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1 The Department of Pediatrics, Stanford University School of Medicine, San Francisco, California.
Tuberculosis can be entirely eliminated, and has been in certain areas, by tuberculin testing, x-raying reactors, and isolation of open cases. BCG would interfere with such programs and might add the danger of large numbers of subclinical tuberculosis among the population at large. Any favorable report of BCG vaccination can be surpassed by reports with the use of accepted methods.
For the present I believe we should leave the use of BCG vaccine in the hands of the public health departments, where its use can be controlled, and the results from it properly evaluated. I stress again the urgent need of more alternate-case control studies. Without them we cannot ever know with certainty whether BCG has any value at all.
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