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Interventions for Tuberculosis Control and Elimination 2002

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Cases per 1,000<br />

140<br />

120<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

TBN +<br />

BCG -<br />

TBN -<br />

BCG -<br />

<strong>Tuberculosis</strong><br />

cases<br />

TBN -<br />

BCG +<br />

<strong>and</strong> bacteriologic investigations demonstrated conclusively that batches containing<br />

both BCG <strong>and</strong> M. tuberculosis in varying proportions had been fed<br />

to the infants during the epidemic. 676,678,681,682 Among the 53 fatal cases<br />

ascertained by mid-July 1930, the interval between vaccination <strong>and</strong> death<br />

ranged from 34 to 129 days with a median of 79 days.<br />

100<br />

<strong>Tuberculosis</strong> deaths<br />

TBN +<br />

BCG - TBN -<br />

BCG -<br />

TBN -<br />

BCG +<br />

Figure 55. Results from a non-r<strong>and</strong>omized, self-selection evaluation of the effect<br />

of BCG vaccination on tuberculosis cases <strong>and</strong> deaths among student nurses in<br />

Norway. 670<br />

Number of cases<br />

30<br />

20<br />

10<br />

0<br />

Healthy<br />

TB<br />

TB death<br />

February March April June<br />

Weekly vaccinations with critical strain<br />

Figure 56. Curve of the tuberculosis epidemic following an accidental mix of BCG<br />

vaccine strain with a virulent strain of Mycobacterium tuberculosis in Lübeck,<br />

Germany, 1930. 676

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