Why is BCG not used in Canada?
BCG is not used routinely for a number of reasons. TB is not widespread so the chances are small that infants and young children will become exposed. There can be serious side effects in those with serious immune system problems. The exception to this is First Nations or Inuit infants, who live in communities with high rates of TB. Lastly BCG makes the TB skin test difficult to understand since one cannot be sure if a positive result is due to infection with TB or vaccination with BCG.
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