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Prevalence of tuberculosis infection in Melbourne secondary school students
Author(s) -
Johnson Paul D R,
Carlin John B,
Bennett Catherine M,
Hulls Jane,
Nolan Terry M,
Phelan Peter D,
Starr Michael
Publication year - 1998
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1998.tb126742.x
Subject(s) - medicine , tuberculosis , demography , vaccination , asymptomatic , mantoux test , place of birth , pediatrics , environmental health , immunology , surgery , tuberculin , population , pathology , sociology
Objective To estimate the prevalence of asymptomatic Mycobacterium tuberculosis infection in Melbourne secondary school students. Design Cross‐sectional Mantoux testing of a partly random and partly targeted sample of secondary school students, designed to enable estimation of prevalence by region of birth. Setting Fifty‐one State and Catholic secondary schools in metropolitan Melbourne during 1995. Participants Australian and overseas‐born students in Years 9 and 10. Outcome measures Proportions of students with positive Mantoux reactions (defined as induration at 48 hours of 3= 5 mm with a history of recent exposure; 3= 10 mm and no prior BCG vaccination; 15 mm and prior BCG vaccination). Results Of 2586 students potentially eligible for testing, evaluable results were obtained from 1274 (49%). The overall prevalence of infection for Melbourne students in Years 9 and 10 was 2.5% (95% CI, 1.1‐3.9%). Main predictors of a positive test were birth overseas and number of years residing overseas. Prevalence varied considerably by region of birth, and was very low in students born in Australia (0.7%), “other developed countries” (0.7%), and Southern Europe (0). The highest rates were observed in students born in Indochina (15.9%), other countries in South East Asia (10.2%), and Eastern Europe (10.2%). Conclusions The risk of a young person becoming infected with M. tuberculosis while living in Melbourne is very low. Our results do not indicate a need for the reintroduction of mass screening in Victorian schools. If targeted screening were to be considered, the group most likely to benefit would be recently arrived migrants from Indochina.