MANUEL ENRIQUE ACOSTA MEZA, UMF 27 IMSS, Tijuana, B.C. México
29 September 2008
I found your report interesting, since in the world many countries, tuberculosis still is a very serious public health issue. It is important to share that in the experience of my country (Mexico), the cases of extra pulmonary tuberculoses have been dramatically reduced, in spite of having specific regions with high incidence of pulmonary cases. This has been possible thanks to the national program of universal vaccination with a very high coverage in children. Especially due to the Neonatal BCG vaccination. that reduces the risk of tuberculosis and provides protection higher than 80%, against the development of meningeal and miliary tuberculosis in newborns. Our experience is similar to countries with high and moderate incidence of tuberculosis, in witch prevention from the most severe complications of tuberculosis can be achieved only with a high coverage of the universal BCG neonatal immunization, higher than 98%.
Mexico´s experience reducing extrapulmonary tuberculosis
29 September 2008
I found your report interesting, since in the world many countries, tuberculosis still is a very serious public health issue. It is important to share that in the experience of my country (Mexico), the cases of extra pulmonary tuberculoses have been dramatically reduced, in spite of having specific regions with high incidence of pulmonary cases. This has been possible thanks to the national program of universal vaccination with a very high coverage in children. Especially due to the Neonatal BCG vaccination. that reduces the risk of tuberculosis and provides protection higher than 80%, against the development of meningeal and miliary tuberculosis in newborns. Our experience is similar to countries with high and moderate incidence of tuberculosis, in witch prevention from the most severe complications of tuberculosis can be achieved only with a high coverage of the universal BCG neonatal immunization, higher than 98%.
Competing interests
Competing interest none