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Current national policies for infant universal bacille Calmette-Guérin vaccination were associated with lower mortality from coronavirus disease 2019

Risa Ebina‐Shibuya, Nobuyuki Horita, Ho Namkoong, Takeshi Kaneko

2020Clinical and Experimental Vaccine Research19 citationsDOIOpen Access PDF

Abstract

An exciting debate has emerged whether bacille Calmette-Guérin (BCG) vaccination is effective for the coronavirus disease 2019 (COVID-19) pandemic. Some advocated that BCG-vaccinated people are less suffered from the virus because BCG vaccination is recommendedin COVID-19 high burden countries. However, the others objected because this seemingly attractive relationship is explainable with confounding factors. In a multiple regression with 171 countries adjusting socioeconomical and climatic covariates, countries with current universal pediatric BCG policy were associated with 30-fold (95% confidence interval, 17-52) decrease of COVID-19 mortality per population compared to countries without the policy.

Topics & Concepts

MedicineVaccinationPandemicVaccination policyCoronavirus disease 2019 (COVID-19)BCG vaccinePopulationConfoundingEnvironmental healthCoronavirusDiseaseConfidence intervalImmunologyDemographyInfectious disease (medical specialty)Internal medicineSociologyImmune responses and vaccinationsVaccine Coverage and HesitancyCOVID-19 Clinical Research Studies