| A
final point in the descriptive epidemiology of tuberculous infection, is
the window between infection and tuberculin conversion.
This cannot usually be determined because the time when infection was acquired
is rarely known.
In Lübeck, Germany, children were orally vaccinated
with BCG at birth. In the first few months of 1930, a laboratory
error led to a catastrophe in that a virulent strain of M. tuberculosis
was mixed with M. bovis BCG. A total of 72 of the 251 children
affected died in the disaster. About 100 children were repeatedly
tested with tuberculin and the interval between infection and conversion
was thus determined. The median interval between infection and
conversion was 55 days with the above distribution. The actual
interval is shorter, because tuberculin tests could obviously not be done
on a daily basis.
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