Recognition of BCG Scars

Recognition of BCG ScarsDr. Earl HershfieldMs. Barbara Roche

Tuberculosis Research UnitUniversity of Manitoba, 2004

BCG Vaccine UsageInternational (current): http://www.who.int/immunization_monitoring/en/globalsummary/timeseries/tscoveragebcg.htmCanada (current and historical): http://www.phac-aspc.gc.ca/tbpc-latb/index.html

Distinguishing a BCG scarfrom a Smallpox scarBCG Scar Classic Features

Raised centre

Left upper arm or, much less commonly, on thigh or forearmSmallpox Scar Classic Features

Depressed with radiating lines to edges

Routine use stopped in the late 1970s

Smallpox37 years oldBlackFemaleBorn in Rwanda in 1965Left deltoidBCG

37 years oldBlackFemaleBorn in Rwanda in 1965Left deltoid

BCGSmallpox

44 years oldCaucasianFemaleBorn in Montreal in 1958Lived in Spain 1962-66 and 1976-81Graduated as a nurse in Manitoba, 1983

BCG

BCG44 years oldCaucasianFemaleBorn in Montreal in 1958Lived in Spain 1962-66 and 1976-81Graduated as a nurse in Manitoba, 1983

BCG32 years oldAsianFemaleBorn in the Philippines in 1970Left deltoidBCG

BCG32 years oldAsianFemaleBorn in the Philippines in 1970Left deltoid

BCG13 years oldMaleBorn in Iraq in 1990Left deltoid

BCG

13 years oldMaleBorn in Iraq in 1990Left deltoid

BCG

46 years oldFemaleBorn in Trinidad in 1956Left upper arm and shoulderSmallpox

46 years oldFemaleBorn in Trinidad in 1956Left upper arm and shoulderBCG

BCG

18 years oldAsianFemaleBorn in the Philippines in 1984Left deltoidBCG

60 years oldAsianMaleBorn in the Philippines in 1943Left deltoidBCG

60 years oldAsianMaleBorn in the Philippines in 1943Left deltoidBCG

BCG38 years oldMaleBorn in Kerala State, India in 1965Left arm

Smallpox

38 years oldMaleBorn in Kerala State, India in 1965Left arm

BCG

38 years oldMaleBorn in Kerala State, India in 1965Left armSmallpox

38 years oldCaucasianFemaleBorn in Winnipeg, ManitobaHealth care workerReceived BCG vaccine in 1983Left deltoidBCGSmallpox

55 years oldCaucasianFemaleBorn in Hungary in 1947Left deltoidSmallpox

BCG26 years oldBlackMaleBorn in Sierra Leone in 1976Right armSMALLPOXBCG

26 years oldBlackMaleBorn in Sierra Leone in 1976Right arm

SmallpoxBCG

And once againDistinguishing a BCG scarfrom a Smallpox scarBCG Scar Classic Features

Raised centre

Left upper arm or, much less commonly, on thigh or forearmSmallpox Scar Classic Features

Depressed with radiating lines to edges

Routine use stopped in the late 1970s

Born Montreal, QuebecLived SpainLeft upper armBorn Montreal QuebecLeft upper armBorn PhilippinesLeft upper armAge 32D.O.B 08.26.1970Smallpox Scar

CaucasianFemaleBorn: Hungary 1947Age: 55

Health Care Worker