recognition of bcg scars
DESCRIPTION
Recognition of BCG Scars. Dr. Earl Hershfield Ms. Barbara Roche Tuberculosis Research Unit University of Manitoba, 2004. BCG Vaccine Usage. International (current): http://www.who.int/immunization_monitoring/en/globalsummary/timeseries/tscoveragebcg.htm - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/1.jpg)
Recognition of BCG Scars
Dr. Earl HershfieldMs. Barbara Roche
Tuberculosis Research UnitUniversity of Manitoba, 2004
![Page 2: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/2.jpg)
2
• International (current): http://www.who.int/immunization_monitoring/en/globalsummary/timeseries/tscoveragebcg.htm
• Canada (current and historical): http://www.phac-aspc.gc.ca/tbpc-latb/index.html
BCG Vaccine Usage
![Page 3: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/3.jpg)
3
Distinguishing a BCG scarfrom a Smallpox scar
BCG Scar Classic Features
• Raised centre
• Left upper arm or, much less commonly, on thigh or forearm
Smallpox Scar Classic Features
• Depressed with radiating lines to edges
• Routine use stopped in the late 1970’s
![Page 4: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/4.jpg)
4
• 37 years old
• Black
• Female
• Born in Rwanda in 1965
• Left deltoid
BCG
Smallpox
![Page 5: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/5.jpg)
5
• 37 years old
• Black• Female• Born in
Rwanda in 1965
• Left deltoid
BCG
Smallpox
![Page 6: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/6.jpg)
6
• 44 years old• Caucasian• Female• Born in
Montreal in 1958
• Lived in Spain 1962-66 and
1976-81• Graduated as a
nurse in Manitoba, 1983
BCG
![Page 7: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/7.jpg)
7
• 44 years old• Caucasian• Female• Born in Montreal
in 1958• Lived in Spain
1962-66 and 1976-81
• Graduated as a nurse in Manitoba, 1983
BCG
![Page 8: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/8.jpg)
8
• 32 years old• Asian• Female• Born in the
Philippines in 1970
• Left deltoid
BCGBCG
![Page 9: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/9.jpg)
9
• 32 years old
• Asian• Female• Born in the
Philippines in 1970
• Left deltoid
BCG
![Page 10: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/10.jpg)
10
• 13 years old
• Male
• Born in Iraq in 1990
• Left deltoid
BCG
![Page 11: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/11.jpg)
11
• 13 years old• Male• Born in Iraq in
1990• Left deltoid
BCG
![Page 12: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/12.jpg)
12
• 46 years old• Female• Born in
Trinidad in 1956
• Left upper arm and shoulder
BCG
Smallpox
![Page 13: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/13.jpg)
13
• 46 years old
• Female
• Born in Trinidad in 1956
• Left upper arm and shoulder
BCG
![Page 14: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/14.jpg)
14
• 18 years old
• Asian• Female• Born in the
Philippines in 1984
• Left deltoidBCGBCG
![Page 15: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/15.jpg)
15
• 60 years old
• Asian
• Male
• Born in the Philippines in 1943
• Left deltoidBCG
![Page 16: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/16.jpg)
16
• 60 years old
• Asian
• Male
• Born in the Philippines in 1943
• Left deltoid
BCG
![Page 17: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/17.jpg)
17
• 38 years old
• Male• Born in
Kerala State, India in 1965
• Left arm
BCG
Smallpox
![Page 18: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/18.jpg)
18
• 38 years old
• Male
• Born in Kerala State, India in 1965
• Left arm
BCG
![Page 19: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/19.jpg)
19
• 38 years old
• Male
• Born in Kerala State, India in 1965
• Left arm
Smallpox
![Page 20: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/20.jpg)
20
• 38 years old
• Caucasian• Female• Born in
Winnipeg, Manitoba
• Health care worker
• Received BCG vaccine in 1983
• Left deltoid
BCG
Smallpox
![Page 21: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/21.jpg)
21
• 55 years old• Caucasian• Female• Born in
Hungary in 1947
• Left deltoid
Smallpox
![Page 22: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/22.jpg)
22
• 26 years old
• Black
• Male
• Born in Sierra Leone in 1976
• Right arm
SMALLPOX
BCG
BCG
![Page 23: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/23.jpg)
23
• 26 years old• Black• Male• Born in
Sierra Leone in 1976
• Right armSmallpox
BCG
![Page 24: Recognition of BCG Scars](https://reader035.vdocuments.net/reader035/viewer/2022062314/56812ced550346895d91b2b0/html5/thumbnails/24.jpg)
24
And once again…Distinguishing a BCG scar
from a Smallpox scar
BCG Scar Classic Features
• Raised centre
• Left upper arm or, much less commonly, on thigh or forearm
Smallpox Scar Classic Features
• Depressed with radiating lines to edges
• Routine use stopped in the late 1970’s