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Interventions for Tuberculosis Control and Elimination 2002

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Incidence per 10,000<br />

70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

Other factors<br />

Reacting to<br />

100 TU only<br />

Tuberculin<br />

negative<br />

0.0 2.5 5.0 7.5 10.0 12.5 15.0 17.5 20.0<br />

Year of follow-up<br />

Figure 72. Risk of tuberculosis during follow-up of British school children, by initial<br />

tuberculin skin test reaction size, among placebo recipients, BCG trial, Great<br />

Britain. 776<br />

Incidence per 10,000<br />

80<br />

70<br />

50<br />

0<br />

-100<br />

Reacting to<br />

100 TU only<br />

BCG vaccinated<br />

0.0 2.5 5.0 7.5 10.0 12.5 15.0 17.5 20.0<br />

Year of follow-up<br />

Figure 73. Comparative protection from BCG vaccination <strong>and</strong> presumed infection<br />

with environmental mycobacteria among British school children during follow-up. 776<br />

It has been suggested that infestation with parasites, in particular with<br />

helminths, may affect the human T cell immune responses to mycobacterial<br />

antigens. 836 Treatment of helminths resulted in significant improvement<br />

121

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