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suzy this is what cindy sent, it's a load of info!

claudia

I would think the reverse would be true as well.

Immune activation in the absence of infection

contributes to autoimmune disorders.

Infection with Mycobacterium bovis BCG Diverts Traffic

of Myelin Oligodendroglial Glycoprotein

Autoantigen-Specific T Cells Away from the Central

Nervous System and Ameliorates Experimental Autoimmune

Encephalomyelitis.

Sewell DL, Reinke EK, Co DO, Hogan LH, Fritz RB,

Sandor M, Fabry Z.

Department of Pathology and Laboratory Medicine,

University of Wisconsin. Department of Microbiology,

Medical College of Wisconsin, Milwaukee, Wisconsin.

Infectious agents have been proposed to influence

susceptibility to autoimmune diseases such as multiple

sclerosis. We induced a Th1-mediated central nervous

system (CNS) autoimmune disease, experimental

autoimmune encephalomyelitis (EAE) in mice with an

ongoing infection with Mycobacterium bovis strain

bacillus Calmette-Guerin (BCG) to study this

possibility. C57BL/6 mice infected with live BCG for 6

weeks were immunized with myelin oligodendroglial

glycoprotein peptide (MOG(35-55)) to induce EAE. The

clinical severity of EAE was reduced in BCG-infected

mice in a BCG dose-dependent manner. Inflammatory-cell

infiltration and demyelination of the spinal cord were

significantly lessened in BCG-infected animals

compared with uninfected EAE controls. ELISPOT and

gamma interferon intracellular cytokine analysis of

the frequency of antigen-specific CD4(+) T cells in

the CNS and in BCG-induced granulomas and adoptive

transfer of MOG(35-55)-specific green fluorescent

protein-expressing cells into BCG-infected animals

indicated that nervous tissue-specific (MOG(35-55))

CD4(+) T cells accumulate in the BCG-induced granuloma

sites. These data suggest a novel mechanism for

infection-mediated modulation of autoimmunity. We

demonstrate that redirected trafficking of activated

CNS antigen-specific CD4(+) T cells to local

inflammatory sites induced by BCG infection modulates

the initiation and progression of a Th1-mediated CNS

autoimmune disease.

Naturally occurring anti-IFN{gamma} auto-antibody and

severe infections with Mycobacterium cheloneae and

Burkholderia cocovenenans.

Hoeflich C, Sabat R, Rosseau S, Temmesfeld B, Slevogt

H, Docke WD, Gruetz G, Meisel C, Halle E, Goebel UB,

Volk HD, Suttorp N.

Institute for Medical Immunology, University Hospital

Charite, Humboldt University, Berlin, Germany.

Recently various genetic defects in IFNgamma mediated

immunity have been described including mutations in

the interferon-gamma receptor 1 (IFNgR1) and receptor

2 (IFNgR2), Stat1 and IL-12 receptor beta 1 (IL-12Rb1)

and IL-12 p40 genes. These mutations are associated

with the occurrence of severe infections with

intracellular pathogens especially nontuberculous

mycobacteria and vaccine-associated BCG. Here we

report on a previously healthy adult patient

primarilary presenting with severe infections with

Burkholderia cocovenenans and subsequently

Mycobacterium cheloneae. We found a strong inhibitory

anti-IFNgamma activity in the patient's plasma and

identified a high-affinity neutralizing anti-IFNgamma

autoantibody. Unfortunately, the patient died due to

severe sepsis before knowing the nature of the

inhibitory activity. The application of alternative

therapeutic approaches such as IVIG or

immunoadsorption may have been beneficial in this

case. Screening for neutralizing anti-IFNgamma

autoantibodies should supplement testing for IFN-gamma

and IL-12 pathway defects in patients with recurrent

infections with intracellular pathogens, especially

with NTM.

Ann N Y Acad Sci. 2003 Nov; 1005: 404-8. Related

Articles, Links

Vaccinations may induce diabetes-related

autoantibodies in one-year-old

children.

Wahlberg J, Fredriksson J, Vaarala O, Ludvigsson J;

Abis Study Group.

Division of Pediatrics, Department of Molecular and

Clinical Medicine,

Faculty of Health Sciences, Linkoping University,

Linkoping, Sweden.

Vaccinations have been discussed as one among many

environmental candidates

contributing to the immune process that later may lead

to type 1 diabetes.

ABIS (All Babies in Southeast Sweden) is a prospective

cohort study

following a nonselected birth cohort of general

population. In a randomly

selected sample collection from 4400 children, GADA

and IA-2A have been

determined at the age of 1 year. The information on

vaccinations was

collected from questionnaires answered by the parents

and was related to

beta cell autoantibodies. When studying the induction

of autoantibodies

using the autoantibody level of 90th percentile as

cutoff level, hemophilus

influenza B (HIB) vaccination appeared to be a risk

factor for IA-2A [OR

5.9 (CI 1.4-24.4; p = 0.01)] and for GADA [OR 3.4 (CI

1.1-10.8; p = 0.04)]

in logistic regression analyses. Furthermore, the

titers of IA-2A were

significantly higher (p < 0.01 in Mann-Whitney test)

in those children who

had got HIB vaccination. When 99th percentile was used

as cutoff to

identify the children at risk of type 1 diabetes, BCG

vaccination was

associated with increased prevalence of IA-2A (p <

0.01). We conclude that

HIB vaccination may have an unspecific stimulatory

polyclonal effect

increasing the production of GADA and IA-2A. This

might be of importance

under circumstances when the beta cell-related immune

response is activated

by other mechanisms.

PMID: 14679101 [PubMed - indexed for MEDLINE]

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From: Sheri Nakken <vaccineinfo@...>

Date: Wed Jan 7, 2004 6:08 am

Subject: More: Disease/Vaccine Charts & info

var trv_lrec_formUrl =

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From: Dewey Ross Duffel <duffel@...>

April

I too have wanted, when spare time permits, to develop

a web page just for

the links that show that the vaccinated always have

more disease than the

unvaccinated, and that this includes the target

disease. I have not even

started this 'little' project but just now collected a

few for flu and

smallpox and tuberculosis. Please share what you find.

Thanks, Dewey.

Here are a few snips for you:

see: http://www.vaclib.org/intro/present/overview.htm

(for an introduction

to vaccination)

see: http://www.vaclib.org/intro/present/index3.htm#4

for a graph showing a

large smallpox epidemic in 1871-72, inspite of

compulsory vaccination.

http://www.vaclib.org/basic/fluindex.htm

Do flu shots work? - - - Why Japan ended compulsary

School age flu shots ...

60% Vaccination twice annually, or dropping to 20%

coverage made no

difference in flu incidence. Two large studies with

cities with vaccination

rates between 1% and 90% showed little difference in

incidence. In fact,

vaccinated incidence rates were slightly higher. " From

1972 to 1979 , a

total number of 142 children and families sued the

government for damages.

The total number of deaths were 50, severe

developmental retardation were

65, and intractable epilepsy were 35. "

http://www.vaclib.org/basic/smallpoxindex.htm

thompson2.htm

" Professor Dick, speaking at an environmental

conference in Brussels

in 1973, admitted that in recent decades, 75% of

British people who

contracted smallpox had been vaccinated. This,

combined with the fact that

only 40% of children (and a maximum of 10% of adults)

had been vaccinated,

clearly shows that vaccinated people have a much

higher tendency to contract

the disease. "

http://www./vaclib.org/chapter/wysmallpox.htm#quotations

" I have been a regular practitioner of medicine in

Boston for 33 years. I

have studied the question of vaccination

conscientiously for 45 years. As

for vaccination as a preventative of disease, there is

not a scrap of

evidence in its favor. Injection of virus into the

pure bloodstream of the

people does not prevent Smallpox. Rather, it tends to

increase its epidemics

and makes the disease more deadly. Of this we have

indisputable proof. In

our country (U.S.) cancer mortality has increased from

9 per 100,000 to 80

per 100,000 or fully 900 per cent increase, within the

past 50 years, and no

conceivable thing could have caused this but the

universal blood poisoning

now existing. " Dr. E. Page

http://www.vacliborg/basic/quotes.htm

" It was similar with the measles vaccination. They

went through Africa,

South America and elsewhere, and vaccinated sick and

starving

children...They thought they were wiping out measles,

but most of those

susceptible to measles died from some other disease

that they developed as a

result of being vaccinated. The vaccination reduced

their immune levels and

acted like an infection. Many got septicaemia,

gastro-enteritis, etcetera,

or made their nutritional status worse and they died

from malnutrition. So

there were very few susceptible infants left alive to

get measles. It's one

way to get good statistics. Kill all those that are

susceptible, which is

what they literally did. " --Dr. Kalokerinos, M.D.

Read Dr. Kalokerinos book, " Every Second Child " for

worst case example of

vaccines killing children.

Early in this century, the Philippines experienced

their worst smallpox

epidemic ever after 8 million people received 24.5

million vaccine doses;

the death rate quadrupled as a result. (Physician

Hay's

address of June 25, 1937; printed in the Congressional

Record)

Whale.to site: Wonderful MMR vaccine quotes

http://www.whale.to/vaccine/mmr49.html

The last " safe " MMR vaccine

" I believe the documents clearly reveal how the

central government hid

undesirable data and delayed discontinuation of the

(MMR) vaccine, " lawyer

Tatsuro Shigemura said. " --Media 2002

" The conclusion of the research report was: Children

who received all of the

AAP recommended vaccinations were 14 times more likely

to become learning

disabled and 8 times more likely to become autistic

compared with children

who were never vaccinated.

http://www.vaclib.org/basic/evidence.htm

EVIDENCE AGAINST VACCINES by Jon Rappaport

" Smallpox, like typhus, has been dying out (in

England) since 1780.

Vaccination in this country has largely fallen into

disuse since people

began to realize how its value was discredited by the

great smallpox

epidemic of 1871-2 (which occurred after extensive

vaccination). "

W. Webb, A Century of Vaccination, Swan

Sonnenschein, 1898.

" The world's biggest trial (conducted in south India)

to assess the value of

BCG tuberculosis vaccine has made the startling

revelation that the vaccine

'does not give any protection against bacillary forms

of tuberculosis.' The

study said to be 'most exhaustive and meticulous,' was

launched in 1968 by

the Indian Council of Medical Research (ICMR) with

assistance from the World

Health Organization (WHO) and the U.S. Centers for

Disease Control in

Atlanta, Georgia.

" The incidence of new cases among the BCG vaccinated

group was slightly (but

statistically insignificantly) higher than in the

control group, a finding

that led to the conclusion that BCG's protective

effect 'was zero.' "

New Scientist, November 15, 1979, as quoted by Hans

Ruesch in Naked

Empress, Civis Publishers, Switzerland, 1982.

" Between 10 December 1929 and 30 April 1930, 251 of

412 infants born in

Lubeck received three doses of BCG vaccine by the

mouth during the first ten

days of life. Of these 251, 72 died of tuberculosis,

most of them in two to

five months and all but one before the end of the

first year. In addition,

135 suffered from clinical tuberculosis but eventually

recovered; and 44

became tuberculin-positive but remained well. None of

the 161 unvaccinated

infants born at the time was affected in this way and

none of these died of

tuberculosis within the following three years. "

Hazards of Immunization, .

" We conducted a randomized double-blind

placebo-controlled trial to test the

efficacy of the 14-valent pneumococcal capsular

polysaccharide vaccine in

2295 high-risk patients... Seventy-one episodes of

proved or probable

pneumococcal pneumonia or bronchitis occurred among 63

of the patients (27

placebo recipients and 36 vaccine recipients)... We

were unable to

demonstrate any efficacy of the pneumococcal vaccine

in preventing pneumonia

or bronchitis in this population. "

New England Journal of Medicine, November 20, 1986, p.

1318,

Simberkoff et al.

Arerugi. 2000 Jul;49(7):585-92. Related Articles,

Links

[The effect of DPT and BCG vaccinations on atopic

disorders]

[Article in Japanese]

Yoneyama H, Suzuki M, Fujii K, Odajima Y.

Department of Pediatrics, Tokyo Metropolitan

Government Hiroo General

Hospital.

METHODS: To examine the relationship between DPT and

BCG vaccinations and

development of atopic diseases, we studied on 143

children resident of the

island of Kodushima, Tokyo Japan. This study dealt

with the entire

population of 0-3 years old (82), all of the first

graders of the elementary

school (31) and all of the first graders of the junior

high school (30) on

the Island. RESULTS: Among the 82 children aged 0-3,

out of the 39 who

received DPT vaccination, 10 (25.6%) suffered from

bronchial asthma and this

ratio was significantly higher than among the children

who have not received

DPT vaccination (1 in 43, 2.3%), (p < 0.01). This was

also the case

concerning atopic dermatitis (7 in 39, 18.0% vs 1 in

43, 2.3%) (p < 0.05).

The same trend was also observed if three diseases

(bronchial asthma,

allergic rhinitis and atopic dermatitis) were combined

(22 in 39, 56.4% vs 4

in 43, 9.3%) (p < 0.01). As to the context of BCG

vaccination, there were no

cases with atopic disorders among the tuberculin

positive first graders of

the elementary school. No such relations, however,

were observed among the

first graders of the junior high school at all.

FINDINGS: From these results

we conclude that DPT vaccination has some effect in

the promotion of atopic

disorders, while successful BCG vaccination inhibits

the development of

atopic disorders, although the preventive effect of

BCG may not last for

many years.

PMID: 10944825 [PubMed - indexed for MEDLINE]

http://www.blackwell-synergy.com/links/doi/10.1046/j.1440-1843.2003.00489.x/abs/

Respirology

Volume 8 Issue 3 Page 376 - September 2003

doi:10.1046/j.1440-1843.2003.00489.x

SHORT COMMUNICATION

Control of an outbreak of BCG complications in Gaza

Objective: We aim to describe Bacille Calmette Guerin

(BCG) complications in

Gaza using two studies: one during an outbreak and the

other after control of

the possible contributing factors to this outbreak.

Methodology: The first study was conducted on 6145

newborn infants

vaccinated in 21 primary care centres in Gaza with BCG

vaccine, Pasteur Paris,

batch

number 5122 from July to October 2001. The study was

repeated after changing the

BCG vaccine and training 63 nurses from November to

December 2001. The

training program included theoretical lectures on BCG

and tuberculosis and

practical

training in strict intradermal injection. The second

study included 6877

newborn infants vaccinated with BCG vaccine, batch

number 101023, Denmark, from

January to April 2002.

Results: During the outbreak, BCG complications

occurred in 225 infants with

a complication rate of 36.61 per 1000 vaccinations.

The mean age at

presentation was 4 months. The commonest complications

were regional

lymphadenitis in

138 (61.33%) infants, local abscess in 48 (21.33%)

infants, local ulcer in 26

(11.56%) infants, keloid scar in 12 (5.33%) infants

and one (0.44%) infant who

died from disseminated disease had severe combined

immunodeficiency. In the

follow-up study, BCG complications occurred in 43

infants with a complication

rate of 6.25 per 1000 vaccinations, which is

significantly lower (P < 0.001)

than that during the initial outbreak.

Conclusion: The study supports the use of a less

virulent vaccine and proper

vaccination techniques to minimize the incidence of

BCG complications. The

training of nurses in strict intradermal injection

should be maintained and the

proper selection of those receiving the vaccines

should be considered to avoid

the vaccination of any infant with immunodeficiency.

Received 8 August 2002; revised 31 January 2003;

accepted for publication 13

February 2003.

Affiliations

Chest Department, Shifa Hospital and Al Azhar

University-Gaza, Palestinian

Authority

Correspondence

Correspondence: Walid Daoud, College of Applied

Medical Sciences, Al Azhar

University-Gaza, PO Box 1277, Palestinian Authority

Via Israel. Email: <A

HREF= " mailto:wdaoud@... " >

wdaoud@...</A>

To cite this article

DAOUD, Walid (2003)

Control of an outbreak of BCG complications in Gaza.

Respirology 8 (3), 376-378.

doi: 10.1046/

j.1440-1843.2003.00489.x

Perhaps one of the most interesting and controversial

observations on

the role of Th1

stimuli on Th2 _expression is found when examining the

effect of the

antituberculosis

vaccine Bacillus Calmette-Guerin (BCG) on the

development of atopy.

Japanese

schoolchildren, who routinely undergo BCG vaccination,

had a

significant inverse

relationship between delayed hypersensitivity to

Mycobacterium

tuberculosis and

incidence of asthma and elevation of IgE (46). As with

many studies

of environmental

influences on atopic disease, there are confounding

data. Studies in

Britain fail to show a

relationship between response to BCG vaccination and

atopy (46).

Furthermore, whether

the observations by Shirakawa et al. (45) result from

the effect of

the vaccine itself or the

innate ability of that child to respond to that

vaccine is open to

debate (46). However,

experiments in mice, which demonstrate that

immunization with BCG

blunts development

of allergen-specific IgE and eosinophilic responses to

allergen after

allergen challenge,

support the idea that BCG vaccine is a potent Th1

stimulus (47).

Taken together, these observations support the notion

that BCG

stimulates increased Th1 function and is

associated with decreased Th2 immune responsiveness.

It has also been argued that decreased incidence of

infection and

frequent use of

antibiotics may also be contributing to the

development of atopy. The

hypothesis is that by

decreasing exposure to Th1 stimuli (either by active

infection or by

alteration of bacterial

colonization, which may stimulate Th1 immune

responses), the Th2

immune

responsiveness expressed by the fetus has a better

chance of being

maintained, thus

allowing for _expression of the immune phenotype. The

use of

antibiotics in the early years

of life correlates with the subsequent development of

atopy.

Similarly, in societies in which

antibiotic use is decreased and natural infections are

more frequent,

atopy occurs less

frequently. However, despite these data, it seems

unlikely that

children at very high risk

for asthma (inner-city African Americans) have

increased exposure to

antibiotics

compared to more affluent populations at lesser risk

(31,37).

In addition to antigen-specific immune responses, it

has been

suggested that accessory

molecules expressed by bacteria (classic Th1 stimuli)

may contribute

to immune

maturation such that Th1 responses are emphasized

(31,48).

Lipopolysaccharide (LPS) is

a molecule expressed on all gram-negative bacteria

that interacts

with antigen-presenting

cells and other immune effector cells via the CD14

receptor.

Treatment of APCs with LPS

results in secretion of IL-12, which in turn blunts

Th2 responses and

stimulates interferon-

secretion. It has been argued that mucosal

colonization with

bacteria, including LPS-

bearing organisms, allows for nonspecific deviation

toward the Th1

phenotype. Recently,

it was found that the gene for CD14 colocalizes with

genes for IL-3,

IL-4, and GM-CSF

on the chromosome region 5q31.1. Furthermore, a

specific polymorphism

has been

identified (a C-to-T transition at base pair -159) in

which those

children homozygous for

the T allele have significantly higher levels of

soluble CD14 than do

heterozygotes or

those who are homozygous for the C allele (48). In

turn, serum levels

of CD14 (which

could mediate LPS interaction with APCs) have a

significant positive

correlation with

interferon- and a negative correlation with IL-4 (48).

This

observation supports the

hypothesis that an imbalance between Th1 and Th2

influences the

development of atopic

disease

Superimposed on any genetic predisposition that may

exist is the role

of environmental

influences that might induce either Th1 responses

(certain

immunizations such as BCG,

bacterial infections and stimuli, and colonization

with bacteria) or

Th2 responses (early

exposure to allergens, especially food allergens and

indoor

aeroallergens). Other

influences may be important as well, including

toxicological stimuli

that may shift the

immune response toward a Th2 response. Another

important question is

if the timing of

exposure to potential environmental stresses is

important in

subsequent postnatal

_expression of an atopic/asthmatic phenotype (Table

2). Other than

carrying genes that

predispose an individual to developing atopic

responses,

preconceptional exposure of

parents to environmental factors is unlikely to be an

important

window of exposure for the

development of atopy in subsequent offspring.

However, it is likely that an even more important

window of exposure

for the impact of

environmental agents is during the first year of life.

This could

include allergen exposure

(food and airborne), natural or vaccine stimulation of

Th1 responses,

and the potential for

agents such as PAH to modify Th1 or Th2 responses

during this period.

Several studies

indicate that the risk of developing atopic disease

and maintaining

it throughout life is

greatest if it occurs during the first year of life.

Many atopic infants lose a significant degree of

atopic _expression

from 2 to 5 years of age

and it is a well-recognized phenomenon that children

may grow out of

asthma by puberty.

It is interesting that one of the hallmark features of

Th1 immune

maturation is an ability to

mount an adequate IgG response to polysaccharide

antigens, usually

occurring by 2 years

of age. This suggests that avoidance of pro-Th2

environmental

stressors (allergen

avoidance and the avoidance of environmental adjuvants

of Th2

responses such as diesel

exhaust and ETS) during the toddler years is

important. Also, it

suggests that potentially

inappropriate removal of Th1 stimuli (such as gut

flora), perhaps by

the inappropriate use

of antibiotics, might also promote persistence of

atopy.

Although unique and very strong environmental

exposures might induce

allergy during

adulthood, this is relatively rare. The best examples

of such adult-

onset allergies are

occupational diseases, some of which are " typical "

Th2-based IgE

responses to naturally

presented antigens, whereas others are unique

sensitizing agents that

cause

immunologically unique disorders. Taken together, it

seems that the

exposures to

environmental stressors during the perinatal,

neonatal, and toddler

years are of the most

importance. Likewise, maternal rather than paternal

influences during

perinatal life could be significant. Environmental

stresses that

support Th2 inflammation are obviously

important. However, the impact of stresses that

decrease Th1

responses (including the

production of interferon- and IL-12) cannot be

ignored.

Finally, better understanding of the molecular basis

for the

development of atopy,

including production of relevant cytokines and their

receptors,

antigen presentation, T-cell

influence on B-cell function and direct alteration of

B-cell

function, are essential to

appropriately identify immune processes that may be

targets for the

action of known and

as yet unappreciated environmental agents which

influence the

development of atopy and

asthma in susceptible people.

This article has been edited. For full article please

see;

http://ehpnet1.niehs.nih.gov/members/2000/suppl-3/475-482peden/peden-

full.html

TI: Mestnye privivichnye reaktsii i tuberkulinovaia

allergiia u detei

posle

vnutrikozhnoi vaktsinatsii BTsZh

[Local reaction and tuberculin allergy in children

after intradermal

BCG

vaccination]

AU: Rostomashvili,-S-G

SO: Probl-Tuberk. 1974; 65(4): 7-10

JN: Problemy-tuberkuleza

IS: 0032-9533

LA: Russian; Non-English

AN: 74251566

TI: Dynamika alergii poszczepiennej BCG i zwiazanego z

nia mechanizmu

obronnego.

[Evolution of BCG post-vaccination allergy and related

defense

mechanisms]

AU: Norska,-I

SO: Gruzlica. 1966 Feb; 34(2): 121-9

JN: Gruzlica-i-choroby-pluc

IS: 0017-4955

LA: Polish; Non-English

AN: 66163296

TI: Alergia poszczepienna u dzieci szkolnych

szczepionych dawka 0,05

mg i

dawka 0,1 mg BCG Moreau.

[Postvaccination allergy in school children vaccinated

with 0.05 mg

and with

0.1 mg of BCG Moreau vaccine]

AU: Krzyszkowska,-A

SO: Gruzlica. 1965 Jun; 33(6): 471-5

JN: Gruzlica-i-choroby-pluc

IS: 0017-4955

LA: Polish; Non-English

AN: 66030658

TI: BCG et surveillance de l'allergie post-vaccinale:

constat d'echec?

[bCG and the monitoring of post-vaccinal allergy: a

proven failure?]

AU: de-Cornulier,-M; Picherot,-G

SO: Arch-Fr-Pediatr. 1989 Oct; 46(8): 628

JN: Archives-francaises-de-pediatrie

IS: 0003-9764

LA: French; Non-English

AN: 90103784

Abstract <A

HREF= " http://www2.us.elsevierhealth.com/scripts/om.dll/#top " >

TOP

</A>

We report the case of a 2-year-old boy with juvenile

sarcoidosis, in whom the

cutaneous lesions first arose at the site of and soon

after a BCG

vaccination. Juvenile sarcoidosis is rare, and the

pattern of clinical

features is distinct from the adult form of

sarcoidosis, possibly related to

immunologic development. The cause of sarcoidosis is

unknown, although there

is much interest in the possibility of mycobacterial

species operating as

antigenic stimuli to initiate the disease. This case

suggests that the

Mycobacterium bovis present in the BGC vaccination may

have been

etiologically important in the development of

sarcoidosis. (J Am Acad

Dermatol 2003;48:S99-102.)

Publishing and Reprint Information <A

HREF= " http://www2.us.elsevierhealth.com/scripts/om.dll/#top " >

TOP </A>

This supplement is made possible through an

unrestricted education grant from

Stiefel Laboratories to the American Academy of

Dermatology.

From the Department of Dermatology, Imperial College

School of Medicine,

Chelsea and Westminster Hospital.

Reprint requests: Dr G. E. N. Osborne, Specialist

Registrar in Dermatology,

St 's Institute of Dermatology, St '

Hospital, Lambeth Palace Road,

London, SE1 7EH, United Kingdom.

Copyright © 2003 by the American Academy of

Dermatology, Inc.

0190-9622/2003/$30.00 + 0

doi:10.1067/mjd.2003.158

A DGReview of :<A

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256CD9004D6914 & u=http://jama.ama-assn.org/cgi/content/abstract/289/8/1012 & ref=/n\

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2F2F3E852568C000807CA5 & c=Vaccinology & count=10 " > " BCG

Vaccination and Risk of

Atopy " </A>

Journal of the American Medical Association (JAMA)

02/27/2003

By Elda Hauschildt

Infants who receive Bacille Calmettee Guerin (BCG)

vaccination do not

experience a reduction in risk of developing atopy,

research in Greenland

indicates.

Until 1990, BCG vaccination was given routinely to

newborns in Greenland but

the procedure was withdrawn in 1990/1991. Because of

local outbreaks of

tuberculosis, however, it was re-introduced in 1997

and administered to

newborns in the routine vaccination program.

Investigators from the Statens Serum Institut in

Copenhagen, Denmark, and

Sisimiut Hospital in Sisimiut, Greenland, studied BCG-

vaccinated children

and unvaccinated children from the northwest coast of

Greenland. " No

significant differences in the risk of atopy was found

according to age at

BCG vaccination, " they say. " Overall, these results do

not support the

hypothesis that BCG vaccination has a protective

effect on the development of

atopy. "

The cross-sectional study included 1,686 children

(79%) living in the towns

of Sisimiut, Ilulissat, Aasiaat and Maniitsoq. These

towns have a similar

number of inhabitants (3,500 to 5,200) and similar

climate, infrastructure

and living conditions. Complete information on

vaccination status was found

for 1,575 of the children.

Participants were aged 8 to 16 years. Blood samples

were drawn and BCG

vaccination information obtained during two periods,

November 1998 and

November 2001. Atopy was defined as a positive result

in an assay testing for

immunoglobin E (IgE) specific against the most common

inhalant allergens.

The investigators say they that cannot say the effect

of BCG vaccination will

be the same in populations with other genetic

constitutions. Almost all of

the Greenland children studied were born there, and

Greenland has a large

Inuit population. " Furthermore, our primary focus was

on the effect of early

BCG vaccination. Thus, we had limited data regarding

children vaccinated at

ages outside the general recommendations. "

JAMA, 2003;289:1012-1015.

& u=/news/content.nsf/PaperFrameSet?OpenForm & id=03E05ADF052F2F3E852568C000807CA5 & \

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newsid=8525697700573E1885256CD9004D6914 & u=http://jama.ama-assn.org/cgi/content/a\

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bstract/289/8/1012 & ref=/news/content.nsf/news/8525697700573E1885256CD9004D6914?O\

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penDocument & id=03E05ADF052F2F3E852568C000807CA5 & c=Vaccinology & count=10 " > " BCG

Vaccination and Risk of Atopy " </A>

=====

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