Abstract
Tuberculosis (TB) is now an uncommon disease in the United Kingdom (U.K.) and its overall incidence is declining. However, the incidence of TB in immigrants from India, Pakistan, and Bangladesh (the Indian sub-continent, ISC) is much higher than in the native white population or immigrant groups from other areas, and this is so even for children of ISC ethnic origin born in the U.K. The clinical pattern of the disease also differs, extrapulmonary involvement being commoner in ISC patients than white patients. The epidemiology and management of TB in pediatric patiente of ISC origin is reviewed and reasons for differences from other ethnic groups in the U.K. are discussed.
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References
MRC Tuberculosis and Chest Diseases Unit. National survey of tuberculosis notifications in England and Wales 1978-79.Brit Med J 1980; 281:895–898.
MRC Tuberculosis and Chest Diseases Unit. National survey of notifications of tuberculosis in England and Wales in 1983.Brit Med J 1985; 291:658–661.
McDonald S et al. Tuberculosis in England and Wales in 1988.Thorax 1989; 44:841P-842P.
Sutherland I et al. Changes in tuberculosis notification rates in ethnic groups in England between 1971 and 1978-79.Tubercle 1984; 65:83–91.
MRC Tuberculosis and Chest Diseases Unit. The geographical distribution of tuberculosis notifications in a national survey of England and Wales in 1983.Tubercle 1986; 67:163–178.
MRC Tuberculosis and Chest Diseases Unit. Tuberculosis in children in a national survey of notifications in England and Wales, 1978-79.Arch Dis Child 1982; 57:734–741.
Grenville-Mathers R, Clark J. The development of tuberculosis in Afro-Asian Immigrants.Tubercle 1979; 60: 25–29.
Markey A et al. Suspected cases of pulmonary tuberculosis referred from port of entry into Great Britain, 1980-83.Brit Med J 1986; 292:378.
Innes J. Tuberculosis in Asians.Postgrad Med J 1981; 57: 779–780.
Snell N. BCG vaccine.Postgnid Doctor (Middle East) 1985; 8: 232–236.
Davies P. A possible link between vitamin D deficiency and impaired host defence to mycobacterium tuberculosis.Tubercle 1985; 66: 301–306.
Rook G. The role of vitamin D in tuberculosisAm Rev Respir Dis 1988; 138: 768–770.
Chanarin I, Stephenson E. Vegetarian diet and cobalamin deficiency ; their association with tuberculosis.J Clin Pathol 1988; 41:759–762.
Johnson N et al. Defective yeast opsonisation of serum in tuberculosis.Thorax 1980; 35:523–525.
Yates M et al. The nature of mycobacterial disease in South-East England, 1977-84.J Epidemiol Community Health 1986; 40:295–300.
Davies P. The pattern of tuberculosis in the Indian sub-continent population; evidence for an acquired immunodeficiency?Thorax 1989; 44: 842P.
Ormerod L. Tuberculosis in Blackburn.Resp Dis Practice 1986; 3 (3): 15–22.
Cookson J, Cookson A. Does a positive Heaf test predict later breakdown of pulmonary tuberculosis in Asian school children?Thorax 1990; 45: 334P.
MRC Tuberculosis and Chest Diseases Unit. Management and outcome of chemotherapy for childhood tuberculosis.Arch Dis Child 1989; 64:1004–1012.
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Snell, N.J.C. Pediatric tuberculosis in immigrants to the United Kingdom from the Indian sub-continent. Indian J Pediatr 57, 645–650 (1990). https://doi.org/10.1007/BF02728706
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DOI: https://doi.org/10.1007/BF02728706