Who should be given BCG at birth?
At risk groups:
• Communities with relatively high prevalence of TB i.e. Asian or African
• TB in family member in previous five years
• If local area has high prevalence
To whom should BCG not be given? Why?
HIV positive or any other immunosuppressed children
Risk of dissemination
What should be done once child diagnosed with TB?
Screen other family members - most children infected from household contact