Comentariul zilei: HARTI – Unde se face vaccin BCG acolo sunt mai multe cazuri de TBC

Iata comentariul fratelui mircea.v postat la Furtuna din Bucuresti – EXPERIMENT DE PANICARE A POPULATIEI? Cine si de ce a facut-o?.:

Datele si statisticile prezentate in hartile astea – documente oficiale, distrug oficial vaccinarea BCG. Adica, unde sant programe de vaccinare, acolo e si TBC, unde nu sant programe de vaccinare, acolo nu e TBC.
Blocul comunist/sovietic a avut de la inceput vaccinare, au TBC. Romania a inceput in 1928 cu bcg si de atunci tot cu tbc santem. Traia romanul asa rau dpdv alimentar fata de americanul de rand? Eu nu cred, ca taranul nu suferea de foame in gospodaria lui. SUA nu au avut deloc program bcg, si nu au TBC. Aici e vorba de alimentatie, si nu de masini, zgarie nori….

State gen Germania, Danemarca… au avut programe bcg, dar apoi au renuntat la ele. Vaccinistii zic ca au renuntat pt ca au scazut cazurile de TBC si din cauza asta nu a mai fost nevoie. Dar tari ca SUA, Canada (tari cu emigranti….), Italia nu au avut niciodata program bcg si nici nu au TBC. Apoi tari comparabil economic si ca nivel de trai, cele care au program bcg au mai mult TBC decat cele care nu au. Portugalia, Anglia, Japonia au bcg, si au mai mult TBC ca o Spania, Germania, Austria, Italia.

Mai postez aici comentul respectiv:

Cazul TBC si vaccinul BCG in Europa
Mai intai 2 linkuri:

1. despre TBC normal
   http://www.euro.who.int/en/health-topics/communicable-diseases/tuberculosis/data-and-statistics
2. despre TBC rezistent la medicamente, MDR-TB
   http://www.euro.who.int/en/health-topics/communicable-diseases/tuberculosis/data-and-statistics/multidrug-and-extensively-drug-resistant-tb-mxdr-tb
3. Noi santem in categoria 51-100 cazuri TBC la 100.000 de locuitor. Tot aici tarile foste URSS.
   Apoi vin cu 21-50 la 100.000 de locuitori Bulgaria, fosta Yugoslavie, Polonia, o tara baltica.
   Apoi 11-20 Turcia, Albania, Ungaria, Spania, Anglia.
   Sub 10 Grecia, Italia, Austria, Germania, Franta, Tarile Nordice…
   Se observa ca tarile din blocul comunist au cele mai multe cazuri de TBC. Aici vaccinarea BCG a fost obligatorie si s-a facut la noul nascut, si apoi revaccinare la scoala generala, la liceu… Sa fie siguri ca e „ca la carte”. Dupa 1989, inertia sistemului fiind mare, s-a mers pe aceiasi linie in privinta vaccinarii.
   In occident unde nu s-a facut se vede clar diferenta.
   Foarte important, OMS spune ca nu exista un vaccin anti TBC. Nu exista. Deci, varianta ca vaccinam ca sa nu facem TBC cade. Si atunci, cei pro-vaccinare au inceput sa zica: „stai asa ca noi nu facem BCG ca sa nu faci TBC, ci sa faci forme mai usoare, sa lupte organismul mai bine cu TBC-ul”. Altii mai zic ca daca nu faci BCG faci forma MDR-TB (care e super-nenorocita).
   Pai daca ne uitam la linkul 2 vedem ca tarile care au 99% din cazurile de MDR-TB sant tot tarile foste comuniste la care se mai adauga Turcia. Deci, pica si explicatia cu luptatul mai bine, ca tarile astea au si numarul cel mai mare de cazuri de TBC si de MDR-TB. (In principal MDR-TB este datorat intreruperii tratamentului sau a tratamentului gresit.) Forma mai usoare de TBC nu exista, tratamentul e unul singur ca durata si medicamente. Nu exista diferentiere „TBC usor – TBC grav”, exista doar TBC si formele rezistente la medicamentele obisnuite.
   Concluzia e una foarte clara. Unde s-a facut BCG acolo e cel mai mult TBC si MDR-TB si cele mai multe decese de TBC.
   Cu cat se descopera boala ma repede cu atat mai eficient este tratamentul. Dar la noi pt ca tot poporul e vaccinat BCG adica avem bacilul ala in noi, boala nu poate fi descoperita in stadiu incipient. Doar daca nu aveam bacilul, atunci se putea spune „hopa, ai bacil, deci ai TBC, repede, repede la tratament”. Asa, se descopera doar cand e intr-un stadiu mai avansat.
   Si, sa nu uitam, multi dintre Sfintii Inchisorilor au facut TBC in inchisori si unii s-au vindecat prin puterea lui Dumnezeu.
   Nu am pretentia ca cele de mai sus reprezinta adevarul absolut, dar se cam leaga.
   3. Situatia globala a TBC

https://en.wikipedia.org/wiki/Epidemiology_of_tuberculosis

In 2007, the prevalence of TB per 100,000 people was highest in Sub-Saharan Africa, and was also relatively high in Asian countries like India.[2] Foto: https://en.wikipedia.org/wiki/Epidemiology_of_tuberculosis#/media/File:Tuberculosis-prevalence-WHO-2009.svg

4. situatia globala a vaccinului BCG

Map displaying BCG vaccination policy by country. A: The country currently has universal BCG vaccination program. B: The country used to recommend BCG vaccination for everyone, but currently does not. C: The country never had universal BCG vaccination programs. Foto: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3062527/figure/pmed-1001012-g002/

Many countries began BCG vaccination programs in the 1940s–1980s, though some countries such as Romania and Uzbekistan report vaccination campaigns as early as 1928 and 1937, respectively, while some sub-Saharan African nations such as Nigeria and Sierra Leone only began BCG vaccinations in 1991 and 1990. Nine countries have ceased universal BCG vaccination programs; Spain and Denmark were among the first, stopping in 1981 and 1986, respectively, while Austria and Germany had stopped by 1990 and 1998. The remaining countries, including the Isle of Man, Slovenia, UK, Finland, and France, all ceased their BCG vaccination campaigns between 2005 and 2007. While these countries may have ceased mass universal vaccination programs, many do continue to provide BCG vaccination selectively to high-risk individuals, including those involved in high TB risk occupations and/or travel, and infants born into high TB risk environments.
We identified 49 countries that reported changes to their BCG vaccination policy in the past 20 years. Twenty-seven countries reported major changes to their BCG policy within the last 10 years. Of particular interest is the large number (n = 33) of countries that had multiple vaccination programs in the past, but have since ceased revaccination, and now use a single BCG vaccination schedule (Table 1). These revaccination policy changes were as recent as 2007. Sixteen countries continue to give an additional BCG vaccination after the initial BCG, known as a booster vaccination (Table 2), while Kazakhstan, Belarus, Uzbekistan, and Turkmenistan continue to recommend three BCG vaccinations, with the third given between the ages of 12 and 15. Multiple revaccinations may lead to a delayed hypersensitivity reaction also known as the Koch response (phenomenon), where a person previously infected with M. tuberculosis is reinfected intracutaneously, resulting in a local inflammatory reaction marked by necrotic lesions that develops rapidly and heals quickly [14].

acest link este din doc:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3062527/

si spune asa la inceput:
While most experts agree that BCG is efficacious against severe forms of childhood TB, its efficacy against TB in adults is highly variable [7]. As a result of the uncertain efficacy of the BCG vaccine, countries have developed very different BCG vaccination policies. Some countries, such as the United Kingdom, have or have had universal BCG vaccination programs, while others (including Canada and the United States) either only recommended BCG for high-risk groups or did not advocate BCG countrywide.
Adica nu santem siguri de nimic, da recomandam la tarile din lumea a 3-a sa faca BCG. Noi, tarile dezvoltate nu facem. Si ce sa vezi, noi astia care nu facem, nu avem nici TBC.
Si chiar in grupul tarilor dezvoltate, avem cazul Angliei, SUA si Canada. Anglia a avut/are un program BCG, si are mai multe cazuri de TBC decat SUA si Canada.
Daca se compara situatia vaccinarii BCG si a TBC la nivel mondial concluzia iarasi e clara.
Interesant e ca SUA, Canada, Italia, Olanda nu au avut niciodata program de vaccinare BCG. „Astia e prosti, nu stie ce e aia progres, stiinta….”.
Noi cica chiar inainte de 1940 am inceput cu vaccinare, adica in 1928. Am fost si ramanem „destepti”.
La final, am zis sa mai verific o data, sa incerc sa o fac pe avocatul diavolului, dar, e clar.
Unde se face vaccin BCG acolo sant cazuri mai multe de TBC. Se verifica si pt tari cu acelasi nivel de dezvoltare economica/nivel de trai.