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TB injections

Ruthiebaby39726

11

Posts

EW NEWBIE

Latest post on 16 August 2011 - 23:38

Hi Can anyone give me some advice?

Im a british expat - currently back in UK on holiday where my one year old girls had her 12/13 month injections. Should she also have TB injection before we return to Dubai? Has your little one had it?

I was under the impression that it wasn't needed for Dubai. Many thanks
<em>edited by Ruthiebaby on 16/08/2011</em>

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4747

Posts

EW MASTER

Latest post on 19 August 2011 - 13:01

a chest x ray is the rules now.

4747

Posts

EW MASTER

Latest post on 19 August 2011 - 12:59

nope you do not get retested for TB when you renew your UAE visa! Do you not? Hmm... that's surprising! So no medical or x-ray? I've got mine coming up in December. Sorry for thinking/stating the contrary... I'm genuinely surprised! Hmm... but I've heard people mention that their maids needed a medical for their visa renewal? Ach, whatever... there's no rhyme or reason to things here sometimes! edited by Hello.Again.Kitty on 19/08/2011 It is ok:)) you only need to do xray when you do your visa for the first time..When you renew your visa, you need to do a blood test and that is it! well not in abu dhabi you dont, in the past you had to do a blood test and as a housewive you didnt do the xray only the worker, but as of last year everyone now has a blood test and chest xray, so is it different in dxb dont think it will be, it will be standard for the whole of uae. i have been through quite a few renewals in this place i can tell you. I did my renewal last year in dubai, and i did not do a chest xray, only a blood test.. depends when as they now require everyone to do chest xray. cant remember when last year it came in though.

Annabelle0921001

236

Posts

EW NEWBIE

Latest post on 19 August 2011 - 12:28

nope you do not get retested for TB when you renew your UAE visa! Do you not? Hmm... that's surprising! So no medical or x-ray? I've got mine coming up in December. Sorry for thinking/stating the contrary... I'm genuinely surprised! Hmm... but I've heard people mention that their maids needed a medical for their visa renewal? Ach, whatever... there's no rhyme or reason to things here sometimes! edited by Hello.Again.Kitty on 19/08/2011 It is ok:)) you only need to do xray when you do your visa for the first time..When you renew your visa, you need to do a blood test and that is it! well not in abu dhabi you dont, in the past you had to do a blood test and as a housewive you didnt do the xray only the worker, but as of last year everyone now has a blood test and chest xray, so is it different in dxb dont think it will be, it will be standard for the whole of uae. i have been through quite a few renewals in this place i can tell you. I did my renewal last year in dubai, and i did not do a chest xray, only a blood test..

4747

Posts

EW MASTER

Latest post on 19 August 2011 - 11:55

nope you do not get retested for TB when you renew your UAE visa! Do you not? Hmm... that's surprising! So no medical or x-ray? I've got mine coming up in December. Sorry for thinking/stating the contrary... I'm genuinely surprised! Hmm... but I've heard people mention that their maids needed a medical for their visa renewal? Ach, whatever... there's no rhyme or reason to things here sometimes! edited by Hello.Again.Kitty on 19/08/2011 It is ok:)) you only need to do xray when you do your visa for the first time..When you renew your visa, you need to do a blood test and that is it! well not in abu dhabi you dont, in the past you had to do a blood test and as a housewive you didnt do the xray only the worker, but as of last year everyone now has a blood test and chest xray, so is it different in dxb dont think it will be, it will be standard for the whole of uae. i have been through quite a few renewals in this place i can tell you.

Hello.Again.Kitty

1861

Posts

EW EXPERT

Latest post on 19 August 2011 - 11:54

y do have a chest xray looking for tb. in the past it was only the worker that required it now everyone has to have it done, they have tighten up the rules regarding tb recently. Yeah, I had to have a chest x-ray for my residence visa in Dubai... or would have done, had I not been pregnant!

kiwispiers15400

2782

Posts

EW EXPERT

Latest post on 19 August 2011 - 11:48

I have renewed my visa in Doha without doing any tests at all, so perhaps it is riskier here than in the UAE if you guys are getting tests every time.

Annabelle0921001

236

Posts

EW NEWBIE

Latest post on 19 August 2011 - 11:44

nope you do not get retested for TB when you renew your UAE visa! Do you not? Hmm... that's surprising! So no medical or x-ray? I've got mine coming up in December. Sorry for thinking/stating the contrary... I'm genuinely surprised! Hmm... but I've heard people mention that their maids needed a medical for their visa renewal? Ach, whatever... there's no rhyme or reason to things here sometimes! edited by Hello.Again.Kitty on 19/08/2011 It is ok:)) you only need to do xray when you do your visa for the first time..When you renew your visa, you need to do a blood test and that is it!

4747

Posts

EW MASTER

Latest post on 19 August 2011 - 11:30

nope you do not get retested for TB when you renew your UAE visa! Do you not? Hmm... that's surprising! So no medical or x-ray? I've got mine coming up in December. Sorry for thinking/stating the contrary... I'm genuinely surprised! Hmm... but I've heard people mention that their maids needed a medical for their visa renewal? Ach, whatever... there's no rhyme or reason to things here sometimes! edited by Hello.Again.Kitty on 19/08/2011 y do have a chest xray looking for tb. in the past it was only the worker that required it now everyone has to have it done, they have tighten up the rules regarding tb recently.

kiwispiers15400

2782

Posts

EW EXPERT

Latest post on 19 August 2011 - 11:28

In Doha at least only healthcare and food prep workers have to get retested (I'm not sure about teachers and childcare workers, you would hope they might be). If you are not personally from a higher risk country, I think your biggest risk would be from a maid/nanny who might be in close contact with infected family members on a vacation. Of course you could always get your own maid tested routinely for peace of mind. I think with the constant influx of expats from various countries your relative risk is higher than the UK, but HAK is right to say it is still comparatively low enough that you could feel comfortable if you chose not to vaccinate.

Hello.Again.Kitty

1861

Posts

EW EXPERT

Latest post on 19 August 2011 - 11:03

nope you do not get retested for TB when you renew your UAE visa! Do you not? Hmm... that's surprising! So no medical or x-ray? I've got mine coming up in December. Sorry for thinking/stating the contrary... I'm genuinely surprised! Hmm... but I've heard people mention that their maids needed a medical for their visa renewal? Ach, whatever... there's no rhyme or reason to things here sometimes! <em>edited by Hello.Again.Kitty on 19/08/2011</em>

Annabelle0921001

236

Posts

EW NEWBIE

Latest post on 19 August 2011 - 10:56

If its part of the recommended national schedule for UAE, then it is fair to say it has been "strongly recommended" for those living there regardless of what a UK Dr has said. Each country makes up their schedule based on perceived risks. I doubt Tb would be recommended as a "travel" vaccine in general for tourists though since its a disease spread usually by prolonged contact situations. Travel advice aside, if the actual risk of contracting it is similar or less than when you live in the UK, and it's no longer recommended for most of the UK population, then pure logic dictates that it's not needed for living in Dubai. Of course, if you have someone living with you who is from a high-risk country, then your own personal risk becomes higher, but it could be argued that just as a tourist is unlikely to contract it whilst on holiday (because it's spread by prolonged contact), a person who's been proved clear on his/her visa is unlikely to pick it up on his/her holiday home (and besides, you have to have the medical done again on all your visa renewals don't you, so that's every 3 years?). I just think my kids are just as unlikely to catch it from a cashier at Al Maya than on a day-trip to London. I think, as always, it's about keeping a level head about this emotive subject, looking at your own circumstances and taking it from there. I'm a great advocate of vaccination, but will not pump my kids full of chemicals and nasties if I do not deem it necessary... but that's just me. nope you do not get retested for TB when you renew your UAE visa!

Annabelle0921001

236

Posts

EW NEWBIE

Latest post on 19 August 2011 - 10:56

If its part of the recommended national schedule for UAE, then it is fair to say it has been "strongly recommended" for those living there regardless of what a UK Dr has said. Each country makes up their schedule based on perceived risks. I doubt Tb would be recommended as a "travel" vaccine in general for tourists though since its a disease spread usually by prolonged contact situations. Travel advice aside, if the actual risk of contracting it is similar or less than when you live in the UK, and it's no longer recommended for most of the UK population, then pure logic dictates that it's not needed for living in Dubai. Of course, if you have someone living with you who is from a high-risk country, then your own personal risk becomes higher, but it could be argued that just as a tourist is unlikely to contract it whilst on holiday (because it's spread by prolonged contact), a person who's been proved clear on his/her visa is unlikely to pick it up on his/her holiday home (and besides, you have to have the medical done again on all your visa renewals don't you, so that's every 3 years?). I just think my kids are just as unlikely to catch it from a cashier at Al Maya than on a day-trip to London. I think, as always, it's about keeping a level head about this emotive subject, looking at your own circumstances and taking it from there. I'm a great advocate of vaccination, but will not pump my kids full of chemicals and nasties if I do not deem it necessary... but that's just me. nope you do not get retested for TB when you renew your UAE visa!

Annabelle0921001

236

Posts

EW NEWBIE

Latest post on 19 August 2011 - 10:55

Here is the thing, the reason BCG vaccine is not given in Europe anymore is because if you get TB, it is very easy to treat if diagnosed early, so not because the risk is less than in the UAE...i dunno honestly what will happen if you catch TB here, will the person be deported afterwards?? i dunno honestly..but it is a thought! If its active Tb then you are not allowed to travel and they have to treat you first which can take months, after that you will be deported. If inactive you will be deported straight away. One reason for not having the vaccine is that on a national level it makes it harder to test/screen for Tb since you will show positive for exposure, but then again your risk of catching it is less with having had the vaccine which might be more important on an individual level.......its not really clear cut tbh Yeah you have a point, but this is not the case in Holland, maybe in the US..The reason pp are not vaccinated today for TB there is because it is easy to treat if caught early...the concern is not really that you test positive with the manteaux test cause if you do, they just ask you if you have been vaccinated...

Hello.Again.Kitty

1861

Posts

EW EXPERT

Latest post on 19 August 2011 - 10:51

If its part of the recommended national schedule for UAE, then it is fair to say it has been "strongly recommended" for those living there regardless of what a UK Dr has said. Each country makes up their schedule based on perceived risks. I doubt Tb would be recommended as a "travel" vaccine in general for tourists though since its a disease spread usually by prolonged contact situations. Travel advice aside, if the actual risk of contracting it is similar or less than when you live in the UK, and it's no longer recommended for most of the UK population, then pure logic dictates that it's not needed for living in Dubai. Of course, if you have someone living with you who is from a high-risk country, then your own personal risk becomes higher, but it could be argued that just as a tourist is unlikely to contract it whilst on holiday (because it's spread by prolonged contact), a person who's been proved clear on his/her visa is unlikely to pick it up on his/her holiday home (and besides, you have to have the medical done again on all your visa renewals don't you, so that's every 3 years?). I just think my kids are just as unlikely to catch it from a cashier at Al Maya than on a day-trip to London. I think, as always, it's about keeping a level head about this emotive subject, looking at your own circumstances and taking it from there. I'm a great advocate of vaccination, but will not pump my kids full of chemicals and nasties if I do not deem it necessary... but that's just me.

kiwispiers15400

2782

Posts

EW EXPERT

Latest post on 19 August 2011 - 10:48

Here is the thing, the reason BCG vaccine is not given in Europe anymore is because if you get TB, it is very easy to treat if diagnosed early, so not because the risk is less than in the UAE...i dunno honestly what will happen if you catch TB here, will the person be deported afterwards?? i dunno honestly..but it is a thought! If its active Tb then you are not allowed to travel and they have to treat you first which can take months, after that you will be deported. If inactive you will be deported straight away. One reason for not having the vaccine is that on a national level it makes it harder to test/screen for Tb since you will show positive for exposure, but then again your risk of catching it is less with having had the vaccine which might be more important on an individual level.......its not really clear cut tbh

Annabelle0921001

236

Posts

EW NEWBIE

Latest post on 19 August 2011 - 10:11

Here is the thing, the reason BCG vaccine is not given in Europe anymore is because if you get TB, it is very easy to treat if diagnosed early, so not because the risk is less than in the UAE...i dunno honestly what will happen if you catch TB here, will the person be deported afterwards?? i dunno honestly..but it is a thought!

4747

Posts

EW MASTER

Latest post on 19 August 2011 - 09:57

its not required but strongly recommend you have it, No it's not though. I don't know how long you've been in the UAE, but the demographic and heath circumstances may well have changed in that time. It's not a vaccine that's even positively recommended (as in an optional requirement) to visit the UAE - believe me, I asked the professionals here in the UK. It's just not. If my memory serves me right, their exact words were "no, you don't need it". Can't get much clearer than that! BUT, as Kiwispiers says, if you take into account your own personal circumstances and weigh up the risks of action vs inaction, then you may want to make that call. If its part of the recommended national schedule for UAE, then it is fair to say it has been "strongly recommended" for those living there regardless of what a UK Dr has said. Each country makes up their schedule based on perceived risks. I doubt Tb would be recommended as a "travel" vaccine in general for tourists though since its a disease spread usually by prolonged contact situations. Yes RB you should probably get the Hepatitis vaccines, we get those as std in NZ, didn't realize you didn't in UK. yes its given as a matter of course at birth here in the uae, so if they do that then i would suggest doing it, the uk really will not know what is what, they only treat it as a travel vaccine, ie only for short term, i know people in the uk who have had to fight to get the vaccine done because the uk dont think its a threat. in the past you had it done at 13 but now you dont. its different living in the country rather than just passing through, if you are travelling yes then really you dont need it, but you come across very many different nationalities with very different hygiene standards!

kiwispiers15400

2782

Posts

EW EXPERT

Latest post on 19 August 2011 - 09:34

its not required but strongly recommend you have it, No it's not though. I don't know how long you've been in the UAE, but the demographic and heath circumstances may well have changed in that time. It's not a vaccine that's even positively recommended (as in an optional requirement) to visit the UAE - believe me, I asked the professionals here in the UK. It's just not. If my memory serves me right, their exact words were "no, you don't need it". Can't get much clearer than that! BUT, as Kiwispiers says, if you take into account your own personal circumstances and weigh up the risks of action vs inaction, then you may want to make that call. If its part of the recommended national schedule for UAE, then it is fair to say it has been "strongly recommended" for those living there regardless of what a UK Dr has said. Each country makes up their schedule based on perceived risks. I doubt Tb would be recommended as a "travel" vaccine in general for tourists though since its a disease spread usually by prolonged contact situations. Yes RB you should probably get the Hepatitis vaccines, we get those as std in NZ, didn't realize you didn't in UK.

4747

Posts

EW MASTER

Latest post on 19 August 2011 - 06:32

Thank you everyone for replying - Im in two minds. Im currently back in the UK on holiday and spoke to my health visitor today about it. She checked various websites and called a national helpline and advised me it wasnt needed as they class Dubai as low risk but now she is saying they would recommend my wee one having hepatitis A and B jabs!! I hadnt been told this before either! As for future plans Im unsure - hubby currently in process of moving posts and might involve a lot of travelling in which case I will return to UK possibly next summer but its a wait a see game at moment.If is isnt away alot I will stay in Dubai. Im a stay at home mum so dont have any maid just a cleaner in once a week who is from the philipines (wrong spelling!) Thanks again for the information ladies - I might wait till I return to Dubai in next couple of weeks to decided from there! xx yeh you should have the hep jabs. my kids over the years here have had hep a and b, meg c, bcg in addition to the usual uk jabs.

4747

Posts

EW MASTER

Latest post on 19 August 2011 - 06:30

its not required but strongly recommend you have it, No it's not though. I don't know how long you've been in the UAE, but the demographic and heath circumstances may well have changed in that time. It's not a vaccine that's even positively recommended (as in an optional requirement) to visit the UAE - believe me, I asked the professionals here in the UK. It's just not. If my memory serves me right, their exact words were "no, you don't need it". Can't get much clearer than that! BUT, as Kiwispiers says, if you take into account your own personal circumstances and weigh up the risks of action vs inaction, then you may want to make that call. i know the uk do not give it now as they used to in the past, but i would do it for the kids. true i have been here a long time, as i said, and yes they have changed the specifications in the uk and now dont give it, but its useful here because of all the different nationalities you come across which are not all from the developed world. its your choice!

Hello.Again.Kitty

1861

Posts

EW EXPERT

Latest post on 19 August 2011 - 01:27

its not required but strongly recommend you have it, No it's not though. I don't know how long you've been in the UAE, but the demographic and heath circumstances may well have changed in that time. It's not a vaccine that's even positively recommended (as in an optional requirement) to visit the UAE - believe me, I asked the professionals here in the UK. It's just not. If my memory serves me right, their exact words were "no, you don't need it". Can't get much clearer than that! BUT, as Kiwispiers says, if you take into account your own personal circumstances and weigh up the risks of action vs inaction, then you may want to make that call.

Ruthiebaby39726

11

Posts

EW NEWBIE

Latest post on 19 August 2011 - 00:29

Thank you everyone for replying - Im in two minds. Im currently back in the UK on holiday and spoke to my health visitor today about it. She checked various websites and called a national helpline and advised me it wasnt needed as they class Dubai as low risk but now she is saying they would recommend my wee one having hepatitis A and B jabs!! I hadnt been told this before either! As for future plans Im unsure - hubby currently in process of moving posts and might involve a lot of travelling in which case I will return to UK possibly next summer but its a wait a see game at moment.If is isnt away alot I will stay in Dubai. Im a stay at home mum so dont have any maid just a cleaner in once a week who is from the philipines (wrong spelling!) Thanks again for the information ladies - I might wait till I return to Dubai in next couple of weeks to decided from there! xx

4747

Posts

EW MASTER

Latest post on 18 August 2011 - 23:05

Hi Can anyone give me some advice? Im a british expat - currently back in UK on holiday where my one year old girls had her 12/13 month injections. Should she also have TB injection before we return to Dubai? Has your little one had it? I was under the impression that it wasn't needed for Dubai. Many thanks edited by Ruthiebaby on 16/08/2011 its not required but strongly recommend you have it, with all different nationalities that live in the uae its very beneficial. my second child was born here so had at birth i was wondering when to give to my first child, whether to wait until they would normally have had it in the uk at secondary school, in the end i gave it to him as soon as the other had it. i was told when we first came, and there were defo less people living here then, by the british embassy that employees would not be allowed out if they didnt have it done.

kiwispiers15400

2782

Posts

EW EXPERT

Latest post on 18 August 2011 - 17:41

Just looking online incidence of Tb in UAE and in Britain last year, both around the 14 per 100,000 mark, (around 700 cases last year in UAE) so as HAK says, not technically high risk for either except in certain sub-populations. However as expats you would be mindful of any other expat postings you might have in the future (south east asia for example). If you are from or have family in places like India it would be recommended. Personally I chose to get my son vaccinated. I was on the fence though and my husband felt more strongly than myself that we should get it. (NB we are in Doha but despite differing WHO stats I think the situation is really the same as Dubai). Depending on your home country and future plans I think it would be quite reasonable not to bother getting it although as vaccines go I don't think its an especially risky one as far as side effects, it does leave a small scar though and you can request it be given in a more discreet place than on the arm. I have an Indian maid and that was one of the reasons I chose to vaccinate, and like all maids/nannys she is not re-tested each time she goes on vacation although I certainly don't think she has Tb. <em>edited by kiwispiers on 18/08/2011</em>

Hello.Again.Kitty

1861

Posts

EW EXPERT

Latest post on 18 August 2011 - 17:30

this is what I posted in the other thread: ------- This is the [url=http://www.nhs.uk/Planners/vaccinations/Pages/childvaccines.aspx'>link[/url'> to NHS guidance on childhood immunisations ... and interestingly gives guidance on when/if the CP vaccine, BCG vaccine and others may be recommended I've also had a little look and the sites I've tried (NHS, Travel-turtle...) haven't mentioned needing the BCG for travel (even long-term travel) in Dubai . According to several sources, Dubai has amongst the lowest incidence of tuberculosis in the world [url=http://healthfirstmagazine.com/issue/current/article/news-in-brief1'>link[/url'> article // UAE stats per 100,000 - UK apparently registered 14.5/100,000 in 2010 [url=http://www.arabstats.org/country.asp?cid=21&ind=305'>link[/url'> // WHO comparison chart for 2009... [url=http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1195733837507'>link[/url'> nb, scroll down to the bottom! -------- The World Health Organisations conducts research and based on that, makes unbiased recommendations... unbiased because it is not affiliated with pharmaceutical companies or any other profit-making product (sometimes research is funded by a company that has an interest, so for example, I read that the research that found dummies to help prevent SIDS was funded by... yup, a company that makes dummies. Helpful, hey?!) Anyhow, lots of people say that here in Dubai you will mix with all sorts, who could be carriers (despite the fact that people who have TB don't get visas and are deported)... I guess some could slip through the net, but basically, the stats (the only unbiased info we can go on) suggest that you are more likely to pick it up in the UK than in Dubai... and it's no longer a routine vaccination for most people in the UK, so, well... that's how high they feel the risk is. <em>edited by Hello.Again.Kitty on 18/08/2011</em>

kiwispiers15400

2782

Posts

EW EXPERT

Latest post on 18 August 2011 - 17:02

WHO stands for World Health Organisation, a large international organisation that make many recommendations after reviewing research on health issues (for example they recommend that you breastfeed for 2 years and do not give any water, rice cereal, purees, foods or formula before your baby is 6 months old as this has been found to be the safest for your baby). I'm not sure that there is a WHO recommendation for whether or not you should have the BCG vaccine but generally speaking, as an expat you wold review the recommended vaccines for both your own country, your host country and any other countries you expect to spend significant time in.

117

Posts

EW NEWBIE

Latest post on 18 August 2011 - 16:43

I am about to give birth in 4 weeks. I am also undecided on the TB vacc. Can someone please give more information on the WHO recommendations. What does WHO stand for? Where do I find more information on TB vacc, if anyone knows a good website to direct me to? Much appreciated in advance.

2340

Posts

EW EXPERT

Latest post on 18 August 2011 - 16:13

We were in Dubai for five years and only one of our children had the TB vacc...she was born there and I had been led to believe it is compulsory at birth. (it's not!) Dr Khan was also our paed and while I have huge respect for him in diagnosis and treatment of sick kids, I did find his opinions on vacc's and disease rates were not consistent with those of current WHO recommendations. Ruthie, why not do your own research of the vacc, it's effectiveness etc, then decide what is best for your situation.

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Latest post on 18 August 2011 - 13:59

Hi. I recently took my LO to Dr Khan (Cooper Clinic) and he said that if we intended on staying in Dubai for a longer time he strongly recommended giving the TB jab. He said it is more common here than at home (UK). He went onto say that he would only give it at 13 months. He did also train in the UK I believe so that gives me a bit more confidence in what he says. The issue I have is that we are here for a min. of 2 years and then subject to agreement we could stay another 2 years. I have got until November/December to decide what to do. I think I asked if it would make my LO sick and he said no it would just be a bit scabby and pussy. Not sure if this helps you anymore.

Ruthiebaby39726

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Latest post on 17 August 2011 - 12:28

Thanks for that - Im going to look at WHO now! I dont think I will give her it but just a couple of people had said they were getting it and I was a bit worried I had forgotten an jab!!!

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