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Worldwide cost-effectiveness of infant BCG vaccination

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Churchill said there is no finer investment for any community than putting milk into babies; in most of the world putting BCG into babies is also a sound investment. A meta-analysis and cost-effectiveness assessment (

) has shown that spending about US$206 (£116) in doing so buys the equivalent of one year of life unblighted by tuberculous meningitis or miliary tuberculosis. For US$1.8 million (£1 million) you could prevent nearly 300 cases of severe childhood tuberculosis worldwide, or 450 in South East Asia. Calculations were based on UN and WHO data and on information supplied in governmental reports or published in medical journals. The study included 194 countries and territories grouped into nine regions and aimed …

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