Abstract
The protective effect of BCG vaccination is being evaluated in a controlled community trial near Madras in south India. After tuberculin and sensitin testing and radiographic and bacteriological examinations, BCG vaccines and placebo were allocated randomly to about 260 000 individuals, of whom 115 000 were definitely tuberculin negative at the time of vaccination. Intensive efforts are being made, by means of regular follow-up surveys, to identify all new cases of tuberculosis occurring in the community. This report presents the findings of the first 7½ years of follow-up. Incidence of infection was high in the study population. However, incidence of bacillary disease was more frequent among initial tuberculin reactors, especially among the older persons, than among non-reactors of whom the majority were in the younger age groups. The distribution of new cases of bacillary tuberculosis among those not infected at intake did not show any evidence of a protective effect of the BCG vaccines.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Comstock G. W., Edwards P. Q. An American view of BCG vaccination, illustrated by results of a controlled trial in Puerto Rico. Scand J Respir Dis. 1972;53(4):207–217. [PubMed] [Google Scholar]
- Comstock G. W., Palmer C. E. Long-term results of BCG vaccination in the southern United States. Am Rev Respir Dis. 1966 Feb;93(2):171–183. doi: 10.1164/arrd.1966.93.2.171. [DOI] [PubMed] [Google Scholar]
- Comstock G. W., Webster R. G. Tuberculosis studies in Muscogee County, Georgia. VII. A twenty-year evaluation of BCG vaccination in a school population. Am Rev Respir Dis. 1969 Dec;100(6):839–845. doi: 10.1164/arrd.1969.100.6.839. [DOI] [PubMed] [Google Scholar]
- DUBOS R. J., PIERCE C. H. Differential characteristics in vitro and in vivo of several substrains of BCG. IV. Immunizing effectiveness. Am Rev Tuberc. 1956 Nov;74(5):699–717. doi: 10.1164/artpd.1956.74.5.699. [DOI] [PubMed] [Google Scholar]
- MITCHISON D. A. THE VIRULENCE OF TUBERCLE BACILLI FROM PATIENTS WITH PULMONARY TUBERCULOSIS IN INDIA AND OTHER COUNTRIES. Bull Int Union Tuberc. 1964 Sep;35:287–306. [PubMed] [Google Scholar]
- Narain R., Murthy S. S., Sathyanarayana Rao D. L. Results of B.C.G. vaccination with the bifurcated needle. Indian J Med Res. 1974 Oct;62(10):1596–1605. [PubMed] [Google Scholar]
- Palmer C. E., Long M. W. Effects of infection with atypical mycobacteria on BCG vaccination and tuberculosis. Am Rev Respir Dis. 1966 Oct;94(4):553–568. doi: 10.1164/arrd.1966.94.4.553. [DOI] [PubMed] [Google Scholar]
- STEIN S. C., ARONSON J. D. The occurrence of pulmonary lesions in BCG-vaccinated and unvaccinated persons. Am Rev Tuberc. 1953 Nov;68(5):695–712. doi: 10.1164/art.1953.68.5.695. [DOI] [PubMed] [Google Scholar]
- Vallishayee R. S., Shashidhara A. N., Bunch-Christensen K., Guld J. Tuberculin sensitivity and skin lesions in children after vaccination with 11 different BCG strains. Bull World Health Organ. 1974;51(5):489–494. [PMC free article] [PubMed] [Google Scholar]
- WILLIS S., VANDIVIERE M. The heterogeneity of BCG. Am Rev Respir Dis. 1961 Aug;84:288–290. doi: 10.1164/arrd.1961.84.2.288. [DOI] [PubMed] [Google Scholar]
