- Tuberculin non reactors high risk groups.

One of the indications for administration of BCG vaccine is

"Tuberculin non reactors high risk groups"

they are "Dig camp"

- Dangerous group of the community who deal with large number of people transmitting infection to them ..e.g food handlers,teachers,nurses,wet nurses,hair dressers.

- Industrial workers especially exposure to silica dust as T.B follow silicosis as its shadow.

- Geriatric homes .


- Contacts with cases.

- Camps.

- Cases of D.M & chronic debilitating diseases.


- Agricultural workers and farmers.

- Adolescents with symptoms > 4 weeks.


- Medical and Paramedical persons.

- Military groups.

- Malnutrition syndrome.


- People of underdeveloped countries and living in slums.

- causes of re-emerging of T.B.

causes of re-emerging of T.B

Or

why does the burden of T.B increases?!

"Dim shape"

- Demographic changes e.g poor housing and overcrowding.


- Immuno-suppressive drugs.


- Microbial adaptation.

- Multi-drug resistant for T.B.

- Malnutrition.


- Smoking.


- HIV.


- Addiction.


- Increase Prevalence of T.B diagnosis than expected.


- Environmental factors e.g air pollution.

- Decrease Effectiveness of BCG.

see you,

Actions for life: Stop T.B 2006-2015

Join this through

Here WHO

&

here global plan

See you,

Dr Ibrahim