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Major TB threat as vaccines run out
The Star
2000-04-28

A shortage of BCG vaccines in South Africa is a crisis due to the high prevalence of TB in this country.

South Africa faces one of the worst tuberculosis epidemics ever - and government bungling has led to a severe shortage of vaccines. An unreliable supply of the vaccine from the State Vaccine Institute in Cape Town has been blamed for the shortage. Government depots have run out of stock. A letter sent from the national health department on March 10 said that depots had, by that stage, been out of stock of BCG percutaneous vaccine (the TB vaccine routinely given to babies) for some time now. It goes on: If this situation persists we can expect another negative report in the media, with the subsequent repercussions in parliament. All public and private hospitals and government clinics are battling to get stock. This comes as Aids is making the country's TB problem worse. According to the Medical Research Council, TB rates have doubled in most provinces over the past five years, and are expected to increase five-fold by 2005 if current trends continue. Pieter van der Berg, chief director of emergency and medico-legal services in the Gauteng department of health, confirmed the shortages. Preference was being given to babies whose parents had TB or who lived in areas where it was prevalent. According to Van der Berg, local production of the vaccine is expected to stop and it will have to be imported in future. But problems regarding delivery surfaced before importation was scheduled to start, and in Gauteng the switchover is expected only by September. The health department letter states that: Due to the nature of vaccine production, it is not possible to bring the implementation date forward because the vaccine supplier was not given sufficient notice that an earlier date for implementation might be considered. The State Vaccine Institute and Refilwe Matji, manager of the department's National TB Control Programme, declined to comment on 25/4. Eddie Mhlanga, cluster manager for maternal, child and women's health and nutrition, who is charged with handling babies' vaccines, was not available for comment. But the South African National Tuberculosis Association said the vaccine shortage was a concern. All newborn babies should receive TB vaccines because TB is pandemic in our country, said spokesperson Jacqui Janse van Rensburg. (Source: The Star, 26 April 2000)


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