BCG vaccine 400 per 100,000 in that higher risk context). The age of the person and the frequency with which BCG is given has always varied from country to country. BCG is prepared from a strain of the attenuated (virulence-reduced) live bovine tuberculosis bacillus, "Mycobacterium bovis", that has lost its ability to cause disease in humans. Because the living bacilli evolve to make the best use of available nutrients, they become less well-adapted to human blood and can no longer induce disease when introduced into a human host. Still, they are similar enough to their wild ancestors to provide some degree of
BCG vaccine 71%. The studies included in this review were limited to those that used interferon gamma release assay. The duration of protection of BCG is not clearly known. In those studies showing a protective effect, the data are inconsistent. The MRC study showed protection waned to 59% after 15 years and to zero after 20 years; however, a study looking at Native Americans immunized in the 1930s found evidence of protection even 60 years after immunization, with only a slight waning in efficacy. BCG seems to have its greatest effect in preventing miliary TB or TB meningitis, so it is still