Tuberculosis in Children and BCG Vaccination in North Sumatra

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Jo Kian Tjay
Robencius Saragih
Sahat Halim
Tjut Irawati
P. Harnopidjati
S.M. Manoeroeng
M.V.O. Sitompul


Data of child tuberculosis, clinical visits and those who were treated in the three hospitals, visits to the 6 public health centers (Puskesmas) and figures of BCG immunization in the North Sumatra Province were presented.

Although the tuberculin index in children in Medan (1965) was lower than that in Java (BCG Mass Campaign, 1954 - 1964), primary tuberculosis patients treated in the General Hospital (RSUPP) constituted 1.14% of the total patients admitted to the hospital in 1963 - 1972, whereas in the ”PNP IX” hospital it was 0.84%. From a survey of families (1962 - 1969) it revealed that infection in the families was ± 50%. While 76.1% of the meningitis patients were under the age of 4 years. From a survey of 6 public health centers we found through a Pilot Project that 1.02% patients had a positive sputum. The above mentioned figures gave the indication that BCG immunization had to be performed in children under the age of 4 years. However, the figures of the BCG campaign (1970 - 1973) at the above mentioned Pilot Project revealed that coverage in the under 5 - years - old age was 20.5%, whereas in the 5 - 14 years age group it was 49.2%.

In practice the realization of massal BCG immunization was certainly the simplest with school age children who were already grouped and registered; nevertheless, partly of them hai already got infected and had been released from tuberculous meningitis complication. BCG immunization as mentioned above (probably it was also given mother areas in Indonesia) did obviously not reach its right target.

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How to Cite
Tjay J, Saragih R, Halim S, Irawati T, Harnopidjati P, Manoeroeng S, Sitompul M. Tuberculosis in Children and BCG Vaccination in North Sumatra. PI [Internet]. 29May2017 [cited 18Oct.2019];15(11-12):303-4. Available from:
Received 2017-05-29
Accepted 2017-05-29
Published 2017-05-29



GUNARDI, A.S. : Dasar-dasar pemberantasan penyakit Tbc paru-paru. Newsletter PPTI th. IV hal. 9 - 10 April 1974.

JO KIAN TJAY : Pidato pengukuhan guru besar dalam Ilmu Kesehatan Anak, Fakultas Kedokteran Universitas Sumatra Utara, 1965.

JO KIAN TJAY, P. HARNOPIDJATI dan SYARIKAT TARIGAN : Meningitis tuberculosis pada anak di tiga rumah sakit di Medan. Seminar Tuberculosis yang diselenggarakan oleh Panitia Peningkatan Ilmu Fak. Ked. USU Medan, Agustus 1971.

JO KIAN TJAY, T. IRAWATI, S. HALIM, SYARIKAT TARIGAN dan H.R. SOEROSO : Epidemiologi primer tbc pada anak di Medan. Seminar Tuberculosis yang diselenggarakan oleh Panitia Peningkatan Ilmu Fak. Ked. USU Medan, Agustus 1971.

KALIGIS, A.J.J. : Produksi BCG vaksin (Komunikasi pribadi, 30 April 1974).

LOTTE, A. : Tuberculosis in children. A cooperative study in Europe, Newsletter PPTI th. HI, No. 10 (June & July 1973).

MORRISON, J.B. : Natural history of segmental lesion in primary pulmonary tuberculosis. Arch. Dis. Childh. 48 : 90 - 98 (1973).

POEY SENG HIN : Kwashiorkor di Jakarta dan sekitarnya (Thesis, Universitas Indonesia, Jakarta 1956).

PPTI : Kongres I Jakarta Juli 1973.

SOEJONO D. POESPONEGORO dan JO KIAN TJAY : Tuberculosis Primair pada anak, Maj. Kedokt. Indones. 8 : 91 (1958).

SUHAIMI HARUN T, : Setahun Pilot Proyek TB. Kontrol di Puskesmas Stabat Sumatra jUtara. Newsletter PPTI th. III No. 5 Jan. 1973.

SULASTOMO : Pusat Kesehatan Masyarakat dalam pemberantasan TBC. Newsletter PPTI th. IV |No. 1 hal 16 - 18.

TATSURO IWASAKI : Tuberculosis problem in Asian Countries. Newsletter PPTI th. IV No. 1, 3, 4, 5.

TOMAN, K. The present status of technical knowledge concerning Immunization against tuberculosis, Boletin de la OSP. Vol. VH No. 2, 1973 (English Edition).