Bulletin of the World Health Organization

Disseminated bacille Calmette–Guérin disease in HIV-infected South African infants

AC Hesseling, LF Johnson, H Jaspan, MF Cotton, A Whitelaw, HS Schaaf, PEM Fine, BS Eley, BJ Marais, J Nuttall, N Beyers & P Godfrey-Faussett

Volume 87, Number 7, July 2009, 505-511

Table 1. Estimated incidence of disseminated BCG disease in HIV-infected infants (aged ≤ 1 year) vaccinated at birth with BCG, Western Cape Province, South Africa

Year
2004 2005 2006
No. of cases of disseminated BCG disease in HIV-infected infants ≤ 1 year of age 12 12 8
Estimated total no. of infants ≤ 1 year of age 98 236 98 339 98 137
Provincial maternal HIV prevalence (% and 95% CI) 15.4 (12.5–18.2) 15.7 (11.3–20.1) 15.2 (11.6–18.7)
Reported vertical HIV transmission rate (%) 10.4 6.1 5.4
Estimated total no. of HIV-infected infants 1573 942 806
Estimated incidence of disseminated BCG diseasea, assuming 98–99% BCG vaccination coverage (no. and 95% CI) 778 (361–1319) 1300 (587–2290) 1013 (377–1895)

BCG, bacille Calmette-Guérin; CI, confidence interval.
a Per 100 000 HIV-infected vaccinated infants. The pooled estimate for the incidence of disseminated BCG disease over the entire study period was 992 per 100 000 HIV-infected, BCG-vaccinated infants (95% CI: 567–1495).