RELATIONSHIP BETWEEN TUBERCULIN REACTION AND FERNANDEZ'S REACTION AMONG GENERAL POPULATION:Report II: Results obtained in the inhabitants of remote islands
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Tuberculin reaction and Fernandez's reaction were compared on the inhabitants of four towns (O, T, S and K) of remote islands on the occasion of tuberculosis prevalence survey, carried out yearly from 1960 to 1964.<BR>The total number examined was 18, 391 and BCG vaccination has been conducted to certain, extent on persons 7 to 15 years old in these several years.<BR>Results obtained were as follows:<BR>1) Tuberculin positive rate was 50. 1% in T, 63.6% in 0, 39.8% in S and 65.3% in K, respectively, while that of Fernandez's reaction was 38.9% in T, 35. 2% in O, 20.8% in S and 27.9% in K, respectively. Positive rates of Fernandez's reaction in all towns were obviously lower than those of tuberculin reaction. And no obvious relationship was observed between the differences of positive rates of Fernandez's reaction among these four towns and those of the tuberculin reaction.<BR>2) Tuberculin positive rate in female was nearly the same or a little lower than that in male, whereas that of Fernandez's reaction was generally lower in female than in male. The positive rates to both antigens, tuberculin and Dharmendra's, were about the same in both sex up to the age of 20 years old, but thereafter, those of female became lower than the male.<BR>3) Frequency distribution curves of the positive rate of Fernandez's reaction were quite similar in four towns showing bimodal distribution curves with two peaks at the age groups of 15-19 and about 40 years old. Tuberculin positive rates in four towns also resembled each other and bimodally distributed, but the first peak at the age group of 15-19 was small and the second peak was high and big.<BR>No difference was observed between the positive rates of these two reactions up to 15 years Old, but in the age groups more than 20 years the difference between these two reactions increased resulting in the obviously low positive rate of Fernandez's reaction.<BR>Referring to the tuberculin positive rate and the BCG vaccination program hitherto been carried out in these towns, it can be said that the first peak at 15-19 age group in Fernandez's reaction curve is affected largely by the BCG vaccination and that the second peak at about 40 years old is, on the contraly, due to tuberculous infection.<BR>4) The size of both reactions did not show close correlation in 4 towns. Positive rate of Fernandez's reaction among the tuberculin positive persons was 62.8% in T, 47.9% in O, 43.0% in S and 38.6% in K, respectively. And it was higher in the age group of 7-15 years old, more than half of which were BCG vaccinated, than in that of 30-69 years old, of which majority was tuberculous infected, regardless to the intensity of tuberculin reaction. From these results it can be said that the higher positive rate to Fernandez's antigen is observed among BCG vaccinated than among persons naturally infected by tuberculosis.<BR>5) Positive rate of Fernandez's reaction among tuberculin negative persons was 9.1% in T, 9.5% in O, 4.9% in S and 6.1% in K, respectively, and was higher than that of S-village (1.5%) in the first report. Positive rate of Fernandez's reactions among population of more than 30 years old, in which no affect of BCG vaccination was seen, was 19.2% in T, 9.8% in 0, 9.5% in S and 5.2% in K, respectively. These figures are higher than that of S-village (4.1%) in the first report.<BR>The fact that the difference of positive rates of Fernandez's reaction among tuberculin negative persons in these 4 towns showed close correlation with the prevalence of leprosy in these 4 towns, suggests that positive rate of Fernandez's reaction among the BCG unvaccinated tuberculin negative population may be used to a certain extent to estimate the prevalence of leprosy in certain district.
- 一般社団法人 日本結核病学会の論文
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