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
Inoculation Needham states that this information comes from the "Zhongdou xinfa" (種痘心法) written in 1808 by Zhu Yiliang, centuries after the alleged events. The first clear and credible reference to smallpox inoculation in China comes from Wan Quan's (1499–1582) "Douzhen xinfa" (痘疹心法) of 1549, which states that some women unexpectedly menstruate during the procedure, yet his text did not give details on techniques of inoculation. Inoculation was first vividly described by Yu Chang in his book "Yuyi cao" (寓意草), or "Notes on My Judgment", published in 1643. Inoculation was reportedly not widely practised in China until the reign of the Longqing