Greenwich Community Health Services Information for parents, carers and patients on the BCG vaccine Vaccination against tuberculosis ( TB) August 2011 www.oxleas.nhs.uk Are there any side effects? Side effects for the BCG vaccination are uncommon but may include a reaction at the site of the injection (such as an ulcer) or swollen neck glands. These should not require any treatment, but if in doubt please contact your GP or Health Visitor for further advice. Where do I go for the BCG vaccination? If you are eligible, the vaccine will be offered through your health visitor, part of Greenwich Community Health Services, run by Oxleas NHS Foundation Trust. If you have any questions you may like to write them down before your appointment and keep them handy. The TB service only offer BCG vaccination for those who have been in contact with TB. Your opinion matters Oxleas NHS Foundation Trust is committed to providing the highest standards of care, so we welcome your views on the services we provide. If you would like to comment, make a suggestion or make a complaint, please speak to the person you normally see or ask to speak to the team manager.You may also like to speak to our Patient Advice and Liaison Service (PALS) by ringing the freephone number on 0800 917 7159. Confidentiality All our staff are required to abide by a strict code of conduct on confidentiality. We will only share information with those who need to know to provide good quality care. Occasionally there may be exceptions to this, for example to support a clinical audit or monitor quality of care. We will usually discuss this with you beforehand. How to find TB Services Level 2, Brook House, Queen Elizabeth Hospital Stadium Road, London SE18 4QH Tel: 020 8836 4815
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BCG protection against TB 4ppexternal_Layout 1Vaccination against
tuberculosis (TB)
August 2011
Side effects for the BCG vaccination are uncommon but may
include a reaction at the site of the injection (such as an ulcer) or
swollen neck glands. These should not require any treatment, but if
in doubt please contact your GP or Health Visitor for further advice.
Where do I go for the BCG vaccination?
If you are eligible, the vaccine will be offered through your health
visitor, part of Greenwich Community Health Services, run by Oxleas
NHS Foundation Trust. If you have any questions you may like to write
them down before your appointment and keep them handy. The TB
service only offer BCG vaccination for those who have been in contact
with TB.
Your opinion matters
Oxleas NHS Foundation Trust is committed to providing the highest standards of care, so we welcome your views on the services we provide. If you would like to comment, make a suggestion or make a complaint, please speak to the person you normally see or ask to speak to the team manager.You may also like to speak to our Patient Advice and Liaison Service (PALS) by ringing the freephone number on 0800 917 7159.
Confidentiality
All our staff are required to abide by a strict code of conduct on
confidentiality. We will only share information with those who need
to know to provide good quality care. Occasionally there may be
exceptions to this, for example to support a clinical audit or monitor
quality of care. We will usually discuss this with you beforehand.
How to find TB Services
Level 2, Brook House, Queen Elizabeth Hospital Stadium Road,
London SE18 4QH Tel: 020 8836 4815
Who is not suitable to get the BCG vaccination?
The BCG vaccination will not be given to anyone who is or has:
A previous or current history of TB
Positive Mantoux Test
HIV Positive or whose mother is HIV Positive
Receiving treatment which lowers the level of protection given
by their immune system ie high dose of steroids or
immunosuppressants
Your baby can start their routine immunisation for Diphtheria,
Tetanus, Pertusis, Polio, HIB and Meningitis C at two months of age
regardless of when they have their BCG.
How is the BCG vaccination given?
The BCG vaccination is given in the upper left arm. This arm
must not be used for any further injection for at least three months
after the BCG has been given. BCG may be given at the same time as
another live vaccine, however, if they are not given at the same time, a
delay of four weeks is recommended between two live vaccines.
What to expect after the vaccination
A normal reaction after the BCG vaccination is the appearance of a
small spot at the site of the injection. It is unlikely you will feel unwell
or feverish. Within two - three weeks, the area may ooze slightly and
a scab will form over. This generally results in a small characteristic
scar after six - eight weeks.
2 3
What is Tuberculosis or TB?
Tuberculosis is a bacterial infection mostly found in the lungs, but it
can affect any part of the body such as the bones, lymph nodes and
the brain. It is only infectious when found in the lungs.
What is the BCG vaccine?
The Bacillus Calmette-Guerin (BCG) vaccination is an injection which is given to protect against tuberculosis (TB). It offers 70-85% protection against TB. It can also prevent more serious forms of TB in children, such as TB Meningitis.
Who should get the BCG vaccine?
The vaccine is no longer offered routinely to pupils in secondary
schools.
It has been replaced with a targeted programme for babies, children
and young adults at higher risk of contracting TB. This includes:
Babies living in areas where there is a high rate of TB -
areas where the incidence of TB is 40 or more cases
per 100,000 people per year
Babies (and children who have not previously been
immunised) whose parents or grandparents have lived in a
country where the incidence of TB is 40 or more cases per
100,000 people per year.
As there have been more than 40 cases reported per 100,000
people in the Borough of Greenwich, babies born and/or living
in this area will receive the BCG vaccination.
Adult BCG vaccination
Adults and children over six years old will require the Mantoux test
before being given the BCG vaccine to ensure the BCG is needed.
This is a skin test to detect whether a person has had contact with
bacteria that cause tuberculosis. You must return to have the results
tuberculosis (TB)
August 2011
Side effects for the BCG vaccination are uncommon but may
include a reaction at the site of the injection (such as an ulcer) or
swollen neck glands. These should not require any treatment, but if
in doubt please contact your GP or Health Visitor for further advice.
Where do I go for the BCG vaccination?
If you are eligible, the vaccine will be offered through your health
visitor, part of Greenwich Community Health Services, run by Oxleas
NHS Foundation Trust. If you have any questions you may like to write
them down before your appointment and keep them handy. The TB
service only offer BCG vaccination for those who have been in contact
with TB.
Your opinion matters
Oxleas NHS Foundation Trust is committed to providing the highest standards of care, so we welcome your views on the services we provide. If you would like to comment, make a suggestion or make a complaint, please speak to the person you normally see or ask to speak to the team manager.You may also like to speak to our Patient Advice and Liaison Service (PALS) by ringing the freephone number on 0800 917 7159.
Confidentiality
All our staff are required to abide by a strict code of conduct on
confidentiality. We will only share information with those who need
to know to provide good quality care. Occasionally there may be
exceptions to this, for example to support a clinical audit or monitor
quality of care. We will usually discuss this with you beforehand.
How to find TB Services
Level 2, Brook House, Queen Elizabeth Hospital Stadium Road,
London SE18 4QH Tel: 020 8836 4815
Who is not suitable to get the BCG vaccination?
The BCG vaccination will not be given to anyone who is or has:
A previous or current history of TB
Positive Mantoux Test
HIV Positive or whose mother is HIV Positive
Receiving treatment which lowers the level of protection given
by their immune system ie high dose of steroids or
immunosuppressants
Your baby can start their routine immunisation for Diphtheria,
Tetanus, Pertusis, Polio, HIB and Meningitis C at two months of age
regardless of when they have their BCG.
How is the BCG vaccination given?
The BCG vaccination is given in the upper left arm. This arm
must not be used for any further injection for at least three months
after the BCG has been given. BCG may be given at the same time as
another live vaccine, however, if they are not given at the same time, a
delay of four weeks is recommended between two live vaccines.
What to expect after the vaccination
A normal reaction after the BCG vaccination is the appearance of a
small spot at the site of the injection. It is unlikely you will feel unwell
or feverish. Within two - three weeks, the area may ooze slightly and
a scab will form over. This generally results in a small characteristic
scar after six - eight weeks.
2 3
What is Tuberculosis or TB?
Tuberculosis is a bacterial infection mostly found in the lungs, but it
can affect any part of the body such as the bones, lymph nodes and
the brain. It is only infectious when found in the lungs.
What is the BCG vaccine?
The Bacillus Calmette-Guerin (BCG) vaccination is an injection which is given to protect against tuberculosis (TB). It offers 70-85% protection against TB. It can also prevent more serious forms of TB in children, such as TB Meningitis.
Who should get the BCG vaccine?
The vaccine is no longer offered routinely to pupils in secondary
schools.
It has been replaced with a targeted programme for babies, children
and young adults at higher risk of contracting TB. This includes:
Babies living in areas where there is a high rate of TB -
areas where the incidence of TB is 40 or more cases
per 100,000 people per year
Babies (and children who have not previously been
immunised) whose parents or grandparents have lived in a
country where the incidence of TB is 40 or more cases per
100,000 people per year.
As there have been more than 40 cases reported per 100,000
people in the Borough of Greenwich, babies born and/or living
in this area will receive the BCG vaccination.
Adult BCG vaccination
Adults and children over six years old will require the Mantoux test
before being given the BCG vaccine to ensure the BCG is needed.
This is a skin test to detect whether a person has had contact with
bacteria that cause tuberculosis. You must return to have the results
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