class=\"govspeak\">\n<p>A new study from Public Health England  (<abbr title=\"Public Health England\">PHE<\/abbr>) published in the British Medical Journal today (6 August 2014) has found Bacillus Calmette-Gu\u00e9rin (<abbr title=\"Bacillus Calmette-Gu\u00e9rin\">BCG<\/abbr>) vaccine may protect against M. tuberculosis (<abbr title=\"Tuberculosis\">TB<\/abbr>) infection, in addition to decreasing progression of <abbr title=\"Tuberculosis\">TB<\/abbr> from infection to disease. <\/p>\n<p>Prior to this review, it has been widely accepted that <abbr title=\"Bacillus Calmette-Gu\u00e9rin\">BCG<\/abbr> vaccine protects against the most severe forms of disease such as tuberculosis (<abbr title=\"Tuberculosis\">TB<\/abbr>) meningitis in children. This review of existing research indicates <abbr title=\"Bacillus Calmette-Gu\u00e9rin\">BCG<\/abbr> vaccine can also protect against an individual becoming infected. <\/p>\n<p>The meta-analysis of 14 studies involving 3,855 participants found that <abbr title=\"Bacillus Calmette-Gu\u00e9rin\">BCG<\/abbr> vaccinated children were less likely than unvaccinated children to have evidence of <abbr title=\"Tuberculosis\">TB<\/abbr> infection after exposure. Interferon\u2013gamma release assays (<abbr title=\"Interferon\u2013gamma release assays\">IGRA<\/abbr>), which can detect M. tuberculosis infection and discriminate this from prior <abbr title=\"Bacillus Calmette-Gu\u00e9rin\">BCG<\/abbr> vaccination, made this analysis possible. Previously skin tests weren\u2019t able to distinguish between <abbr title=\"Tuberculosis\">TB<\/abbr> infection, infection from non <abbr title=\"Tuberculosis\">TB<\/abbr> mycobacterium and the presence of <abbr title=\"Bacillus Calmette-Gu\u00e9rin\">BCG<\/abbr> vaccine, which made it impossible to determine if someone who had received the vaccine had been protected against getting <abbr title=\"Tuberculosis\">TB<\/abbr> infection.<\/p>\n<p>Dr Anjana Roy, Senior Scientist for Public Health England and lead study author said:<\/p>\n<blockquote>\n<p>These results suggest a significant shift in our understanding of how anti mycobacterial vaccines work, and could indicate that not only does <abbr title=\"Bacillus Calmette-Gu\u00e9rin\">BCG<\/abbr> vaccine protects against developing active <abbr title=\"Tuberculosis\">TB<\/abbr> disease, but that it also protects against getting infected.<\/p>\n<p class=\"last-child\">This finding will have implications for the use of <abbr title=\"Bacillus Calmette-Gu\u00e9rin\">BCG<\/abbr> in current immunisation programmes as well as in the future development of new improved tuberculosis vaccines. It reinforces the recommendation that <abbr title=\"Bacillus Calmette-Gu\u00e9rin\">BCG<\/abbr> should be given as soon as possible after birth to prevent children from getting infected.<\/p>\n<\/blockquote>\n<p>In 2012, there were 8,130 cases of <abbr title=\"Tuberculosis\">TB<\/abbr> reported in England, which is an incidence of 15 cases per 100,000 of the population. England now has the second highest <abbr title=\"Tuberculosis\">TB<\/abbr> rate in Western Europe and if current trends continue, will have more <abbr title=\"Tuberculosis\">TB<\/abbr> cases than the whole of the US within 2 years.<\/p>\n<p>Professor Ibrahim Abubakar, Head of <abbr title=\"Tuberculosis\">TB<\/abbr> at Public Health England and Professor of Infectious Disease Epidemiology at University College London (<abbr title=\"University College London\">UCL<\/abbr>), said:<\/p>\n<blockquote>\n<p><abbr title=\"Tuberculosis\">TB<\/abbr> remains a critical public health problem, particularly in parts of London and among people from vulnerable communities. The implications of this study are particularly pertinent for these populations where we need to ensure that infants are promptly vaccinated after birth.<\/p>\n<p class=\"last-child\"><abbr title=\"Tuberculosis\">TB<\/abbr> is one of the key priorities for <abbr title=\"Public Health England\">PHE<\/abbr> and we are working with key partners to oversee the development of a stronger national approach to <abbr title=\"Tuberculosis\">TB<\/abbr> control, including screening and vaccination.<\/p>\n<\/blockquote>\n<h2 id=\"notes-to-editors\">Notes to editors<\/h2>\n<ul>\n<li>\u2018Effect of <abbr title=\"Bacillus Calmette-Gu\u00e9rin\">BCG<\/abbr> Vaccination against Mycobacterium tuberculosis infection in Children: A Systematic Review and meta-analysis\u2019 is available on the <a rel=\"external\" href=\"http:\/\/www.bmj.com\/content\/349\/bmj.g4643\">BMJ website<\/a>\n<\/li>\n<li>The main recommendations for routine <abbr title=\"Bacillus Calmette-Gu\u00e9rin\">BCG<\/abbr> vaccination of children are now: infants (aged 0 to 12 months) living in areas with a high incidence of <abbr title=\"Tuberculosis\">TB<\/abbr> (40 out of 100,000 or greater), and any children with a parent or grandparent born in a high incidence country.<\/li>\n<li>\n<abbr title=\"Tuberculosis\">TB<\/abbr> is an infection caused by bacteria. It usually affects the lungs, but can affect other parts of the body. <abbr title=\"Tuberculosis\">TB<\/abbr> is transmitted when someone who has the infection coughs or sneezes, but it requires close prolonged contact in order to spread from person to person. For more information about tuberculosis visit <a rel=\"external\" href=\"http:\/\/www.hpa.org.uk\/Topics\/InfectiousDiseases\/InfectionsAZ\/Tuberculosis\/\"><abbr title=\"Public Health England\">PHE<\/abbr>\u2019s dedicated web pages<\/a>\n<\/li>\n<li>This study was a collaboration between scientists at <abbr title=\"Public Health England\">PHE<\/abbr>, NHS, Imperial College, London School of Hygiene and Tropical Medicine and <abbr title=\"University College London\">UCL<\/abbr>.<\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>PHE research finds BCG vaccine offers further protection against TB.<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"_links":{"self":[{"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/46086"}],"collection":[{"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=46086"}],"version-history":[{"count":0,"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/46086\/revisions"}],"wp:attachment":[{"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=46086"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=46086"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=46086"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}