[Tuberculosis vaccination programs: where are we?].
The incidence of tuberculosis strongly dropped since the obligation of declaration and the vaccination generalized in the middle of the 20(th) century. Many countries suspended the obligatory character of vaccination, preferring to reserve it to populations at risk. France had preserved obligatory generalized vaccination, using an intradermal injection whose realization is difficult and produced many side effects. Since 2004, different opinions to the installation of a vaccination reserved to the populations at risk are favorable, in particular, those originating in a country with strong tuberculosis endemia. These opinions also recommend to reinforce the tracking of the subjects reached of tuberculosis. Mrs Roselyne Bachelot, Minister of Health, announced on July 11, 2007 the suspension of the obligatory character of the BCG from the child and the teenager with the profit of a strong recommendation of vaccination of the children most exposed to tuberculosis as of the first month of life. In parallel, a national programme of fight against tuberculosis 2007-2009 is launched.
Manaouil
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Consultation de médecine légale, CHU d'Amiens, place Victor-Pauchet, 80054 Amiens cedex 1, France. manaouil.cecile@chu-amiens.fr
Garnier
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C
Gignon
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M
Jardé
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O
D005602:France; D033161:Government Regulation; D006801:Humans; D017589:Immunization Programs; D032581:Tuberculosis Vaccines
D032581:Tuberculosis Vaccines