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To whom it may concern: ________________________________________________________________


Applicant ________________________________________________________________

Since 1941 BCG vaccination has been included in the national vaccination program in Finland until September 2006 and thereafter for certain risk groups. The majority of children born before September 2006 have received BCG vaccination at birth or soon thereafter.

BCG vaccination may cause positive reaction in the intradermal Mantoux tuberculin test. According to the Finnish experience, the reactivity may be long lasting and some healthy adolescents may still have moderate, even strong reaction in the tuberculin test (Tubercule Lung Dis 1992, 73, 87–93, Tala-Heikkilä et. al.).

Yours sincerely,


MD, Licenced physician

Stamp of the responsible Health Authority